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Home My WebLink AboutRBPR-07-2014-19636.TIF1.� l'11�R i� 1 1 `acs Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19636 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Alteration IMPROVEMENT •BEASON GENERAL CONTRACTORS (JOHN BEANE, 111), PO BOX 636, SHERRILLS FORD NC B:(910)431 -6915F:(704)230-0016 INFO@B EASONNC.COM JOHN BEANE, PO BOX 636, SHERRRILLS FORD NC 28673 6:7042301016 C:9104316915 CLlul�td�]�X\:i�P.l��7'; fY7 *Beason General Contractors (JOHN BEANE, III) SITE ADDRESS: 6958 INGLESIDE DR, SHERRILLS FORD NC 28673 PIN # 369702886425 NAME of SUBDIVISION: E J BASS RIVER LOTS Lot # 2 Section/Block PROPERTYSILE: Square Feet Acres 0.49 DIRECTIONS: South on Little Mtn Rd/left onto Ingleside Dr/property is next to last house on left before state maintained road ends PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private W I DESCRIBE WORK: 11 /14/14- existing mobile home is to be removed and a new 4 BR home built 60'x 55' (es) 9/11 /2014- Contractor called and asked to hold this application at this time. Will contact us if they decide to move forward.- (es) Contractor/owner called to revise application, no longer adding additional bedrooms. Completed home will only be 2 bedrooms. es -9/2/14 Alterations to remove single -wide trailer which is enclosed within a brick ranch, adding 12 x 12 lake -side deck and 3 x 8 road -side deck 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: Existing Structure PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF I Brick Ranch w/2 car garage w/singlewide inside EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60x55 NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 56 x 6612 x 12 3 x 8 # OF NEW BEDROOMS:: BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: YES F'9-chapplicnuon 11/142014 08:34 Page I of CATAWBACOUNTY carer RBPR 07 -?01419636 Y Public Health Dep nmem Subdv m E J BASS RIVER LOTS Ecrimomas"HeahhDivideft PINK 389=1118126 ■ PO Bac 389, 100-ASouthwest Blvd, Nctw %NC 28658 NAME ON PERMIT: *BEASON GENERAL CONTRACTORS ( JOHN BEANS, BIJ PO BOX 636, SHBRRILLS FORD NC 28673- •Beasw General Conlrackws ( JOHN BEANE,111) .Spp Address: 6958 INGIESIDE DR, SHERIMLS FORD NC 28673 Property Size: Square Feet Acres M40 Dlrecuons: South on U81e Min Rdeem onto InOkelde Ddpropetgr b need to last house on leR before state maintained road ends enprovanent Pam& Issued as a result of this Information ala valid for 6 years or maybe rra►wwft under cartatn - *1 owww" An Aidhatraum to Construct Issued by thin depatimenl Is valid for (5) In years from it* date based and b not lwalemble; kWmvame d Permsa sed Wan Procne ere bamlerrabh. Permlls may be revoked 8 da Information an this application, ske plans or Imemled use danger far da proposed bdry. I have reed MIs application and mrft that the Information provided harem Is hue, comptats and carred. Auerorbad many and stats obdds are Scarred irgH of entry to conduct necessary Inspadiam to determine aorrrpeona with appomw IM wed miss. I understand DWI am solely responsible for the proper IderOke6on pum of propady Ibea and comers and making Me sits portrait". Mel a bb alto avaluatbn can be pedrme4 Das: i IV -41 IZQ 111 Skwnm ofApplkud orAgeA ! .-41 _ An Environmental Heaft Specialist will control y ► 2 woildng days of application daoe- If you need &Am information or assistbux plesee call 828-460291 AREA1 MRMM g flgpMKB FRONT: 30 SIDE: 16 REAR: 30 MAX HEIGHT: Improvement Permit Fee 07/3012014 $150.00 r TAi:BSIG4: .. x1$6 e FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ebappaeaaon 11/142014 01;34 Pese2er4 Contractor Owner THIS IS NOTA PERMIT Case # RBPR-07-201419636 CATAWBA COUNT' HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Alteration IMPROVEMENT *SEASON GENERAL CONTRACTORS (JOHN BEANS, II1), PO BOX 636, SHERRILLS FORD NC B:(910)431 -6915F:(704)230-0016 INFO@BEASONNC.COM JOHN BEANE, PO BOX 636, SHERRRILLS FORD NC 28673 8:7042301016 C:9104316915 NAME TO APPEAR ON PERMIT *Beason General Contractors (JOHN BEANE,111) SITE ADDRESS. 