HomeMy WebLinkAboutEHPR-4-11-10279.TIF � C � THIS IS NOT A PERMIT Case # EHPR-4-11-10279
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v �''C Plan Review Application for Environmental Services
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Billy Williams
SITE ADDRESS: 4059 BARNHARDT ST Hickory, NC Pin#: 370016922879
NAME of SUBDIVISION:RAINBOW HILLS Lot # 49 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.829
DIRECTIONS: SOUTH ON 321 BUS/ RT HWY 10/ 3.5 MU RT ROBINSON RD/ 1.8 MI LF SANDY FORD RD/ L.4 MU RT
ZION CH RD/ .2 MU LF JAMES FARM RD/ RT BARNHARDT ST/ ON LF
APPLICANT OWNER CONTRACTOR
Billy Williams Billy Williams SUNLIFE, INC.
4059 Barnhardt ST 4059 Barnhardt ST 5035 HICKORY BLVDHICKORY NC
Hickory NC 28602-9535 Hickory NC 28602-9535 28601
828-294-9091 82&2949091 82&396-3382
Dave@sun l ifesunrooms. com
PRIMARY CONTACT: Contractor APPLICATIOId'�?N1�I�'�onstruction
DIM EXISTING STRUCTURE: 60 X 60 EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS� SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Public Water
CALCULATED DESIGN FLOW:
Public water IS available for this property.
PUBLIC WATER TYPE AVAILABLE: County/Ciry/Township Water
DESCRIBE WORK: ADDITION OF 160 SQ FT SUNROOM ADD/ 140 SQ FT UNCOVERED DECK
DESCRIPTION OF HOUSE
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EASEMENTS: NONE
PROPOSED CONSTRUCTION
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 nor�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 properiy. 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
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Minimum Setbacks Front: Side: Rear: Side St: Max Height:
FEE NAME DATE AMOUNT BALANCE DUE
Existing Tank Check Fee 04/06/2011 $80.00
TOTAL FEES $80.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
04/11/I 1 0928