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HomeMy WebLinkAboutRBPR-04-2016-23640.TIF yA ,� THIS IS NOT A PERMIT Case # RBPR-04-2016-23640 d ---ititil , CATAWBA COUNTY HEALTH DEPARTMENT 0 .i 1 e t 0 18`.) °r m< PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Y. 41, ss g 1•�l k t 1-8 41, sn • Residential Building Plan Review - Buildin New o 0 0 RUTH CONST - NEW WELL I D - .: Contractor SAME AS OWNER, , • Owner MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 1• :8284782673 C:7049297291 HOME:8284782673 NAME TO APPEAR ON PERMIT Mandy Barr SITE ADDRESS: 7633 MONBO RD, CATAWBA NC 28609 PIN # 470002650130 NAME of SUBDIVISION: - Lot 14 Section/Block PROPERTY SIZE: Square Feet Acres 4.18 DIRECTIONS: 16S/150E/left Sherrills Ford Rd/right Molly's Backbone- left on Monbo Rd PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 1 story log dwelling w/attached garage & finished basement (1878 sq ft) with breezeway between house and garage area 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: 45 ft right of way APPLICATION FOR: New Structure -----...__.----- STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 77 x 48 including attached garage #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplication 04/12/2016 15:27 Page 1 o14 • • 4v,A CATAWBA COUNTY Case It RBPR-04-20 1 6-23 640 tr.'tI s Public Health Department Subdivision < /.$ y Environmental Health Division PINT/ 470002650130 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 J: .2 NAME ON PERMIT: ( MANDY BARR), 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 ( Mandy Barr) Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet Acres 4.18 Directions: 16S/150E/left Sherrills Ford Rd/right Molly's Backbone- left on Monbo Rd 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 ac i o that a co letne evaluation can be performed. Date:Y"- 12- 2-0/‘ Signature of Applicant orAgen i _—� An Environmental Health Specialist will contact you within 5 working d s of application date. If you need further information or assistance please call 828-466-7291 AREA1 ############################################################################################################ FEENAME C,NARN :�rf� c. 1 :DATE v FEE AMOUNT I Authorization to Construct Fee (New/Expansion) 04/12/2016 $150.00 Fee Well Permit& Inspection Fee 04/12/2016 $300.00 ;TOTAL FEES rA li tat' �..,� ,'3 ' ' a'`: .,-. =,t'rai n,x s t._..x 4Ui4 . .c,-. . F.. 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 04/12/2016 15:27 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT No„„ Application for Environmental Services Page 1 Improvement Permit❑ Authorization to C nst uc Septic Repair ❑ Septic Malfunction n Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction Existing Facility n *Property Address 7/733 A?o,V,,o a . Subdivision Yid/Au-1g,- / 1/r a 8 09 Lot# Acres `/ Section/Block/Phase ,& _. Driving Directions to Property /4/c �� *kA � //J/ U f�'T // c Aye o._J / /^` 3'1P/: , A lu,', 40 7 •• !°7� / " !(yf ./S /j ac 6oz1& /e tAA o t✓ /k7oAl,, o (/ NAME TO APPEAR ON PERMIT? IA/Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name /97741/20/4/9y 6x77,- Address v ,23� .J`. 4 lo L d7 J //, % _s , .,,,,,,e_ At- .”- 73 Phone ct rt' ?s, 7L 73 Cell Phone ?o y_ :c2 e3.- 7.2 4 Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT?Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site '\J( ., \_ #of Bedrooms *j. Struct re nnensions # 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 V ' Does the site contain any jurisdictional wetlands? ❑ Yes o Does the site contain any existing wastewater systems? El Yes Ro Is any wastewater going to be generated on the site other than domestic sewage? ��h)L�� Yes No Is the site subject to approval by any other public agency? �? f2/,l// Yes ❑ No Are there any easements or right of ways on this property? Describe / �^ Existing water supply in use ❑ 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): ystems can be ranked in order of your preference) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other_ Any C VV ATA Z BA THIS IS NOT A PERMIT cOUNTtp..„ , CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Pro osed Facility Type Primary Residence n New Residence n Addition t Residence # of New Bedrooms *t 3 Project Description Lot ` .el rV Structure Dimensions t'I )C 945> # of Oyupants Basement R Yes ❑ No Basement Fixtures s n No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing n Yes n No Describe Plumbing Needed ❑ Multi-Family Residence# Units__ #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions I 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 n Individual Well IT Semi-Public Well n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n 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. 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) 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 At t lJf��/t� Date 7 2 Zo/ fr Printed Name of Owner or Agent int zy a /! r Permit A EHPR 3-16-23348 CATA�VI3A COUNTY G Name \9andy Barr Public health l Deparunent V ` .. 7633 Monbo Rd Catawba NC -lpii� 'lf Environmental Health Division address� . PO Box 389, IOOA Southwest Blvd. Newton NC 2565E I PIN, 470002656275 �s 42 (x28)455-S270 Fax (823)465-x276 'MD(S28)465-3200 �. Site Plan Improvement Permit T� i'^° loa Imo) ' F kv„ wI-- n 11/4 «— 1 s ,— as' u, g,,r_.r 1C''`3 -'i` 3 RR ' aster G- Aoo l � O( I� (p o' P ' `n b 1-. � fret). �A.-t i c,I Sys+cr.--1 A rt., 2 t-19 .1t © v� t� 3`{z''37 I ` #41‹, g 4 Gc,✓Jr � ■ ( O o J � Scale Catawba County Environmental Health � 1061 f I 12) �yeo -ve # RO l ■ iji I n $ I e7585 4$7 f ?2.58 27 .: g3� •I/ZF. '. ago — fir,✓ ` ) aA I Aft g �23?5 / - / 34.26 '4. °' 1 3a. 0 \o:75 1 11- e 633 "'�*" \------L 4,170 k e.,.... 420.. _ —1. •-••• 10 )1\: " t \ 8 '-'-''''''''''''N.c.„....,,,,.. N G 7597 ( \ j .ii7j 1 i eqt N.(,,,,,,, I 97s, Parcel: 470002650130, CATAWBA, 28609 1in=150ft 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 04/12/2016 Catawba County Environmental Health • co —920 e 7597 • ra co 249.98 `r 249.98 Parcel: 470002650130, CATAWBA, 28609 1 in=60ft 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 04/12/2016 y +-= r: Cs l',111'IfA COUNTY 0 � l 0 Case 4 IMPV-li3-2016-0l04S4 �e `'� Public Health Department 72 `+ ;i:Y Subdivision <, ¢ I Environmental Health Division '1 y % '3 PINK 470002656275 � "� PO Box 359, IOU-r\Southwest Blvd,'Nesvlon. NC 28655 i {r LO'I'8 y I NAME oN PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Fuel:528,382.80 Acres:12.13 Directions: Hwy 16 S, Hwy 150 E, left Sherrills Ford Rd, right Molly's Backbone, left Monbo, near cemetary Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: 1110 -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and any future repair system minimum: 100' from any well, 10' from property lines,5' from home( low side of basement out; 25' from home ( above basement cut) 15' from pool area Lines to be installed on contour. Do not grade drive or WI over system or repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IMB - SYSTEM W/SINGLE= EFFLUENT PUMP PUMP REQUIREI) Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from:he 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 suspensicnlrevocation of existing permits. The issuance of this permit by the Health Department does not guaruntce 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 net. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if kite 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 mud Rules at Sewnfe 17errtnrcm'and Dis rose!S'.stems' (I 5A NCAC I8A.