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RBPR-03-2016-23375.TIF
Parcel Report ;+ - .E • Page 1 of 1 (2- e°1 Parcel Report - Catawba County NC • Parcel Information: Owner Information: Parcel ID: 461604723648 Owner: KISER EARL L Parcel Address: 5016 KISER ISLAND RD Owner2: null City: TERRELL, 28682 Address: 4653 KISER ISLAND RD LRK(REID): 19684 Address2: null Deed Book/Page: 3271/1665 City: TERRELL Subdivision: KISER SUNSET KEYS 1 State/Zip: NC 28682-9770 Lots/Block: 35/null Last Sale: School Information: Plat Book/Page: 13/17 School District: COUNTY Legal: LOT 35 PLAT 13-17 Elementary School: SHERRILLS FORD Calculated Acreage: .450 Middle School: MILL CREEK Tax Map: 018FX 01050 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1841 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $152,100 Zoning2: null Land Value: $201,400 Zoning3: null Assessed Total Value: $353,500 Zoning Overlay: CRC-O,WP-O,FPM-0 Year Built/Remodeled: 1972/2003 Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permits for this parcel. Firm Panel #: 3710461600L Building Details 2010 Census Block: 5025 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 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. ©201`6nCatawba C�y Government, t w' L North�lina(. All rights reserved. b\C\QS � r� � cec� •r --per m, ,942 Jr http://gis.catawbacountync.gov/nomap/parcel_report.php?key=461604723648&typ=P 3/30/2016 gA �G THIS IS NOT A PERMIT Case # RBPR-03-2016-23375 Q . r CATAWBA COUNTY HEALTH DEPARTMENT 0 .t0 .J D ' "" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • 1842 sM Residential Building Plan Review - Building Addition co, • •0 IMPROVEMENT - AUTH CONST +, • } T Gm _ o Applicant ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607 C:8287602062 Owner EARL KISER, 4653 KISER ISLAND RD, TERRELL NC 28682 C:704-467-1896 NAME TO APPEAR ON PERMIT Erich Rosenbusch SITE ADDRESS: 5016 KISER ISLAND RD, TERRELL NC 28682 PIN # 461604723648 NAME of SUBDIVISION: KISER SUNSET KEYS 1 Lot# 35 Section/Block PROPERTY SIZE: Square Feet Acres 0.45 DIRECTIONS: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: addition of attached garage with 1 bedroom and full bathroom upstairs (1 bedroom in existing dwelling will be converted into a dining room "' number of bedrooms in home will remain the same 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF single family dwelling EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS:. PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 39 x 40 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 03/10/2016 16:37 Page 1 of4 • ygA CATAWBA COUNTY Case# RBPR-03-2016-23375 • ®� Public Health Department Subdivision KISER SUNSET KEYS 1 Environmental Health Division PIN# 461604723648 PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 Ig. L :. NAME ON PERMIT: ( ERICH ROSENBUSCH), 118 SKYLER LN, BOONE NC 28607 ( Erich Rosenbusch) Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet Acres 0.45 Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination 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 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 ,FEENAME DATE. FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/10/2016 $150.00 Fee Improvement Permit Fee 03/10/2016 $150.00 TOTAL FEES r S300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-chapplication 03/10/2016 16:37 Page 2 of 4 A\ J►/LJL2 A lI MS IS NOT A PERMIT CO;.mTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 R� Improvement Permit Authorization to Construct 2 Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 50‘ (p \ %.S -lZ \ Subdivision Lot# Acres Section/Block/Phase Driving Directions to Property -r t\dw \ O 'VD \ c?u& sln„czy g.-(i"tL 04m m-h c Cwu /06 S (>a-rt t.-3 ) ..c L t ✓oA. 2 1 L l-eS -1j, Ski -rlao O h -4t.2 vuC)in,'�" NAME TO APPEAR ON PERMIT? ❑ Owner Et<p-plicant ❑ Contractor Applicant Contact Information Name E T2ce.ia, Vmps E NP att Address Lt(i SK� LeL L.(a 5oV1/4ILJ / AL Phone Cell Phone Q72$ - 160- ZAp 2- Owner Contact Information Name E l<}e � l415B2_ Address so((P LS- , ,SL ,-6 Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Ownericant ❑ Contractor Description of Existing Structures on Site Stai,61.1.ts y'a,w u��) Pctm.e #of Bedrooms *t 3 1 1 v- Structure Dimensions 377 'K 40 #of Occupants Z Basement ❑ Yes [s.No Basement Fixtures Q Yes :Ei No The Applicant shall notify the local health depat fluent 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. I7 Yes IX No Does the site contain any jurisdictional wetlands? ayes ® No Does the site contain any existing wastewater systems? ❑ Yes allo 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 cil.No Are there any easements or right of ways on this property? Describe Existing water supply in use cip Individual Well ❑ 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other [ 'Any tut2PCSG (Jl- ILSpPNCIert-ta- t5 70 kik( 1. Cis pbSSt(22L_er AI), El-tot-) C� St Pvcrul2�. CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT „c„,,,eun, Application for Environmental Services Page 2 ' Propos Facility Type I • ary Residence ❑ New Residence [Addition to Residence #of Ne edrooms *t Project Description A CaaA s.tv a tit((kedl j l f J I Ipt Wi )it bc, eon. onpe/}t d' Structure Dimensions a 4 1( 3 0 #of Occupants 9 a d lv ns (o r s.. r n &Olin-5 Ito use Basement ❑ Yes h: No Basement Fixtures ® Yes a No aid C /6 nr • Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed U Multi-Family Residence It Units #Bedrooms per Unit*j- Total#Bedrooms *t Structure Dimensions I I Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) U 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 ❑ 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 transferable. 