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HomeMy WebLinkAboutRBPR-07-2016-24251.TIF $A • THIS IS NOT A PERMIT Case # RBPR-07-2016-24251 tri 111 a CATAWBA COUNTY HEALTH DEPARTMENT o "" 41 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig. 2 su Residential Building Plan Review - Building New rro 4. AUTH CONST - NEW WELLrz,k Dr o}' U(eupaa-s febSed Contractor *CAPOTE BUILDERS & DEVELOPMENT COMPANY (ANTONIO CAPOTE), 5426 CAPOTE RD, MAIDEN NC 28650 B:(704)400-5481 C:704-400-5481 TONYF:704-483-0182 TONY@CAPOTEBUILDERS.COM Owner GLENN DRUM, 2142 BUFFALO SHOALS RD,CATAWBA NC 28609 NAME TO APPEAR ON PERMIT *CAPOTE BUILDERS Sr DEVELOPMENT COMPANY (Antonio Capote) SITE ADDRESS: 2941 CABIN CREEK DR,CATAWBA NC 28609 PIN # 368804940022 NAME of SUBDIVISION: CABIN CREEK Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 4.23 DIRECTIONS: 150 E, RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD, GO APPROX. 2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 9/1/16 - Received New Site Plan. Changed to 3 BdRms -360 GPD. Updated House Dimensions 62x6( BUILDING NEW 4 BEDROOM SINGLE FAMILY DWELLING 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? No 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: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 62x66 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehappl int ion 09/13/2016 14:03 Page I of ,o CATAWBA COUNTY c s RBPR-07-2016-24251 fs L Public Health Department Subdivision CABIN CREEK 4 Its® `' Environmental Health Division ®r : PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 PIN# 368804940022 1� SM NAME ON PERMIT: *CAPOTE BUILDERS& DEVELOPMENT COMPANY (ANTONIO CAPOTE), 5426 CAPOTE RD, MAIDEN 28650 *CAPOTE BUILDERS & DEVELOPMENT COMPANY ( Antonio Capote) Site Address: 2941 CABIN CREEK DR, CATAWBANC 28609 Property Size: Square Feet Acres 4.23 Directions: 150 E, RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD, GO APPROX. 2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT 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 law .. rum rstand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site a cess? . . - - site evaluation can be performed. Date: q- F3- ICc Signature of Applicant or Agent : �nk 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 *....********************..*********..*.********.gp.....**.***********.......**...****.**************.**.*ry..** jFECNAME rd ori f+£a�i"hz' ""'7 k't i1R! g ' .—.p i P.i F P I w .'Y.I -e-," ,y'ir,ka of v 9 p�Ps9�9 o- E I1 "i€;.=9 j,d,wtis,3��,i., Fi,ro' DATEt _ ""/ FEEAMOUNTrt) Authorization to Construct Fee (New/Expansion) 07/11/2016 $300.00 Fee Well Permit & Inspection Fee 07/11/2016 $300.00 y' r�G7u,�sy ., - t, t '666-416011P �y I * :+, - AL FFFS k.ar"/4:l ,,:,4k r wR r -: ' y M..:4 c;: $ d i -..r e r.VP •....a.xu-_ ....._r,4#.S.3riSEa H.,",....h.!- 2..,.-E?,9{'.-3::_.M.., =+"_m,.a-,: .. .. _.-.,...,.,i6,! 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) 19-chapplicarion 09/13/2016 14:03 Page 2 of 5 y�Y'A THIS IS NOTA PERMIT Case # RBPR-07-2016-24251 4;10Q • v �«� fv��- CATAWBA COUNTY HEALTH DEPARTMENT Ele no • fes' � �jp!' