HomeMy WebLinkAboutRBPR-01-2016-23113.TIF bA � THIS IS NOT A PERMIT Case # RBPR-0 1-201 6-23 1 1 3
d CATAWBA COUNTY HEALTH DEPARTMENT O n%
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •.E 1 ,
842 sM Residential Building Plan Review - Building New oyo les o•
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AUTH_CONST
Contractor *GOODIN SIGNATURE HOMES, CHAD (CHARLES GOODIN, JR.), 915 RIVER HWYA, MOORES.S.
NC 28117-
B:704-363-7302 C:7042300890E:704-664-3499 PHILLIP @CHADGOODIN.COM
Owner BETTY POPE, 5012 KISER ISLAND RD,TERRELL NC 28682
C:336-848-2194
NAME TO APPEAR ON PERMIT
*GOODIN SIGNATURE HOMES, CHAD (Charles Goodin, JR.)
SITE ADDRESS: 5012 KISER ISLAND RD,TERRELL NC 28682 PIN # 461604722786
NAME of SUBDIVISION: KISER SUNSET KEYS 1 Lot# 36 Section/Block
PROPERTY SIZE: Square Feet Acres 0.43
DIRECTIONS: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the left
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: 2/8/16 -changed to AC Only. No additional soils were required & no additional fees per MC
New 3 Bedroom home- Old home to be demolished.
Using Existing system on site.
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: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF single family dwelling to be removed
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 44 x 30
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 72' 2.5" x 30' 11.5"
#OF NEW BEDROOMS:: 3
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
F9-ehapplicauon 03/08/2016 13:30 Page 1 of4
v4$ CATAWBA COUNTY Case it RBPR-01-2016-23113
R' i ® L Public Health Department Subdivision KISER SUNSET KEYS 1
Q „,; Environmental Health Division PIN# 461604722786
`\.\4f®} / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
-18 4 Z-'
NAME ON PERMIT: *GOODIN SIGNATURE HOMES, CHAD (CHARLES GOODIN, JR.),915 RIVER HWY A, MOORESVILLE T
*GOODIN SIGNATURE HOMES, CHAD ( Charles Goodin, JR.)
Site Address: 5012 KISER ISLAND RD,TERRELL NC 28682
Property Size: Square Feet Acres 0.43
Directions: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the left
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 res onsible for the
proper identification and labe.ng of all property lines and corners and making the site accessibl so that a complete site ev luation n e performed.
Date: 3)cf5/)f0 Signature of Applicant or Agent (� ---.Lc f -7-
An Environmental Health Specialist will contact you within 5 working days of application dat .
If you need further information or assistance please call 828-466-7291
AREA1
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FEENAME�s 8:LE6k>1Fd r.tf - „ f, tt� yin;„ 't E,'tI tyDATEM �gJFEETAMOUNTAI
Improvement Permit Fee 01/29/2016 5150.00
{ T('p'�yTie s s,i s_ fir` r t iraa' a. E ni {rr - v
E TOTALF.._- v,, *hu at11r x 4r c"�t". .150 00 s.
rc x��p���t��pfltj�' w_ di�h' i a 5 �q��" i ,:d v' s E6
Lha°.'.t3 hid.a.r!`.--4 Ms C,r«.R«I:VirASWk.riil`;iluyati Li";12 10 d 4:1 L 721Fai.v.a..°'S epal#
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-chapplication 03/08/2016 13:30 Page 2 of 4
I Lance D. Schamback, certify that this plat was drawn under my supervision from on actual
survey made under my supervision (deed description and/or Map Book: 13__, Page 17 __
That the boundaries not surveyed are clearly indicated as drawn from information as shown
survey; that the ratio of precision as calculated is 1: 10,000+ that this plat was prepared
in accordance with G.S. 89-C as amended. Witness my original signature, registration number
and seal this __22_ day of _ January, A.D. 2016.
m Lon amback, PL
Found
Lake Norman nue, LICENSE NUMBER: L-4295
TM
1 �
3
£sisti,g 760 ,f 15_, .
rued Contour the
Lake Norman Retaining
IOW 30'From 14 P.$ Existing 760
1'Crimped �,
0.26-°6 eancrete Cant Line Cr'
trap Pie 8 07.,1 / C
found 7 r
Earthy,780 nub g �� ~ Q
Contour Line ' 1� °�4�32.2 ,i0
ilk •/ I �VR��
- ...
,ill -
Basement i`vift\�\
I Crimped I �� Lot 34 X012
bon PP* – • • 1S1
Found �'
Bent Z u Septic ';
IN, f Tank -sr] Y' ':
30'From I
Existing 760 C: i-- Ig Lot 36 :,, Wall
Contour u" ,a, V L�0.42 Acres c �'t
1 t4 , CPS
t1'
80-33 \
()rived N65____'33'S7� lit
Lot 38 II"( 7
1'LP. ,~.,
Iron Found Found .-: N
I Bent
1 00'0 q
•
03
I 1°� Lot 35 f
Lot 37 O C,
I +.
A I 7
:I
I q c . .
#4 Rebor Z 4 Reaor LINE TABLE
Found Found
I air in
LENGTH BEARING
m B nt LI 24.78 5602736 E
Bound
yi \ S51'45'001-22542
r1-52'w 18a5o Tie .{�- i
L d � f E.O.R.
•
Kiser Island Rd. t (.---EO.P. /4 Rtlar
Found
Flush
60' R/1►
Notes: Legend
1) This property may be subject
to any Easements, Rights—of—way. R/W= Right—of—way ebor Set
and/or Restrictive Covenants. / y b / LP.S. _ /4 Rebar Sef
2) Boundary information based on = Catch Basin
Plot Book: 13 at Page: 17 as recorded GRAPHIC SCALE - Not to scale
in the Catawba County Register eo o w td 120 aQ = Cable Pedestal
3) eels survey is of on existing ON IM = water Meter
MI MEM cia., = Utility Pole
parcel or parcels of land.
4) No N.C.C.S or U.S.G.S. Monuments ( IN FEET ) B.O.C. = Bock of Curb
could be located within 2000'. 1 inch = 60 ft. = Light Pole
Vicinity Map ioundary Survey SCALE: 1" = 60'
110 FOR
Jose R. Guzman FIELD BOOK:
PROPERTY DESCRIPTION FILE: 2016-21
. Kiser Sunset 36 TAX No 1 TAX PARCEL Keys#sp
a
Qt Plot Book 13 at Page 17 Scan* Surveying.P.A.
Post Office Boat 4143
d'' Mountain Creek Township uoor..dle 26117
Not To Scale e°`� Catawba County. NC (704) 6}21 e915