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Home My WebLink AboutEHPR-3-10-4379 (2).TIF ~~'A CCU THIS IS NOT A PERMIT Case # EHPR-3-10-4379 ` y CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP REPAIR APPLICANT OWNER CONTRACTOR NATHAN BAILEY JR NATHAN BAILEY JR 6308-5 GLENN TEAGUE RD 6308-5 GLENN TEAGUE RD CHARLOTTE NC 28216-9700 CHARLOTTE NC 28216-9700 704-220-7520 704-220-7520 NAME TO APPEAR ON PERMIT NATHAN BAILEY JR Pin#: 367804802023 SITE ADDRESS: 3314 TATTERSTONE LN, Maiden, NC DIRECTIONS: HWY 16 TO RANT DRUM TO TATTERSTONE LN/ NAME of SUBDIVISION: CRYSTAL FOREST PHASE 2 Lot # 5 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.139 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 66 X 36 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 1 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 I st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: Has any grading, removal, or addition of soil been done to this property? If so, describe TILLED IN TO LEVEL 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 ho se or structure location should conform to applicable setbacks. Date: 5 Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working d ys of a lication date. If you need further information or assistance please call 828-466 :91 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 10 Authorization to Construct Fee (New/Expansion) Fee 03/29/2010 $150.00 Rear 5 Improvement Permit Fee 03/16/2010 $150.00 Max Hght TOTAL FEES $300.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/29/10 10:58 A C THIS IS NOT A PERMIT Case # EHPR-3-10-4379 CATAWBA COUNTY HEALTH DEPARTMENT y v ^C Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP 1842 sM IMPROVEMENT APPLICANT OWNER CONTRACTOR NATHAN BAILEY JR NATHAN BAILEY JR 6308-5 GLENN TEAGUE RD 6308-5 GLENN TEAGUE RD CHARLOTTE NC 28216-9700 CHARLOTTE NC 28216-9700 704-220-7520 704-220-7520 NAME TO APPEAR ON PERMIT NATHAN BAILEY JR Pin#: 367804802023 SITE ADDRESS: 3314 TATTERSTONE LN, Maiden, NC DIRECTIONS: HWY 16 TO RANT DRUM TO TATTERSTONE LN/ NAME of SUBDIVISION: CRYSTAL FOREST PHASE 2 Lot # 5 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.139 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 66 X 36 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family I 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 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: Has any grading, removal, or addition of soil been done to this property? If so, describe FILLED IN TO LEVEL 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 stricture on this property. Any representation by you of house or structure location should conform to applicable setbacks. _ Date: Signature of Applicant or Agent -1Z Z An Environmental Health Specialist will contact you within 2 working day' f ptication date. If you need further information or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 10 Improvement Permit Fee 03/16/2010 $150.00 Rear 5 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 03/16/to 11:16 THIS IS NOT A PERMIT WLS # / W CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ® Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit f ~ic t (S 0 C 2. Permit Requested By zv_nly'Q'~ e Business Phone 70V D ~D ^ 75 0 Address33 !'l /V,1_ X96-50 Home Phone -20 430 ` 7.~d0 3. Property Owner /Va f c~,~ G C> a 14- Tn Business Phone in /VC _Q£y~U Home Phone Address -3 3 (CI G Ney / 'JA !2 :,,A Lk e 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: l~ To utr° /'k tk t, 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home 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 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: ye no ) Water Using Fixtures in Basement: ye r~o ~ No. in Family Whirlpool Tub yes/no 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: • ' Ct v- 6L q e. 6 X 0 8. Has any grading, -oval, o addition of soil been done to this property? Yes / o If so, describe: I P e U G 9. Are there easements/right-of-ways recorded on this property? Yes / o 10. Is a public water supply available on or adjacent to the above property? Yes / Check type that is available: [ ] Community well [ ] Semi-public well [ ] County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. 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 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 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. 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. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PRO TY THERE IS AN DDITIONAL CHARGE.