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES h • ' t \842 sM Residential Building Plan Review - Building New o -r a. AUTH_CONST- NEW WELL ' r x � ❑� . .6° -::43. : VewcA q ► 1 I P -- O,�Y� '?1A ,P Qi SiAC 2CYM v Contractor *CAPOTE BUILDERS&DEVELOPMENT COMPANY (ANTONIO CAPOTE), 5426 CAPOTE RD, MAIDEN NC 28650 B:(704)400-5481 C:704-400-5481 TONYF:704-483-0182 TONY@CAPOTEBUILDERS.COM Owner GLENN DRUM,2142 BUFFALO SHOALS RD, CATAWBA NC 28609 NAME TO APPEAR ON PERMIT *CAPOTE BUILDERS & DEVELOPMENT COMPANY (Antonio Capote) SITE ADDRESS: 2941 CABIN CREEK DR, CATAWBA NC 28609 PIN # 368804940022 NAME of SUBDIVISION: CABIN CREEK Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 4.23 - DIRECTIONS: 150 E, RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD, GO APPROX. 2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 9/1/16 - Received New Site Plan. Changed to 3 BdRms - 360 GPD. Updated House Dimensions 62x6( BUILDING NEW 4 BEDROOM SINGLE FAMILY DWELLING 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? No 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: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 62x66 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehappllcation 09/01/2016 14.33 Page 1 of 5 I .lq. CATAWBA COUNTY Case 4 RBPR-07-2016-24251 RAO Pubepartmentlic Health DCABIN CREEK �r; Environmental.Health DiviSubdivision sion PINK 40 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 368804940022 9 2 NAME ON PERMIT: *CAPOTE BUILDERS&DEVELOPMENT COMPANY (ANTONIO CAPOTE), 5426 CAPOTE RD,MAIDEN 23650 'CAPOTE BUILDERS&DEVELOPMENT COMPANY (Antonio Capote) Site Address: 2941 CABIN CREEK DR,CATAWBA NO 28609 Property Size: Square Feet Acres 4.23 Y_ ` Directions: 150 E.RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD, GO APPROX.2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT 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. Permitsmay berevoked 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 acp£ssib complete site evaluation can be performed. Date: 9-1-t6 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 hurt.*tt*tttFata** rtitttrttttttt*teat ttt ttt aaxtaitottsttMtt ttJtHtt. FEEN'AME' `y� : {� ayy J t1'�S ` : +'g''' DAIS' 14 8'EEf% UNT 11• Authorization to Construct Fee(New/Expansion) . 07/11/2016 $300.00 Fee Well Permit Inspection Fee_ 07/11/2016 $300.00 'TOTALfF`EL ""a:_'..' .Yrr '. ° Ne' S60Q'00 • r '1' nurmteimiwrnrTIVVII ITIMES:: trilrifralre smn 44 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS'COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • • • • E9•Nrapplicudrm 09/01/2016 11:49 Page 2 of 5 • Catawba County Environmental Health `-..*e 19. it 90 _et 4SN %ht._ el • '.1 ti 7a1 4;'Eifi X90 1 _„ 41111: • 4 --1.7.44>11 41111* - e80 III I ti . an z. , ,. ..,„„,44, 44c . _..... „,.. . • .,„,,„i ,, ICC!'h r ♦ Jpidl-r4 ' V ' ‘05t1 0 � MA Parcel: 368804940022, 2941 CABIN CREEK DR lin=100ft CATAWBA, 28609 • This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. CatawbaCounty has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user The County of Catawba,its employees,agents,and personnel.disclaim.end shill not be held table for any and all damages,loss or liability:whether direct interact or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014Catawba County NC • ! 