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HomeMy WebLinkAboutRBPR-03-2016-23298.TIF C• THIS IS NOTA PERMIT Case # RBPR-03-2016-23298 t I1 eV;7 y CATAWBA COUNTY HEALTH DEPARTMENT ❑' A. . ', PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • a ' % � 5 / •{ 842 sM Residential Building Plan Review - Building New To . • .o +hyo AUTH_CONST • • r 4 • • Contractor RE FOY&SON BUILDERS, INC. (MARK FOY), 84 CALLAWAY DR,TAYLORSVILLE NC 28681 H:8283125421 HOME:8283125421 O'1-HER:(828)312-5421F:(828)635-0408 FOYBUILD@BELLSOUTH.NET BELLSOUTH.NET Owner JIMMY L. & SHIRLEY C. MOORE, 36 SULLIVAN POINT LN, TAYLORSVILLE NC 28681 C:8282173441 NAME TO APPEAR ON PERMIT Jimmy L. & Shirley C. Moore SITE ADDRESS: 4274 JA YOUNT FARM RD, CONOVER NC 28613 PIN # 374309159477 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 1.7000 DIRECTIONS: County Home Rd to JA Yount RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: N/A DESCRIBE WORK Revised 9/7/16 - Regpstinn to relocate the re. -rea. Additional soils are required. New IP, AC required. Ingle family dwelling *Lot will share well on lot 1 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66'8 X 39'8 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: G9-el:application 09/07/2016 10:09 Page 1 of4 „a•p CATAWBA COUNTY Case# RBPR-03-2016-23298 CG Public Health Department Subdivision d :<1 Environmental Health DivisionPINtl 374309159477 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 tg.2 ,w NAME ON PERMIT: (JIMMY L. & SHIRLEY C. MOORE), 36 SULLIVAN POINT LN, TAYLORSVILLE NC 28681 ( Jimmy L. & Shirley C. Moore) Site Address: 4274 JAYOUNT FARM RD, CONOVER NC 28613 Property Size: Square Feet Acres 1.7000 Directions: County Home Rd to JA Yount RD 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 anan--drurruuu Iles. I understand that I am solely responsible for the proper identificatio nd eling oir property lines and corners and making the site acce .bl complete sit eval tion can be performed. Date: ` — l Signature of Applicant or Agent ,,,I- iy----- An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 fjil{ryi1� ,l'I', Vii} 111 UUili , r 'i� ply. ifiil7.t ri�'l �i uivi illlllllfi? , IFEENAME�!I - '' d ,,I Ir °' tw I'L�iI1DATEli� -i lFEE_AMOUNTA Authorization to Construct Fee (New/Expansion) 03/01/2016 $150.00 Fee Authorization to Construct Fee (New/Expansion) 09/07/2016 $150.00 Fee Improvement Permit Fee 09/07/2016 $150.00 1`'�� qil Iniil i i 4 ir� i; ryi i U*_ iN ti ;1111 rii u ,Hit 01111 t,',914 FEEs llilliI�III'illlill�liVpl�ly,M,,l ,I�1(I[IJI(hblli lllJ ft,lili .I�Ih11QtI �' i ilb.45o ool �h ,I h i� 1 iiiill _I IW ILwt.. es.:;94'r' owalIflliiimii iii ' iiilllL,✓! '1tli1WW11lIe.1hid111111l1iii. 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) 09-ehappli cation 09/07/2016 10:09 Page 2 of 4 BA CATAWBA COUNTY , $ �G� IOOA SOUTHWEST BLVD " NEWTON,NORTI-I CAROLINA 28658 RECEIPT d d eta PHONE: 828.465.8399 U +hvdw,:. Wednesday, September 7, 2016 /842 SM www.catawbacountync.gov PAYOR: RE FOY& SON BUILDERS, INC. RE FOY& SON BUILDERS, INC. (FOY, MARK) PAYMENTS TRANSACTION NUMBER: TRC-820997-07-09-2016 PAYMENT DATE: 09/07/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 09-16-332396 Authorization to Construct