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HomeMy WebLinkAboutEHPR-3-10-4516 (2).TIF ~A C THIS IS NOT A PERMIT Case # EHPR-3-10-4516 ~ G CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR STEWART FARM & PRESERVE, LLC LAKE NORMAN CUSTOM BUILDERS IN( 346 RUDISILL RD 123 OLD TIMBER LN LINCOLNTON NC 28092- MOORESVILLE NC 28 1 1 7-5824 (704)226-3408 NAME TO APPEAR ON PERMIT STEWART FARM & PRESERVE, LLC Pin#: 470001088102 SITE ADDRESS: BROWN CHAPEL RD.., NC DIRECTIONS: HWY 10 E - TURN RIGHT ONTO HUDSON CHAPEL RD - TURN RIGHT ONTO BROWN CHAPEL RD - PROPERTY ON LEFT NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 15.279 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 38 X 38 Bedrooms 3 Basement: No 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 1 st 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: /PL) Signature of Applicant or Agent An E vironmental Health Specialist will contact you within 2 wo ing days of application date. If you need further information or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 80 FEE NAME DATE AMOUNT Side 15 Improvement Permit Fee 03/24/2010 $150.00 Rear 30 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 03/24/10 14:15 0/23/2030 15:48 7046422105 ABLDG PAGE 01 THIS IS NOT A PERMIT - FE /?773 -ia~-ysl ~ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services 157, IP r; AC F7 S.T. Rpr. 1-; S.T. Exp. r Exist. S. T. I`7; Well Permit rj Replacement Well 1. Name to Appear on Permit: Stewart Farm & Preserve, LLC 2. Permit Requested By:Susan Stewart Business Phone: 704-226-3408 346 Rudfsill Road Uncointon, North Carolina 28092 704-226-3408 Address: Home Phone: Michael C. Stewart and Michael H. Stewart I 3. Property Owner: - _ _ - 1 Business Phone: x346 Rudisfll Road Llncolnton, North Carolina 28092 980-522-6401 Address: Horne Phone: I 4. Name of Subdivision: - - - - - Lot 7 Section/BIocWPhase: . Catawba, . North Carolina 28609 Property Address: Brown Chapel . Road . ParcelID:470001088102 Directions to Property: Take N Carolina 10 E- Turn Right at Hudson Chapel Road. Turn Right at Brown Chapel Road. I I I 5. Property Size: Square Feet Acres _15'28 Date Platted/Recorded - - 6. TYPE OF FACILITY: House r Mobile Home Dimension of Structure 38x38 Bedrooms'F71 ±~yry (~{y ` rti iii , rN xr r t v4- ii~~y(y, ~S,F~r~1 ~f:~l}~r,~!4%15~r.ra~i+~{f~y,'~'!~~+,r1 rt ~~•;,it°. 3.r rri it f'~I~ ~1i~. 4. Basement: (':Yes C? No Water Using Fixtures in Basement: Yes No No. in Family: 5 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 17 Square Feet Food Stand/Meat Market Floor Space F TYPE OF BUSINESS: j No. of Employees 1st 2ndF 3rd F7 OTHER : (Specify) _ 7. Do you anticipate any additions to Facility? (-,Yes (7-, No If so describe i 03,/23/2030 15:48 7045422105 ABLDG PAGE 02 8. Has any grading, removal, or addition of soil been done to this property7 Yes C: No i If so describe r~ 9. Are there easements/right-of-ways recorded on this property? (Yes C~,No 10. Is a public water supply available on or adjacent to the above property? ()Yes (F No Check type that is available: Community well f7 Sem)-public Well F_ County/City/Townshlp waterline 11. Well Type Applying For: IXI Individual Well Community Well r" 5eml-public well 7. Irrigation Well F 7j Geothermal Well _ 12. Monitoring Well Request: (-,,Yes (.'No # of Wells: Name of Site: F I understand that this a formal application for a well permit, Improvement Permit or Authorization to Construct aground 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 Informatlon, site plans or intended use changes for the proposed facility. A Well permltand 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, THE II'"N )ONAL CHARGE.'° Date: Signature of Owner or Agent: / Y f'Hni f-arrrr ' ; eta .r ~ Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic Information System. 