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Home My WebLink AboutRBPR-07-2014-19548.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2014-19548 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition AUTH_CONST -REPAIR I) IS1iy trtnSed Contact Person SHERI HUNTLEY, I 1100 LOWER ROCKY RIVER RD, CONCORD NC 28025 C:7042007748 Owner BRENDA SMITH, 11333 CALLISTO CT, MIDLAND NC 28107 0:7046506499 NAME TO APPEAR ON PERMIT Brenda Smith SITE ADDRESS: 3272 BASS DR, SHERRILLS FORD NC 28673 NAME of SUBDIVISION: WILLIE J BASS RIVER PROP PIN # 369804804071 Lot # 9 Section/Block PROPERTYSIZE: Square Feet Acres 0.67 DIRECTIONS: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY• 1NATER SUPPLY • rt to Well DESCRIBE WOR .Revised 12/5/14: 31 x 34' 10" 2 story addition of sun room on upper level, office and exercise room on lower I Not extending roof for screened porch in front or doing 8' walkway. Also no patio with pavers Revised 9/16/2014: 2U x'dli 2 story addition of sun room on upper level, office and exercise room on lower level Extend roof to create 14 x 26 screened porch in front. 8' walkway to 23x26 cabana. (Not doing 23x30 patio with pavers) 20 x 34 2 story addition of sun room on upper level, office and exercise room on lower level. 23 x 30 patio with pavers. Extend roof to create 14 x 26 screened porch in front SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF residence EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: i Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20 x 34 addition, 14 x 26 screened porch Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: CONVENTIONAL: ANY: YES E9 - chapplication 12/05/2014 16:19 Page 1 of 4 do THIS IS NOT A PERMIT Case # RBPR-07-2014-19548 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition AUTH_CONST -REPAIR I) IS1iy trtnSed Contact Person SHERI HUNTLEY, I 1100 LOWER ROCKY RIVER RD, CONCORD NC 28025 C:7042007748 Owner BRENDA SMITH, 11333 CALLISTO CT, MIDLAND NC 28107 0:7046506499 NAME TO APPEAR ON PERMIT Brenda Smith SITE ADDRESS: 3272 BASS DR, SHERRILLS FORD NC 28673 NAME of SUBDIVISION: WILLIE J BASS RIVER PROP PIN # 369804804071 Lot # 9 Section/Block PROPERTYSIZE: Square Feet Acres 0.67 DIRECTIONS: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY• 1NATER SUPPLY • rt to Well DESCRIBE WOR .Revised 12/5/14: 31 x 34' 10" 2 story addition of sun room on upper level, office and exercise room on lower I Not extending roof for screened porch in front or doing 8' walkway. Also no patio with pavers Revised 9/16/2014: 2U x'dli 2 story addition of sun room on upper level, office and exercise room on lower level Extend roof to create 14 x 26 screened porch in front. 8' walkway to 23x26 cabana. (Not doing 23x30 patio with pavers) 20 x 34 2 story addition of sun room on upper level, office and exercise room on lower level. 23 x 30 patio with pavers. Extend roof to create 14 x 26 screened porch in front SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF residence EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: i Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20 x 34 addition, 14 x 26 screened porch Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: CONVENTIONAL: ANY: YES E9 - chapplication 12/05/2014 16:19 Page 1 of 4 4 CATAWBA COUNTY Case # RBPR-07-2014-19548 Public Health Department Subdivision WILLIE J BASS RIVER PROP j Environmental Health Division PIN# 369804804071 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 NAME ON PERMIT: ( BRENDA SMITH), 11333 CALLISTO CT, MIDLAND NC 28107 ( Brenda Smith) Site Address: 3272 BASS DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.67 Directions: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessibl (hat a compl to site aluation can be performed. Date:�jq/B/4 Signature of Applicant or Agent �/ An Environmental Health Specialist will contact you within 2 working daAf application ate. If you need further information or assistance please call 828-466-7291 AREA1 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++www++++*+*+++****+++++*+++++**+++++++**++++*++++ FEENAME DATE FEE AMOUNT Authorization to Construct (Repair) Fee 07/18/2014 $300.00 TOTAL FEES $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 19 - eh,ppl cat on 12/05/2014 16:19 Page 2 of 4 THIS IS NOT A PERMIT Case # RBPR-07-2014-19548 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition ALITH—CONS T - REPAIR 0 �lz ;p 0 Contact Person SHERI HUNTLEY, 11100 LOWER ROCKY RIVER RD, CONCORD NC 28025 C:7042007748 Owner BRENDA SMITH, 11333 CALLISTO CT, MIDLAND NC 28107 0:7046506499 �lL�- NAME TO APPEAR ON PERMIT Brenda Smith SITE ADDRESS: 3272 BASS DR, SHERRILLS FORD NC 28673 PIN # 369804804071 NAME of SUBDIVISION: WILLIE J BASS RIVER PROP Lot # 9 Section/Block PROPERTY SIZE: Square Feet Acres 0.67 DIRECTIONS: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 9/16/2014: 20 x 36 2 story addition of sun room on upper level, office and exercise room on lower level Extend roof to create 14 x 26 screened porch in front. 