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HomeMy WebLinkAboutRBPR-03-2016-23445.TIF S. A �G THIS IS NOT A PERMIT Case # RBPR-03-2016-23445 CATAWBA COUNTY HEALTH DEPARTMENT O O /8"�i S PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �,tt 1842 SM Residential Building Plan Review - Building New 'o w Oil ham AUTH_CONST ...I-. y ble o ti o Owner TODD& REBECCA HOLLAND, PO BOX 674, LINCOLNTON NC 28093 H:7047321878 C:8284460924 HOME:7047321878 NAME TO APPEAR ON PERMIT Todd & Rebecca Holland SITE ADDRESS: 2879 MONTCLAIR DR, CLAREMONT NC 28610 PIN # 375212867239 NAME of SUBDIVISION: SIGFIELD ACRES Lot# 'TS 45-4£ Section/Block G PROPERTY SIZE: Square Feet Acres 0.6 DIRECTIONS: 2879 Montclair Dr PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS.PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: Single family dwelling w/attached 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:: 56 x 40 #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: INNOVATIVE: ANY: YES 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 Wei 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 theit I am solely responsible for the . proper identification and labeling of all property lines and corners and making the site acc side so th to to si e evaluation can be performed. . Date: 3 -ii k j(4) 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-ehapplication 03/21/2016 16:32 Page 1 of4 SBA CATAWBA COUNTY # RBPR-03-2016-23445 ;tits Public Health Department Subdivision SIGFIELD ACRES (d ; ® ,T; Environmental Health Division PIN# 375212867239 G- PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 18.2 NAME ON PERMIT: (TODD & REBECCA HOLLAND), PO BOX 674. LINCOLNTON NC 28093 ( Todd & Rebecca Holland) Site Address: 2879 MONTCLAIR DR, CLAREMONT NC 28610 Property Size: Square Feet Acres 0.6 Directions: 2879 Montclair Dr FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/21/2016 5150.00 Fee TOTAL FEES $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-ehapplieation 03/21/2016 16:32 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT COUNTS CATAWBA�. CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct 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 t Existing Facility n Property Address , g` q c loi+ela Cc- biz- Subdivision (�\ NC ac-(p1b Lot# Acres E)04 _ Section/Block/Phase Driving Directions to Property E O +t Xtn J3' , 1e'F+I— c9 ✓Iti-,9 r4 o1( m s-4- i ee on-iv leer- 3 ICP?c- 'DR, 'hf 040 (Y1t41tlalc- 'Oa GineavadJ Yolp41\41 & 1 -E-r Cad- 1‘ l5C-C-- NAME TO APPEAR ON PERMIT? \g Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information IC Name tczja QkheC 0(Lind Address Q o 0)SX (oil el gad-P. iA NC c)-S-c-{-23 Phone 0007 isig Cell Phone Wig r tko -©`3 1/ Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 54Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site \( \Jo1A 4 Lo # of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures 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 p-No Does the site contain any jurisdictional wetlands? ❑ Yes No Does the site contain any existing wastewater systems? ❑ Yes No Is any wastewater going to be generated on the site other than domestic sewage? es No No Is the site subject to approval by any other public agency? ife Yes 9 No Are there any easements or right of ways on this property? Describe Existing water supply in use 7 Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** XYes ❑ 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 cATAVY BA THIS IS NOT A PERMIT caunry CATAWBA COUNTY HEALTH DEPARTMENT „,„„„7,-,;;;-,;--.; Application for Environmental Services Page 2 Proposed Facility Type FAI Primary Residence New Residence f7 Addition to Residence #of New Bedrooms *I.Project Description ��(-?Q H4-1cc'nco bur-ay.. Structure Dimensions 9a' )( `}J' # of Occupants a Basement n Yes No Basement Fixtures ❑ Yes g No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes n No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence# Units #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 n Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type n Drilled n Bored ❑ Dug ❑ Unknown Well Repair Requested Yes n 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 evaluationOE&can be performed. Signature of Owner or Agent f • Date 3 ;/16 Printed Name of Owner or Agent P€bee tE ` o qt nc Catawba County Environmental Health I _ • I I Y ',CO I I • i I MONTCLAIR DR I 1 I 169.65 67.35 1 I ii c, a _ — — 1 1 196 _ _ _ Ted 1 j , _ 4 p I r 1 / I 0) r r r'y9 92 / r r r r / \ - NIINPr r r r r / /• / / r / r r o r r r r t r / / r r r r r 100 / / r r r / 15 j r / / / / / r / / / / r / r r / / / r r r \,. r / / r r r Parcel: 375212867239, 2879 MONTCLAIR DR 1in=50ft CLAREMONT, 28610 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 03/21/2016 VI ' Case fig: � CATARBACOUNTY � � 0 IMPV-04-2014-048362 v r...1' .y Public Health Department 1` Subdivision SIGFIELD ACRES 4 �9 Environmental Health Division r 'r ��L ' PINK 375212867239 4� w PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 ; � ° r G '� LOT# PTS 45-49 'o LrO ° . P12 03 ao\ - (Viol NAME ON PERMIT: TODD & REBECCA HOLLAND, PO BOX 674, LINCOLNTON NC 28093 Site Address: 2879 MONTCLAIR DR, CLAREMONT NC 28610 Property Size: Square Feet 26,136.00 Acres 0.6 Directions: 140 TO EXIT 135, LEFT ONTO N OXFORD ST, LEFT ONTO SIGFIELD DR, LEFT ONTO HILLCREST DR, RIGHT ONTO MONTCLAIR DR (UNPAVED) PROPERTY ON LEFT PAST 1ST HOUSE Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water Basement? No Basement Plumbing? 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 TRENCH SYSTEMS Permit Conditions: `Do not drive, grade, or fill over the septic area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -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/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or die 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 far Senatee Treatment and Disposal Systems' (15A NCAC 18A.1900). 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. Robbie Phelps 04/01/2014 AUTHORIZED STATE AGENT APPROVAL DAIS Permit Expiration Date: 03/28/2019 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. E9-ehpennii 04/01/2014 10:02 Page 1 of3 I � Permit# IMPV-4-14-048362 CATAWBA COUNTY Name Todd&Rebecca Holland 11 1- Public Health Department Address _ 2879 Montclair Dr �oi0-. 4 Environmental Health Division Lot# z:yt° PO Box 389, t00A Southwest Blvd,Newton NC 28658 g }Z su (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 SITE PLAN 1 / , 1.5 A 202 o S-6 ' 3 —1- C" —s 1*0 �o -5 M I , A� <" 5.t,)0 ao I i 'I `J 7j • A-yrK I I5° 1,0 Ii Scale ( , yo 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: Owner: Todd&Rebecca Holland Applicant: Address: 2879 Montclair Dr Date Evaluated: Proposed Facility: 3br Design Flow(.1949) 360 Properly Size: Location of Site: Property Recorded: Water Supply: [x ]Public [ ]Individual ( )Well [ I Spring [ ]Other Evaluation Method: [ )Auger Boring [x I Pit ( ]Cut Type of Wastewater: [ ]Sewage [ ]Industrial Process [ ]Mixed P R O SOIL MORPHOLOGY b F . .1941 PROFILE FACTORS•I .1940 .1942 - L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy • Color Depth(IN.) Class Horiz 8 LTAR 1 L, 10% 0-25 cl,sbk fr,ss,sp 25-45 sc+sap,sbk fr,ss,sp 45-54 sc+sap,sbk fr,ss,sp 54 0.3 2 0-27 cl fr,ss,sp 27-42 scl+sap,sbk fr,ss,sp 42-60 sap fr 42 s 0.35 3 0-23 cl,sbk fr,ss.sp 23-53 scl+mica,sbk fr,ss,sp 53 0.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 25% Others Present: Site LTAR 0.3 0.3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE 7t: Landscape Position Group Texture .1955 LIAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain S5-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 HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty 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 EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic F VP-Very Plastic Sketch of Soil Evaluation Locations Lt 0 5b � 14o Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375212867239 Owner: HOLLAND TODD R Parcel Address: 2879 MONTCLAIR DR Owner2: HOLLAND REBECCA P City: CLAREMONT, 28610 Address: PO BOX 674 LRK(REID): 402782 Address2: Deed Book/Page: 3239/1982 City: LINCOLNTON Subdivision: SIGFIELD ACRES State/Zip: NC 28093-0674 Lots/Block: PTS 45-49/ G School Information: Last Sale: Plat Book/Page: 13/35 School District: COUNTY Legal: PT LOTS 45-49 BLOCK G PLAT 13-35 Elementary School: CLAREMONT Calculated Acreage: .600 Middle School: RIVER BEND Tax Map: High School: BUNKER HILL Township: CLINES School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: CLAREMONT County Fire District: CLAREMONT RURAL Zoningl: R-1 Building(s) Value: $0 Zoning2: Land Value: $8,500 Zoning3: Assessed Total Value: $8,500 Zoning Overlay: Year Built/Remodeled: / Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710375200J Building Details 2010 Census Block: 3017 WaterShed: WS-IV Protected Area 2010 Census Tract: 010102 Voter Precinct: P6 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 ernployees,agonts,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. ©2015, Catawba County Government, North Carolina. All rights reserved. Pc a ISO Tarn ado 9co /daLi http://gis.catawbacountync.gov/nomap/parcel_report.php?key=375212867239&typ=P 3/21/2016