Loading...
HomeMy WebLinkAboutRBPR-04-2016-23601.TIF • ys• p THIS IS NOT A PERMIT Case # RBPR-04 2016 23601 CATAWBA COUNTY HEALTH DEPARTMENT 0 :70W:4% i4 :Slates,:' y {F PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8'42 sa Residential Building Plan Review - Building New . _ =. f r• AUTH_CONST _ o• • Contractor LOCKRIDGI HOMES- GM, LI..0 (GENE MCDONALD), 1207 ROSENEATH RD, RICHMOND VA B:8043585768 GREGLOCKRIDGEHOMESaGMAIL.COM Lien Agent STEWART TITLE GUARANTY COMPANY (JANE BARKLEY), 19 W HARGE'FT ST 507, RALEIG NC 27601 118886907384F:9194895231 Owner DAVID NOBLE, 3132 SW MILFORD CHASE, MARIETTA GA 30008 NAME TO APPEAR ON PERMIT David Noble SITE ADDRESS: 5095 SHERRILLS FORD RD, CATAWBA NC 28609 PIN # 378003310543 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 5.04 DIRECTIONS: Hwy 150 E, Left on Sherrills Ford Rd, 9.4 miles on Left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: 2 story dwelling with attached garage (no basement) 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? Yes Property Easements Description: drainage& utility 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:: 75 x 44 #OF NEW BEDROOMS:: 4 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: E9-ehapplication 04/07/2016 11:10 Page 1 of 4 40A CATAWBA COUNTY Case/t RBPR-04-2016-23601 Gz Public Health Department Subdivision Q K Environmental Health Division PIN#1 378003310543 ®,} y/ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /84%yN NAME ON PERMIT: ( DAVID NOBLE),3132 SW MILFORD CHASE, MARIETTA GA 30008 ( David Noble) Site Address: 5095 SHERRILLS FORD RD, CATAWBANC 28609 Property Size: Square Feet Acres 5.04 Directions: Hwy 150 E, Left on Sherrills Ford Rd, 9.4 miles 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, comp-te and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable s a • r les. I Avtat and that I am solely responsible for the proper identification and labeling all properly lines and corners and making the site a - .s e :. `110Vete site evaluation can be performed. Date: q— /--i (l Signature of Applicant or Agent •L:� An Environmental Health Specialist will contact you with'n 5 orking days fapplication date. If you need further information or assistance pl , e call 828-466-7291 AREA1 ............................................................................................................ .,„ LFEENAME .I"V DATE 1i ,'r, FEE-AMOUNT '' Authorization to Construct Fee (New/Expansion) 04/07/2016 $300.00 Fee r %.TOTAL FEES',..,. - $300 00 ..�..„,.n',x , .4._. W.i t_.�._._... ,...., _,t . , .._. _. . . .i7, .,',.r - .- "op'"",. 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 04/07/2016 1 1.10 Page 2 of 4 CATAwBA THIS IS NOT A PERMIT counrr v ��,��- CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit n Authorization to Construe Septic Repair n Septic Malfunction n Septic Expansion n New Well Permit_ Replacement Well ❑ Well Abandonment_ Well Repair n Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction Existing Facility n 27 4Property Address � � � ,�El�`�aLLS r 0 � Subdivision C4T/t 31 M` 6 b`'j Lot# Acres Section/Block/Phase Driving Directions to Property ('1'rJ ' /50 / LarI"i 0 ti si,lrr i4u5 f &-O ,2/J 9, y ,„ r� s C j Cep r NAME TO APPEAR ON PERMIT? Owner ❑ Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name QAv+ O elm Lt /,JO 6 L‘ Address 7/ 9 2, t.e/ +? / Gig 3 oo 0 t.3 Phone Cell Phone Contractor Contact Information Name Goc1za..02 /10 cm_ LL (6 I r c\ 2License # -7C3 53 a Address- o ` Phone?/�'' 37 a 5'5 yet Cell Phone `j) '9 a 3-7—y-0 WHO WILL BE THE PRIMARY CONTACT? n Owner n Applicant Contractor Description of Existing Structures on Site 't(r4+ ( cry( # of Bedrooms *t Structure Dimensions ocaeril #of Occupants Basement Yes n No Basement Fixtures n Yes n 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 o Does the site contain any jurisdictional wetlands? ❑ Yes No Does the site contain any existing wastewater systems? ❑ Yes -.PKNo Is any wastewater going to be generated on the site other than domestic sewage? AYes ❑ No Is the site subject to approval by any other public agency? ❑ Yes -kW& Are there any easements or right of ways on this property? Describe Existing water supply in use I Individual Well ❑ Community Well n