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Home My WebLink AboutEHPR-9-10-7295.TIF #A Co THIS IS NOT A PERMIT Case # EHPR - - 10 - 7295 � a CATAWBA COUNTY HEALTH DEPARTMENT t� Plan Review Application for Environmental Services \ \ 842 sM Environmental Health Plan Review - OSWP EXPANSION NAME TO APPEAR ON PERMIT RICHARD HARRIS SITE ADDRESS: 7478 BANKHEAD RD, Denver, NC Pin#: 460603340958 NAME of SUBDIVISION:CRESCENT LAND AND TIMBER CORP Lot # 134 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.889 DIRECTIONS: HWY 16S/ LT ON CAMPGROUND RD/ LT ON CATAWBA BURRIS/ RT ON BANKHEAD/ ALMOST TO THE END APPLICANT OWNER CONTRACTOR RICHARD HARRIS RICHARD HARRIS SAME AS OWNER 12506 WILLOW GROVE WAY 12506 WILLOW GROVE WAY HUNTERSVILLE NC 28078 HUNTERSVILLE NC 28078 (704)892 -3883 (704)892 -3883 PRIMARY CONTACT: Owner APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 14 X 64 EXISTING FACILITY TYPE: Mobile Home NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: WELL TYPE: Public water is * *NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: SINGLEWIDE MOBILE HOME CHANGE -OUT DESCRIPTION OF SINGLEWIDE MOBILE HOME EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EASEMENTS: NO PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 2 PROJECT DESC: SINGLEWIDE MOBILE HOME CHANGE -OUT PROJECT DIMENSION: 14 X 76 BASEMENT? No BASEMENT FIXTURES? No 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 propert Any representation by you of house or structure location should conform to applicable setbacks. Date: Or//0 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 AREA1 09/13/10 13:35 /gA\ CATAWBA COUNTY Case # EHPR -9 -10 -7295 e 1 c, Public Health Department Subdivision Q Environmen Health Division - Plan Review CRESCENT LAND AND TIN d r ° � s PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 134 ` rg 2 ,,, PIN# 460603340958 Applicant/Owner RICHARD HARRIS, 12506 WILLOW GROVE WAY, HUNTERSVILLE NC 28078 Site Address: 7478 BANKHEAD RD, Denver, NC Property Size: SF 0.889 ACRES Directions: 1-1WY 16S/ LT ON CAMPGROUND RD/ LT ON CATAWBA BURRIS/ RT ON BANKHEAD/ ALMOST TO THE END Minimum Setbacks FEE NAME DATE AMOUNT BALANCE DUE Front 30 Side 15 Authorization to Construct Fee (New /Expansion) Fee 09/13/2010 $150.00 Rear 30 Improvement Permit Fee 09/13/2010 $150.00 Side St Max Hght TOTAL FEES $300.00 CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 09/13/10 13:35 THIS IS NOT A PERMIT WLS# 12004 -01265 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services r IP r AC E S.T. Rpr. r S.T. Exp. R Exist. S. T. ig Well Permit r Replacement Well 1. Name to Appear on Permit: 'Richard E. Harris and JoAnn Harris 2. Permit Requested By:IRichard E. Harris and JoAnn Harris Business Phone: 1 Address: ll25o6WiIIowGroveWa Home Phone: 1704- 892 -3883 1Richard E. Harris and JoAnn Harris 1704 -516 -3701 3. Property Owner: Business Phone: 112506 Willow Grove Way 1 Address: Home Phone: F I 4. Name of Subdivision: 1 Lot #: Section /Block/Phase: 17478 Bankhead Road Property Address: 1Catawba, NC Directions to Property: 1 HwY 16 South, left on to Slanting Bridge, then left on to Catawba Burris, then right on to Bankhead Rd. Property on left and has l a green single wide on it. 5. Property Size: Square Feet 1 Acres 10.89 Date Platted /Recorded 1 C House C: Mobile Home 16 72 3- 6. TYPE OF FACILITY: Dimension of Structure Bedrooms* *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on the house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: C Yes ( No Water Using Fixtures in Basement: C' Yes C: No No. in Family: 1 Whirlpool Tub: C` Yes C: No Gallon Capacity: 1 MULTIPLE FAMILY RESIDENCES: Units 1 Total Number of Bedrooms 1 DAY CARE: Number of Children 1 RESTAURANT: Seats 1 Square Feet Dining Area Square Feet Food Stand /Meat Market Floor Space 1 TYPE OF BUSINESS: 1 No. of Employees 1st' 2nd 1 3rd' OTHER : (Specify) 1 7. Do you anticipate any additions to Facility? C' Yes C No If so describe 1 I 8. Has any grading, removal, or addition of soil been done to this property? (' Yes (" No If so describe 1 9. Are there easements /right -of -ways recorded on this property? (' Yes (: No 10. Is a public water supply available on or adjacent to the above property? C' Yes C: No Check type that i5 available: !— Community Well r Semi- public Well r County /City/Township water line 1 1. Wel Type Applying For: Ix Individual Well r' Community Well f Semi- public Well r' Irrigation Well I Geothermal Well 12. Monitoring Well Request:(' Yes (' No # of Wells: 1 Name of Site: I understand that this 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND /OR RETRIPS MADE TO THE PROPERTY, THERE I5 AN ADDITIONAL CHARGE. ** Date: I Signature of Owner or Agent: - Print Form ■1 y m N Z M rX m N ; n UU O) N YY = <m Z Q ,: Y n/ aaa a N�c,��`� z� n'_, m h( J - ]yj N DO f cn w I a mmm w � D aaaa Z _` � a ', =;. 