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HomeMy WebLinkAboutRBPR-03-2016-23336.TIFV ,%z CI.. THIS IS NOT A PERMIT Case # RBPR-03-2016-23336 '-'7,Z CATAWBA COUNTY HEALTH DEPARTMENT LI?i•.1-1-•.• - `•'b 0 117 °"r PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • � 1 1842 �M Residential Building Plan Review - Building New ro 7 d:: T• AUTH CONST- NEW WELL o Contractor *JLS MACHINE, LLC,4360 CALDWELL RD,NEWTON NC 28658 B:8286950801 JLSMACHINE @YAHOO.COM Owner RODGER GARRETT, 9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 NAME TO APPEAR ON PERMIT Rodger Garrett SITE ADDRESS: 2543 MT PLEASANT RD, SHERRILLS FORD NC 28673 PIN # 460801370024 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.69 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 70 x 70 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: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70 x 70 #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: non-cony. trench system APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-chapplication 03/07/2016 12:45 Page 1 of 5 I/ /6 CATAWBA COUNTY case# RBPR-03-2016-23336 t,11- Public Health Department Subdivision 4 --#1;.- Environmental Health Division PIN# 460801370024 17R / PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 18 r NAME ON PERMIT: ( RODGER GARRETT), 9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 ( Rodger Garrett) Site Address: 2543 MT PLEASANT RD, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 1.69 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 an correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws 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 acc i o t a lee site evaluation can be performed. Date: 3 7.-)ti1 Signature of Applicant or Agent , 'K• 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 12:45 Page 2 of 5 CATA` BA THIS IS NOT A PERMIT COI FY L► CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit❑ Authorization to Construct LAI Septic Repair❑ Septic Malfunction❑ Septic Expansion „Ig New Well Permit% Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 2543 W. ?)eaSay Rol Subdivision Sherri I I S 'eotrh , NC 2.&17 3 Lot a Acres Section/Block/Phase Driving Directions to Property 1-yd. 160 -towards Shernlls Ford iI 1 no o 4- I e' e I• lit • Lei+ •i I t it t. } Rcl ,laltu-1 314+h u;Ite , Prbltr-ki on ria7,. p os A new rub btrigeosti w;+h t prtypesil is me, net+ OliiI ref on +he, n5Yli. NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name its UOC,h;ne, Inc LIB fk +ZZV �//yyy",,,,gy�pp Address 43x0 enithL f1 VL j ttOfOn, NC 7itAY ICJ Phone gig_ 46,6- 3'P'S Cell Phone Fy243..320- 74-(Q(p Owner Contact Information Name M°Iy &]ne4- ��� � �'" Address LV1 CPd& River R NI n1trM l e NC ZgO7B Phone Cell Phone Contractor Contact Information Name 'ts IkAQP,ri f1ff 1rl('. ,d- I Lisa.t f{• �e-tzev Address 4,2k0 o (:e ailed NeIA iton NC 6& Phone aZ8�4{05�,3g3.5 Cell Phone 62,8- , 2,40-74 1.475- WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Xj Contractor Description of Existing Structures on Site # of Bedrooms *i Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q 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 7'No Does the site contain any jurisdictional wetlands? ® Yes pl No Does the site contain any existing wastewater systems? © Yes 0 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? C Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use &]'Individual Well S Community Well ❑ 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) gick LA R I Accepted ❑ Alternative ❑ Conventional ❑ Innovative p1 Other Non -CDn r fre/yh ❑ Any CATAWBA THIS IS NOT A PERMIT art titr CATAWBA COUNTY HEALTH DEPARTMENT III''° Application for Environmental Services Page 2 Proposed Facility Type IN Primary Residence . New Residence ❑ Addition to Residence #of New Bedrooms *i +_3 Project Description e e e itca. . Structure Dimensions 7tijC70' # of Occupants Ei Basement ❑ Yes VI No Basement Fixtures ® Yes ire. No Li Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *'i 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 cA. 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 he 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 evaluatio can be performed. Signature of Owner or Agent 41, • . Date 5-4-110 Printed Name of Owner or Agent LISo Se+ux ON tam°eqmewo lop lgopnaoo 'Alma io posed Aue Aq loaJew esn sill Jo ionpoid uoda/dew slyl wan.esue Aew JO sesue yalyM ienuanbesuoo JO loalpui'palp JaglagM'6pllgell Jo ssoi'sebewep Ile pue Aue col e qen play eq iou Heys pue'wiepsip'Ieuuosed pue'slue5e'saa(oidwe sn 'egMelep to 6lunoo au uesn eql Aq lonpwd uoda/dew sigl uo pauieluoo elep Rue to uoneoyuen lUepuedepul Gill spuewwooeJ pue seiowad Rlunoo egmeleo'coda slyl uo elep JO dew sigi uo peuleluoo uollewiolui Linage'pue uoneool to Aoemooe eql einsue 01 spoils lenuelsgns spew set.]Rhino°egMelep 'seo!Mes uonewiolul legedsoes ON Olunop egmelao sill woJ;peiedad sem lonpold podafdew sill 1109=u!I. GU INVSVE ld IN £1793 `17300L£4090917 :l00-led / cb r a ` \ 0Z ■ N N. N. •..., / / q. ;" / CJ' `o� / / . 