Semi-Public /ell ❑ County/City/Township Water Line Is a public water supply available? ** Yes n 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 ny CATAWBA THIS IS NOT A PERMIT counry - � CATAWBA COUNTY HEALTH DEPARTMENT „,M�,,,,�,' Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence 15d. New Residence n Addition to Residence # of New Bedrooms *t Project Description AA- lj f Structure Dimensions 75 #of Occupants Basement ❑ Yes kJ No Basement Fixtures ❑ Yes XNo ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ 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.) n 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 n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n Unknown Well Repair Requested n Yes 7 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. j 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)fi ve 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. t. Signature of Owner or Agent Date `/ 7� /6 Printed Name of Owner or Agent 64-1-1E-: Lercic Cori Lc= GNI-II®S The surveyor is responsible for verifying that the location of the house is in full compliance with all I state, local, municipal and any recorded architectural requirements (I.e.. set backs, buffer, etc.), and that the house will not encroach into any easements, buffers, wetlands, etc. \ \\ N89°4g, LOT 3 N NN , , I I^ -- — ._ _w N____ , I , \ , \38. N , , _ _ ,� N N 10' DRAINAGE & 30' REAR UTILITY EASEMENT(TYP.) 11l SETBACK / �/ ' / I II // / / �, / �I // , / 11 / LOT 2 is I II / I� / ti 1 1 /1 ,� / Il as / / Oat I o / �j,. / co I 1/ •1 f Dv i � II LOT 1 I-- 1 r 1 5.1922 ACRES 11 �r�� /cfrii a� o FLOOD NOTE: �I� /6/Z 1 BASED UPON REVIEW OF FLOOD /'O / INSURANCE RATE MAP, PANEL 3780, 0 1 // / MAP NUMBER 3710378000J, MAP to 1 r / REVISE: 9-5-2007 THE PROPERTY III 7$r n DEPICTED ON THIS SERVEY IS I I�" `_ / i/ / LOCATED WITHIN ZONE X. 1 1I r—- s �LI WELLSBORO 2 `1' // / 15' SIDE 56.06' 1 / / SETBACK ___ 9p / / / SNP.) II 2.00' 5.00' 1814.00 I I ) 7 6.00 I 1 /1 1 , ALLOW MIN. 25 FOR O \/ I 1 Lu DRIVEWAY TURN 34.00' m 1I o o / /� I F 24.67' i'09.33' o to 30' rrRONT N IlL SE BACK / f / r7 300' IVELLSI3ORO 2 _� I/ I l w CAR. �� 33, (CRAWL] v I / in / ,(1200' O I ow n/ / o 0 00 °O • C.0 v o 0 N tl°J 22.00' 2 °74.17' 14.17 9 N f- N75°40'1 1 "E 2 1 .67' , - �_• - _ I 11.67' I t \ OcH SHERRILLS ROAD \_ 3)3 4.00' S. H 1848 60 ' R/W SCALE: 1 " = 30' PROPOSED IMPROVEMENTS Ohs AREA OF DISTURBANCE CUSTOMER s : DAVID NOBLE 10,000 SF ADDRESS: 5095 SHERRILLS ROAD .436 op. COUNTY: CATAWBA CITY/STATE' CATAWBA, NC. 28609 SRI'. SIZES SHOWN FOR REF.: TMSNO: 378-00-33-10543 SCALE: T' = 90'-0" DBL. DRIVE ib-e' WIDE DATE: 3/22/2016 *TFI/S PLAT DRAWING BASED UPON DOCUMENTATION SUPPLIED BY CUSTOMER." SIDE DRIVE' 9' WIDE WIDE REVISED: SIDEWALK'. 3' WIDE "TO BE USED FOR BUILDING PERMIT APPLICATION ONLY."' • Catawba County Environmental Health • ' {3`7 14832 $H�R¢4, t s c0 0 RO 45 (296) {23 {80} 75 5'1 \-:).to- . Ce, , \\I} C n —40.03. \ I Q O O 8 Cr?.co i` i i , A C / / ---1-2 389.90 Parcel: 378003310543, 5095 SHERRILLS FORD 1in=100ft RD CATAWBA, 28609 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 04/07/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 378003310543 Owner: NOBLE DAVID ROBERT Parcel Address: 5095 SHERRILLS FORD RD Owner2: NOBLE EMILY L City: CATAWBA, 28609 Address: 3132 MILFORD CHASE SW LRK(REID): 302312 Address2: null Deed Book/Page: 3311/0204 City: MARIETTA Subdivision: State/Zip: GA 30008-5787 Lots/Block: 1/ Last Sale: $52,000 on 2015-10-05 School Information: School District: COUNTY Plat Book/Page: 75/60 Legal: LOT 1 PLAT 75-60 Elementary School: CATAWBA Middle School: MILL CREEK Calculated Acreage: 5.040 Tax Map: null High School: BANDYS Township: CATAWBA School Map State Road #: 1848 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $37,300 Zoning3: Assessed Total Value: $37,300 Zoning Overlay: WP-O Year Built/Remodeled: null/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: null Building Permits for this parcel. Firm Panel #: null Building Details 2010 Census Block: 1012 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 Voter Precinct: P5 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. AM rights reserved. (Ri(),CV4C4er n a )S1 3a? ;SSv•ect LI'1? on HE0 )1 th y