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Home My WebLink AboutEHPR-11-09-2506 (2).TIF A y~~' ~rrjr THIS IS NOT A PERMIT Case # EHPR-11-09-2506 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP APPLICN4 O\A N-ER' ('ONTR'ACTOR RIC[IARDHUNLYACJLR RIC:IIARD"IIIUNLYAULKBRLNTA LONI 2697 NE LAKEVJFW,CT 2697 NE`L-AKEVIE.W~CT CORNELI_US NC 28,03T CONOVER NC 28613-9400 CONOVER NC 28613-9400 704-913-2258 704-252-1254 704-.252-1254 NAME TO APPEAR ON PERMIT RICHARD HONEYAGER Pin#: 461601086514 SITE ADDRESS: 4541 WELBORN DR, Sherrills Ford, NC DIRECTIONS: 16 S/ 150 E/ LFT ON SLANTING BRIDGE RD/ LIFT ON DRENA DR/ RT ON GILES/ PROPERTY AT INTERSECTION OF BRIDGE VIEW COVE & WELBORN DR NAME of SUBDIVISION: Lot # I Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.159 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 2 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1:00 Total Numher of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: ;Number of Employees 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: FUTURE GARAGE Has any grading, removal, or addition of soil been-done-to this property? If so, describe Are there easements/right-of-ways recorded on this property? , No - Type of Water Supply: Individual Well X Community W611 Municipal Semi-Public understand that this is a formal application for a well permit, Improvement 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 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 applic ion date. If you need further information or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FFE NAMF DATE AMOUNT Side 15 Aiilht„[ to Constru~i f ee (Ne«v/ 1 1,,/04,,2009 X275.00 Rear 30 b1 cll 1'0 nuu Inspection Fee 1 I i0=1'2409 $300.00 Max Hght $575.00 TOTAL FEES *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional S60 charge 11/04/09 09:40 THIS IS NOT A PERMIT W L S # .4'W,~ 2-6G4 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct Septic Repair ❑ Septic Expansion El Existing Tank Check ❑ New Well Permit X Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit TR--CO A- Z-W & 2. Permit Requested By oij G Business Phone Address 37 ~e Cote dinS NL V631 Home Phone 3. Property Owner Jk lt,lw,k Shc,Vl esge'- Business Phone Address Home Phone YJ r)q - Jg - 4. Name of Subdivision Lot # / Section/Block/Phase / Property Address L/ Sy l W E/_l3d-2 rJ >_1,e fla1_ SFOie 0 C IY673 Directions to Property: C'(f en "0 l n'ff /~r I orb on S C- L . vt 2 )n4 n -F ~O(►+ 6Za1~ ~2c_e_ 5. Property Size: Square Feet Acres 1,16 Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home_ Dimension of Structure 3_5->04'1 Bedrooms* *Anv room th;o xIII be intended lorlsleeping~at the time (,I construction or, or llittn,, coii.! l iaiiC n ~b,)i_ild be noi~,,l as a hcdroom,and counted on all applications. 1 lie number 01' h~:'h-ooms'will be co ntirmeam roo.nis iuentmed on hoii~)., plans a a. b drooni:at the'time of bUildi, [ r 1 i/no Uance_ hlihsWater Using t the need for System size ux lease in the futui . Basement, Fixtures in Basement:/no No. in Family Whirlpool Tub yes'C'J' Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes Af,w If so, describe: 9 C 8. Has any grading, removal, or addition of soil beer - one to this property? Yes / If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes o 10. Is a public water supply available on or adjacent to the above property? Yes Check type that is available: [ ] Community well [ ] Semi-public well [ ] County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: `Individual well [ ] Community well [ ] Semi-Public well 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 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 valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An 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. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE." 'L~-~ Date l Signature of Owner or Agent r r N to Z U) U) J 0 V) Jew Iv M 00 ry C/') Z 0'J ? o rn O = O O M W Q Z Z Q wQ =;Q=y J _ G. d'0 I~~L~1 O W U U OWOLn~' d-~ :U=W cn'j y_~:=¢F- N o W S od J h`w O 3 Z y ¢ z ~Op~C? o O 3 Z m O Q- U) Z Q 3 O WOW 2= g '01a Q V U 4 w H Q Q W i/ o namwiur a U U z o LL Z -t ZO 5 w Y w o Q r~rllllllll~ oZ N o r (1 W H m O U Z U w J X :E :m 5 li o II Q U 00 t~ a. a Y SLAffnNG BRIDGE O N d O o: in' U w a ~o 5 m r ~j - S C v T77 T V ------------------------vE-REPUTED---- 01 R~w-_- - WELBORN DRI - PAVED ROAD B ~~(J l ~J^13 '-7 _ _ - - -1 P ((C) ----00 I r 1w L \ a t6S N z+ o a~ \ f \ U \ pQ M a o N 1 cz N \ Zo X04 W Q N z I "3 g \ 1\`~\\\ I m Q0-1 \ r-oo rp m Catawba County, North Carolina This map product was prepared from the Connrbn County, AIC, Geographic htformolion System. N Calawba Camtr has oracle stthstamial efforts to ensure dte accuracy of location and labeling otfUPmatian contained on this map. Calowba County- pro+noies and recommends the independent vertfcalion q% mm dale contained on this mop product by the user. 77ie Count of Cota,rho, its employees, agents allot persmmel disclaim, and shall not be held liable for any and all damages, loss or liobilily, whether direct, indirect or consequential which arises or orgy arise from this map product or the use thereof by otn+person or entifi. Legend Selected Parcel Number: 4616-01-08-6514 1 inch = 60 feet Prepared for: 4 t+" t A 1 7 t f 1l ' CEO a ~ t ~ .e A I r 26A ONE" l \ 10..,- . " i 1168 30' % 511P ,F 8 ~tl 4 f , 11, I 7-8 F{ 4 "Y" 2 ;05 CD 1 IZ17 18 6.