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Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic Information System. Catawba Coun ty has made substantial efforts en sure orts to ense the accuracy of location and labeling information A contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this neap product by the user. The County of Catawba, its employees, agents and personnel disclaims, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Legend ej ? 511 ' I I 1 Selected Parcel Number: lJw' 1 inch = 60 feet Prepared for: 92i? -____ 2 10 , A n e„,..._„ 1 4 fy, ....- ; 4 c; ci V . J / ��,..- ---- 209 .,. ,.: ....._ 31,_---- koor �,fr t . ,, J C� TIZI ...._ _ ,,........„-:\ \ .. 1 --- „ ,,,, ,/..______ ______. ,_..____........„-, , ... ______ _., , ,,,,,,,,,,..... ,..... ..•r ,,,---___— na_ . . ,Q___ - __.---------Nd...,t_iw ,__ _ ___ .........._____.___ ____ . 3 ,'` ti - --- - 7 ..- --A ` _.___.__ _.___ 2. ;---- - ... / / /- <-.V.y.?::, • 1/4-Q 5�.Vi „(:)._1 . .._ ,.. p 1� ; ,�n,� :: 3 �5 1 I , ; t9 'fit/ � - NJ J' f:_` <��.. � :�� 14:76. x> ASS:.. a : THIS IS NOT A LEGAL DOCUMENT / � "' .. ., Monday, September 13, 2010 12:56 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4606 -03 -34 -0958 , Name: HARRIS RICHARD E Name2: HARRIS JOANN Address: 12506 WILLOW GROVE WAY Address2: City: HUNTERSVILLE State: NC Zip: 28078 -9635 Account: 199915 Calc Acreage: 0.89 Tax Map: 017 X 02038 LRK: 17845 Deed Book: 2657 Deed Page: 1292 Subdivision Name: CRESCENT LAND AND TIMBER CORP G4ZS7 Subdivision Block: — Lots: 134 Plat Book: 19 Plat Page: 41 Building Number: 7478 • 4 Street Name: BANKHEAD RD Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total aue Value: ^I /� / / Land and Value: $124,600 `—/ Total Value: $124,600 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS -IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R -30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC- O,WP- O,FPM -O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P &Z Case Number: Census Tract 2010: 011502 Census Block 2010: 4014 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, September 13, 2010 12:56 PM ::► is CATAWBA COUNTY HEALTH DEPARTMENT ig Telephone (828) 465 -8270 TDD (828) 465 -8200 WLS # &y-p/Z6 -S Improvement Permit AC ( Repair Permit. Operation Permit. System Type Well Permit. Replacement Well °Avner /Agent lYi _ lkv� Phone - Address 4q/ ('/lyPt / -�Kd ' , Subdivision ..2 - aew 5 i� Section/Block/Phase Lot# Lot Size . '5 Directions / S .,, ,lei A 4.4.✓ G e c/ 1 Property Address ?4'7, A ,,, /e Facility: House bc Mobile Home Business Multi- family Other: Pin Number A , a" . - —D 3-- , ' - 095' Other Zoning Approval # # Bedrooms '/ # Seats # Employees Application Rate j GPD Flow Sly Hot Tub or Spa yes /no S cial Fixtures BasemenSs /no 100% Repair Area yese, Basement Plumbing s/ Water Supply: Private Well Public Semi Public * * * * * * * * * * * * * * * ** *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Type of System: Trench Bed Pump Pump /Panel Panel LPP Other Septic Tank Size `' Pump Tank Size Nitrification Field: Total Square Feet ,.3 ,O(j Depth of Stone /g Bed Size 5 x 6 6 Trench Width Total Length of All Trenches Number of Trenches _ . Trench Length /_!_ /_ /_1 Feet on Center Maximum Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* ******************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Topo %Slope �y A2....., `- Texture _l l'1" A.„ �. T / �i9r✓� S45 Structure _ , T Clay Min. r Zci Soil Wetness Soil Depth / " 'f$- z Restric Hoz. at " Available space yes /no ® Overall Class S PS U k lya� Comments '3 \_ .____.____gz ___ I 7 ' '' 6 4 5a i 1 4 goo e Ni Filter Required Riser required when 1___/.1-k tank is more than 6 inches deep. * *NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION ** ***************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known sources of contamination. No volume of water is guaranteed at any site by the Health Department. �• Permit Date _�- , — EHS Owner /Agent '� '7� . Septic Ta Installs By Date EHS Well Installed By Well Grout Approval Date Well Head Approval Date Date Sample Collected Date of Results Results EHS White - Office Yellow - Owner /Agent Pink - Building Inspection Authorization to Construct �g'A CMG CATAWBA COUNTY, NC 100 -A South West Blvd Newton, NC 28658- PLAN RECEIPT V au (828)465 - 8399 Monday, September 13, 2010 J84 sM www.catawbacountync.gov Plan Case: EHPR -9 -10 -7295 Invoice Number: INV -9 -10- 266910 Environmental Health Plan Review Invoice Date: 09/13/2010 Site Address: 7478 BANKHEAD RD, Denver, NC APPLICANT OWNER CONTRACTOR RICHARD HARRIS RICHARD HARRIS SAME AS OWNER 12506 WILLOW GROVE WAY 12506 WILLOW GROVE WAY HUNTERSVILLE NC 28078 HUNTERSVILLE NC 28078 (704)892 -3883 (704)892 -3883 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Authorization to Construct Fee Adjustable $150.00 (New /Expansion) Fee Total Fees Due: $300.00 PAYMENTS PAYER: RICHARD HARRIS Date Pay Type Check Number Amount Paid ChangE 09/13/2010 Check 1059 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 plan receipt 09/13/2010 13:39