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HomeMy WebLinkAboutRBPR-02-2016-23257.TIF $A THIS IS NOT A PERMIT Case # RBPR-02-20 1 6-23 2 57 L� 2 . .a►.. CATAWBA COUNTY HEALTH DEPARTMENT la 1:. : 4�., � d ,1F `S. PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '.1 ' . • ti t4i 1842 5u Residential Building Plan Review - Building New ,n; rim ti ? AUTH_CONST ... .x Applicant QUICK CLAIM HOLDINGS, LLC. 1137 E MARION ST#251, SHELBY NC 28150 C:7046922526 Contractor EMERGENCY RESTORATION EXPERTS, LLC, 1921 FREEDOM DR, CHARLOTTE NC 28208 B:7046266800F:8282915245 Owner TONY& BRENDA PARKER, 5211 RAMBLEWOODS AV, CLAREMONT NC 28610 C:8283201007 Paid By CREATIVE DYNAMICS GROUP LLC„ C:8282915245 NAME TO APPEAR ON PERMIT Quick Claim Holdings, LLC SITE ADDRESS: 5252 RAMBLE WOODS AV, CLAREMONT NC 28610 PIN # 375402859629 NAME of SUBDIVISION: RAMBLE WOODS Lot# 25-28 Section/Block C PROPERTY SIZE: Square Feet Acres 0.5 DIRECTIONS: Hwy 16 N/right on Oxford School Rd/Ramblewoods Ave is on left/property on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: New 3 bedroom home 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? No 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 None EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 60 x 40 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 02/22/2016 15:19 Page 1 of4 /A CATAWBA COUNTY Case RBPR-02-2016-23257 z' ' ^. Public Health Department RAMBLE WOODS ti Subdivision 2 s ,t Environmental Health Division T4�` Y PIN# 375402859629 +- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1842 SM NAME ON PERMIT: QUICK CLAIM HOLDINGS, LLC ( ), 1137 E MARION ST 0251. SHELBY NC 28150 Quick Claim Holdings, LLC Site Address: 5252 RAMBLE WOODS AV, CLAREMONT NC 28610 Property Size: Square Feet Acres 0.5 Directions: Hwy 16 N/right on Oxford School Rd/Rambiewoods Ave is on left/property 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 a d rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site access le so th t a complete site evaluation can be performed. Date: .J;?/ ou. Signature ofApplicantorAgent i An Environmental Health Specialist will contact you wit 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME : DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 02/22/2016 ' S150.00 Fee ``TOTAL.FEES -''"r: '_' 515000 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-ehapplieation 02/22/2016 15:19 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT cou � 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 E25a R,asinblcuotas A-i,e Subdivision c-r-,bl Cwoca S r1cre..non} , n)C a8610 Lot# 25(2h/a74-Z?S Acres eS Section/BIOCWPhase Driving Directions to Property -Rio hay l(o _ ( u c n o n+ 67(Q,ca Shoe I P4. (o ,..,;000 3J) In tip pne czmbbt,00es Ave i5 on LEFT ?rope Na is %4 side. &ninon e fazl• NAME TO APPEAR ON PERMIT? $Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name Qwc.kCloon, 1\olbtis ,LLC Address 113? East Yne-rion 51- . X51 Selby (DC MLSO Phone s Cell Phone ?A -69a-asa6 Contractor Contact Information / Name Emergeacj Zest"rafbn y pert ( �cP ] d ) License # Address /qa/ FeedoM br - ehcrlo+,k ivc 27:O%6 Phone Cell Phone 82$-.41 -5245 (tre,,)) WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant XContractor Description of Existing Structures on Site OLJoruE ([c l-i a rcaeb aria recta cot-- {-0.