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HomeMy WebLinkAboutRBPR-03-2016-23376.TIF /$A THIS IS NOT A PERMIT Case# RBPR-03-2016-23376 F-4 „� ti CATAWBA COUNTY HEALTH DEPARTMENT O $+eo ' .O �� "" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �- t {,c 1842 sM Residential Building Plan Review - Building New --0 3 .o i i , lV• y j2IMPROVEMENT- AUTH_CONST • -�' 0 - o OAW )(NIT i Owner ALAN WALKER, 2667 S US 321 HWY,NEWTON NC 28658 H:8284611030 HOME:82846 1 1 030 Paid By HELEN WALKER, PO BOX 1084, LINCOLNTON NC 28092 NAME TO APPEAR ON PERMIT Alan Walker SITE ADDRESS: 1215 DIXIE ST, NEWTON NC 28658 PIN # 364809167270 NAME of SUBDIVISION: LEE GORDON WILSON ESTATE PROP Lot# 4 Section/Block A PROPERTY SIZE: Square Feet Acres 0.86 DIRECTIONS: 321 South from Newton to Dixie St/Right 2nd lot on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240_ WATER SUPPLY: Public Water DESCRIBE WOR C New 2 Bedroom home 24x48 w/Garage 10x200 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 24 x 48 & Garage 10 x 20 #OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 03/11/2016 16:20 Page 1 of 4 �$ CATAWBACOUNTS' Case it RBPR-03-2016-23376 s elfin Public Health Department Subdivision LEE GORDON WILSON ESTAi -_0/ Environmental Health Division PIN# 364809167270 xa� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Igg2 u NAME ON PERMIT: (ALAN WALKER), 2667 S US 321 HWY,NEWTON NC 28658 ( Alan Walker) Site Address: 1215 DIXIE ST, NEWTON NC 28658 Property Size: Square Feet Acres 0.86 Directions: 321 South from Newton to Dixie St/Right 2nd lot on left 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 AREA1 ************************************************************************************************************ R*aij. a s m r °n i asnot" : r a n t rt A aka ���:.` r '� ` �� a tanill FEENAME dlc�ah�3 � y p Eii Ir Ssire2DATE` Z0a ' E x .HS�.> .:. T ya�F�FEEAMOUNTwa Authorization to Construct Fee (New/Expansion) 03/11/2016 $150.00 Fee Improvement Permit Fee 03/11/2016 $150.00 ,r,i3G OTL EES1 P ' , fz s a« + j1 k 'E!.as , .i .}Naaa $300'OO,ti v E.,,E, 'i$1101a,L'id3.Y.k.rtdC7MParera''e attaa2.,:.,f;:u,a,.,:'('flaaiiiaM.f'7;i-..sadW MEatFaila FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 03/11/2016 16:20 Page 2 of 4 .a$�A • THIS IS NOT A PERMIT Case # RBPR-03-2016-23376 / 1112 CATAWBA COUNTY HEALTH DEPARTMENT 0 MI `9'4 0 !'' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ;P..•eTheig 1842 5M Residential Building Plan Review - Building New yy o • o +, +li tTr IMPROVEMENT - AUTH CONST 0. 0 Owner ALAN WALKER. 2667 S US 321 HWY, NEWTON NC 28658 H:8284611030 HOME:8284611030 Paid By HELEN WALKER, PO BOX 1084. LINCOLNTON NC 28092 NAME TO APPEAR ON PERMIT Alan Walker SITE ADDRESS: 1215 DIXIE ST, NEWTON NC 28658 PIN # 364809167270 NAME of SUBDIVISION: LEE GORDON WILSON ESTATE PROP Lot# 4 Section/Block A PROPERTY SIZE: Square Feet Acres 0.86 DIRECTIONS: 321 South from Newton to Dixie St/Right 2nd lot on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Public Water • DESCRIBE WORK: New 2 Bedroom home w/garage 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 24 x 48 & 10 x 20 #OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 03/11/2016 09:03 Page 1 of 4 �$A CATAWBA COUNTY RBPR-03-2016-23376 Case# s G Public Health Department - LEE GORDON WILSON EST F � 'z, Subdivision Environmental Health Division PINS 364809167270 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /842 NAME ON PERMIT: (ALAN WALKER),2667 S US 321 HWY. NEWTON NC 28658 (Alan Walker) Site Address: 1215 DIXIE ST, NEWTON NC 28658 Property Size: Square Feet Acres 0.86 •Directions: 321 South from Newton to Dixie St/Right 2nd lot on left 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 access bl o that a cc plete site evaluation can be performed. Date: 3__//_ %,f 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 AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/11/2016 $150.00 Fee Improvement Permit Fee 03/11/2016 $150.00 TOTAL,FEES 5300.00 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 03/11/2016 09:03 Page 2 of4 s�cATA \ BA THIS IS NOT A PERMIT COUNTY v CATAWBA COUNTY HEALTH DEPARTMENT x `-- N ,,—; Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair IT Septic Malfunction n Septic Expansion n New Well Permit n Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) n Application is for New Construction Existing Facility n Property Address /�' /Jc- �/%z�--< .S / r Subdivision ,4' e—7 �- 'p e15 g" Lot# Acres / Sectio�n//�Bloc hase Driving irecctions to Property 3,2 / SS c.)