Loading...
HomeMy WebLinkAboutRBPR-03-2016-23335.TIF -.4$A • THIS IS NOT A PERMIT Case # RBPR-03-2016-23335 Lin H CATAWBA COUNTY HEALTH DEPARTMENT 0�4 0' D" ° • 1 'i°' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES F V {.4'! 1842 sM Residential Building Plan Review - Building New o o " 'e AUTH CONST - NEW WELL • Contractor r *JLS MACHINE, LLC,4360 CALDWELL RD, NEWTON NC 28658 B:828695080I JLSMACHINE cr YAHOO.COM Owner RODGER GARRETT,9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 NAME TO APPEAR ON PERMIT Rodger Garrett SITE ADDRESS: 2547 MT PLEASANT RD. SHERRILLS FORD NC 28673 PIN # 460801277216 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 8.3 DIRECTIONS: Hwy 150 Towards Sherrills Ford Rd, Left onto Sherrills Ford Rd go about 3 miles, Left onto Mt. Pleasant Rd, about 3/4ths mile, Property on Right. Will Pass a new cut in driveway with gate& property is the next dirt road on the Right. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: new single family dwelling 83 x 71 & detached garage 30 x 30 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:: 83 x 71 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: system w/single effluent pump APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO • E9-ehappl ication - 0310712016 12:48 Page 1 of 5 ,$a CATAWBA COUNTY Case# RBPR-03-2016-23335 A l ti Public Health Department Subdivision • 2 y Environmental Health Division PIN# 460801277216 / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 8 NAME ON PERMIT: (RODGER GARRETT), 9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 ( Rodger Garrett) Site Address: 2547 MT PLEASANT RD, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 8.3 Directions: Hwy 150 Towards Sherrills Ford Rd, Left onto Sherrills Ford Rd go about 3 miles, Left onto Mt. Pleasant Rd, about 3/4ths mile, Property on Right. Will Pass a new cut in driveway with gate& property is the next dirt road on the 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 law nd rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site acce ible so t-ay a c pl to site evaluation can be performed. Date: 7'IU Signature of Applicant or Agen 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 AREA1 FEENAME DATE .FEE:AMOUNT Authorization to Construct Fee (New/Expansion) 03/07/2016 $150.00 Fee Well Permit & Inspection Fee 03/07/2016 $300.00 •TOTAL FEES $450.00 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 03/07/2016 12:48 Page 2 of 5 • • CATAWBA A • THIS IS NOT A PERMIT t v� cou ;.., CATAWBA COUNTY HEALTH DEPARTMENT rrjs&'- „�,ro';� Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct Septic Repair❑ Septic Malfunction ❑ Septic Expansion _ New Well Permit y Replacement Well _ Well Abandonment Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction X Existing Facility ❑ Property Address 2 547 )J4 • D)easini RJ Subdivision For NC 25(073 Lot# Acres Section/Block/Phase Driving Directions to Property NWy 160 -}Avyb.45 She a r rt i)IS Rv/I IRS 9 ( kzwi A.ies LeVI on-10 LU. Plea sant- RcL,-t .67 3 • P. .-✓ 0 ASS Q A t . t t� e LRvor(411 - c Jule nen, pfir.)- rd on rise)), NAME TO APPEAR ON PERMIT? J Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name 3LS I ine, I nc - Lisa It . Se�iev Address , I l s N' k P_ es • Phone &?g-416-3935 Cell Phone pm-320.74w Owner Contact Information Name -Rnd .l-+ Address Q 1 Cedar RhVer Rrl I-IuulkvSU;lfp MC 28078 Phone 'Cell Phone Contractor Contact Information Name SLS Mac hinc, Inc • - Lisa I+• SthCYq�" Address 4300 I,iJtij Rd NefA}Inn NC 2eivS-B Phone gze,411e'3835 Cell Phone 2g- 32o -7469(i WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant [ Contractor Description of Existing Structures on Site # of Bedrooms *i Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® Yes ;i,' 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 taiNo Does the site contain any jurisdictional wetlands? ® 1�•N Yes o Does the site contain any existing wastewater systems? C Yes ZNo Is any wastewater going to be generated on the site other than domestic sewage? CI Yes eV° Is the site subject to approval by any other public agency? C Yes ®'No Are there any easements or right of ways on this property? Describe Existing water supply in use Individual Well LJ Community Well L] 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) Accepted ❑Alternative ❑ Conventional ❑ Innovative Other Si etc Si ❑ Any e{ I UertF skp it Se a-friti led atpraveuerit Pen* CA>TAM17R• THIS IS NOT A PERMIT 11." ,�..