~ 1870 J n h _ 7 % J,. It 2.54 - TI IIS IS NO'1 A I LGA1, 1)0CUMF,NT Wednesday, November 04, 2009 08:53 AN1 I Al CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4616-01-08-6514 Name: HONEYAGER RICHARD J Name2: HONEYAGER SHERYL B Address: 2697 LAKEVIEW CT NE Address2: City: CONOVER State: NC Zip: 28613-9400 Account: 159753222 Calc Acreage: 1.16 Tax Map: LRK: 803332 Deed Book: 2975 Deed Page: 0553 Subdivision Name: Subdivision Block: Lots: 1 Plat Book: 67 Plat Page: 8 Building Number: 4541 Street Name: WELBORN DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: 1934 Total Bldgs Value: $7,700 Land Value: $211,100 Total Value: $218,800 Year Built: Year Remodeled: Last Sale Date: 6/4/2009 Last Sale Amount: $275,000 Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,FPM-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning 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: 5037 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wednesday, November 04, 2009 08:53 AM For Office Use Only, IMPROVEMENT PERMIT r, CDP File Number 1. 2 .Q Catawba County Public Health Department County ID Number. WLS2009-00220 Environmental Health Division + P,O Box 389, 100-A Southwest Blvd Evaluated For: NEW by `~`"^*~jr•r Newton NC 28658 PERMIT VALID UNTIL: 05/27/2014 Phone: (828)-465-8270 Fax: (828) 465-8276 j *NOTE TO I SPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. O55 C\ App icant: SHERYL HONEYAGER Property Owner: ERIN DELEHANT Address: 2697 LAKEVIEW CT NE Address: 4525 WELBORN DR #B City: CONOVER City: SHERRILLS FORD State/Zip: NC 28613 State/Zip: NC 28673-833 Phone Phone Property Location & Site Information `J Address/Road Subdivision: Phase: Lot: 1 4541 WELBORN DR SHERRILLS NC Directions Structure: SINGLE FAMILY 16S/ 150E/ LEFT SLANTING BRIDGE RD/ LEFT DRENA DR/ RT GILES/ PROPERTY AT # of Bedrooms: 4 INTERSECTION OF BRIDGE VIEW COVE & # of People: WELBORN DR *1/lfater Supply: NEW WELL System Specifications Initial System `Site Classification: PS Minimum Trench Depth: 1 8 Inches Design Flow: 4 8 0 Maximum Trench. Depth: a 4 Inches Soil Application Rate: 0 4 Septic Tank: 1 a 0 0 Gallons 1-Piece: QYes No *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Pump Required: &)Yes Q No O May Be Required Pump Tank: 1 0 0 0 Gallons *Proposed System: 25'% REDUCTION 1-Piece: QYes QNo Repair System Required: QYes 0No ONo, but has Available Space Repair System *Site Classification: PS Minimum Trench Depth: Inches Soil Application Rate: 0 4 Maximum Trench Depth: Inches *System Classification/Description: Pump Required: tYes Q No Q May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: 1 0 0 0 Gallons *Proposed System: 5o%REDUCTION Page 1 of 3 CDP File tai .m 'if' 31243 County ID Number: WLS2009-00220 *Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. "Do not drive, grade, cut or fill over septic area.- The Improvement Permit shall be valid for5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the (8 site for the proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the issuance and may revoke the permits forfailure of the system to satisfythe conditions, the rules, orthis article. This permit Is subject to revocation if the site plan, plat, or intended use changes (NCGS 130A335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting, and repair (.1938(b)). Applicant/Legal Reps. Signature Required? Oyes - No ~C 0 '>G~'C.e /ApplicantlLe9al Reps. Signature: Date J/ 'Issued By, 2246- Megen McBride Date of Issue: 0 5 2 7 2 0 0 9 Authorized State Agent: Mmp~--" _ OValid without Expiration? 01-land Drawing N Import Drawing **Site Plan/Drawing attached.** TotalTime:(HH:MM) 0 0 Hours 0 0 Minutes Page 2 of 3 CDP File Number: 31243 County File Number'. Drawing Type: Improvement Permit Date: 0 5 a a 0 0 9 Click below to import an image from an external location: ' ~ ~ro a~r~ ho+rtS~ ~U ~ 3 ~f~N? zed ~ ~ti~OMS. I►cunJ S I" VAT I 7C, s errs is r64 w ,c r'LO O fi 1 41- IOU' 2s,yy PL~~ o. 220, riff, 13n, r~VP.taa/ Page 3 of 3 CATAWBA COUNTY, NC 100-A South West Blvd PLAN ~~~~~CE Q+ Newton, NC 28658- 0 (828)465-8399 Wednesday, November 4, 2009 1$ 4 Z sM www.catawbacountync.gov Plan Case: EHPR-11-09-2506 Invoice Number: INV-11-09-256952 Environmental Health Plan Review Invoice Date: 11/04/2009 Fee Name Fee Amount Well Permit & Inspection Fee Fixed $300.00 Authorization to Construct Fee Adjustable $275.00' (New/Expansion) Fee Total Fees Due: $575.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/0412009 Check 1849 $575.00.. $0.00 . Total Paid: $575.00 Total Due: $0.00 plan im.oicc ; drO( :2)-: (,cc-'1?3 3-al)dc-5 it)5c911;`h6; spi 11/04/2009 10:05