HomeMy WebLinkAboutEHPR-3-11-9910.TIF S �% THIS IS NOT A PERMIT Case # EHPR - - 11 - 9910
� C ATAWBA COUNTY HEALTH DEPARTMENT
c)\ � i►x
0 J Plan Review Application for Environmental Services
84 sM Environmental Health Plan Review - OSWP
pc l Sed day. IMPROVEMENT
j ,� (v r f ri NAME TO APPEAR ON PERMIT
��_�' Arthur Goldner
SITE ADDRESS: 7637 TANGLEWOOD DR, Vale, NC Pin#: 267701451262
NAME of SUBDIVISION:CRABTREE ACRES Lot# 10 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 1.12
DIRECTIONS: Hwy 10 Left on Cat Square Rd / Rt on Horseshoe Bend / Rt on Tanglewood (Corner lot)
APPLICANT OWNER CONTRACTOR
Eric Goldner `1 ur Goldner
7637 Tanglewood DR 7637 Tanglewood DR
Vale NC 28168- Vale NC 28168 -8317 -
(704)462 -0859 704 -462 -0859
PRIMARY CONTACT: Applicant APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: 74 x 52 EXISTING FACILITY _ _ _ _ _ _ >
NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: 3 EXISTING WATER SUPPLY IN USE: Public Water
CALCULATED DESIGN FLOW:
Public water IS available for this property.
PUBLIC WATER TYPE AVAILABLE: County /City/Township Water
DESCRIBE WORK: 24' Above Ground Pool 52" tall with Deck
DESCRIPTION OF Mobile Home double Wide
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EASEMENTS: none
PROPOSED CONSTRUCTION
ACCESSORY STRUCTURES
DESCRIPTION: 24' Round Above Ground Pool
# OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: 24' ACC DWELLING? No
PLUMBING? No # OF STRUCTURE OCCUPANTS:
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non - expiring date, but may be revoked if this information, site plans or intended use changes for the proposed
facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828 - 466 -7291
AREA2
Minimum Setbacks: Front: 30 Side: 10 Rear: 5 Side St: Max Height:
03/18/11 08:51
,$A • CATAWBA COUNTY Case # EHPR -3 -11 -9910
G Public Health Department
� Subdivision CRABTREE ACRES
-i Environmental Health Div - Plan Review
u : ' ' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot 10
/842 sM P IN# 267701451262
Applicant/Owner Eric Goldner, 7637 Tanglewood DR, Vale NC 28168 -
Site Address: 7637 TANGLEWOOD DR, Vale, NC
Property Size: SF 1.12 ACRES
Directions: Hwy 10 Left on Cat Square Rd / Rt on Horseshoe Bend / Rt on Tanglewood (Corner lot)
FEE NAME DATE AMOUNT BALANCE DUE
Improvement Permit Fee 03/17/2011 $150.00 $0.00
TOTAL FEES $150.00 $0.00
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
03/18/11 08:51