--� 1-2-,&1* CATAWBA COUNTY HEALTH DEPARTMENT ,, ,u '' , „; :, Application for Environmental Services Page 2 Proposed Facility Type NPrimary Residence cg New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description Nev.l k'blr Onrru'VUCfiOn Structure Dimensions $2'5"j( lo' n # of Occupants Basement ❑ Yes XI No Basement Fixtures ® Yes t:5 No X Accessory Structure(s) Describe '.� I #of New Bedrooms *41. if applicable NO Structure Dimensions 003,0 #of Occupants No Accessory Dwelling ❑ Yes ® No Plumbing ❑ Yes Fx No Describe Plumbing Needed ❑ Multi-Family Residence if Units I/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.) ❑ 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 NI Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ 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 evalua ion can be performed. J Signature of Owner or Age t II W Li' - (p )V Date 5-3-160 Printed Name of Owner or Agent I,(SI • kZer — Lori}v t y Catawba County Environmental Health • m -_... litir J900 ...._ (213) :rasa 0 _... ... l 945 ` test ta , air ir rt P 4 71 1111101194 ' /IL WSJ \T ,• RIIII it '�� / ■ / Q d �Ir.. �2.,3 I . 94' P ,{o ,► �` UI iop, e � tr o t g4 rib. ..) A. $5 '4' fig?? Parcel: 460801277216, 2547 MT PLEASANT RD 1 in=150ft SHERRILLS FORD, 28673 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. Coovricht 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460801277216 Owner: GARRETT RODGER DEWAIN Parcel Address: 2547 MT PLEASANT RD Owner2: GARRETT RACHELLE L City: SHERRILLS FORD, 28673 Address: 9207 CEDAR RIVER RD LRK(REID): 803914 Address2: Deed Book/Page: 3311/0813 City: HUNTERSVILLE Subdivision: State/Zip: NC 28078-7846 Lots/Block: / School Information: Last Sale: $146,000 on 2015-10-06 Plat Book/Page: School District: COUNTY Legal: Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: 8.300 High School: BANDYS Tax Map: Township: MOUNTAIN CREEK School Map State Road #: 1849 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $57,700 Zoning3: Assessed Total Value: $57,700 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 2007 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 Voter Precinct: P31 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. ©2016, Catawba County Government, North Carolina. All rights reserved. 1..4t,Acw33 , tiv,1 WelI . ,3DO http://gis.catawbacountync.gov/nornap/parcel_report.php?key=460801277216&typ=P 3/7/2016 R n CATaN'BACOUNTY 0 b0 Case IMPV-12-2015.067453 _C r' ; Public Health Department ie •P • r Subdivision LC: P - < „�-0p "{I Environmental Health Division P.:.d 1 r N PIM/ 460801277216 I'O Box 389, 100-A Southwest Blvd, Newton.NC 28658 /+0, •._p• u LOT// .2 w t 4 •• ti.j J+• NAME ON PERMIT' RODGER GARRETT, 9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 Site Address: 3 MT PLEASANT RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:373,309.20 Aeres:8.57 Directions: Hwy 150 Towards Sherrills Ford Rd, Left onto Sherrills Ford Rd go about 3 miles, Left onto Mt. Pleasant Rd, about 3/4ths mile, Property on Right. Will Pass a new cut in driveway with gate & property is the next dirt road on the Right. Improvement Permit Facility: Primary Residence 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: 1116-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system minimum: 50' from any well, 10' from property lines,5'from home. Lines to be installed on contour. Do not grade drive or fill over