HomeMy WebLinkAboutEHPR-4-11-10274 (2).TIF � 4 '� � THIS IS NOT A PERMIT Case # EHPR-4-11-10274
�' � CATAWBA COUNTY HEALTH DEPARTMENT
c�.� ya ''C Plan Review Application for Environmental Services
1842 SM Environmental Health Plan Review - OSWP
41��►��
;1; �� d � ti�r�n e on ,p e,� �� f IMPROVEMENT
."'���� ' NAME TO APPEAR ON PERMIT
ILLIAM DAVIS
siTE a��RESS: 6659 GREEDY HWY, Hic ory, Pirr�: 268902568233
NAME of SUBDIVISION: Lot # Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 1.08
DIRECTIONS: lOW / Rt on 127 / left on Greedy Hwy/ house 2 miles on left
APPLICANT OWNER CONTRACTOR
WILLIAM DAVIS WILLIAM DAVIS MERLIN D DETWEILER
6659 GREEDY HWY 6659 GREEDY HWY 1903 Sigtnan STHickory NC 28602-
HICKORY NC 28602 HICKORY NC 28602 704462-2160
828-324-6590 828-324-6590 mbdetweiler@att.net
ACCOLTNT: 6353
PRIMARY CONTACT: Contractor APPLICATION FOR: Existing Structure
DIM EXISTING STRUCTURE: 68 x 35 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: adding covered porch on rear of existing dwelling 12 x 20
DESCRIPTION OF single family dwelling
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY E A S EMENT S: none
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? Add/Alt to Residence
# OF NEW BEDROOMS: 0 # OF STRUCTURE OCCUPANTS: 0
PROJECT DESC: adding covered porch on rear of existing dwelling
PROJECT DIMENSION: 20 x 12
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 nor�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
AREAZ
*************************�***�*�**�********************************�***************�***************�*******�**********
Minimum Setbacks Front: 80 Side: 15 Rear: 30 Side St:30 Max Height:
04/13/11 09:01