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Home My WebLink AboutEHPR-11-09-2811.TIF THIS IS NOT A PERMIT Case # EHPR-1 1-09-2811 a CATAWBA COUNTY HEALTH DEPARTMENT d V C Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXS SYSTEM APPLICANT OWNER CONTRACTOR ROBERT ISENBERG ROBERT ISENBERG 6962 PEBBLE BAY DR 6962 PEBBLE BAY DR DENVER NC 28037 DENVER NC 28037 865-755-4311 865-755-431 1 NAME TO APPEAR ON PERMIT ROBERT ISENBERG Pin#: 369602867090 SITE ADDRESS: 6962 PEBBLE BAY DR, Denver, NC DIRECTIONS: 16S/ CAMPGROUND RD/ LEFT CATAWBA BURRIS RD/ 2 MILES TO PEBBLE BARY DR ON LEFT / LEFT 3RD HOUSE ON RIGHT NAME of SUBDIVISION: PEBBLE BAY PH I Lot # 45 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.99 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 1 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: PVT DETACHED GARAGE 28 X 32 Has any grading, removal, or addition of soil been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE Type of Water Supply: Individual Well Community Well X Municipal Semi-Public I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: I' l :10 o q Signature of Applicant or Agent An nvironmental Health Specialist will contact you within 2 working days of applicat' n ate. If you need further information or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: des No Zoning Approval 420W.-11 - D5/ A-1 JUDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 10 Existing Tank Check Fee 11/20/2009 $80.00 Rear 5 TOTAL FEES $80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/20/09 09:01 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ /Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ® New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I. Name to Appear on Permit AISE74T CIJ OR 2. Permit Re0(0;d uested By Business Phone - Address E fl q WK Home Phone S3 T 3. Property Owner 6 Business Phone Address VC Dedvw% Home Phonel2jV V8 3•S1'9 4. Name of Subdivision GA Y Lot #~s Section/Block/Phase -11 Property Address - &Y Of V(, Directions to Property: 1(0 5NAh o CAm C 1000D AI S a1 iw, op r. 7 lCF R ab6 0,~ F-Ijkf! 5. Property Size: Square Feet Acres • Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structured 3a Bedrooms* *Any room that I]] be intended for sleeping at the time of construction 01 '1'01- 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 ofbuilding permit, issuance. This may prevent the need for system size increase in the future. Basement: yes/no Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes/no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of hildren IV )A RESTAURANT: Seats N~ Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: 16 Number of Employees I st 2nd 3rd OTHER: (Specify) DrTIV0a) LA 7. Do you anticipate any additions to Facility? Yes / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes No 10. Is a public water supply available on or adjacent to the above property? es No Check type that is available: Community well [ ] Semi-public well [ ] County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO HE PROPERTY, T WERE IS AN ADDITIONAL CHARGE.** Date 1 d Signature of Owner or Agent z~jm /IV jw~ U -I%k CATAWBA COUNTY HEALTH DEPARTMENT P" Telephone: (828) 465-8270 T D: (828) 465-8200 WLS OOer~(7 Improvement Permit ACK Repair Permit. Operation Permit. System Type Well Permit. Replacement Well Owner/Agent e;ws Phone Address 6 /u A-1 Subdivision VC- Section/Block/Phase Lot#~5_ Lot Size Directions: 410S f,~ ~a.rriS Property Address~~( r!` P Facility: House Mobile Home Business Multi-family Other: Pin Number 1 - - - 1/0 Other . Zoning Approval # # Bedrooms # Seats # Employees . Application Rate OJ5- GPD Flow I- Hot Tub or Spa yes/no Special Fixtures Basement yes/no . 100% Repair Aret5~.s/no Basement Plumbing yes/no Water Supply:' Private Well Public., Semi-Public Type of System: Trench_x_ Bed Pump Pump/Panel _ Panel LPP Other Septic Tank Size 14IV91~-11 Pump Tani: Size Nitrification Field: Total Square Feet - Depth of Stone f z Bed Size Trench Width ~ih Total Length of All Trenches ~3-/_S Number of Trenches 3 Trench Length 11-5 1115 /Feet on Center~ Maximum Trench DepthDistance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo ` - d % Slope ( 30 Texture C' Structure -Z ~ I PenlNA Clay Min, , I r~Ir Soil Wetness" Soil Depth Restric. Hoz. at l' Available space no I 7 O Overall Class U Comments: ~n s0 _ 1 ~1 a~a os. I a C3 d r0 P bQX~s I I ,2~~~ 5~~ ~ a S `J o f qc loo, ~ (~,~a5 Filter Required j r'73 Riser required when tank is more than 6 inches deep. **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 