HomeMy WebLinkAboutEHPR-4-11-10571.TIF .� � THIS IS NOT A PERMIT Case # EHPR-4-11-10571
�
�" � CATAWBA COUNTY HEALTH DEPARTMENT
U ,�; ''C Plan Review Application for Environmental Services
1g�}2 SM Environmental Health Plan Review - OSWP
�� � � �J�i�� �O EXS SYSTEM
��r��'� ,'�, NAME TO APPEAR ON PERMIT
Anthony & Sylvan Pools North Carolina LLC
SITE ADDRESS: 1239 BUGLE LN Newton, NC Pir�s: 372009055433
NAME of SUBDIYISION:FOX CHASE Lot # 23 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 1.24
DIRECTIONS: lOW/ RT STARTOWN RD/ LEFT SANDY FORD RD / RT INTO FOX CHASE / RT BUGLE LN/ LOT AT END
ON LEFT
APPLiCANT OWNER CONTRACTOR
ANTHONY & SLYVAN POOLS JOSHCTA SHERRILL Anthony & Sylvan Pools North Carolina
8334-a ARROWRIDGE BLVD 1239 BUGLE LN LLC
CHARLOTTE NC 28273- NEWTON NC 28658 8334-A ARROWRIDGE
(704)773-4426 828-612-8890 BLVDCHARLOTTE NC 28273-
(704)525-1100
PRIMARY CONTACT: Contractor APPLICATI01�'�r
DIM EXISTING STRUCTURE: 67 X 70 EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: 4 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:
DESCRIBE WORK: PVT IN-GROUND POOL IN REAR YARD AREA
DESCRIPTION OF SINGLE FAMILY
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EAS NONE
PROPOSED CONSTRUCTION
ACCESSORY STRUCTURES
DESCRIPTION: PVT 1NGROUND POOL
# OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: 26 X 44 ACC DWELLING? No
PLUMBING? No 0 # OF STRUCTURE OCCUPANTS: 0
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 norFexpiring 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 warking days of application date.
If you need further information or assistance please ca11828-466-7291
AREA2
*�**�**�*�:�*****�****************************�*************************************�*�******�*****�***�*�*****��******
Minimum Setbacks Front: 30 Side: 10 Rear: 10 Side St: Max Height:
04/25/11 1326