Fee $150.00 (New/Expansion) Fee 016:1M3IIVf ` J :' hIImproverimeritJPemit'Feel i ' ` �r-., Nu'GIid' ,$ 1soI0-o TOTAL PAYMENTS : $300.00 RBPR-03-2016-23298 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4274 JA YOUNT FARM RD, CONOVER NC 28613 Owner JIMMY L. & SHIRLEY C. MOORE, 36 SULLIVAN POINT LN, TAYLORSVILLE NC 28681 C:8282173441 Contractor RE FOY& SON BUILDERS, INC., 84 CALLAWAY DR, TAYLORSVILLE NC 28681- H:8283125421F:(828)635-0408 FOYBUILD@BELLSOUTH.NET **NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 09/07/2016 10:09 Page I oft _ _ _ _ ■ THIS IS NOT A PERMIT Case # RBPR-03-2016-23298 .. .;�• ti CATAWBA COUNTY HEALTH DEPARTMENT 0 ; o �. 0 •k-9 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES { .fir 842 sM Residential Building Plan Review - Building New *13 9 + _ o AUTHCONST VO n Ord ' ° � Owner JIMMY L. & SHIRLEY C. MOORE, 36 SULLIVAN POINT LN, TAYLORSVILLE NC 28681 C:8282173441 NAME TO APPEAR ON PERMIT Jimmy L. & Shirley C. Moore SITE ADDRESS: 4274 JA YOUNT FARM RD, CONOVER NC 28613 - # 374309159477 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 1.7000 DIRECTIONS: County Home Rd to JA Yount RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: N/A DESCRIBE WORK: Single family dwelling *Lot will share well on lot 1 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66 '8 X 39'8 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 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. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 E9-ehapplicntion 03/01/2016 16:43 Page I of 4 1 S$A �G THIS IS NOT A PERMIT Case # RBPR-03-2016-23298 ,F if r 4 y CATAWBA COUNTY HEALTH DEPARTMENT D�-On i�`� 'p PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 s. Residential Building Plan Review - Building New • o d, 13 • ti AUTH_CONST t }. Owner JIMMY L. &SHIRLEY C. MOORE, 36 SULLIVAN POINT LTV, TAYLORSVILLE NC 28681 C:8282173441 NAME TO APPEAR ON PERMIT Jimmy L. & Shirley C. Moore SITE ADDRESS: 4274 JA YOUNT FARM RD. CONOVER NC 28613 PIN # 374309159477 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 27.62 DIRECTIONS: County Home Rd to JA Yount RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: N/A DESCRIBE WORK: Single family dwelling *Lot will share well on lot 1 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66'8 X 39'8 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 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 acces ble so that a cori7glete site evaluation can be performed. Date:b�'/G/ /L Signature of Applicant or Agent ��oz , .c'Trr^` An Environmental Health Specialist will contact you wit in 5 work days of application date. If you need further information or assistance please call 828-466-7291 AREA2 E9-ehapplication 03/012016 15:17 Page 1 of4 y$A CATAWBA COUNTY Case# RBPR-03-2016-23298 1. ri Public Health Department . � i Subdivision C ^"- Environmental Health Division 1,01) ti PIN# 374309159477 4'- PO Box 389. 