HomeMy WebLinkAboutEHPR-5-11-10820 (2).TIF �� � THIS IS NOT A PERMIT Case # EHPR-5-11-10820
�' � CATAWBA COUNTY HEALTH DEPARTMENT
v , Ga ''C Plan Review Application for Environmental Services
1842 sM Environmental I�ealth Plan Review - OSWP
11� ►, eJ;s�d _ __IiVIPROVEN1EiVT
rT •
-Z�,���� �.�b�CS NAME TO APPEAR ON PERMIT
JEFFERY �AILEY
SITE ADDRESS: 4SSH KISER ISLAND RD Terrell, NC Pirr#: 461602576344
NAME of SUBDIVISION: ELIZABETH SHERRILL PROP Lot # 1 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.469
DIRECTIONS: HWY 150 E TURN RIGHT ON KISER ISLAND RD GO 1.8 MILES LOT IS LEFT
APPLICANT OWNER CONTRACTOR
MICHAEL CLONINGER JEFFERY BAILEY
P.O. BOX 358 2748 OCEAN SHORE AV
DENVER NC VIRGINIA BEACH VA 23451
704577-2446
PRIMARY CONTACT: Applicant APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: N/A
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: N/A
CALCULATED DESIGN FLOW:
Public water is **NOT'`* available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: NEEDS IP FOR PROPOSED 4 BDRM HOUSE
DESCRIPTION OF NONE
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPOSED FUTURE ADDITIONS NONE
OR IMPROVEMENTS:
PROPERTY EASEMENTS: NONE
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 4 # OF STRUCTURE OCCUPANTS:
PROJECT DESC: HOUSE
PROJECT DIMENSION: 40X60
BASEMENT? Yes BASEMENT FIXTURES? Yes
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 senre 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
Al2EA1
*��*****�**************************************************�*�******�**********************************************�**
OS/16/11 10:58
��p CATAWBA COUNTY Case # EHPR-5-11-]0820
G Public Health Department
Q 2. Subdivision ELIZABETH SHERRILL PR(
.� Environmental Health Division - Plan Review
vv ''s" PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot# �
IH 2 SM PIN#
461602576344
ApplicanUOwner MICHAEL CLONINGER, P.O. BOX 358, DENVER NC
Site Address: 4558 KISER ISLAND RD, Terrell, NC
Property Size: SF 0.469 ACRES
Directions: HWY 150 E TURN RIGHT ON KISER ISLAND RD GO 1.8 MILES LOT IS LEFT
Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height:
FEE NAME DATE AMOUNT BALANCE DUE
Improvement Permit Fee OS/09/201 ] $150.00 $0.00
TOTAL FEES $150.00 $0.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP VUILL IiVCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
OS/]6/I l 10:58
� �
,� ATAWBA COUNTY NC - Parcel Report
r'� Information Regarding Selected Parcel(s)
ParcellD: , , ,4�16-02-57-6344
Name: BAILEY VIRGINIA ELIZABETH SHERRILL REVOCABLE TRUST
Name2: BAILEY JEFFREY C TRUSTEE
Address: 2748 OCEAN SHORE AVE
Address2:
City: VIRGINIA BEACH
State: VA
Zip: 23451-1455
Account: 159764657
Calc Acreage: 0.47
Tax Map: 013CX 04001
LRK: 14463 _
Deed Book: 3038
Deed Page: 0808
Subdivision Name: ELIZABETH SHERRILL PROP
Subdivision Block:
Lots: 1
Plat Book: 18 � ' 3�. $ �c
Plat Page: 266 � �
Building Number: 4558 � �� 6 ��� ��a�C
Street Name: KISER ISLAND RD
Site Zip: 28682 � �
Township: MOUNTAIN CREEK � 5�1 C��.� _ / 3�• 9�
Fire Code: SHERRILLS FORD
City Code: COUNTY
State Road: 1841
Total Bldgs Value:
Land Value: $24,400 �Q� .�� �C{; ��,/
Total Value: $24,400 /
Year Built:
Year Remodeled: �Dr��i n5 SP�bGCtc f
Last Sale Date:
Last Sale Amount: ' /�
Neighborhood: 129 �•r w���� fCtc�nS f�d ��n'n�(�i
Watershed: WS-IV Critical Area ��) ��I��
Watershed Split: NO
Voter Precinct: P41
E911 District: COUNTY
Zoning: R-30
Zoning2: �`
Zoning3:
Zoning Split: N
Zoning Overlay: CRC-O,WP-O
Zoning District: COUNTY
Split Zoning Dist: N
SplitZoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Split: NO
P&Z Case Number:
Census Tract 2010: 011502
Census Block 2010: 5022
Small Area Plan: SHERRILLS FORD
Agricultural District:
Printed: Monday, May 09, 2011 12:18 PM