** Date G /O Signature of Owner or Agent / 49- i Catawba County, North Carolina. 77tis map product was prepared fimn the Catawba Comm-, NC. Geographic Information S stem. Cmowba County has made subsirnutal efforts to ensure the accurocr of location and labeling information contained on this map. Camnrbo Count ' v promotes and recommends the independent verificotion of anv data container/ on this mop product by the user. the County of Catau ba, its employees, agents and personnel disclaim, and shall not he held liable for oar and all dcnnoges, loss or liabilith', whether direct, iodirect or consequential which arises or mqr arise front this map product or the use iheregf by cmY person or enh(y. Legend Selected Parcel Number: 3673-04-30-2023 1 inch = 60 feet Prepared for 13X2,72 .21=~'O O 4 • O 7 00 L 25.81 c . 0 1.0~,'~ /01 5 112 23 Q 10 .O O . c•ti ~ `Co ~ ~ y c9 sue`'' 1.08A 6 71 6- J t~ c '399 1%\ THIS IS NOTA LEGAL UOCIfiMEN'r Tuesday, 17arch 16, 2010 10:34 AN1 DO CATAWBA COUNTY NC - Parcel Report Information-Regarding Selected Parcel(s) Parcel ID: 3678-04-80-2023 Name: BAILEY NATHAN J JR Name2: Address: 6308-5 GLENN TEAGUE RD Address2: City: CHARLOTTE State: NC Zip: 28216-9700 Account: 159757920 Calc Acreage: 1.14 Tax Map: 006AK 02005 LRK: 200086 Deed Book: 3003 Deed Page: 1078 Subdivision Name: CRYSTAL FOREST PHASE 2 Subdivision Block: Lots: 5 Plat Book: 33 Plat Page: 135 Building Number: 3314 Street Name: TATTERSTONE LN Site Zip: 28650 Township: CALDWELL Fire Code: BANDY'S City Code: COUNTY State Road: Total Bldgs Value: $79,500 Land Value: $11,500 Total Value: $91,000 Year Built: 1994 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 122 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P1 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: R-429 Census Tract 2010: 011501 Census Block 2010: 2025 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, March 16, 2010 10:34 AM 7. v- **~Op. Permit and/or Cert. Op. Required (Must be completed prior to final) ATAWBA COUNTY HEALwH DEPARTMENT 720 (704) 465-8270 XR) Lot Eval. ✓Improve. Permit (Repair Permit Cert. of Comp. Permir. Permit e5 Owner/Agent 6 G Phone "3 - 6 9 d ` Address Z122MP I-J4AJ6: Subdivision- CXySTi9LL Fo&g63T Section/Block/Phase Lot# Lot Size Ac.2E Directions: .5 ZLa:L,2 zqw-r Facility: House Mobile Home_L.:f-Business Other: Tax,llap # &"A A' -S Multi-family- Other Zoning Approval # Bedrooms 3 Seats Employees Application Rate GPD Flow 2C6 Hot Tub or Spa yes,® Special Fixtures 100% Repair Area es no REPAIR NOTICE: Basement yes/!j'~:) Basement Plumbing yes . REPAIRS MUST BE WI IN 30 DAYS OR Water Supply: Private~..,=- Public DAYS FROM DATE OF PERMIT. Type of System: Trench coed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Pump Tank E Nitrification Field: Total Squ',re Feet Depth of Stone Bed Size Trench Width Total Le gth of All Trenches Number of Trench s - Individual Trench Length//a0, oQ/_/_ Feet on Center Maximum Trenc Depth - Distance of Nearest Well O T Lot Evaluation: Approved <~o (Void Afte 24 months) i Topo S o Slope I Sketch f lot Evaluation Site ystem Design - inal Texture C- ~.¢ycy ( D NOT STALL Structure A coGrCf ~W T Clay Min. Soil Wetness - - Soil Depth y.2.. I -C"o /U,/ yam, Restric. Hoz. at J/ i Available space a nol Overall Class U l G~fc _ _ ~,e6~ '604, Comments: I /0 a I I I j -~-100V6 l ~ R I Septic Tank Contractors MUST contact the Sanitarian BEFORE l ,vo ~"~G` changing permit. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE IS UANCE OF TH S PERMIT** ****************ww**•**** Z-5.-7UfVkr 4C.10- Permit Date (Improvement Permi void after 60 months) Owner/Agent Sanitarian /2- Installed By Date Sanitarian (Note any changes/information in by sketch on back) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR+RETRIPS MADE TO THE PROPERTY. THERE******** IS AN ADDITIONAL $25 CHARGE. - , White - Office Blue - Bldg Insp. Comp. Yellow - Owner/Agent Green - Bldg. Insp. I.P. CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Tuesday, March 16, 2010 1$ 4'L sM www.catawbacountync.gov Plan Case: EHPR-3-10-4379 Invoice Number: INV-3-10-260473 Environmental Health Plan Review Invoice Date: 03/16/2010 Site Address: 3314 TATTERSTONE LN, Maiden, NC APPLICANT OWNER NATHAN BAILEY JR NATHAN BAILEY JR 6308-5 GLENN TEAGUE RD 6308-5 GLENN TEAGUE RD CHARLOTTE NC 28216-9700 CHARLOTTE NC 2 82 1 6-9700 704-220-7520 704-220-7520 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/16/2010 Cash -1 $150.00 $0.00 Total Paid: $150.00 Payer: NATHAN BAILEY JR Total Due: $0.00 plan receipt ; e9 98h4a-a8tc-4087 x)46: -3a t 1301 5 I a25 }.ipt 03/16/2010 11:18