8' walkway to 23x26 cabana. (Not doing 2300 patio with pavers) 20 x 34 2 story addition of sun room on upper level, office and exercise room on lower level. 23 x 30 patio with pavers. Extend roof to create 14 x 26 screened porch in front SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: DESCRIPTION OF residence EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20 x 34 addition, 14 x 26 screened porch Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 1`9 - elhapplication 09/16/2014 12:48 Page I of 4 SQA CATAWBA COUNTY Case # RBPR-07-2014-19548 g Ly Public Health Department Subdivision WILLIE J BASS RIVER PROP Environmental Health Division PIN# 369804804071 PO Boz 389, 100-A Southwest Blvd, Newton, NC 28658 I$ l S. NAME ON PERMIT: ( BRENDA SMITH), 11333 CALLISTO CT, MIDLAND NC 28107 ( Brenda Smith) Site Address: 3272 BASS DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.67 Directions: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessilgle so that a complete sit evaluation can be performed. 1 Date: % / /� Signature of Applicant or Agenti��k['{ i 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 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 15 FEENAME Authorization to Construct (Repair) Fee TOTAL FEES REAR: 30 MAX HEIGHT: DATE FEE AMOUNT 07/18/2014 $300.00 $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chapplicatinn 09/16/2014 12.48 Page 2 of 1 I Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Selected Parcel Number: 3698-04-80-4071 inch = 50 feet�"" \ �`l j'-�" Prepared for: / $ 3254 • r V'� 2• ` 3264 O •.v s 0-1 o 1 o s i 282=----� ` • 9 o /9/' / 39 86 Contact Person Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19548 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition AUTH CONST - REPAIR SHERI HUNTLEY, 11100 LOWER ROCKY RIVER RD, CONCORD NC 28025 C:7042007748 BRENDA SMITH, 11333 CALLISTO CT, MIDLAND NC 28107 0:7046506499 NAME TO APPEAR ON PERMIT Brenda Smith SITE ADDRESS: , &SS Or NAME of SUBDIVISION: Willie J Bass River Prop M PIN # Lot # 9 Section/Block PROPERTY SIZE: Square Feet Acres .67 DIRECTIONS: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 20 x 30 2 story addition of sun room on upper level, office and exercise room on lower level pavers. Extend roof to create 14 x 26 screened porch in front SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: 23 x 30 patio with DESCRIPTION OF residence EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20 x 34 addition, 14 x 26 screened porch Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9 - ehapplication 07/18/2014 17:19 Page 1 of 4 �yy,A CATAWBA COUNTY Case # RBPR-07-2014-19548 �{ Public Health Department Subdivision Willie J Bass River Prop Environmental Health Division PIN# PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 5M NAME ON PERMIT: ( BRENDA SMITH), 11333 CALLISTO CT, MIDLAND NC 28107 ( Brenda Smith) Site Address: Property Size: Square Feet Acres .67 Directions: Little Mountain Rd, left on Ingleside, left at fork onto Bass Dr, .2 miles on right Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessi.ie so that a complete sit9evaluation can be performed. Date: ? //,v Signature of Applicant or Agent // it�� s L7- . cJ �iLc C 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 Area 1 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: 711 �;;--.FEENAIVIE DATE _ u FEE'AMOUNT _Authorization to Construct (Repair) Fee 07/18/2014 $300.00 TOTAL FEES:. $300:00. :I :-- ` FEES ARE NON-REFUNDABLE ONCE A SI'Z'E VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - ehapplication 07/18/2014 17:19 Page 2 of qAL11.!NL T I -A . 'VATA1 BLa COUNTY HEALTHDEPARTMENT Application for Environmental Services Page 1 Improvement Permit 12 Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 7-a- B%:i SS F—)rz , Subdivision SJq I.i_ 5 Fc, E0, S� 13 Lot # �� Acres 6 Section/Block/Phase Driving Directions to Property L, 77L_E_ /Y1'TA) ,� o , 7z_e_1U L 6�T OW inF7' 4') 191-1-1 To B/4,S Tt i L -ES v,ti &;14- T_ NAME TO APPEAR ON PERMIT? UOwner ❑ Applicant ❑ Contractor Applicant Contact Information Name 23/ C�✓o� 5'm � � H Address / 13 3 3C; F/� !Si o G%. %✓i i D �� N'�, nj C ZY i o "7 Phone 7o q - 6 5-o (P (rz 5 �F I Cell Phone -&.5& _ 6 i Contact Information Name-- .jM E P— l f`� trl + Address Lt)W cam' _20c -or i VL_?e_�i� �'_vnJ &Oec) /J C ,2YO.2-S Phone %tJq_ goo _-77q-.f __: J J Cell Phone 70,�_ __2L)D _ 77 q_F Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site /3,21 cry //c, a st- # of Bedrooms *t Z Structure Dimensions p X 2 4- # of Occupants Basement ❑ Yes [ No Basement Fixtures 0 Yes [I No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. VYe s UNO Does the site contain any jurisdictional wetlands? s NO Does the site contain any existing wastewater systems? 