/ /icon /vc_. / p,�i r, S �1�^ t�n�/ .�c�� nit /I/ NAME TO APPEAR ON PERMIT? $Owner n Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Informatio "Th Name /9,42„ c/„. z,Jai/-" Address deco 7 /,..,-7 y / Sd ✓T/ /yeti//--� Phone s� _La/1/03 0 Cell Phone Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner n Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions #of Occupants Basement n Yes n No Basement Fixtures n Yes n No i The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property iryquestion. If the answer to any question is"yes", applicant must attach supporting documentation. ❑ Yes nib Does the site contain any jurisdictional wetlands? ❑ Yes O o Does the site contain any existing wastewater systems? ❑ Yes e ' Is any wastewater going to be generated on the site other than domestic sewage? '$Yes Is the site subject to approval by any other public agency? I❑ Yes L�]'No Are there any easements or right of ways on this property? Describe Existing water supply in use n Individual Well ❑ Community Well n Semi-Public ell n 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): (sys ns can be ranked in order of your preference) vAccepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT counrv ` CATAWBA COUNTY HEALTH DEPARTMENT „o,.„,„,,,,n, Application for Environmental Services Page 2 P�posed Facility Type �• Primary Residence ew Residence n Addition to Residence # of New Bedrooms *t Project Description fit` 03 ��� raT • Structure Dimensions 9 X 41 u till)x �O # o Occupants / Basement E Yes o Basement Fixtures n Yes Ri to n Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling [ Yes IT No Plumbing ❑ Yes ❑ No Describe Plumbing Needed n 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 n Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well El Semi-Public Well ❑ Community Well Abandonment Type n Drilled [ Bored Dug ❑ Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial '' 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. I. 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. Signature of Owner or Agent /II 1 .,/� Date J�� / '/ Printed Name of Owner or Agent / A„, e /X Parcel Report Page 1 of I Parcel Report - Catawba County NC Parcel Information: Owner Information: • Parcel ID: 364809167270 Owner: WALKER ALAN D Parcel Address: Owner2: WALKER LUANN City: NEWTON, 28658 Address: 2667 S US 321 HWY LRK(REID): 28939 Address2: Deed Book/Page: 1370/0065 City: NEWTON Subdivision: LEE GORDON WILSON ESTATE State/Zip: NC 28658-9350 PROP Lots/Block: 4/A School Information: Last Sale: School District: COUNTY Elementary School: MAIDEN Plat Book/Page: 13/100 Legal: LOT 4 4B PL13-100 OFF 321 PL 13-100 Middle School: MAIDEN Calculated Acreage: .860 High School: MAIDEN Tax Map: 041N 02001 Township: NEWTON State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MAIDEN RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $12,300 Zoning3: Assessed Total Value: $12,300 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710364800J Building Details 2010 Census Block: 3013 WaterShed: 2010 Census Tract: 011702 Voter Precinct: P20 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 Geospatiat 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. 2ThErn 3-6 gid /deb http://gis.catawbacountync.gov/nomap/parcel_report.php?key=364809167270&typ=P 3/11/2016 Catawba County Environmental Health 9250 ' S 5c _ 895 / f �asoo . / . 99.50 ° A�/L�4 r . , _ 9 rn -86,�p t $ se- ' ipio011, illp, loop .111:11111.11114..ifilldill.ailli °111', .,.. ,. .. in ' '.. 111111.11116ts444,11r1°AraallSASS.I' vdryla. , : : r 4a 7 Parcel: 364809167270, NEWTON, 28658 1in=50ft 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. Copyright 2014 Catawba County NC 03/11/2016