100-A Southwest Blvd,Newton.NC 28668 /8.2 NAME ON PERMIT: (JIMMY L. & SHIRLEY C. MOORE), 36 SULLIVAN POINT LN, TAYLORSVILLE NC 28681 ( Jimmy L. & Shirley C. Moor Site Address: 4274 JA YOUNT FARM RD, CONOVER NC 28613 Property Size: Square Feet Acres 2762 Directions: County Home Rd to JA Yount RD FEENAME • .. DATE • FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/01/2016 $150.00 Fee TOTAL FEES • L ' $150.00 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-ehapplication 03/01/2016 15:17 Page 2 of 4 gP5Pg- - 03 - t oits - a3aac( CATAWCATAWBA THIS IS NOT A PERMIT COUNTYl- BA- CATAWBA COUNTY HEALTH DEPARTMENT '°-a-v. N ,h. .ate. Application for Environmental Services Page 1 Improvement Permit n Authorization to Construct Septic Repair n Septic Malfunction ❑ Septic Expansion n New Well Permit n Replacement Well n Well Abandonment❑ Well Repair n Existing System Inspection (Pre-Approval Required) n N ,jtpplication is for New Construction [r'- Existing Facility ❑ Property Address Li, 5" // 12 . � 0` r, Subdivision CC// Lot# 7 Acres `,0000_ C/� Sect' n/Block/Phase Driving Directions to Property - / /�9m1 0.,,Q / ` NAME TO APPEAR ON PERMIT? Owner n Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information DD/�,J 1 Name / // / b'B' c,G'G�,9/'� `, - �rvo�m/, //7%f Addre 3 o_Seereen�P�r//j i di 3 3' 6G-v' Phone g c A/?S-5,7 9 cf• Cell Phone g9./ if/I / Contractor Contact Information Name License # Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? '[Owner n Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *j. Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures n Yes n 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 El No Does the site contain any jurisdictional wetlands? ❑ Yes No Does the site contain any existing wastewater systems? ❑ Yes B No Is any wastewater going to be generated on the site other than domestic sewage? E Yes ❑ No Is the site subject to approval by any other public agency? 4—I Imes ❑ No Are there any easements or right of ways on this property? Describe II Existing water supply in use t Individual Well n Community Well n Semi-Public Well Fl County/City/Township Water Line Is a public water supply available? ** n Yes V] 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_ ❑ Any CATAWBA THIS IS NOT A PERMIT , `COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Na,o, Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence I✓r�ew Residence n Addition to Residence # of New Bedrooms *t Y Project Description Structure Dimensions (do x I SG # of Occu ants a- Basement n Yes 5 No Basement Fixtures ❑ Yes No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions C' # of Occupants Accessory Dwelling ❑ Yes n No Plumbing H Yes H 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 ❑ Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type [ Drilled H Bored ❑ Dug H Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial 's 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. j 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 RETRH'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. f /72-0-e---.7-0 0 / Signature of Owner or Agent ��iyin77 O Date O,f .7� / 6 — Printed Name of Owner or Agent gi / 17) /90/ ),-- /27 Oc>J4 z O O 0 c 62.8' v N D n 0 O 0 0 N w 187' m > c m A m 0 • 0 m m 0 m o L-; 0 _�iii yv. f:ap acasthaqi... 170' 39.8' ft) 0 m D r E_ 0 0 N N N 110' m I—' i e __� '020, � ,f ^ 8 j j "; it .,,: i... c_ I z\ ;4-.`."' i_ sf 1 e-e; !! ioc ;V g,r �? 