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 anv 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 Selected Parcel Number: 4700-01-08-8102 1 inch = 180 feet Prepared for: 11.35A _ W 9620 LJ Cl) M i (1184 1183.82 N .✓r 1.25 15.28A 8102 '4~ m M 4, _CO r N (1303) THIS IS NOT A LEGAL DOCUMENT Wed, March 24, 2010 10:56 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4700-01-08-8102 Name: LAKE NORMAN CUSTOM BUILDERS INC. Name2: Address: 123 OLD TIMBER LN Address2: City: MOORESVILLE State: NC Zip: 28117-5824 Account: 158663000 Calc Acreage: 15.28 Tax Map: LRK: 302014 Deed Book: 2865 Deed Page: 0262 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: Street Name: BROWN CHAPEL RD Site Zip: 28609 Township: CATAWBA Fire Code: CATAWBA RURAL City Code: COUNTY State Road: 1819 Total Bldgs Value: Land Value: $81,100 Total Value: $81,100 Year Built: Year Remodeled: Last Sale Date: 9/20/2007 Last Sale Amount: $155,000 Neighborhood: 126 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P21 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-0,WP-0 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: 1006 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wed, March 24, 2010 10:56 AM Cpl CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- V (828)465-8399 Wednesday, March 24, 2010 1 04 Say www.catawbacountync.gov Plan Case: EHPR-3-10-4516 Invoice Number: INV-3-10-260761 Environmental Health Plan Review Invoice Date: 03/24/2010 Site Address: , NC APPLICANT OWNER STEWART FARM & PRESERVE, LLC LAKE NORMAN CUSTOM BUILDERS INC. 346 RUDISILL RD 123 OLD TIMBER LN LINCOLNTON NC 28092- MOORESVILLE NC 28117-5824 (704)226-3408 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/24/2010 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Payer: SUSAN STEWART Total Due: $0.00 .lanrcceiPi;Je;halnS 23cf-l(h•2-3662-Jacs08c 4JS;.ipt 03/24/2010 14:07 Mar 24 10 11:44a Rick Gooding 7046251252 p.1 To: Catawba County Environmental. From: Michael Stewart RE: Perc Test for Parcel 470001088102 Brown Chapel Road Attached is a hand mark-up of the aerial locating (roughly) the improvement for the perc test. We really don't care exactly where we put the structure for the purpose of this test. I am showing a 3B1-0 x 38'-C building located at approx. 100'-0 from the property line & approx. 50'-C from the tree line along the right side of the property. If it needs to be elsewhere, that's fine, we just want a confirmation that we can get septic for a similar improvement somewhere up front. Please contact Susan Stewart at 704-226-3406 if you have any ques-ions. lax .1 - .r. 1 •t 1~f. .4 r ~ r .a Yf + ~ / ~ .f ~~1: ,•K ~'I it ,i... `:~Z T Y J ' A - _ ~ ~ ~•rd• /Saw 'ti'. - • • ~ ~ ~ F 3°~~„•e • -.lam a y'a :•A: .fie - V' ! ~ ~ 'f ~ f•i r. y-VM+. AT, •r s •4a~~,~ar~ - - . ~ r-fir ' w:.Ct~j~~c;: ~ ar~Y _ _ .L r. - - • F L f; fi-3 .d . s3 WIVA r tr'~ tf . vim! . _ i~ ~t',~$y try ~ ~ ~ - T } t r 1~r `i .+:y ~ _ ~ - ~ ~ • :.n -i. •.j :;i 1.-: - le /t Catawba County, North Carolina N 77ni.s map product was prepared from the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Comitypromotes and recommends the independent verification of any data contained on this map product by the user. The County q/ Catawba, its employees, agents and personnel disclaim, and shall not be held liablefor any and all damages, loss or liability, whether direct, indirect or consequential which arises a• may arise front this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 4700-01-19-2881 1 inch = 180 feet Prepared for: n n n ii n t+ 11.35A %I 9620 S V n ~ n n v 111 II 1184 iil u 1183.82 n n y II CD III a.» (V Il u II I! III 41.25 ni 15.28A 8102 D" v m r n (V f: ll I II II I I I I III I I 1 I (1303) THIS IS NOT A LEGAL DOCUMENT Wed, March 24, 2010 01:56 PM