system or repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 26 REDUCTION Type: 1116 -OTHER NON-CONY TRENCH SYSTEMS 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/Lonine 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 'Lawns mod Rules for Selvage Treatment and Disposal System' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will co ntin ue to function satisfactorily for any given period of tune. Jason Boyd 12/14/2015 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 12/11/2020 No grading or construction activity is allowed in areas designated for.system and repair without approval of the Health Department. ehpennit 12/14/2015 09.36 Page 1 of3 �\,,A • CAT.AWBA COUNTY Permit # EHPR 11-15-22684 ''ad ,i t Public Health Department Name Roduer Garrett °""'°t'w:"'• �' Environmental Health Division Address 41 Mt Pleasant rd Sherrills PO Box 389, IOOA Southwest Blvd, Newton NC 28658 Ford NC /.142 sm (828)465-8270 ('a.x (828)465-8276 TOD(828)465-820D , PIN# 460801277216 Site Plan Improvement Permit Ar— q- 4J CSC , s ; Q.- pI � .. C. 4c — La� 1D 14 -fro V ? a' L I p,o ,� cc sL PL r (( i2 f a r -.c) a) . . .n° v 7-,-' , f dc4. , 1 f . -Mc he—a—JQ.— ) /0 /1S` '\ Ls (, oi ,o is asCy Srtt IC d L.t° ° ' V xts-+ . 1, a u " 6 V t.. f "k "` S Scale I✓ ` Department of Environment, Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section - Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-11-15-22664 Owner; Rodger Garrett Applicant: Address: 2543 MI Pleasant Rd Sherri lls Ford NC Date Evaluated: 12/10/2015 Proposed Facility: 360 Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by J and L grading [ )Gut Type of Wastewater: XSewage [ )Industrial Process [ I Mixed Plj IP aNlv{143� .off 6 I' 'i:104511:.9154 1i 3 III ::.}1sGelli" 11:4', I I. " 'ill I�:"tltu ql z IG, allrl.v r .. d � b h . I I .fi �t t 1 +y. Y' � ICI � I F - ...'.i[14'11!p{I r!t t� N�' f 1( vd h��I 9� (�,. '��I�I, v 1,8�1(r 1R tl•' ry?! ( 1{� 0 (f , t it l i112 0. ry �1 'itf: , 1'111 h 11 "pa(ail I� ?j v }, G Ali q? g ... 11{'/ 4.r. III t l� ij'SOcl N �RPH �.tl:l( IN I ICI li , { �I �'q ill ill Ili (l1 f :O 1�� '{A' °.s• ,1 '�i ,. {•1+")„.eS{{O�� ILMI��ppORPyHOiyLOGYry1�I II {IIII 11 "y�, I' .4.pNd-.. X7 IAN pbs..t. l II,g 'I , M1�t roiwy,:, • , kp II:` I ih,l(I F :Li II/. `I , ,I"; I( :Ib il7I� I4IirII1194 A6 9 111111 0 4 it lA(Ili {lI 01.1 T �� g 1]i� I III t•�¢ Io 2 + l" ..h1. ,,., - .. , •ACTORSII J J 6` , IA 1r1 NI I Jb ttl 940/ tI^' il(lil] '.} i1•mlj+b4;t' �I(g;f[?i''.4GI� t0III'll lj�I 1".. '.plAt19A2 It I'l(i �y1,`illllt4i+i .14 (311.4 (f rIiI6;Ia I�.4 . t�,1;R111n ; �� J ( ,p° hJ a 6.t a I 1 I I it uuup F lye - ' '•.' �andscape Honzon�] � --,1,9,�f,�'l � �+ � !��A9941 {IFYt III�.II Y '��III�SoIlI7III ldr • Ip i(��,L�1943�' II��;h 956 I s,i1944.. � .gippI'. y Pr`oflelt.'�•.•w , ,ti 1 ..i u a f lawt ,, ud JI , (r�1: 1 rsy„la. (i,I u - II 11111111 I + I, A l Auwr t A- . .t,,•E I liPosltlonG Depthh Structure/ ( Consistence �! }t o �, �mV/etnessly1(ilr - `n111�1.,S;g1'.4? Glf S90, iu,„r I�°p i,tGiassg_' ). j lt'it".i!!t li sio`er.am i I `ttINi Iii, I' �II� 1 I 11111. i1t� illllti II V` : �'I'IICoiWPn111fiila,-M.•1"i lodpthl(IN) u.t.Classl�i .•Horiz:. . I1'.�'8(LTAR f #. p )h. u•'Textu ell IL II ICI li Mineralogy;u u�llel 4r�.,. " 1 1 LL 4-6% 0-6" topsoil 6-24” SCL SS,SP,SEXP,FR t8" PS.3 24-48” SC 2 same as 1 48" PS.3 3 same as 1,2 48" PS.3 4 Description Initial System Repair System Other Factors(.1946): Availaole Space(.1945) PS PS Soil Evaluation By: Jason Bove System Type(s) IIIG IIIG Others Present: Rodger Garrett and J and L Grading Site LIAR .3 .3 Site Classification(.1946): PS Site Evaluation By: Diners Present: Sheet. COMMENTS: • Pernlit isued to allow for 50x80 mnelal bldg FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky 11S-I lead Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky E.FI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Ub is- 14` rya 0 ,�} 1 A , L0 � G L.� l