HomeMy WebLinkAboutEHPR-4-11-10694 (2).TIF .� � THIS IS NOT A PERMIT Case # EHPR-4-11-10694
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� CATAWBA COUNTY HEALTH DEPARTMENT
v ,�� ''C Plan Review Application for Environmental Services
I842 5M Environmental I�ealth Plan Review - OSWP
��,��I i�V�isrcf IMPROVEIVIENT - �4UTH COIVST - IVEIN V�ELL
��(�.k� NAME TO APPEAR ON PERMIT
KEnAP SBGNBOIV
s�TE A��RESS: 2385 OLD ISLAND FORD RD, Claremont, NC Pin#: 376112862861
NAME of SUBDIVISION: Lot # Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 89.62
DIRECTIONS: OLD CATAWBA RD / JB RD / OLD ISLAND FORD RD
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APPLICAN � ( � O R CONTRACTOR
{EMP SIGMON i KEMP SIGMON
PO BOX 1303 PO BOX 1303
NEWTON NC 28658- NEWTON NC 28658-
PRIMARY CONTACT: Owner APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN US : N/A '
CALCULATED DESIGN FLOW:
Public water is'```NOT"`* available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: Single Family Dwelling - No Basement -- No Garage - No Bonus rooms ** Using power poll that was
issued for barn
PROPOSED FUTURE ADDITIONS Barn 48 x 80
OR IMPROVEMENTS:
P R O PERTY EASEMENTS: none
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS:
PROJECT DESC: New Single Family Dwelling
PROJECT DIMENSION: x 100
BASEMENT? No BASEMENT FIXTURES? No
AP ATION FOR WELL COIVSTRUCTION/ABANDOIVMENT/REPAIR
PROPOSED WELL TYPE: Individual Well ABANDONMENT TYPE:
WELL REPAI REQUESTED?
05/03/11 1023