any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from know o Bible sources of contamination. No volume of water is guaranteed at any site by t e Health Department. Permit Date /G-1 y - EHS _ c.tt /~.S Owner/Agent et ~ Septic Tank Install By C -j ['e, Date 0 as EHS t~ t,k Well Installed By /VL~L Well Grout Approval Date /5t Well Head Approval Date Afy Date Sample Collected Date of Results_ Results EHS 4- Q White - Office Yellow - Owner/Agent Pink - Building Inspection Authorization to Constnict CATAWBA COUNTY PERMIT co ZONING AUTHORIZATION R Accessory Structure w7~~ l'. I3ox 389 PERMIT NO: ZONR-11-09-2812 ~.r I OOA Southwest 131vd U ~~1'►~' APPLIED: 11/20/2009 , Newton, North Carolina 28658 ISSUED: 11/20/2009 GXPIRI_;S: 05/19/2010 4 ~ SM Phone: 828-465-8380 I-'/\X: 828-465-8962 www.calawbacountync.gov APPLICANT OWNER CONTRACTOR ROBERT ISENBERG ROBERT ISENBERG 6962 PEBBLE BAY DR 6962 PEBBLE BAY DR DENVER NC 28037 DENVER NC 28037 PROPERTY ID/I: 369602867090 CENSUS TRACT: STREET ADDRESS: 6962 PEBBLE BAY DR, Denver. NC LOT# 45 PROJECT DESCRIPTION: PV f DETACI-IED GARAGI-28 X 32 IN R1=.AR YARD AREA DIRECTIONS: COMMENTS: PV"I'DE"fACI-IhD GARAGE 28 X 32 IN REAR YARD AREA FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 10.00 FLOOD PLAIN, STRUCTURE? No MAX 1-1EIG111': 45.00 REAR: 5.00 SIDE I: VALUE: 0 CORNER: SIDI 2: L Before an inspection can be made by the Building Inspection 017-ice, the applicant must pull a string to designate the side and rear property lines where the sU'ucture is being placed or constructed. 2. Accessory structures shall only be located in side or rear vards. 3. Accessory structures shall not be attached in any way to the principle structure. 4. Accessory structures shall only be used I01- private residential purposes. 5. IManufactured homes shall not be used as accessory structures. 6. Accessory structures may not be used for living purposes. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 11/20/2009 $25.00 TOTAL FEES $25,00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowled(acs that this permit was issued on the basis of the information required herein. The applicant further- acknowlcdgcs that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said si mcture into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility ol'Applicant to comply with all existing deed restrictions pertaining to the property. Issuance ofthis permit is not certification of such compliance and does not relieve Applicant ol'the duty to comply. "This Zonin~g/Authorization Permit shall expire six months from the date f issuance unless a bui mg lit is secured and remains active). APPLICANTNAiiME (PRINTHD) APPLICANT SIGNATURE Z0,ING APPROVI D BY ****x ZONING FEES ARE NON-REFUNDABLE ***r CONM PANY NAiMI; I -'Paec t of 1 Catawba County, North Carolina 77?is mall) prodncr was prepored from the Colowho Collin 7, XC, Geogrophic Infarma+ion St sleet. N Catou'ha Comm; has node srhbsialmal efforr.s fo ensm e the accuracy of locolion cord hrheling ih formation anvobhed on this mop. Caanrho Connly promotes and recommends the independent her fcolion of om. data contained on this prop product by the user. The Cormh ofCalorrho, ins emplot ees, agents and personnel disclaim, and ,sholl rrat he held liohle for onV cod all domoges, loss or liohihir, whether direct, indirect or consequental which arises or may anise from this trap product or the use thereof by onn: person or entih- Legend Selected Parcel Number: 3696-02-86-7090 1 inch = 60 feet Prepared for 1.21 434 4\1 .27A _ cr. x.46 1 7 46 c co a ~ Q 45 1 - c9 .o 44 r If -1.04A 9044 A 0 1.06A 70 90 )908 3 A 7 Q -83 86 173 SAY''D p, 1 -7----- (164) THIS IS NOT A LEGAL DOCUMEN 1 60.20 Friday, November 20, 2009 08:28 ANN I 1 I CATAWBA COUNTY NC - Parcel Report Information' Regarding Selected Parcel(s) Parcel ID: 3696-02-86-7090 Name: ISENBERG ROBERT K Name2: ISENBERG ROBIN T Address: 6962 PEBBLE BAY DR Address2: City: DENVER State: NC Zip: 28037-7661 Account: 201046 Calc Acreage: 0.99 Tax Map: LR K: 802486 Deed Book: 2673 Deed Page: 1832 Subdivision Name: PEBBLE BAY PH 1 Subdivision Block: Lots: 45 Plat Book: 58 Plat Page: 197 Building Number: 6962 Street Name: PEBBLE BAY DR Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $296,800 Land Value: $49,800 Total Value: $346,600 Year Built: 2005 Year Remodeled: Last Sale Date: 6/30/2005 Last Sale Amount: $305,000 Neighborhood: 131 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 4012 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Friday, November 20, 2009 08:28 AM