09/01/2016 - i I v�$A THIS IS NOT A PERMIT Case # PR-07-2 0 1 6-2425 1 / � ma��,� CATAWBA COUNTY HEALTH DEPARTMENT .r1 o � �'' m PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 �M Residential Building Plan Review - Building New o • •o A AUTH_CONST - NEW WELL :yFr` • Contractor *CAPOTE BUILDERS & DEVELOPMENT COMPANY (ANTONIO CAPOTE), 5426 CAPOTE RD MAIDEN NC 28650 B:(704)400-5481 C:704-400-5481 TONYF:704-483-0182 TONY @CAPOTEBUILDERS.COM Owner GLENN DRUM, 2142 BUFFALO SHOALS RD, CATAWBA NC 28609 NAME TO APPEAR ON PERMIT *CAPOTE BUILDERS & DEVELOPMENT COMPANY (Antonio Capote) SITE ADDRESS: 2941 CABIN CREEK DR, CATAWBA NC 28609 PIN # 368804940022 NAME of SUBDIVISION: CABIN CREEK Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 4.23 DIRECTIONS: 150 E, RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD, GO APPROX. 2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING NEW 4 BEDROOM SINGLE FAMILY DWELLING 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF 0 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 0 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 62X66 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplication 07/11/2016 10:49 Page 1 of 5 • • ,,A. H---"-_\ CATAWBA Cased RBPR-07-20[6-24251 /'tl Public Health Department Subdivision fx) CABIN CREEK 1E `3) Environmental Health Division PINT/ 368804940022 �\..,_ ®2 PO Box 339,100-A Southwest Blvd,Newton.NC 23658 /8 2 v, NAME ON PERMIT: *CAPOTE BUILDERS&DEVELOPMENT COMPANY (ANTONIO CAPOTE),5426 CAPOTE RD,MAIDEN NC 28650 *CAPOTE BUILDERS& DEVEL Site Address: 2941 CABIN CREEK DR,CATAWBA NC 28609 Property Size: Square Feet Acres 4.23 Directions: 150 E, RIGHT ON SHERRILLS FORD RD, LEFT ON JOE JOHNSON RD,GO APPROX.2.5 MILES LEFT ON CABIN CREEK DRIVE LOT#17 ON RIGHT Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions,An Authonzation 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 corre LAut ,_- --•county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws d rules. I nders tan•u r— so e y - •=•sible for the proper identification and labeling of all property lines and corners and making the site accessib a that a e luation can be pe armed. Date:_ 7-I/-/_o Signature of Applicant or:Age ,. An Environmental I lealth Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREAI ************************************************************************..**.roe*.******....***.*****..***.. :f , ... FEE AMOUNT Authorization to Construct Fee(New/Expansion) 07/I 1/2016 8300.00 Fee Well Permit&Inspection Fee 07/11/2016 8300.00 101AL:FEES .. ,,... 5600.00 . 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-ehaipllcacmr 07/11/2016 10:51 Page 2 of 5 CAr'" � \ �� A, IS NOT A PERMIT counr — " CATAWBA COUNTY HEALTH DEPARTMENT „o„„ ~e, Application for Environmental Services Page 1 Improvement Permit Authorization to Co truct® Septic Repair ❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit)Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction )4, Existing Facility P1 Property Address 94 I Car,) w.ee.k-a✓Cwt._ Subdivision CO n C a L Cal-nwho. N�. ZYl. on Lot# / 1 Acres tf• Z Acre. /� Section/Block/Phase Driving Directions to Property /-7,9 &- c; ) She✓., l is 6),-4 Ro. l c') Jo-e. loir;, n ('�0. GJ Apr/c; z•s-- win k- Dr.•v.z. (,of I.7 021 f - - NAME TO APPEAR ON PERMIT? I I Owner n Applicant k Contractor Applicant Contact Information Name CeleCk %durld•er S i t.LA4lana..---( Co. Address sVfl Copcie• (2<1. Phone l40.;cfen N�. 