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Home My WebLink AboutEHPR-3-10-4146 (2).TIF ~A c~G 3P THIS IS NOT A PERMIT Case # EHPR-3-10-4146 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 5M Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR BILL COX LORAINE SETZER 785 W HWY 70 60 STONEBRIDGE DR HICKORY NC 28602- BLUE RIDGE NC 24064-1557 (828)381-7449 828-381-7449 NAME TO APPEAR ON PERMIT BILL COX Pin#: 461902755899 SITE ADDRESS: 1726 SHERWOOD CT, Sherrills Ford, NC DIRECTIONS: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO SHERRILLS FORD RD - TURN RIGHT ONTO MOLLY'S BACKBONE - TURN RIGHT ONTO AZALEA - RIGHT ONTO DOG LEG RD NAME of SUBDIVISION: SHERWOOD SHORES Lot # 28 & 29 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.01 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 25 X 40 Bedrooms 2 Basement: Yes Water Using Fixtures in Basement:No No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well X Community Well Municipal Semi-Public 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 AREA1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME QATF AMOUNT Side 15 Improvement Permit Fee 03/03/2010 $150:00 Rear TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/03/10 10:14 r 1LALTl Simply The Best (828) 328-8900 O (828) 381-7449 M A billcoxrealtor(a)charter.net E-Mail billcoxrealtor.com Website 785 Hwy. 70 SW Bill COX ® Hickory, NC 28602 Q Realtor" $A C THIS IS NOT A PERMIT Case # EHPR-3-10-4146 CATAWBA COUNTY HEALTH DEPARTMENT v Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR r° BILL COX LORAINE SETZER 785 W HWY 70 60 STONEBRIDGE DR HICKORY NC 28602- BLUE RIDGE NC 24064-1557 (828)381-7449 828-381-7449 NAME TO APPEAR ON PERMIT BILL COX Pin#: 461902755899 SITE ADDRESS: 1726 SHERWOOD CT, Sherrills Ford, NC DIRECTIONS: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO SHERRILLS FORD RD - TURN RIGHT ONTO MOLLY'S BACKBONE - TURN RIGHT ONTO AZALEA - RIGHT ONTO DOG LEG RD NAME of SUBDIVISION: SHERWOOD SHORES Lot # 29 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.509 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 25 X 40 Bedrooms 2 Basement: Yes Water Using Fixtures in Basement:No No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well X Community Well Municipal Semi-Public 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: 0 Signature of Applicant or Agent jn Environmental Health Specialist will contact you within wor ' g ys of p ' ation date. If you need further information or assistance plea call 828-466- I AREA1 (FOR OFFICE USE ONLY) Zoning Approval: Yes No "Zoning Approval UDO Zoning Form A Minimum Setbacks AMOUNT Front 30 FEE NAME DATE _ m Side 15 Improvement Permit Fee 03/03/2010 $150.00 Rear TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/03/10 09:41 FEB-18-2010 12:00 CATAWBA COUNTY GOUT 1 828 465 8276 P.02 THIS IS NOT A PERMITbi# 5l'Od 2 - -~(5 - Lfl Yib CATAWBA COUNTY HEALTH DEPARTMENT plication for Environmental Services Improvement Permit Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit Replacement Well[] Well Abandonment ❑ I . Name to Appear on Permit ~ a rC,: 2. Permit Requested By / / O Business phone Address ?L /41-2 Home Phone 2 3. Property Owner _~Grr~ , S Z t7r Business Phonc Address Home Phone ` (-S"% 4. Name of Subdivision Lot 3 2J Section/Block/Phase ~ Property Address S' 1,4/00 ,S in P'_ Directi ns to Property: M Ii Q 5. Property Size: Square Feet Acres > Date Planed/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure S Bedrooms* ~L, Basement: y /no Water Using Fixtures in Basement: o No. in Family Whirlpool b yes n>o Gallon Capacity MULTIPLE ]FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT; Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: _ Number of Employees 1 st 2nd 3rd _ OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes / o If so, describe: 8, Has any grading, removal, or addition of soil been done to this property? Yes If so, describe: 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? Yes rwo Check type that is available: [ } Community well [ ) Semi-public well [ ] County/City/Township water line **If No, a Well Permit must be 'ssued with the Septic Permit."* 1. Well Type Applying For; [.Individual well [ ] Community well [ ] Semi-Public well 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 Departrnont 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 valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable, tote: You must obtain Zoning Appt•oval prior to locating a home or structure on this property. Any representation by you of house or tructure location should conform to applicable setbacks. *IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THri-PR =DDITIONAL CHARGE' A Signature of Owner or Agent TOTAL P.02 Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, 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 airy person or entity. Legend Selected Parcel Number: 4619-02-75-5899 1 inch = 40 feet Prepared for: ~v 00 4~ O O O O O N ~V • 6( c o 5891% 0) 2 812 G s 28 30 Or O 0 1.Q`1 0 r_ - THIS IS NOT A LEGAL DOCUMENT 1 1 % Friday, February 26, 2010 08:23 AM 1 /S 1 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4619-02-75-5812 Name: SETZER LORAINE COLLINS Name2: Address: 60 STONEBRIDGE DR Address2: City: BLUE RIDGE State: VA Zip: 24064-1557 Account: 59737800 Calc Acreage: 0.5 Tax Map: 004AX 01028 LRK: 3976 Deed Book: 1422 Deed Page: 0401 Subdivision Name: SHERWOOD SHORES Subdivision Block: A Lots: 28 Plat Book: 15 Plat Page: 37 Building Number: 1748 Street Name: SHERWOOD CT Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: Land Value: $153,000 Total Value: $153,000 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 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: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 2008 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wed, March 03, 2010 09:00 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4619-02-75-5899 Name: SETZER LORAINE COLLINS Name2: Address: 60 STONEBRIDGE DR Address2: City: BLUE RIDGE State: VA Zip: 24064-1557 Account: 59737800 Calc Acreage: 0.51 Tax Map: 004AX 01029 LRK: 3977 Deed Book: 1422 Deed Page: 0401 Subdivision Name: SHERWOOD SHORES Subdivision Block: A Lots: 29 Plat Book: 15 Plat Page: 37 Building Number: 1726 Street Name: SHERWOOD CT Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: Land Value: $155,000 Total Value: $155,000 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 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: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 2008 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wed, March 03, 2010 09:00 AM CATAWBA COUNTY, NC 100-A south West Blvd PLAN RECEIPT Q+ t-] Newton, NC 28658- 0 (828)465-8399 Wednesday, March 3, 2010 184 2 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4146 Invoice Number: INV-3-10-260017 Environmental Health Plan Review Invoice Date: 03/03/2010 Site Address: 1726 SHERWOOD CT, Sherrills Ford, NC APPLICANT OWNER BILL. COX LORAINE SETZER 785 W HWY 70 60 STONEBRIDGE DR HICKORY NC 28602- BLUE RIDGE NC 24064-1 5 5 7 (828)381-7449 828-381-7449 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/03/2010 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Payer: ALBERT SETZER, JR Total Due: $0.00 plon rc"ipt;5dicflt3-166d-IbO-6=120-614 aW2271t_;).rp1 03/03/2010 09:40