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HomeMy WebLinkAboutEHPR-06-2016-24144 (2).TIF y5‘7,A ; sG THIS IS NOT A PERMIT Case # EHPR-06-2016-24144 CATA WBA COUNTY HEALTH DEPARTMENT `� '� 'cQ q�'!''�i �I PLAN REVI LW APPLICATION FOR ENVIRONMENTAL SERVICES ..g42 :: Environmental Health Plan Review - OSWP �� IMPROVEMENT .-s• � . }t Owner DAVID BELL, 1908 ENOREE ST, CLAREMONT NC 28610 H:8289944178 C:8284555577 HOME:8289944178 NAME TO APPEAR ON PERMIT David Bell SITE ADDRESS: 1903 ENOREE ST, CLAREMONT NC 28610 PIN # 376120824378 NAME of SUBDIVISION: LAZY SDEVELOPMENT" Lot ft 1 Section/Block PROPERTY SIZE: SquareFeet 20,037.60 Acres .46 DIRECTIONS: Bethany Church Rd, Boggs Rd, Left onto Hunsucker Dr, Right at stop sign onto Enoree St, Last Lot on the Right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: IP for Subdividing` 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home 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:: DW 28x56 w/Decks: Front Steps, Back 10x12 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? 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 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 acce• 'le so that. c. {Dieted ite eval ation can be performed. Date:_‘-2 — / G Signature of Applicant or Agent A, An Environmental I Icalth Specialist will contact you within 5 working days of application date. If you aced further information or assistance please call 828-466-7291 AREA2 iiiiiii.xi..—,...iii. M:....-ii> x:µ....MFi=..................g#ti>kASk ...............F##i#YMkW ....##dd##.. L9-ehapplicanon 06/22/2016 10:26 Page 1 of4 �A CATA BA COUNTY Case fi EHPR-06-2016-24144 e i Public I health Deparimen. Subdivision LAZY S DEVELOPMENT .�0-y �,,, Enrir,nuncmal I-Icalth Di,isto" PINk 376120824378 �'-alli / PO lido 389. 100-A Southwest I Sled.Newton.NC 28653 /842 o NAME ON PERMIT: ( DAVID 11ELL), 1908 ENOREE ST, CLAREMONT NC 28610 ( David Bell) Site Address: 1903 ENOREE ST, CLAREMONT NC 28610 Property Size: Square Feet 20,037.60 Acres .46 Directions: Bethany Church f2d, 13oggs Rd, Left onto Hunsucker Dr, Right at stop sign onto Enoree St, Last Lot on the Right +"'^ n p r tl m^ TAI N,I. I) , . t�iVtii!ilrtl'llI���i� ��, 'i)�.,.' 7 ' II t�II`o-1FllUl �. 1 I� p 1M 11191RE[I LFEENANIE ,IIllir !h l!,1:3 �.,i,!„: �DJtilia.h:I�yDATE�Ii „ihiliitTEEiA'MOUN!T, Improvement Permit Fee 06/22/2016 5150.00 Iilii 1):iI ,,IOIAL;FEES ' 't _ Mhfll�il�Nii 4p111illi .1111 1:', SI5000I�t�� ��TII11111411. ..1, t., I h�..... �IIILI)eIJ i Lilt alai 1� ,I '!. 3111IIII45VIL , ,,J INIIIIIKI! liiiitb 7rclill Lh11611111l11eliiltl,ilL FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WOR K ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 69-ehappiicatina _ 06/22/2016 10:26 Page 2 of CATA ]BA THIS IS NOT A PERMIT coonry ;� , CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 norm c i Improvement Permi Authorization to Construct n Septic Repair n Septic Malfunction❑ Septic Exp. sion)—I New Well Permit Li Replacement Well ❑ Well Abandonment❑ Well Repair Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ 8 Property Address Subdivision Lot# Acres / p pSection/Blopck/Phase . Driving Directions to Property EeTl9yy ClY . Rfi. O 8,'&es old .deft an Huni uck,t DR. ei' Gd 577 5�: . o ftiOKee $ Le • , a 17- 1 I NAME TO APPEAR ON PERMIT? [ Owner Applicant Contractor Applicant Contact Information Name OAll iI) A- . &e I/ Address i 9OR ENoRee sr rill R.eyrin 7- /VC _ of /O Phone h a al - 99 v , L i 1 7 - Cell Phone 3„,, - / 55 - 55 7 7 ' Owner Contact Information Name D A V i D t9. eel' l / ` Address �Q (7 $ E//8A�e 57 c/o P /I10A/t /!� 27tP7v ' Phone 1512,I( 9 94 xf/ 7 Cell 'Phone72ff 4/55 55 7 7 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? WOwner (Applicant ❑ Contractor Description of Existing Structures on Site Vapri' din-- # of Bedrooms t(• Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes 0 No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the prop rty in question. If the answer to any question is "yes", applicant must attach supporting documentation. © Yes o Does the site contain any jurisdictional wetlands? 0 Yes o Does the site contain any existing wastewater systems? O Yes ' ' o Is any wastewater going to be generated on the site other than domestic sewage? la Yes o Is the site subject to approval by any other public agency? O 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? ** E. 