http://gis.catawbacountync.gov/nornap/parcel_report.php?key=378003310543&typ=P 4/7/2016 r,- Casc(! ,• CATA\VBACOUNTY -� - IMPV-03-2016-069897 , • 5 Public Health Department 'R• , • j Subdivision k#A ` i 378003310543 4 `+ 1'� Environmental Health Division r - e PIN?? PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 yy D D • a LOT# 1 :4.. s� FCCtd r •.a. .. uY ta NAME ON PERMIT: DAVID & EMILY NOBLE, 3132 SW MILFORD CHASE, MARIETTA GA 30008 Site Address: 5095 SHERRILLS FORD RD, CATAWBA NC 28609 • Property Size: Square Feet:219,542.40 .Acres:5.04 Directions: Hwy 150 E, Left on Sherrills Ford Rd, 9.4 miles on Left Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Public Water Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: RIG - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: *Do not grade, fill, or drive over any designated septic area. REPAIR SYSTEM SPECIFICATIONS • Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: I]]G -OTHER NON-CONY TRENCH SYSTEMS Landscaping or other site alterations Mat 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 aporove the initial system instaflation,cr 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 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 far Sewage Treatment arid Disposal Systems' (I5A 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 03/09/2016 AUTHORIZED STATE AGENT APPROVAL DATE 03/09/2021 Permit Expiration Date: No grading or construction activity is allowed in arras desi,gnr.ned for system and repair without approval of the Health Deparrmenl. ehperrnit 03/09/2016 12.54 Page I of3 • Catawba County Environmental Health IAA —20(6- obtgg7 . 1011 NER���s onv s RD (296) 180? s� S i • ao • LP r) 42 cr • 4 ¢b R.yv' g • 3 CN • • • � s 1111 Parcel: 378003310543, 5095 SHERRILLS FORD 1in=60ft RD CATAWBA, 28609 This map/report eroded was prepared from the Catawba Coady,NC GeosInformation al Information Services, Catawba County has made substantial efforts to ensure the accuracy of location and labeling infatuati ordained on ta,ned on this map or data on this report Catawba County promotes and reWrmands 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 shalt not be held liable for any and all damages,loss or liability.whether direct,indirect or ooraeguenGsl which arises or may arise from this map/report product or the Use thereof by any person or entity. Copyright 2014 Catawba County NC 03/09/2016 • • DEPARTMENr or agvaeightarr AND NA-roil/LL RESOURCE Sheaf of_ • DIVLS:ON OF ENWLONMENTAL HEALTH PROPERTY ID N: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION jar ON-SITE WASTEWATER SYSTEM OWSiER: d41"I a- �soi . /1'eSlt APPLICATION DATE L-I4PQ-2 ( 3 �( ADDRESS% f° 1$' T4ic.rrihr Fer/ Ir DATEEVALiIATED: 2$4-46 PROPOSED FACILITY: 4 A/C- PROPOSED DESIGN FLOW(.1949): 440 . PROPERLY SITE: LOCATION OF SIM PROPERLY RECORDED: WATER SUPPLY: 0 Myatt Er?uhlle 0 Well O Spies 0 Omer _ EVALUATION METHOD: 0 AugerBaemg PI Pit 0 Ciii TYPE OF WASTEWATER: Sewage Q Industrial?Town 0 14zexR T: . _ I . - ur. ><; SOIT,t+dO BbTAG1— OT,9LR r_- - K:1�4i;.. _. .::; SRDILEFGSDI& ._ 'fs.EirE fAii aoxT 1ss7< € Ccfi Y17N '446;;;;i; 9A2 T?4#. IPA 1441 tkQEiL ; -f,; YOSiTTOFE bTPiff: SYYIUC'>'�itti;l gArgQ: ,Q,)r$TR . CSA55•S7APEY. : 'F`k11`TLf A24LF :.. COEd?C ... . .... !'E aSS; R€�1 F:�'121AR4 o tit pit- t$tk F•• ,rk y' h � F 1 > •�e �i57 c � ki • rb - 3 • • v— }3 LL ;~r4h ...,. 1.rr Jr Cq S°i 11-ST Ci57J ,h• . Fran rth 2 lr f . II I • 2} ! .rlh Ff i 3 c Ybk F-, ,TX r`h sl 0-21 et tsr Fr rs rlh y 'l4 LL t11 C ,gbh Fr xi sih 3 • 4 tr-� I I MPSaDTlow e.'Ir.Ar.sysrlM I PS/CC SvsTEM OTTER FA(..,1 URS(.1946): SITE CLASSIFICATION(.1948): P T r Atial4ble sa... .ri4s) 2 .J 1 15;1 Plti 5}t TY.r(t) Z�(e Z) sIi EVALUATED BY: �' 0italL(S)PRESENT: . SiteLTAR . 3 , 3 COMNIE1.is: S\ o _ to C L Frrr,rjo (u-_; ° C r6k F fY 4- 3° 11 Cr'•f 64" F•Frr, • • �..7- �s ,n '''� s1C'�4 — __ 1 9131 II I 9 '.. p.J 8Gi I ' 7:\t k\S• ._ . _ . ■ \ti `I \. I l 1 • . \ \ \ . 4 kn • L ■ t of • k Parcel: 378003310543, 5095 SHERRILLS FORD 1in=60ft RD CATAWBA, 28609 This map/report product was prepared from the Catawba County.NC Ceospatial Information Services. Catawba County has made substantial Obits 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 03iC9t2016