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. Jason Boyd 03/28/2016 ALJTI'IORIZFD STATE AGENT APPROVAL DAM Permit Expiration Date: 03/25/2021 No grading or construction activity is al/omen in areas designated for system and re/pair without approval of the Heel h Deparanent. ehpemtit 02/25/2016 09:02 Page I of 3 S�A Pennir .d I EHNR 3-16-23348 23345 v CATAWBA COUN'I'l Name Mandy Barr /- Public Health Department �°"`�'°f'ir' '' Environmental Health Division Address 1 7633 Monbo Rd Catawba NC 11-) D O.?? ' PO Box 389, 1.00A Southwest Blvd.Newton NC 28658 PIN+ { 470002656275 iy (3 28)465-8270 Fa (828)465-8276 TDD(828)465-K00 Site Plan Improvement Permit To M- - a w" ll A " r 15i `1 1-kb 2' 641-1' u, ' a 1 Res" /? �._ �n ` c',r3''� v- I: 47 ' aster ¢�� POD l 1 o 1 X ‘o o r T" 1--Z la Ce , 1it-ISYs+ Art, RYA UM5u; IA irlL Z°t9 .9'6 L„,(5) tr.) 3y2. ? I 7tS —1a ' 4--0(oJ �1, f ' ' i - 0 Scale Department of Environment. Health,and Natural Resources Sheet: Division of Environmental Health Properly ID: On-site Wastewater Section Lot R'. SOIL/SITE EVALUATION File x: for ON-SITE WASTEWATER SYSTEM AppiD: EHPR-3-16-23346 Owner. Mandy Barr Applicant: Address: 7633 Monbo Rd Catawba NC Date Evaluated: 3/23/2016 Proposed Facility: 3 BR home Design Flow(.1949) 360 mod Property Size: Location of Site: Property Recorded: Water Supply: pvl well [ )Spring ! I Other Evaluation Method: pits by Charles Beatty [ I Cut Type of Wastewater: X Sewage I 1 Industrial Process [ ;Mixed 11 E$ t+;.r te sp 9 4 1 h''... ra . c? i r 1 i 1$'f R n 8 . ! J 1 �k pc :::4101617 it 5 s v'i f ay C I I . 't Fr_h1ryr>kl't7v 1 lr v Ek' P.11:O< 1 1 ilgti .e �Ma tisO MOjR PHOLOG Yuraw t ✓CT�I ti 5t:te bk I2 Q R�a ., irvr A941. r Aa sr PROFILE FtiGSF ORS. r!, �attp 1940° x11,4 f rt c :Ypi 1,14. �.� ti v' 41 '�, .:qtr 1942 ar- i :` ^ r r 5il g r r b'I`".' i+ .7 9.r 'y lsh L 8 i SS}At t A., i y.,' 'Lt3 a 1FLandswpe Honzyn �" , 19q 1;r-a + r X _ 1941 y° 1 Solt�aaa�i - 1943p, -�956>4z r 9441, ) Profile a+' . U,,th r h{ a/ vi c 11SS.r s ,e s r E v� 1�4POSlrlioiY } i Dep h° �N�SINCture/y y g `�-rg Cons�slence"��ie I s�t ,-_lrletnG�55/€t,� i�_�Sai 3 Sa�ro i Es Rcs r,i Class�>� -: hut.(MmeralogyN'YW1d, ,+.3 x. Color e�; Depth,(IN) .:.Crass m'Honz;r,1 ` w&LTAP-!1, 1 LL 6-8% 0-6" topsoil 6-36" SCL SS,SP,SEXP,FR 48" P5.3 36-48" SC w/sap 2 LL 6-8% 0-6" topsoil 6-24" SCL 48" PS 3 24-48 SC w/sap SS SP, SEXP, FH 3 same as 1,2 48" PS 3 Description Initial System Repair System Other Factors(.1946): Available Space(.1545) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG III BO Others Present: Charles Beaty Mr and Mrs Barr Site LTAR .3 3 Site Classification(.1948)- P5 Site Evaluation By: Others Present: Sheet. COMMENTS: FILE#: Landscape Position Group Texture .1955 LIAR Structure R-Ridge I 8-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Fool 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-Sill 0.6-0.3 PL-Platy CV-Convex Slope SILL-Silly 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 VA-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Ncn-Plaslic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations re- W 3 by � 5°I 1L° Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 470002650130 Owner: This parcel is currently being processed Parcel Address: Owner2: null City: CATAWBA, 28609 Address: null LRK(REID): 302335 Address2: null Deed Book/Page: City: null Subdivision: State/Zip: null null Lots/Block: / School Information: Last Sale: Plat Book/Page: 75/166 School District: COUNTY Elementary School: CATAWBA Legal: null Middle School: MILL CREEK Calculated Acreage: 4.180 Tax Map: null High School: BANDYS Township: null State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: null County Fire District: All in City Zoningl: Building(s) Value: $0 Zoning2: null Land Value: $0 Zoning3: null Assessed Total Value: $0 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: null Building Permits for this parcel. Firm Panel #: null Building Details 2010 Census Block: 1066 WaterShed: WS-IV Protected Area 2010 Census Tract: 011503 Voter Precinct: P21 Agricultural District: null 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 r_ eserved. ( 9° ICO 9\ /ria,L5, http://gis.catawbacountync.gov/nomap/parcel_report.php?key=470002650130&typ=P 4/12/2016