20 ; 0x & R I \ z`\ ,, -Ey r �t ` y ) 11 ■ p3 lJ \ ! {� II :j r CI I bb Efj 9e � [ Lt1N°-pry/ - j El fin a t/ " ` 8 s t-k \ .i ° e yo I iiea d \ m s ` ts`= I e A 5 � e \ 42S E2 § v _ ;� '- 5 i ' 2 v 1/4 W _" j e= 4 ' m 4 i s o, ii:l 3 y Y if § ti V ! O h gE °qtipo e5 c ar d t9 � :' ° p S j o s0 F 11.43q114111 041 _ __-- _11.”4,p " ; U05, i . ., o P ^s , l r'i; 44 ? ` 9 - pli! €i ;Adli 8 : '" ;it; C i` 1"?; . 3 y d'3 Ee/• i- F q . i#t a Y 2 €e M •3 4 I is iT Fill ;PR/at/taw itio r °r. I 'i co z y .. 49I)al ON�ad.t . ` s 0,3 s tilt "alVf�r{ k q r; i�^ a 'r _ s:1^i ± ti r:)_ y - -an.- ° ft 1 t ,j .l 3 ,, i�. -j .p 'a g:9. i F °c '5 i 'off _s / i8 y i4.41/4:944155,1,35 l f€ 3 F 1. ft 1 R _�_—�� a, , = 1 it i Wit a! ef:.j i}o ,it Ida, Y S.. i i�v i a g M Z E:i _ in-4,124N€ t-`1 A a O I dl9 a� a a ¢ •ppp„ \-j..: a 1i_ a 3y-Ii idt z1i a It 0' Mil S a d -i F t / it li !tflft hi � th4'i /& s m5$ . �m e we f Z/a `O " ,be 3 £ c tee C --- a ui. + °tee ,q ;i t cy4.4 I R e „ Sa ip 04s° ei eils` in I i i / ( °' - ` °.ivy , aFl :€� }'z (lanP _ € - ' $ ^ s ° n£ l ° i i° lan u alligI i �_, j fl - ' ..s = e a J s, 5 i lliN=i€' S b as i kI . Catawba County Environmental Health • Nr,41 .4 \� --‘ki . m N if. I" ' Illnist ,qpi • il- .s "ow ye lc' �, tk:„Sita.4.40,... e- ' a Oda /' t : I it lit, 0 fit 1. .• :83-- 12 ) C7 4h' st r .----) 1171/41n ■1111H ,4)1/1:c.4 i 4e 41 b _4.4., ise firse :O r likk,t% 1111 a ,/1"11111111111111111!-- 1 air— s { . a vii 0)► si. 2 / te -‘, Parcel: 374309159477, 4274 JA YOUNT FARM 1 in=300ft RD CONOVER, 28613 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 all damages,loss or liability,whether direct,indirect or consequential which arses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/01/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374309159477 Owner: MOORE JIMMY L Parcel Address: Owner2: MOORE SHIRLEY C City: CONOVER, 28613 Address: 36 SULLIVAN POINT LN LRK(REID): 64622 Address2: Deed Book/Page: 1145/0492 City: TAYLORSVILLE Subdivision: State/Zip: NC 28681-9786 Lots/Block: / Last Sale: School Information: Plat Book/Page: School District: NEWTON CONOVER Legal: RD 1488 Elementary School: SHUFORD Calculated Acreage:-2.7420 Middle School: NEWTON CONOVER Tax Map: 2200 00059 High School: NEWTON CONOVER Township: CLINES School Map State Road #: 1488 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CONOVER RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $124,500 Zoning3: Assessed Total Value: $124,500 Zoning Overlay: FPM-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 #: 3710374300J Building Details 2010 Census Block: 1018 WaterShed: 2010 Census Tract: 010202 Voter Precinct: P33 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 all 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. \ c)\ 2- fi1/496m �E ir)LI 'vl 13 5 Han sea ,geti 10( OCO 756 ±--,,3\i S ee VNC1I1 cn C 41 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=374309159477&typ=P 3/1/2016 ie.% CATAWBA COUNTY 0I� '.