0 Yes l"io Is any wastewater going to be generated on the site other than domestic sewage? Yes ''No Is the site subject to approval by any other public agency? K3 Yes E No Are there any easements or right of ways on this property? Describe Existing water supply in use 97TU7idual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Im Improvement Permit or Authorization to�Construct, Please Indicate Desired System . � P Type(s): (systems can be ranked in order of your, preference) 0 Accepted 0 Alternative Conventional 0 Innovative 11 Other 0"�Any CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT NT ` x- 65o2iCmolno-"C Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence [-Addition to Residence # of New Bedrooms *t Project Description A00 / Ti o 14 D F 05 a 1,J Z 0 h m / �� D��j v�e�l�� &n Se : DaLvt F Structure Dimensions 2-0 X 34 # of Occupants Z 'am j/eVeq Basement ayes ❑ No Basement Fixtures Yes a No ---- ❑ ry () scribe e¢Kric� t'DL4- jig � +arc. # of New Bedrooms *f if applicable Structure Dimensions Cttcnrd Po -Ch # of Occupants Accessory Dwelling ❑ Yes ❑ No ; .11 Dn i Plumbing ❑ Yes ❑ No Describe Plumbing Needed „. Multi -Family Residence # Units .,, .#Bedroo.ms _.s.per Umnit *.�__1. ,.... ,. � ..._.�_ t Total # Bedrooms *t Structure Dimensions ❑ Food Service p S ecifY . Type _...- -�_.--..., _,_z._..W.�.. _,,.-...,...,_.. _.,..�_....._. _"-,..,�,y_�.....,_.,.._,�...._�..�......_,......._:.,.._�,_..W.,..�,.,..®,��......y.�.-- # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) Business Sp ecific Type of Business Retail Floor Space -u # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonmen .,..p ' .._, _....__...... �..,� . __.,..._z. Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. 1 Signature of Owner or Agent Date Printed Name of Owner or Agent S VO A 51-A i 7'/f N 1 inch = 50 feet 417 Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Selected Parcel Number: 3698-04-80-4071 Prepared for: 3264 �l �.I. ® , o � 1 N ' 32813 2;' ~~. CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3698-04-80-4071 Name: SMITH BRENDA CONNOR Name2: Address: 11333 CALLISTO CT Address2: City: MIDLAND State: NC Zip: 28107-9469 Account: Calc Acreage: 0.67 Tax Map: 006BX 01018 LRK: 6352 Deed Book: 2014E Deed Page: 0475 Subdivision Name: WILLIE J BASS RIVER PROP Subdivision Block: Lots: 9 Plat Book: 12 Plat Page: 26 Building Number: 3272 Street Name: BASS DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD City/Tax: State Road: 1925 Total Bldgs Value: $167,200 Land Value: $146,700 Total Value: $313,900 Year Built: 1964 Year Remodeled: Last Sale Date: 5/1/1979 Last Sale Amount: $42,500 Neighborhood: 129 Watershed: WS -IV Critical Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011501 Census Block 2010: 3013 Small Area Plan: SHERRILLS FORD Agricultural District: Proximity Printed: Friday, July 18, 2014 04:51 PM CATAWBA—LINCOLWALEXANDM- DISTRICT HEALTH DEPARTMENT HICKORY, N. C.—NEWTON, N. C.—LINCOLNTON, N. C.—TAYLORSVILLE, N. C. Phones 345-3883 464-2011 735-5521 632-3101 PERMIT TO INSTALL SEPTIC TANK z PERMIT NO ................................ PERMIT DATE ................ ..................... 19(4�-- e ............................ Address ......................... ........................................................... Owner...... ��f .. .......... Tenant ...... ................ ......................Address.................. --n, .. . ........... Add ........ ........................ .................... ....... *'*** .......... y '* .... I ✓Installed b ........ ress ......... Location of Property. ..................c4 ............ , Kind of tank ......... ....... ..........................Length of trench.........2 ........... ...... --Lye-- .... NOTIFY HEALTH DEPARTMENT AT LEAST EIGHT HOURS BEFORE TANK IS TO BE INSPECTED Final Inspection ..... .............. *'*'* ' '''**''*' ............ 19 ..... C -.,(---App roved Disapproved * ?*** Remarks: .................................................... .......... ........................................................................................ i** ............. ..... ..... d. ... .. .... ........................... First five feet of line from outlet Id be of cast iron soil pipe ............................................ ................. Sanitarian. Sketch of tank and line showing distance from dwelling and well on subject property and on adjoining property. PAYOR Smith, Brenda PAYMENTS CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 PHONE: 828.465.8399 www. c atawbacountync. go v TRANSACTION NUMBER: TRC -357298-18-07-2014 PAYMENT DATE: 07/18/2014 PAYMENT TYPE: Check 4400 NCDL 1967638 exp 12/29/17 dob 12/29/42 RECEIPT Friday, July 18, 2014 INVOICE NUMBER FEE NAME FEE AMOUNT 07-14-308941 Authorization to Construct (Repair) $300.00 Fee TOTAL PAYMENTS: $300.00 CASE TYPE: WORK CLASS: SITE ADDRESS: E9 - receipt 07/18/2014 17:18 Page 1 of 1