HomeMy WebLinkAboutEHPR-4-11-10360.TIF .� C � THIS lS NOT A PERMIT Case # EHPR-4-11-10360
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� CATAWBA COUNTY HEALTH DEPARTMENT
v , 4: ''C Plan Review Application for Environmental Services
1g�2 sM Environmental Health Plan Review - OSWP
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1��e(tf ��� NAME TO APPEAR ON PERMIT
rith Equipment Corporatio James Frith
SITE ADDRESS: 4040 lOTH AV DR SW Hickory, NC Pir,�: 278215639399
NAME of SUBDIVISION: Lot # 3 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 16.799
DIRECTIONS: BEFORE CETNERAL BAPTIST CHURCH BLD ON LF
� PLICANT OWNER CONTRACTOR
Frith Equipment Corporation J s Frith, BRADINGTON YOLTNG Frith Equipment Corporation
Jr. 4040 l OTH AV DR SW 26 Textile RDRidgeway VA 24148-
26 Textile RD HICKORY NC 28602- (276)632-7241
Ridgeway VA 24148- (276)632-1763 j� NA
� (276)632-7241 _____._._-��� — ACCOUrrT:�Stt _ _ _ __
�M ACT: . A licant APPLICATION FOR: New Construction
DIM EXISTING STRUCTUR : EXISTING FACILITY TYPE: Business
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/City/Township Water
DESCRIBE WORK: 20 X 60' GRINDER SHED ADDITION ON BACK OF EXISTING BLDG
DESCRIPTION OF FURNITURE MANUFACTURING
EXISTING STRUCTURES
ON SITE (IF ANY)
PR EASEMENTS: NA
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 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
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Minimum Setbacks Front: Side: Rear: Side St: M� Height:
FEE NAME DATE AMOUNT BALANCE DUE
Existing Tank Check Fee 04/12/2011 $80.00 $0.00
TOTAL FEES $80.00 $0.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
04/20/ 11 14:54