4 £4SZ / 994Ses liallil'i ! S rk- / ! n isIEaH IEIuewuoalnu2 Ajunoo egME E3 Parcel Report Page 1 of I • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460801370024 Owner: GARRETT RODGER DEWAIN Parcel Address: 2543 MT PLEASANT RD Owner2: GARRETT RACHELLE L City: Address: 9207 CEDAR RIVER RD LRK(REID): 803920 Address2: Deed Book/Page: City: HUNTERSVILLE Subdivision: State/Zip: NC 28078-7846 Lots/Block: 1/ Last Sale: School Information: Plat Book/Page: 75/109 School District: Legal: LOT 1 PLAT 75-109 Elementary School: Calculated Acreage: 1.690 Middle School: High School: Tax Map: School Map Township: MOUNTAIN CREEK State Road #: 1849 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: County Fire District: SHERRILLS FORD Zoningl: Building(s) Value: $0 Zoning2: Land Value: $16,300 Zoning3: Assessed Total Value: $16,300 Zoning Overlay: Year Built/Remodeled: / Small Area: 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: WaterShed: 2010 Census Tract: Voter Precinct: Agricultural District: 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. A-c 45D 361 360506 !ti bJet‘ $30O http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460801370024&typ=P 3/7/2016 Pi `'1'-5 Case ti ,1, cArAwBACOUnTY O' }. O IMPV-t2-2ots-o67a81 Public Health Department 4 Poi, Subdivision "z. Pt 4€k;ra; �3, l„e Environmental Health Division t �� •r PINA 460801277216 IR�P/ POWs(389, 100-A Southwest Blvd. Newton.NC 28658 I{{� Lard /H•�:m _ . rYe t` ?.s T+{ NAME ON PERMI;Si;J/ RODGER GARRETT, 9207 CEDAR RIVER RD, HUNTERSVILLE NC 28078 Site Address: MT. PLEASANT RD, SHERRILLS FORD NC 28673 Property Size: Square Feet: 74,052.00 Acres:1.7 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: 111G-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and repair system minimum: 50'from any well, 10' from property lines, 5' from home with crawl space. 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: 25% REDUCTION Type: 11113-SYSTEM 10r/SINGLE EFFLUENT PUMP PUMP REQUIRED Landscaping or other site alterations that potentially divert groundwater or surface wafer 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 appl icanUproperty owner to insure that all Catawba County PtanaingiZoning 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 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A .1900). Neither Catawha County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Jason Bovd 12/14/2015 Aul'HOslZED 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. arm it 12/14/2015 09:40 Page 1 of3 .lJ\3A Permit k __-_ EHPR II-15-22685 CATAWBA COUNTY G Public Health De anment Name Rodger Garrett e Address �C2_>,_25.L7-MrPleesant rd Sherrills < s[D�jrv.'0 `� Environmental Health Division ,� ,l °DB�,D���! . PO Box 389, IOOA Southwest Blvd, Newton NC 28658 Ford NC 1842 9., (825)465-8270 Fax (825)465-8276 TD1)(828)465-8200 PIN11 460801277216 Site Plan Improvement Permit /93 , 6 , 0111 //. , s. Zos' ,1 < j J S6 ' �J K j� t, t( / I t)o r • S , ' 3° C, �- ,c Q d rti r---, Q y N ,y� � 7s 1 (� )la1 Z( S I _____iii_ Iz3 lHH _ 6 °• 2_ Z6 - Scale Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot It: SOIL/SITE EVALUATION File p: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-11-15-226684 Owner: Rodger Garrett Applicant: Address: 2543 Mt Pleasant Rd Sherrills 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 I ]Spring [ ]Other Evaluation Method: pits by J and L grading I ]Cut Type of Wastewater: X Sewage [ ]Industrial Process I I Mixed �Plj tj� 16 '+�)4rft�,�r. .i,4 e' t%i ,� �i dyf;4.44111/1 f t Il�,tpear;[:vi J y1 ' n I 1 t '...bu851 w ll krill r 'jyal l� ' yra]r In I�r4d>Ipr��•w;;R 'I la It li,i "'" I lr•4j'4 Vy 11I�It�1 p ll R�. 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IN r61;Clas`su t, N'' Rona. , iY 3 LL 4-6% 0-6" topsoil 6-24" SCL SS,SP,SEXP,FR 45" PS.3 24-48" SC 2 same as 1 48" P5.3 3 same as 1,2 48" PS.3 4 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG IIIG Others Present: Rodger Garrett and J and L Grading Site LIAR .3 .3 Site Classification(.1948): ES Site Evaluation By: Others Present: Sheet: COMMENTS: Permit seed to allow for 50x80 metal bldg FILE ft Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain 55-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 115-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Sill 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Learn SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mi neraloov maLt Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky ..Fl-Finn S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Sightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations je A , P L � . z -It 3 J Le- h a rX1"S� � �