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 � p . t'` Date //Co ��P—lc P. / Printed Name of Owner or Agent �e s hrW�u , • \ 24 < ?../v r0Va Q.y a-E w c vril 0 Catawba County Environmental Health -`+xv_ppy'�5 3 w e 5 ° 4 i u• v„3� rx� r i V n �yq4 xF i” fyu e4,ns •' `•� :fR>"b f (.�Wt'•Yt \ W.Y1 :'�{�-{ Y RiRI p 3 VR;O { i W! '7E yi3 F d 4"2y;"�y,5� �lJ...v4� '.,{ Hy3 �j M No Vii T- 1t^ 30.70 � � �J, 'Ft a » to 3: ,;. 128.20 -.' 'a: ,5. 1"S W x .,,, • if 45 .p i.i i.,. . _. • ittp .sod. lor •5000 80, • •5008 try 0 49' A. qY O' • 7 70„ X00 00 r+ts a s 90 k ' ,nual fF r r �O 9t. 14 yIn /Sei? 0 5020 , `-'62 4, W O / o° X4.4 ^g / . . /\ . / / Parcel: 461604723648, 5016 KISER ISLAND RD 1 in=50ft TERRELL, 28682 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. Coovriaht 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461604723648 Owner: KISER EARL L Parcel Address: 5016 KISER ISLAND RD Owner2: City: TERRELL, 28682 Address: 4653 KISER ISLAND RD LRK(REID): 19684 Address2: Deed Book/Page: 3271/1665 City: TERRELL Subdivision: KISER SUNSET KEYS 1 State/Zip: NC 28682-9770 Lots/Block: 35/ Last Sale: School Information: Plat Book/Page: 13/17 School District: COUNTY Legal LOT 35 PLAT 13-17 Elementary School: SHERRILLS FORD Calculated Acreage:PLAT 13-1 Middle School: MILL CREEK .450 Tax Map: 018FX 01050 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1841 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $152,100 Zoning2: Land Value: $201,400 Zoning3: Assessed Total Value: $353,500 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: 1972/2003 Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permits for this parcel. Firm Panel #: 3710461600L Building Details 2010 Census Block: 5025 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 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 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. ©2016, Catawba County Government, North Carolina. All rights reserved. 1 p/4c 3131- 3i,o3pa $-3W f me. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=461604723648&typ=P 3/7/2016 r , CATAWBA COUNT. TY HEALTH DEPARTMENT (JAS <v 'I} Telepho e.• (828)465+- 2`-311 TDD (828)465-8200 WLS # .3 - Off//S°1 II -. ' AC_.(1'. Rpr Prmt. Opt t- Sys. Type ,�/� Well•Print. K Replacement Well Well Rpr Print. Owner/Agent 5 L t A ,. -e--i Phone Address SO/6. X/1---e J-31/1-.`7 Subdivision . • T r,-,-f� Section/Block/Phase Lot# Lot Size .1/7 Directions �r+ /6 5 G- 'SO ( is , /-f Gk- /e7F- /1 5 4 (re • {, f _ _ Property Address 50/ ,0 A5 -5-W -L$ 2c1 Facility: House X Mobile Home Business Multi-family Other: Pin Number ±/ /(o- c)Z/ - 7 Z- . 1__ Other Zoning Approval N 03 --C 3/Z7) - k Bedrooms 3 H Seats N Employees Application Rate . 3S GPD Flow 36, Hot Tub or Spa yes/no Special Fixtures . yes/no 100% Repair Area/no Basement Plumbing yes/no Water Supply: Private Well 9L Public Semi-Public *******************************************•*********************i************************************* *****tit 1****** r J Type of System: Trench Bed Pump . . Pump/Panel Panel LPP 02Sw 5/ 2CzGer Septic Tank Size '(1QOr]M Pump Tank Size 'Nitrification Field: Total Square Feet 7 7 3 _ Depth of Stone 14/14 Bed Size Trench Width 36 Total Length of All Trenches 19 &(J Number of Trenches Trench Length t5 /65/G5 i(p51I Feet on Cente Maximum Trench Depth_ -Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* '*WELL RECORD REQUIRED AT COMPLETION* Topo/f % Slope Texture ('//ryHi Structure i3(0 '*e h Z Clay Min. Ii? ' Soil Wemess gc 6 - t( -3 Soil Depth >4,5 Restric. Hoz. at li -7 J kj6 v(J-"\-)47 Available space e no I Overall Class S U j 5 QC ; Comments: - ��.,t 1i1 • 5 z 5 GRP 35 — • I ! r j °6 crS I ) 75 g,o N . N. Filler Required (,.( Riser required when r tank is more than 6 I /00 inches deep. j /e{ '—Z5 12C "NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION'* *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before an 'onion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from know po iL' 1 s 1 .r'es of contamination. No volume of water is guaranteed.at.any site by the Health Department. ' Permit Date r/Q.- EI.IS /' delet • P <Owner/ ent Septic Ta Installed 1.4 n Datel/d9—_� ELIS / _fig Well Installed By_ / ell - ut Approval Date�T-/S-a Well Head Alptiroal Date/ 30-3 Date Sample Collected - Date of Results Results . _, , _ _ EIIS White Office Yellow Owner/Agent, Pink Building Inspection AuthlwAgation to Cons, ci