6958 INGLESIDE DR, SHERRILLS FORD NC 28673 PIN # 369702888425 NAME of SUBDIVISION: E J BASS RIVER LOTS Lot # 2 Smion/Block PROPERTY SIZE: Square Fat Acres 0.49 DIRECTIONS: South on Little Mtn Rdtleft onto Ingleside Or/property is next to last house on left before state maintained road ends PRIMARY CONTACT: r SEWER TYPE: Septi Tank GALLONS PER DA(=7 WATER SUPPLY: Private Well DESCRIBE WOR . Con6—cctWfowne4�calied to revise application, no longer adding additions edrooms. Completed home will o2 bedrooms. 4 Altera g wide trailer which is enclosed within a brick ranch, adding 12x 12 a e -side deck and 3 x 8 roadside deck 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 she 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: Existing Structure PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Brick Ranch w/2 car garage w/singiewide inside EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 56 x 88 NUMBER OF EXISTING BEDROOMS: 2 9 OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 56 x 6612 x 12 3 x 8 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: E9 - chapplication 09/02!2014 15:12 Page I of 4 CATAWBACOUNTY Can # RBPR-07-201419636 Public Health Department Subdivision E J BASS RIVER LOTS Environmental Health Division PIN# 368702886425 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 w NAME ON PERMIT: •BEASON GENERAL CONTRACTORS ( JOHN BEANE, I11), PO BOX 636, SHERRILLS FORD NC 28673 - +Beason General Contractors ( JOHN BEANE, III) Site Address: 6958 INGLESIDE DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.49 Directions: South on Little Mtn RdAeft onto Ingleside Dr/property is next to last house on left before state maintained road ends knprovement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain spec7ied conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and Is not transterabb: Improvement Permits and Well Permits are transferrable. Permits may be revoked if the informalM on this application, site plane or Intended use changes for the proposed facility. I have read this application and certify that the informatlon provided herein is true, complete and correct Authorized county and state offidais are granted tight of entry to conduct necessary inspections to determine cornpilance with applicable laws and rules. 1 understand that i am Soley msponsWe for the proper identificationaid W�elbm9 of all property Imes and comets and making the of asibles at a complete site evaluation can be performed. Date: q / Z f I Lf Signature of Applicant or Ag An Environmental Health Specialist will contact y"&IVAing days of application date. If you need further information or assistance please call 828-466-7291 AREA1 !P!l+++++++#+;++!•++!♦+++tM#++++++�+++l++!!!!l+++++++++f!!!+#lt+++++++4M!•!+!!!!!!+!!!t+!!!!!+!1!l+++*+i!#+;++++l+++ MON UTBUR FRONT: 30 SIDE: Is REAR: 30 MAX HEIGHT: 1••.�•; `FEENAMEz . DAA � AMOU 4t ' Improvement Permit Fee 07/30/2014 $150.00 ' TOTAL FEES �. R S1St1.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK -ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANG/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F�) - elmapplieation 091022014 15:12 Page 2 01'4 Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19636 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Alteration IMPROVEMENT 0 BEASON GENERAL CONTRACTORS (JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC 2 B:(910)431 -6915F:(704)230-0016 INFO@BEANEBROTHERS.COM JOHN BEANE, PO BOX 636, SHERRRILLS FORD NC 28673 13:7042301016 C:9104316915 NAME TO APPEAR ON PERMIT Beason General Contractors (JOHN BEANE, III) SITE ADDRESS: 6958 INGLESIDE DR, SHERRILLS FORD NC 28673 PIN # 369702886425 NAME of SUBDIVISION: E J BASS RIVER LOTS Lot # 2 Section/Block PROPERTY SIZE: Square Feet Acres 0.49 DIRECTIONS: South on Little Mtn Rd/left onto Ingleside Dr/property is next to last house on left before state maintained road ends PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Alterations to remove singlewide trailer which is enclosed within a brick ranch, adding 12 x 12 lake -side deck and 3 x 8 road -side deck 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: DESCRIPTION OF Brick Ranch w/2 car garage