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HomeMy WebLinkAboutEHPR-05-2016-23921 (2).TIF gA �G THIS IS NOT A PERMIT Case # EI-IPR-05-2016-23921 � � CATAWBA COUNTY I-IFALTH DEPARTMENT D • o'�+ri D ,479 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 sM Environmental Health Plan Review - OSWP io ! • o II 0 ' IMPROVEMENT r -. -1 # Applicant CHRISTOPHER& KRISTIN MICHEL,2850 BAY ST, CHARLOTTE NC 28205 C:5044958257 CPMICHELI @GMAIL.COM Contact Person HECHT REALTY (TERA WALTON ), 885 N HWY 16 BUSINESS, DENVER NC 28037 C:7047782068 TWALTON @HECHTPROPERTYMGMT .COM Land Owner DOUGLAS FISHER, PO BOX 513, DAVIDSON NC 28036 NAME TO APPEAR ON PERMIT Christopher & Kristin Michel SITE ADDRESS: 6657 LOVE POINT RD, DENVER NC 28037 PIN # 369602655113 NAME of SUBDIVISION: Lot# 1&ADJ Section/Block PROPERTY SIZE: Square Feet 40,946.40 Acres 0.94 DIRECTIONS: North on Hwy 16, Right onto Grassy Creek Rd, Right onto Love Point Rd, F011ow to stop sign. Property will be directly across the Street. PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: IP for Purchase` Existing system on property. Wanting to use if possible. Will be removing existing 2 BdRm SW & building a new 3 BdRm home. 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? No Are there any easements or right-of-ways on this property? Yes Property Easements Description: Duke Energy APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF 2 BdRm SW EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 12x56 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 3 BdRm House 25x75 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: FY-ehapplication 05/24/2016 15.33 Page I of4 ,e, CATAWBA COUNTY Case n EHPR-05-2016-23921 C t Public Health Department Subdivision 'C w ''; Environmental Health Division �� Y1NiJ 369602655113 c.,i y. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 18.2 :M NAME ON PERMIT: (CHRISTOPHER&KRISTIN MICHEL),2850 BAY ST, CHARLOTTE NC 28205 ( Christopher& Kristin Michel) Site Address: 6657 LOVE POINT RD, DENVER NC 28037 Property Size: Square Feet 40,946.40 Acres 0.94 Directions: North on Hwy 16, Right onto Grassy Creek Rd, Right onto Love Point Rd, F011ow to stop sign. Property will be directly across the Street. 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 l t-:,' AM itir (i�� '4, ;,:g l -iwir,•x'G1 rrlllllli9'tic i i 't. x i imi Ill t.ig,,,t 1�; ,W., ' ,u!{!I!If it' _-A wOidr : DATEill,'ii.,iFEEAMOUNT� , Improvement Permit Fee 05/23/2016 $150.00 lEP, f:' 1TOTA RtES, F t, , :INnt lll� '1111�ih nN -,031111111.."110 so 0,0 d s .li i ' w, ""i 1iil lmili karilgiW ElWWW111i illiI1461 1111 glic l nlWUl!� 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-ehapplicat inn 05/24/2016 15:33 Page 2 of4 CATAWBA THIS IS NOT A PERMIT S — w zu z J``-z, cot. °x ;u � CATAWBA COUNTY HEALTH DEPARTMENT• Application for Environmental Services Page l Improvement Permit® Authorization to Construct❑ Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment E. Well Repair Existing System Inspection (Pre-Approval Required) Q Application is for. New Construction ❑( Existing Facility [] Property Address 6(257 Love PolAJ r RO Subdivision Lpt/E !OuJT 1)gl)VEP� Ale_ 22037 - 975"7 Lot# Acres 0.42 F Section/Block/Phase Driving Directions to Property Ai, •e. • • ;., i. _ _ 251 • Forme & m STOP s7s41. ikOPrery is A0-8CieW rtr sT,e«T- NAME TO APPEAR ON PERMIT? Owner ❑Applicant ❑ Contractor Applicant Contact Information �y Name CH,e/S r oPHER a KRt577' of[CH62_ i-®31')'1()11 oCb, Address 2650 &q,y 6Y CH4eu17rE 9e .206- 0 - A),4 Cell Phone 5.10 ` ? -8257 Owner Contact Information Name Address Phone Cell Phone • Contractor Contact Inform aCo_n _ -4 • 'kJ', a Name folman ot vra"- q Address Phone Cell Phone ' ®y ._ , C 11 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Zipplicant (l Contractor Description of Existing Structures on Site SIn1CtLE fro(DC /IAO&LE HOME— of Bedrooms *j (2) 77,cC Structure Dimensions /21 X S6 t #of Occupants Basement ❑ Yes 2-No Basement Fixtures Q Yes ®' 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. ® Y 53No Does the site contain any jurisdictional wetlands? Yes 0N Does the site contain any existing wastewater systems? ❑ Yes no Is any wastewater going to be generated on the site other than domestic sewage? Yes 2/No Is the site subject to approval by any other public agency? 