02c,sO I Cell Phone ')oy- ZO/- CCD 3Z Owner Contact Information Name Me✓;( N;eddo, Address Phone Cell Phone Contractor Contact Information Name (o ,-1-e_ v, lat./L lrielAcian«•--t 4 Address Cop l.ueoh Rr0, ft,4- dun, 2-G6`:>O Phone ')oil- 4oa - s4l Cell Phone - .q- 20 l-C-x32- WHO WILL BE THE PRIMARY CONTACT? n Owner ❑ Applicant a Contractor Description of Existing Structures on Site VOCOnj (-- - # of Bedrooms *•. Structure Dimensions # 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. O Yes ig No Does the site contain any jurisdictional wetlands? O Yes nIcNo Does the site contain any existing wastewater systems? 0 Yes EP No Is any wastewater going to be generated on the site other than domestic sewage? , Yes ^:do Is the site subject to approval by any other public agency? Yes g}No Are there any easements or right of ways on this property? Describe Existing water supply in use ® Individual Well n Community Well ❑ Semi-Public Well ❑ 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 1g1 Conventional 111 Innovative ❑ Other ❑ Any tex $`i]U A THIS IS NOT A PERMIT couN ry 1 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence iS New Residence Addition to Residence # of New Bedrooms *j' Project Description 5,,, Fati,;1 New (its:dw._t Structure Dimensions (a> *t° ' # of Occupants _ g Basement n Yes �]C No Basement Fixtures in Yes n No IT Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed I Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *.t. 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.) n 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 n Semi-Public Well n Community Well Abandonment Type n Drilled ❑ Bored n Dug n Unknown Well Repair Requested ❑ Yes ❑ 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 r Agen `� Date 7- /l-/G Printed Name of Owner or Agent /er✓ ea. R°'kf�^ Catawba County Environmental Health (tb :v.g0, \---\\ ''\.J 5 -1,b- 1- 0 2-951 g6 3 920 9 � . . Alit Mali NY Cs A 07 y i CI St --, UB� : /. N.,Nat4 els "sue I . s. '49 cbc)3"." \\:\ t il Cr 332.•1 I��IWdN I t5.�� , \ 1\ i . a° f Parcel: 368804940022, 2941 CABIN CREEK DR 1in=100ft 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 07/11/2016 V. • 1 a-"� man •R 5-7 ,fit g'�".wS°i .In my xeu PAWLS IOr(..Pmsurs rmK s +Alan ro'-y 1/.. ama x 1 3¢=y >1 CIC I 1 - f J m ga& o° y e:` .-.g'I% 0 WIZ i BATH BEOROOM y R2 S1 q KITCHEN - I GgMhY ROOAII h MASTER < 9X� L , M2 i.Q y .1 BEDROOM = 3y d� N �� "`��® � III „� 0 .Kali � ,tai v. —II!■ ;Z I��, �y :. _ _ „ _I _ MO P4 BA AB: -4C AB Et �al li ,�I� o : :h Zs I th I'--� a .I.■■ C:OSEi I MASTER Uy ;y O c I x y�9Rls o =M� BATH 1 ~ . 5.99 - _ BEDROOM Ia _ I�IpTIM � BINING ���'� "� I y �_ C my N is3�a ■ 1 � "a z o vs U+lun RQ M 1 fFm O III? C`4,a3 ,2'Als -„A• amn " ,-I lir I� q-o ri 1im Imo' Irater-„/�' 1III. • -,I .g -,yr Pun' I IlIIlI'.�TI�[o.° F9WR :'!i. " ] IIal�� F,. 1I�1- I =r, -SPECIAL 931131 40- ON SITE GARAGE �� 2 0.4P. J 1.BY OTHERS. _ mIro m— OY,M OIA ROOM Mac ,IZK :52 i i ° ei FTRST E o�� ._,�- V., U g 1 i o a E3'-10"X 64.-N" PORCH F u"iav Vic !3'-10"X 66'-0' 0 c o x E in w TOTAL = 2102 SO/FT _ 11111,------1.1 11.1 !F. O EXPANDABLE AREA n-w 0. — X TOTAL = I32.1 S0/FT n._i 3/,. 11 - CD . w = TOTAL,3425 SOFT II-P - - Q Naz a r I w KC � 7.Ot h Nib is I I I 7 gg h� r o $ OPT. WALK OUT r s'-r p s TO ONSTE GARAGE / ��A m �✓' 2 l i N ns I cw - - - -° °- - - -� ., - - - - - J :6- W €U- U R od OZ Co 9FD WP6 zo 01N S TE GARAGE ,_ _ _ , 1 o p BY OTHERS. w z '2 a I ce g • Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 368804940022 Owner: DRUM GLENN R Parcel Address: 2941 CABIN CREEK DR Owner2: null City: CATAWBA, 28609 Address: 2142 BUFFALO SHOALS RD LRK(REID): 801442 Address2: null Deed Book/Page: 