w/singlewide inside EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 56 x 66 NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 56 x 66 12 x 12 3 x 8 # OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: E9 - chapplication 07/30/2014 14:39 Page I of 4 v�gA CATAWBA COUNTY Case # RBPR-07-2014-19636 Gy Public Health Department Subdivision E J BASS RIVER LOTS d� `s Environmental Health Division PIN# 369702886425 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1842 s� NAME ON PERMIT: BEASON GENERAL CONTRACTORS ( JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC 28673 - Beason General Contractors ( JOHN BEANE, 111) Site Address: 6958 INGLESIDE DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.49 Directions: South on Little Mtn Rd/left onto Ingleside Dr/property is next to last house on left before state maintained road ends 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 accessibl seothat a co to site evaluation can be performed. Date: 'I Signature of Applicant or Agen� _ - An Environmental Health Specialist will contact you within 2oindays of application date. If you need further information or assista--pplle� e call 828-466-7291 AREA1 ************************************************************************************************************ MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME .... • ....... Improvement Permit Fee TOTAL"FEES DATE """=FEE'AMOUNT 07/30/2014 $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR $150.00- WORK 150.00" WORD ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/30/2014 14:39 Page 2 of 4 )VBATHIS IS NOT A PERMIT eau Tv CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit❑. 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 6�5� �� ( �c l/ r Subdivision Lot # Acres Section/Block/Phase1 Driving Directions to /Property S n L, - A p .1 � hl --,x-,+ A I��,+ 1,e -ivy rr) . t I�_ -t+ o,1-6,, T c 1 L. S 61 r'_ V/.� .. U'r rJ �r� ci�d % ` �� (X "I 47-1 I A i T k,,.: 4- �� T7)� � � T-/ti'�- ir-vh.��1Z., n l rJ r6i•�l) C� ��S ,. NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ,.Contractor Applicant Contact Information Name �)ccxSvn %e ne� Address SPO F, � 3 � S lv ! � ` i I c 'E�z-, r c� n L Zf' G 73 Phone , ,. ._ ?U 236) 61 to Cell Phone Gi 1r`1 ti i (Oct ► S� Owner Contact Information Name23 , 1 �� h n ✓�:. r t c�--� Address Qr� hvtic !� `� �. Sh 1 l - c c) U\,,L 7 f. -7 3 Phone 7_3 c� ! U ► Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ZOwner XjApplicant ❑ Contractor Description of Existing Structures on Site 11,60 Cw - f a t� r :'e kc LIIC/L. :.� , � N Z Cc: � , � ✓�� # of Bedrooms *t,,- P-- Structure Dimensions # of Occupants V Basement ❑'Yes No Basement Fixtures Q Yes tgrNo The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the propeko question. If the answer to any question is "yes", applicant must attach supporting documentation. 11 Yes Does the site contain any jurisdictional wetlands? l0yes�No No Does the site contain any existing wastewater systems? Yes Is any wastewater going to be generated on the site other than domestic sewage? f Yes 0 NO Is the sitesub* t'to approval by any other public agency? 13 Yes o Are there easements or right of ways on this property? Describe Existing water supply in use Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other ❑ Any CATAWBA THIS IS NOT A PERMIT COUNTY _ _ -_ CATAWBA COUNTY HEALTH DEPARTMENT Iain' ^ Application for Enviromnental Services Hbr!i"t C'unlan Proposed Facility Type Primary Residence ❑ New Residence P3 Addition to Residence # of New Bedrooms *t Project Description + J k-11 i e- 1 IQ ( Z ) ,1 Structure Dimensions # of Occupants Basement ❑ Yes XNo Basement Fixtures a Yes ucturKN ElAccessory Stres) Describe Page 2 c °__ l`lt'L'�Cg 1tA�t iasg3 rvG�c # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed Multi -Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions Food Service Specify Type # Seats Floor Space Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) Li Business Specific Type of Business Retail Floor Space # 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/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well Abandonment Type ❑ Drilled ❑ Bored Well Repair Requested ❑ Yes ❑ No Describe ❑ Community Well ❑ Dug ❑ Unknown 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Ag '—',/ '�-� Date r Printed Name of Owner -e '13 z .