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 ❑ Conventional ❑ Innovative ❑ Other Any rA ri'� t A THIS IS NOT A PERMIT f�AJ}1 CATAWBA COUNTY HEALTH DEPARTMENT , �:®.�J wen„„,o,�,.„ Application for Environmental Services Page . mss_ Proposed Facility Type t n x Primary Residence VI/New Residence ❑ Addition to Residence # of New Bedrooms *j +l l Project Description O a u b l e de Structure Dimensions a g' X 5 1p' ft of Occupants Basement n Yes 121-"No Basement Fixtures ® Yes 0 No _ Accessory Structure(s) Describe # of New Bedrooms *j if applicable - Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes n No Plumbing n Yes n No Describe Plumbing Needed I Multi-Family Residence#Units #Bedrooms per Unit*j' Total# Bedrooms *j Structure Dimensions n Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area (Sq. Ft.) [ I Business Specific Type of Business Retail Floor Space # of Employees per Shift #of Shifts n 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 H Community Well Abandonment Type ❑ Drilled n Bored n 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. 1- 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 Pemits 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 depai nuent 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./. / ^� J Signature of Owner or Agent iF4AJi'/ - ,�/ Date !O d / 4 Printed Name of Owner or Agent DM 1/I D A - 8c II Catawba County Environmental Health 011 0 co" • / O R7cyQR�,91.4., X642 7 4 co m :1 :2 7 0•'� ~ORF6 ST (234) � 81.82 ll, 1 74 I' vr , .. ...... ... .. , , , 6,60 , .... .,.., N. N. N. N. 1 it 1.02` e \ t a \ :, ti 4e4r- O, i nP; . �. 'pIr' l il' i1'. '6000 60 affil 3), ,,• 'a, aqs-aR ��� !V.I. . to 0 8y I s.z1 / �I'1 /pb i 1 --�y 4 J F fl iil1, 1 P dill' 4 1 ��11{r.A1 AI*le co ��� N it l Parcel: 376120824378, 1908 ENOREE ST 1 in=80ft 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 06/22/2016 Catawba County Environmental Health /I -..., .,, ' .? 7e i 40 ! rbR�cyQRp ST 7600 o NI? 1p.r - 00 • ` 0 60 • • 03 ` O• e Alt. ... ,.. ` 00. ev 4O • w 0 6 G.00 .60 a qS��04, p • Parcel: 376120824378, 1908 ENOREE ST 1 in=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 shah not be hold 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 06/22/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376120824378 Owner: BELL DAVID ARTHUR Parcel Address: 1908 ENOREE ST Owner2: BELL KIM SIGMON City: CLAREMONT, 28610 Address: 1908 ENOREE ST LRK(REID): 24233 Address2: null Deed Book/Page: 3341/0048 City: CLAREMONT Subdivision: LAZY S DEVELOPMENT State/Zip: NC 28610-8258 Lots/Block: 46,48, 66, 68/ Last Sale: School Information: Plat Book/Page: 15/165 School District: COUNTY Legal: LOT 66 LAZY-S PL 15-165 Elementary School: CATAWBA Middle School: RIVER BEND Calculated Acreage: 2.900 Tax Map: 025AY 04012 High School: BUNKER HILL Township: CATAWBA School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoningl: R-20 Building(s) Value: $119,300 Zoning2: null Land Value: $11,300 Zoning3: null Assessed Total Value: $130,600 Zoning Overlay: WP-O,FPM-O Year Built/Remodeled: 1979/null Small Area: CATAWBA 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 #: 3710376100J Building Details 2010 Census Block: 2027 WaterShed: WS-IV Protected Area 2010 Census Tract: 011401 Voter Precinct: P5 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 mapfreport product or the use thereof by any person or entity. 0 2016. Catawba County Government, North Carolina. All rights reserved. Q9 AcA-„ . )qo Enor • http://gis.catawbacountync.gov/nomap/parcel_report.php?key=376120824378&typ=P 6/22/2016 �'A �' CATAWBA COUNTY ..4 �G 100A SOUTHWEST BLVD 7,7:75g Y NEWTON,NORTH CAROLINA 28658 RECEIPT d ,._�I qi •a►e PHONE: 828.465.8399 U �. �e�° Wednesday, June 22, 2016 /842, sr,' www.calawbacountync.gov PAYOR: Bell. David PAYMENTS TRANSACTION NUMBER: TRC-698893-22-06-2016 PAYMENT DATE : 06/22/2016 PAYMENT TYPE: Check 4058 INVOICE NUMBER FEE NAME FEE AMOUNT 06-16-329718 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 El-I PR-06-20 1 6-24 1 4 4 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1903 ENOREE ST, CLAREMONT NC 28610 Applicant DAVID BELL, 1908 ENOREE ST, CLAREMONT NC 28610 11:8289944178C:8284555577 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 06/22/2016 1025 Page I of I