~-Ic.6 0 Case!f IMPV-02-20 16-069508 ,C t Public Health Department R•• .r E -14r Subdivision Jimmy L Moore and wife Sh < C 't Environmental Health Division . �3 '} PING 374309159477 ��' ci:: ` PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 - r: LOU!' 2 w }r- f r• u rJ.ar r o' NAME ON PERMIT: JIMMY L. & SHIRLEY C. MOORE, 36 SULLIVAN POINT LN, TAYLORSVILLE.NC 28681 Site Address: 4274 JAYOUNT FARM RD, CONOVER NC 28613 Property Size: Square Feet:43,908.48 Acres:1.008 Directions: County Home Rd, County Home Dairy Rd, right Spring Hill Dr, left JA Yount Farm Rd, property in curve on right Improvement Permit Facility: Primary Residence - house Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well 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: IIIG- OTHER NON-CONY TRENCPI SYSTEMS Permit Conditions: House may need to shift upslope to allow for more area for gravity initial system REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONV'IRENCH SYSTEMS PUMP 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 suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property 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 'Lars and Rules for Sewale Trenmrent and Disposal Srst nr.c_ (I5A NCAC I8A .1904 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. Steven Price 02/24/2016 AUTHORIZED STALE AGENT APPROVAL DATE 02/23/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermil 02/24/2016 16:55 Page 1 uf3 IP 604- of-zarr.- 2.38? Liz 74 s h yo yr r.,. Ra 44-4, it }Do sr.dc r c.. *Hi o r c)I:IC oVt-t Sco t. •noS i4..ui< A^ti Si^CE ctpsl.fc f. C+tc44 bt.Ncr L.,4. 441 iea:.I Sysk, p he i S coo krca ("' r ICY o..+w.l. ((�1 4 1^'?°icd S.c1O.L:v:S °A • (N{ I;+.ti 54. «c Pi.�eul an.i 4,� LI in lc C M I,.{ r.4t4 b< cc ..rd..d pr",' {° i rc.....ee of Ac . 1 Ip Srr.c QY" tct Rte. o k '7" o PI R U ovi +92,,s I/ky EiP +., P;14 !TI' & Slew • Pio- 184' e 15°E/ t-3 7LL' P 3 rg•W Pct-44 }e e c zr'F SO 95' Q5r„I el n ro .S k vo..-rf F— 24 1'= Co' DEPARTMENT OF HEALTH AND HUMAN SERVICES ha E}t/g -02- to/6 - 2-3/31 Sheet / of I DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID H: ON-STIE WATER PROTECTION BRANCH COUNTY:Ce.}..rle. SOIL/S1TE EVALUATION for ON-SITE WASTEWATER SYSTEM A (Complete all fields in full) OWNER: --J l•A"`Y &wee_ _- _ APPLICATION DATE ADDRESS: DATE EVALUATED: e/(f 44 PROPOSED FACILITY: -Id r- _ PROPOSED DESIGN FLOW(.1949): 36ao PROPERTY SIZE: /ac LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public LI-¢/Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring &it ❑Cut TYPE OF WASTEWATER: Sewage ❑Industrial Process ❑Mixed P R SOIL MORPHOLOGY OTHER P (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION! DEPTH PROFILE 4 • SLOPE% (Ut) .1941 .1941 SOIL SOIL .1943 .1956 .1944 CLASS j STRUCTURE! CONSISTENCE/ WETNESS/ SOIL SAPRO RES7R &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o-G la c481 CI- Fit se- Ps L5 6 - h S c/ c A SC Na j? PS vA 0. _3 I 17-37 ".Sdk-/ u. "/1.e ft St t D'6 Fi Se 37-ill St.,l SAP L 0-(o 11 S0. cL F-71 Se . f5 I^^ 3t SQL C -lit ic. Fe sr eV - 9 z l✓*. N/rf 2 ;c. it- YL "Sdfc cc. •%d•c. �1c 0•j 0-7 °S6Ic ( cL. FIe Se• • rS -1-31 sMr / c 15 Se IV `IZ a..,i. ^i,- PS 3 5--4 31-tf2_ vs&lc! ct. FI fee- aj o-g 41 6fc/u- i-t se- 2S Ls t-)/ ss./4. ,r s Wit- if(f ,vA- ti4 4 (iD 31-” `ca./ cc f Se' 0 i DESCRIPTION INII'IALSYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) f O nr PS SITTE CLASSIFICATION(.1948): r1 ��// EVALUATED BY: S/,.._ At System Type(s) 2-5'4 KA 2-cl OTHER(S)PRESENT: -- Site LIAR O.) o-3 - COMMENTS: -