3240/1882 City: CATAWBA Subdivision: CABIN CREEK State/Zip: NC 28609-8031 Lots/Block: 17/ School Information: Last Sale: $28,000 on 2014-05-16 Plat Book/Page: 48/3 School District: COUNTY Legal: LOT 17 PLAT 48-3 Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 4.230 High School: BANDYS Tax Map: null School Map Township: MOUNTAIN CREEK State Road #: 3108 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $34,500 Zoning3: Assessed Total Value: $34,500 Zoning Overlay: WP-O Year Built/Remodeled: null/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710368800J Building Details 2010 Census Block: 3018 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 Voter Precinct: P31 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/repod product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/repod product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. ( C 1 A Pc, v\iket, 13dy)(4 Liao Geo ide6 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=368804940022&typ=P 7/11/2016 CATAWBA COUNTY HEALTH DEPARTMENT I' Telephone: (828)465-8270 TDD: (828)465,8200 WLS #a0OS-009$r Improvement Permit X AC Repair Permit, Operation Permit. System Type_ Well Permit. Replacement Well Owner/Agent �,p/pJ L, 4)ICPDA- Phone Address a 9/ r.A4 I(A 2 /1ecF' DO1L.V Subdivision coil rQ EE" C;a-TA *I i , " _ ! ' Section/Block/Phase . Lot# I? Lot Size lL,. nos Directions: /512 E ' 0 .itiogwejtc J r.mvp l oirko d .-OT To�1rj6NV R4, -L] . Go an COX a S ,miz_ ( C n gmi ' Ey r I 0 , ri r ✓ (fie ) Property Address f/ s Facility: House X Mobile Home Business Multi-family Other: Pin Number <3 G.?2 0 V 9 V 60 aa, Other . Zoning Approval# # Bedrooms #Seats # Employees . Application Rate _,.,:i GPD Flow !/,¢) Hot Tub or Spa yes elt.recial Fixtures ' • Basement anliko . 100% Repair Area yes/no Basement Plumbing Cla'S • Water SuppliTtE Private Well Public Semi-Public Type of System: Trench - Bed— Pump ` Pump/Panel — Panel — LPP— Other c- r de RPtu.YrrrN airs, Septic Tank Size .--- Pump Tank Size Nitrification Field: Total Square Feet /.fin Depth of Stone /WA- Bed Size --- Trench Width Total Length of All Trenches --- Number of Trenches Trench Length —/ / — / / / 'eet o -- - _-;i:a - um Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* 'tWELL RECORD REQUIRED AT COMPLETION* *******#******************************* • ********************************* ****** ***+Mk*********#************************** Topo % Slope Texture Structure . Clay Min. n Soil Wetness R: Soil Depth M q.aDr4e,Zc_s Restric. Hoz. at " • . • Available space yes/no Overall Class S PS U P2.vise-y .Comments: ® #.4...S, ZC O 149-x. a t I,PFar t :s µu,U:I 1 • ® c%\ Filter Required I m ,#}3 Riser required when ���� tank is more than 6 - - r4 inches deep. I •**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN S TO THE.f RFORM1111 W1C: OR LENGTH OF TIME THIS SYSTEM ' WILL FUNCTION** - 1 cA,giN czee' 4_iY I, ' *******************************************#****#**** ********# ###****##*#** * * #T4****************************** sr .. ":11!�001i lY19 ..111.5.. i1;'11 '.HIV l'62. ...-n> ...