►-�r�- M - . v - . r Catawba County, forth 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 anv 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: 3697-02-88-6425 1 inch = 50 feet Prepared for: M - . v - . r CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) ParceltD: 3697-02-88-6425 Name: BEANE JOHN M Name2:' BEANE ROSEANNA M Address: PO BOX 636 Address2: City: SHERRILLS FORD State: NC Zip: 28673-0636 Account: Calc Acreage: 0.49 Tax Map: 006BX 01038 LRK: 6375 Deed Book: 3214 Deed Page: 1771 Subdivision Name: E J BASS RIVER LOTS Subdivision Block: Lots: 2 Plat Book: 12 Plat Page: 18 Building Number: 6958 Street Name: INGLESIDE DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD C ity(fax: State Road: 1925 Total Bldgs Value: $171,400 Land Value: $118,600 Total Value: $290,000 Year Built: 1972 Year Remodeled: 1981 Last Sale Date: 10/17/2013 Last Sale Amount: $190,000 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): Split Zoning Dist(2): 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: Wednesday, July 30, 2014 01:50 PM $_Jso 1p '7� C� �S5>!�J,1►� �� c�- `l" �QnoJ�ih S CATAWBA COUNTY HEALTH DEPARTMENT PERMIT tQOMPLETION PERMIT FOR SEPTIC TANKS T A 1,V� J�,,!Sr[C $20.00 SEPTIC, j,'-11 - jPr6dRa rAkbsorption Sewage Disposal System - G. S. 130-13,C) N -0 2903 - - F F, D �: L� -; . "- .- - ISSUED. MUST bE OONER OR CO;N,TPACTO,'R DATE 5--.2 6- 7j _Z7S 7e- ADD(R,.E&1;- LOCATION f ZIP SUBDIVISION NAME —_z2S��-i—_ LOT NO ';ECTI,OiNi OR 8LOCKNO.-&A- & L 4 1011-,: HOUSE (_ MCXB+LE HOME ( __11�81USINESS 71L�� NO. BEDROOMS (—) -NIC). BATHROOMS GARBAGEDI'SPOSAL U'NjIT: Yes O No SIZE 01F TANK 1006 Total Gallons NITRIF11CATION: HELD - ?ate Ff. ....... WATER SUPPLY: 'PRIVATE PUBLIC INSTALLED B,Y_ CERTIPICATE OF COMKETIOWBY.f- DATE INSTALLED Health Department HD 2-74 CATAWBA COUNTY HEALTH DEPARTMENT PERMIT "A IMPROVEMENT PERMIT FOR SEPTIC TANKS MUST r"Ip {CV (6�Und Absorptioq Sewage Disposal System — G. S. 130-13,C) OWN'!ER OR CONTPjACTOR ADIDIR�ESS LOCATION SUBDIVISION NAME A 7ci N° 3474 DATF AVIL/ z&ei4;1_ '2 --LOT MO.— SECT ION OR iBILOCK NO FHA VA STANDARD (—) !LOAN 1`1�1 - ' 4–( L LOT AREA tic HOUSE (—) M0131LE 11'3'ME (_kYBCUSINESS V_Ck' NO. iDEDROOMS (—) NO. BATHROOMS PLUMBING UNDER BASEMENT FLOOR: YES (—) NIO (—) GAR-BAGEDISPOSAL UNIT�FES NO SITE SUITADLE: YES NO REASOM SIZE OF TANK Total Gallons N1TR-IFI,CATII0*N;'F-IELD Ft. WATER SUPPLY: PRIVATE (A2rPU,B1I IiQ 1IMPRIOVEMEENT ',PERMIT )BY /: "S Health Department _V.74 C C. I.P \ } 23.9 GE OLD OL O 1` 2 62 3 P � F ro 2 A 0"cb D o 12-18 E. J. BASS RIVER LOTS MT CREEK TOWNSHIP CATAWBA COUNTY, NORTH CAROLINA REF_ 7,60 MT, ISLAND TRACT DWG. NO -471 A P P R O V E D APPROVED FOR RECORDING Catawba County Planning Board `A AW" �Y °°ARD RECOMMENDED TO COUNTY \(7/ Of C�RdSAiONERS COf. SSIONERS FOR THEIR APPROVAL Pp Du /963 DUKE N,ER fc//. pJ . Lr�,f✓ - � � 4'r �l G.. hiz�/ .,._J /Ih ROPER Ty .. 1 .TURN `ARpUND ` . SD - SOT A Ns �3 s00 !A gVFN g 600 (Duet L� N� 0 S c' m 7 s °G 4 N � EO 112.9 10 SU -14w .p '6 ,b 38 � T OrrRY!�d Ppm , i _ y�dllwd Ae Y� � ��JJ -/��ddd�J M CwM• FW4 �uP 0-1Q-1 CATAO NZW" WO 7> r'O;INTY NEWTOd p.rAy d Orurr6� Co°^n' N t: C "JOE -EOR Ncnu RLt7T�I4Sari• 7H"^. T{TF PEAT SSHROWR q .;t gP)Cl7 �lI1Vi T"" N'�.�90_-.vy-er[T ir�t_.APRIL�J,IeJI /VOYMq ' V /�� NORTH CAROUNA • C&MWA. G-06 tawbe Y. Isle of CrrvNr� • p lud9ed to be arrest Lel the hrshomeeL wiRr t✓V ce McWe. be regktered. WRn my hwd "--If—I .rd"dFie/1hl/xe4"--If—d"d . Clerk �I T R O 76 SQ8'23W o. CORTpUR O O�TAWBA STATOE OF N ORTHCCAROLINA.. HEREBY CER7IFY THAT JOE F. ROBINSON SURVEYOR PERSONALLY APPEARED BEFORE ME THIS DAY AND ACKNOWLEDGED THE DUE EXECUTIONOF THE OF THE FOREGOING CERTIFICATE AND UPON HIS OATH SWORE TO THE TRUTH OFTHE STATEMENTSET FORTH HEREIN. WITNESS MY HAN IS 3R07 Fl A,P_R_IL 1963 AND NOTARIALc N ( od RY PUAIC - MY "COMM. EXPIRES 12-18 DWG NO A - 276