-k.r53 #of Bedrooms *j' Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes 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. ❑ Yes IIKNo Does the site contain any jurisdictional wetlands? ❑ Yes allo Does the site contain any existing wastewater systems? ❑ Yes IV No 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? ❑ Yes )(No Are there any easements or right of ways on this property? Describe Existing water supply in use 7 Individual Well ❑ Community Well ❑ Semi-Public Well XCounty/City/Township Water Line Is a public water supply available? **4 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) ❑ Accepted ❑ Alternative ,,Conventional ❑ Innovative ❑ Other X Any CATAWBA 7 TIIIS IS NOT A PERMIT COUNTY VV 17 BA CATAWBA COUNTY HEALTH DEPARTMENT „,„„ Application for Environmental Services Page 2 Pr posed Facility Type Primary Residence X N�etw� Residence ❑ Addition to Residence # of New Bedrooms *j Project Description /base Structure Dimensions (,a x9O #of Occupants t-{ Basement ❑ Yes . No Basement Fixtures n Yes No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes n No Plumbing ❑ Yes ❑ No Describe Plumbing Needed n Multi-Family Residence# Units #Bedrooms per Unit*j Total # Bedrooms *j Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen n Yes n No If Daycare Specify.Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well IT Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug n Unknown Well Repair Requested n 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. -cSignature of Owner or Agent /,,._,(, 9-k Date U a��a/I e Printed Name of Owner or Agent /4rldroJ 2 efbon -4 e„f Parcel Report Page 1 of I Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375402859629 Owner: PARKER TONY RAY Parcel Address: 5252 RAMBLE WOODS AV Owner2: PARKER BRENDA S City: CLAREMONT, 28610 Address: 5211 RAMBLEWOODS AVE LRK(REID): 58452 Address2: Deed Book/Page: 2061/0742 City: CLAREMONT Subdivision: RAMBLE WOODS State/Zip: NC 28610-8021 Lots/Block: 25-28/ C School Information: Last Sale: $6,000 on 1997-12-01 Plat Book/Page: 14/59 School District: COUNTY Legal: LOT 25-28 25-28C PL14-59 RAMBL PL Elementary School: OXFORD Middle School: RIVER BEND 14-59 Calculated Acreage: .500 High School: BUNKER HILL Tax Map: 1709 01002 School Map Township: CLINES State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $9,600 Zoning3: Assessed Total Value: $9,600 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710375400J Building Details 2010 Census Block: 1014 WaterShed: WS-IV Protected Area 2010 Census Tract: 010101 Voter Precinct: P27 Agricultural District: PROXIMITY Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and at damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2015, Catawba County Government, North Carolina. All rights reserved. 10 octlk: ssvcd- )�o Co`>E 0 -b)Nder boo, _3 Sol 0 3Co 91 /duty. http://gis.catawbacountync.gov/nomap/parcel_report.php?kcy=375402859629&typ=P 2/22/2016 9I.OZ/ZZ/Z0 ON 6lunoo egmelep MN 1g6uAdoo 'Rlnue io uosied Rue Aq yowete asn aql io lonpoid podai/dew siqy wog asue Aew Jo Sadie goigm leguanbasuoo io pay ipui loaf ip Jaglagm'Amigei!io ssoi'sa6ewep lie pue Aue iol awgep piaq aq you iiegs pue'wposip'Iauuosiad pue'slue6e'seeAo1dwa sll'egmelep to Alunoo agl'iasn all/q lanpwd podw/dew sill uo paweluoo'amp Rue to uoileaguan luepuedapui all spuewwooai pue salowwd Alunoo egmelep podai sill uo elep Jo dew sill uo paweluoa uogewiolw bupagei pue uogeoo!;o Aoemaoe all ensue of suo;}a Wguelsgns apew seq 6lunop egmelep saoinJ0S uopewiolu1 iepedsoao ON'Alunoo egmelep all wojl paiedeid sem lonpwd podai/dew slyly 01993 '1NOW3aV10 AV 1109=u11 S000M 3191AJV8 3939 `63969930179LE :lowed t - _ / — _ _ - 6tzz ' } A a < e y � 4 — i o•ze• a _,..,L. d$ 6 __ 11: __ _ . o €oa, ro ,... 