HomeMy WebLinkAboutEHPR-5-11-10729 (2).TIF .�$ THIS IS NOT A PERMIT Case # EHPR-5-11-10729
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c� ,.��. ''C Plan Review Application for Environmental Services
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NAME TO APPEAR ON PERMIT
1'ina Little
SITE ADDRESS: 3O�S SLTNSET DR Claremont, NC Pir�: 376303048556
NAME of SUBDIVISION:CHARLOTTA COURT Lot # 44 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.759
DIRECTIONS: ROCK BARN RD/ LF SUNSET DR/ 150 YARDS ON LEFT
APPLICANT OWNER CONTRACTOR
Tina Little Tina Little
3075 Sunset DR 3075 Sunset DR
Claremont NC 28610-8563 Claremont NC 28610-8563
828-217-5210 82&217-5210
PRIMARY CONTACT: Owner APPLICATION FOR: Existing Structure
DIM EXISTING STRUCTURE: 32 x 80 EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: 4 EXISTING WATER SUPPLY IN USE: Private Well
CALCULATED DESIGN FLOW:
Public water is `*NOT*" available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: 16 x 12 room addition to be used for at home Salon with 1/2 bath
DESCRIPTION OF House
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPER EA none
PROPOSED COiVSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? Add/Alt to Residence
# OF NEW BEDROOMS: 0 # OF STRUCTURE OCCUPAMTS:
PROJECT DESC: 16 x 12 Addition with 1/2 bath to be a Salon
PROJECT DIMENSION: 12 x 16
BASEMENT? Yes BASEMENT FIXTURES Yes
I understand that this is a application for a well permit, Improvemen 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
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Minimum Setbac�s Front: 30 Side: 15 Rear: 30 Side St: Max Height:
OS/OS/11 12:38