HomeMy WebLinkAboutEHPR-2-11-9552 (2).TIF A C M G THIS IS NOT A PERMIT Case # EHPR - - 11 - 9552
CATAWBA COUNTY HEALTH DEPARTMENT
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RANDY ABERNATHY
SITE ADDRESS: 3885 RAM ST, Claremont, NC Pin#: 376304917995
NAME of SUBDIVISION:BUNKER HILL PARK Lot ti 1 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 2.059
DIRECTIONS: BUNKER HILL SCHOOL RD/ MOUNTAINEER DR/ CAROLINA DR/ RAM ST / HOUSE ON LEFT
APPLICANT OWNER CONTRACTOR
RANDY ABERNATHY RANDY ABERNATHY
3885 RAM ST 3885 RAM ST
CLAREMONT NC 28610 CLAREMONT NC 28610
(828)241 -3752 (828)241 -3752
PRIMARY CONTACT: Owner APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: 60 X 50 EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: 2 EXISTING WATER SUPPLY IN USE: Private Well
CALCULATED DESIGN FLOW:
Public water is **NOT** available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: PVT ACCESSORY BUILDING 24 X 40 / wood frame
DESCRIPTION OF SINGLE FAMILY DWELLING
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EASEMENTS: NONE
PROPOSED CONSTRUCTION
ACCESSORY STRUCTURES
DESCRIPTION: PVT ACCESSORY BUILDING
# OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: 24 X 40 ACC DWELLING? No
PLUMBING? No NONE # 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 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
AREA2
Minimum Setbacks: Front: 30 Side: 10 Rear: 5 Side St:30 Max Height:
02/25/11 11:54
qA CATAWBA COUNTY Case #
EHPR 2 11 9552
Q Public Health Department
d �, 2 Subdivision BUNKER HILL PARK
Environmental Health Division - Plan Review
0 `c' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 1
18 2 su PIN# 376304917995
Applicant/Owner RANDY ABERNATHY, 3885 RAM ST, CLAREMONT NC 28610
Site Address: 3885 RAM ST, Claremont, NC
Property Size: SF 2.059 ACRES
Directions: BUNKER HILL SCI - TOOL RD/ MOUNTAINEER DR/ CAROLINA DR/ RAM ST / HOUSE ON LEFT
FEE NAME DATE AMOUNT BALANCE DUE
Improvement Permit Fee 02/23/201 1 $150.00 $0.00
TOTAL FEES $150.00 $0.00
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
02/25/11 11:54