2 Yes 10 No Are there any easements or right of ways on this property? Describe �i 1.1i CAU�t Existing water supply in use (J Individual Well Community Well [J 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 0 Conventional ❑ Innovative ❑ Other ❑ Any c A M. L�A THIS IS NOT A PERMIT COUNTY ("*. CATAWBA COUNTY HEALTH 1DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type z ❑ Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *1' 3 Project Description .S14141E F /z.y 1 .16 Structure Dimens ns 25'x 75 r #of Occupants 7' Basement Yes ❑ No Basement Fixtures Ts ® No ❑ Accessory Structure(s)- 'Describe #'of New Bedrooms *j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes No Plumbing ❑ Yes • E. No •:Describe Plumbing Needed' - '• • E. Multi-Family Residence#Units • • #Bedrooms per Unit*j 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 SP:1ft # of Shifts ❑ Other Facility Tyjhe 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 1 Community Well Abandonment Type ❑ Drilled ❑ Bored n Dug C 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 evaluation can be performed. /� Signature of Owner or Agent P tetcr-l� Date 42/4;4 7120/6 Printed Name of Owner or Agent efitRISTOPHfR R AAICHez_. CATAWBA Geospatial "` _.___. Information Services Real Estate Search ii ,„1, / ii „_, . • . • J t _. 13.78 i ... . , . ' veV . . .; - " ♦ t- '4.. ' CD t .- y CO ■ akP • .i; Driveway , /it 80 feet' Illi; ""%..„406... . .; 35 v / Feet? 11. le Q' { t ZQO 11144e. - 1, 4, r 1 Existinc .or., II , t• septic? y 711Sliti.,..c,t_ y •". �. L. L r` t Existing structure i ` 'J 12X56feet '. '. • ' A - O ; wr Proposed structure , 25 X 75 feet y 52.73 V 4965 : • t -N.\ • 30.59 N WE S 1 in=75ft Parcel: 369602655113, 6657 LOVE POINT RD DENVER, 28037 Owners: FISHER DOUGLAS G, Owner Address: PO BOX 513 Catawba County Environmental Health 11 , 78 \ 0 6673 1 11.00 ti 20 z \ 534 • o. �, 11282 of /�'( \ o�'I if, l: 06657 � �a u� ir F iti > II'' l o � ll 1 � �l It Cr u1 � t r loi O ■ //\ 4iI4WbIL "((' �� 33 25.85 I, r f{ k f h , s �IrOfit4 I Li'lll,�l • , ,,,riot' it. f dl ill I�C1 i IV m'A�' ulf ;l i 152. 'a 4, ' ,4-4 c7 �jx �" ► a If�E�f. 1� l�lI�� 'a �I' On �f I Ir O fI71 O .4. 1 l,i, ., iif t rill; Parcel:tO 0 li \ p 3 z �";x;.Il l .414311.1.1114, Parcel: 369602655113, 6657 LOVE POINT RD tin=50ft DENVER, 28037 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 05/23/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 369602655113 Owner: FISHER DOUGLAS G Parcel Address: 6657 LOVE POINT RD Owner2: null City: DENVER, 28037 Address: PO BOX 513 LRK(REID): 17406 Address2: null Deed Book/Page: 2845/0269 City: DAVIDSON Subdivision: null State/Zip: NC 28036-0513 Lots/Block: 1&ADJ/ null Last Sale: $95,000 on 2007-06-19 School Information: Plat Book/Page: 17/198 School District: COUNTY Legal: LOT 1&ADJ 1 +PT SPOIL PL17-198 PL Elementary School: BALLS CREEK Middle School: MILL CREEK 17-198 Calculated Acreage: .940 High School: BANDYS Tax Map: 016CX 01001 School Map Township: MOUNTAIN CREEK State Road #: 2732 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: $0 Zoning2: null Land Value: $99,700 Zoning3: null Assessed Total Value: $99,700 Zoning Overlay: CRC-O,WP-O,FPM-O 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: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710369600J Building Details 2010 Census Block: 4059 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=369602655 1 1 3&typ=P 5/23/2016 ■ I � P ta;ki` 3 IcJ a op 4h e ' ' ° n + — WENOE[L O. 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