0 ,,, ,.... ...., ,. ______..ss __ _ <__.. ..„, /, , _ Iiirk i Of OO L r 0 OOt Z 'LZ h' - l li . +uQ M 0 a — °` V . AL _. 49ZS• 00L \ t4z, 0 r N l — 1\--- — 1 — —utheaH Ieluewuoa!AU Ajunoo egMeneo CA'I'.aW¢A COUNTY CI Case ii IMPV-0 1-20 16-068105 i Public Health Department tom^-'`•• Subdivision RAMBLE WOODS )2 '0F , ; Environmental Health Division r 'if PIM 375402859629 140. c- ,/ PO Box 339, I00-A Southwest Blvd, Newton, NC 28658 Itt T LO TI! 25-28 /.4t ' ��ti Y NAME ON PERMIT: ANDREW DEHAAN, 4398 GOLDEN LN, CLAREMONT NC 28610 site Address: 5252 RAMBLE WOODS AV, CLAREMONT NC 28610 Property Size: Square Feet:21,780.00 Acres:0.5 Directions: Hwy 16, Turn onto Oxford School Rd, Go about 1/2-3/4 mile& Ramble Woods Ave is on the Left Property is 1/4 mile down on the Right side of the road in between 2 houses. Improvement Permit • Facility: Primary Residence - house Permit Category: New Septic BeGr0omj 3 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: MG -OTHER NON-CONV TRENCH SYSTEMS PUMP *MAY BE* REQUIRED Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERA'T'OR REQUIRED Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation,or the suspensionlrevocation of existing permits. The issuance oithis permit by the Health Department does not guar ntee the issuance of other permits. It is the responsibility of the applicanVpropertv owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Lows and Rides far Sewage Treatment and Disposal SFctens' (154 NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Megen McBride 01/11/2016 AUTHORIZED STATE AGENT APPROVAL DATE 01/08/2021 Permit Expiration Date: No grading or cons/rue//on activity is allowed in areas designated for.s,r.stenr and repair without approval of the Health Department. chpcnnit OI/I1/2016 03:.0 Page I of3 1? - Pit-I)- ol5-7sgi,p 535) F-on.ble Woods AV, Garepvr4 * IP no-} in1ehdeJ -cor suit. 1w\4aIlakiar Pv(?ose$ . * 52rbc area Mu5-I be c eared Prior -}o issuance of AL ve,r,4 flo rvA as 4e,, 54e, cvl, of fail elver SeQ.Itc. arPC&S. }{ouSe w;lt C6nr\ec4 4 i"bl'c WF-ler. 160.1' o' SeP��c Area Tni{ aI- )s7oFxd. Nair - 507, Kea (-so o)(go) 15• inrstd 3 Bedioor• Ncuts& me de • • 3 Addiliorai o gepair A(eA 55 ID' { 6o x 4b) ,00rite woods A� 11:11 SD' - . r. ... - 1; M n -r:....r .u. \9 . • DEPARTMENT OF ENVLRONMETT AND NATURAL RESOURCES Shed__of_ • DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID ii: ON-SLIE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION Note, or Ate: for ON-SITE WASTEWATER SY$ '_1.T . ezezat ArAre.w OP.Haan APPLICATION DATE 1319115 P41?Re f) o(5-))86) ADDRESS: DATE EVALUATED: 1-x-11, PROPOSED FAMILY: 3 8�a klpo�_t�f�.��� Pgy,O�FOSID LION FLgW(.1949): 360 PROPERTY Silt 0.5 gcrP s LOCATION OF SITE: F�5[-�i Iri[.111PA Pw areh�64 PROPERTY RECORDED: WATER SUPPLY: n Private 14 Public 0 Well 0 Spring 0 Other - EVALUATTONWIT OD: 0 Auger Doting le Pit 0 Cut . • TYPE OF WASTEWATER: Sewage. 0 Ln±utal Pass I Mi . .P. . 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CL, SbK -Er C5I)r'f 1- 3 -4g G-+SAP ,s1k- kr,ss, 5 PS — •, I 0'3 0-7g) .0 4l• .... - '' 1-(1-,cs, ikq I . 36. 1%, f1.4SfcF, shit kr,sc, Lfg Ps • 1 03 J D-3U CLiSbf` • I e CJ -'ft ,,5n� A 125 3 1 ea1 so*, .it\c(hiaA5 — 6 0,3 I • 4 1 I I • • DESCRIPTION NITTA[.SYS—r_es REPAIR Carat wag 1946); A PS 1 L S SITE CLASSIFICATION(.L94S): ta�ble Spax(.L''15) Wilk (� �j iii EVALUATED BY: ''"'' I� _ Syst�Typ(:) III) J-�u OTAER(S)PRESENT: • . TatLTAR p•3 p.3 _ COMA: a . rP mai lot rte Art 1 5o' I SO' )5' r 3 g? 4 •u5 ( frif