-..' .. - -:l1�vµV,1 W.lii'irS4w`.. • � .. �.. • .. r • .r kiIiak:., MEP 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 known possible sources of contamination. No volume of water is guarant d at any site by the Health-Department.. \ Permit Dm/ EHS •"'I Owner/Agem y a l Septic Tank Installed By Si Date EHS Well Installed By Well Grout Approval Date _ Well Head Approval Date Date Sample Collected Date of Results Results EHS White-Office Yellow-Owner/Agent Pink-Building Inspection Authorization to Construct bv(ts moos -GO 9(rr DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL HEAL Sheer`of_ ' ON-SITE WASTE WATER SECTION PROPERTY ID q: COUNTY:09:7'a1 SOIL/SITE EVALUATION • for ON-SITE WASTEWATER SYSTEM OWNER:- PR//, A E.D.p APPLICATION DATE ADDRESS:OPOSED FACILITY: 17-726<,1 , PROPOSED DESIGN FLOW 4(.1949): a'� ,PROP PROPERTY SIZE: 4.r�(O /fclLt--lo LOCATION OF SITE: S 9/ cyp,&,t) C Q I=X 4:)?/c PROPERTY RECORDED: WATER SUPPLY: ® Private 0 Public 0 Well 0 Spring 0 Other • EVALUATION METHOD: 0 Auger Boring N Pit • 0 Cut . TYPE OF WASTEWATER: ' Sewage 0 Industrial Process 0 Mixed aSOIL MORPHOLOGY O,''':Ti:,:,:,H:,:,:,:E,w,,,:R (1941) PROFILE FACTORS L 1940 ... E 'LAND- HORI 1942 :f SCREE ' ZON : : 1941 1941 - S011;' I943 N POSITION/ DEPTH STRUCTURE/ CONSISTA NCE/ WETNESS/ SOIL S tPRO . ..RESZR PROFILE SLOPES/ (LN.)' .....TEXTURE,._._ MINERALOGY COLOR DEPTH CLASS .-HORIL CL"ASS 1 y i �f� ��'- lu/A- /V/A. 3 • 1 , I •.T.. o-.z OQG/•M/,F r /is wop r :5- , N/A- )e(4- NA /1149 3 / . -4� SBf(/(•;c -ls TIP li . -5---) /2/A ct s-°-f N/f1 N//2 . 3 • • • • 4 • - • • I` DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM - OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): S � - ,Available Space(.1945) s• - � • • • System Type(s) YO �� a��o 4F--3, EVALUATED$Y:• C_ �- - OTHER(S)PRESENT: — Site LTAA 3 COMMENTS: r 3 • • - _ • LEGEND• use the allowing standard abbreviations SOIL CONVENTIONAL LPP. MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR' .1957 LIAR` - CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) ' 1.2-0.8 0.6-0.4 NEXP(Non-ex . CV(Convex Slope) ' LS(Loamy Sand) Pans vc) . G(Susie Grain) D(Drainage Way) SEX?(Slightly F-xp+utsivc) M(Massive) DS(Debris Slump) Q ,, SL Sand -Loam EXP(Expansive) • CR(Crumb) h. ' FP(Flood Plain)- ., •..L Y )• 0.3-0.G 0.9-0.3 GR(Granular) • • FS(Foot Slope)... t' (Loam) SBK(Subanguler Blocky) H(Head Slope) III SCL(Sandy Clay Loam) 0.6-0.7 0.3-0.15 ''U ABK(Angular Blocky) ' L(Linear Shape) Si!.(Silt Loam) PL(Platy) N(Nose Slope) CL(Clay Loam) ( PR(Prismatic) R(Ridge) SiCL(Silty Clay Loam) • MOIST ' WET S(Shoulder Slope) Si(Silt) • T(Terrace) VFR(Very Frublc . IV SC(Sandy Clay) 04-0.1 02-0-OS FR(Friab e) ) NS(`lo hijy Sticky) • SiC(Silty Clay) SS tacky dy 5tirky) Fl(Finn) VS(V y) ' C(Clay) WI(Very Finn v.Very Srtdy) vs(Very Stitay) 0(Organic) None EFI(Extremely Finn) .NP(Nor-plank) 5P(Slightly Plastic) "Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Pic) (VOTES HORIZON DEPTH In inches below natural soil surface (Very Plastic). DEPTH OF FILL . In inches from land stuface RESTRICTIVE HORIZON Thickness and depth from land surface SAPRO7ITE S(suitable)or U(unsuitablc) SOLL WETNESS Inches from and surface to free water or inches from land surface to soil colon with<lwma 2 or less-record Munsell color chip desigrndon CL4SSLFJCATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) ' Evaluation of sopmhte shall be by pits. _ - Long-term Acceptance Rate(LTAR):gal/day/f7' Show profile locations and other sile'features(dimensions,reference ar benchmark,and North). • • • • • • • • • , • • . 1pn,u fP,• hi()LE C 7 _.. •--- . . . t . . . ' • • . • , , 0) • . • . ./fr • • • • DENR(p.V##ka) Review(###,Y#) • • • •