Loading...
HomeMy WebLinkAboutRBPR-07-2016-24250.TIF �yA THIS IS NOT A PERMIT Case # RBPR-07-2016-24250 f ,p CATAWBA COUNTY HEALTH DEPARTMENT 0 A ;0. 0 � ?'� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • 1842 s^M Residential Building Plan Review - Building New o fro y oa is IMPROVEMENT - AUTH_CONST- NEW WELL O J Contractor MODLIN CONSTRUCTION, INC. (BRUCE MODLIN), 2382 SHINY LEAF DR, DENVER NC 28037 C:7049954091 BMODLINII @GMAIL.COM Owner MODLIN CONSTRUCTION, INC. (BRUCE MODLIN), 2382 SHINY LEAF DR, DENVER NC 28037 C:704995409I BMODLINII @GMAIL.COM NAME TO APPEAR ON PERMIT Modlin Construction, Inc. (Bruce Modlin) SITE ADDRESS: 3315 CAYTON DR, MAIDEN NC 28650 PIN # 367803414205 NAME of SUBDIVISION: WYNSWEPT PHI Lot# 4 Section/Block PROPERTY SIZE: Square Feet Acres 1.3 DIRECTIONS: Hwy 16 S, left on Cayton Dr, Lot on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New Single family dwelling, 3 bedrooms, 55x72, attached garage with finish bonus room, no basement. New owner, deed recorded BK 3350 PG 954 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 55x72 Single Family w/Attached garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No 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 IJ-ehapplicauuo 07/12/2016 08:48 Page 1 of4 dA CATAWBA COUNTY Case# RBPR-07-2016-24250 Public Health Department Subdivision .,-- Z WYNSWEPT PH 1 C „"IG, Environmental Health Division PINE 367803rd? � •®% PO Box 389. 100-A Southwest Blvd.Ncwton,NC 28658 18.2 NAME ON PERMIT: MODLIN CONSTRUCTION, INC. ( BRUCE MODLIN), 2382 SHINY LEAF DR, DENVER NC 28037 Modlin Construction, Inc. ( Bruce Modlin) Site Address: 3315 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet Acres 1.3 Directions: Hwy 16 S, left on Cayton Dr, Lot on left 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 -• sblely responsible for the proper identification and labeling of all property lines and corners and making the site acceseitrl€sot--, a o' plete,sit• - --I .(ion can be performed. Date: 747— IG Signature of Applicant or Agent An Environmental Health Specialist will contact you within working of application date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME DATE FEE AMOUNT Well Permit& Inspection Fee 07/11/2016 $300.00 Authorization to Construct Fee (New/Expansion) 07/11/2016 $150.00 Fee Improvement Permit Fee 07/11/2016 $150.00 TOTAL FEES $600.00 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-ehapplication 07/I 1/2016 10:45 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT COUNTY .0'�.,L.J. CATAWBA COUNTY HEALTH DEPARTMENT .,e,,,,c, Application for Environmental Services Page 1 Improvement Permi Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expan on ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 3315 Cayton Dr Subdivision Wynswept Maiden, NC 28650 Lot# 4 Acres 1.3 Section/Block/Phase Driving Directions to Property Hwy 16 S-Left on Cayton Dr-Lot 4 on left NAME TO APPEAR ON PERMIT? n Owner ❑ Applicant 0 Contractor Applicant Contact Information Name Modlin Construction, Inc-Bruce Modlin • Address 2382 Shiny Leaf Dr, Denver NC 28037 Phone Cell Phone 704-995-4091 Owner Contact Information Name same Address Phone Cell Phone Contractor Contact Information Name same Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner n Applicant ❑ Contractor Description of Existing Structures on Site none #of Bedrooms *j' Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures a 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 n No Does the site contain any jurisdictional wetlands? ® Yes El No Does the site contain any existing wastewater systems? C Yes El No Is any wastewater going to be generated on the site other than domestic sewage? Ei Yes 0 No Is the site subject to approval by any other public agency? fl Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use 1.1 Individual Well LI Community Well ❑ Semi-Public Well n 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) N Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any cAr'y'A p A THIS IS NOT A PERMIT COUNTY Vi�V�J7C1 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence It of New Bedrooms *±3 Project Description New Construction-Single Family Structure Dimensions 55x17l ft of Occupants Basement ❑ Yes CI No Basement Fixtures ® Yes O; No ❑ Accessory Structure(s) Describe none #of New Bedrooms st if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unittt Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Scats 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 ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ® Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Ycs ❑ 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 comers and making the site accessible so that a complete site evaluation can be performed. / 7-g-/4 Signature of Owner or Agent c /� /O ` Date Printed Name of Owner or Agent—en-ace W"(ai>r-x-J _t A'1'os>c,s rz?vc r ,Si c . <55 / ., 4,t f ./-• tt; .• i N // LM . - . „ 1 N kg • / cr- 0 4,. . / tft t __, - -- / o -1 i •2 / - IL -tr- t. •,, / AL,7 . ,t-bv . (Th cy • / / ' \ \ z cn •/ ,, m \\\ -4 \ 10 \ X ‘, <1 ,..— ,,- jfol I 6.1 / / `---.... \.- •,‘ , / / / / ) / 'C '>fr•-- Catawba County Environmental Health � 15.0 \ T As ^off go ) N. i sy • 23 23.34 72e6 /,0.\39 4iiir o !�� 5'<69 N.141. 46.E 44r�. ,,;!Irn;Ct' ''RI Or r, 42� IP 42.16 70.60 96 8.89 f!�''� tilt ® g2.61 cNN, I) /t_l f ® 4.63 - I • CA,�ON::: * 114.89 85.63 63.16 11.79 22.09 Parcel: 367803414205, 3315 CAYTON DR 1 in=80ft MAIDEN, 28650 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 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367803414205 Owner: MAISTRO INVESTMENTS LLC Parcel Address: 3315 CAYTON DR Owner2: null City: MAIDEN, 28650 Address: 137 CROSS CENTER STE 328 LRK(REID): 201353 Address2: null Deed Book/Page: 3309/0674 City: DENVER Subdivision: WYNSWEPT PH 1 State/Zip: NC 28037-5009 Lots/Block: 4/ Last Sale: School Information: School District: COUNTY Plat Book Page: 68/194 Elementary School: BALLS CREEK Legal: LOT 4 PLAT 68-194 Middle School: MILL CREEK Calculated Acreage: 1.300 High School: BANDYS Tax Map: null Township: CALDWELL School Map State Road #: null Tax/Value 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: $22,300 Zoning3: Assessed Total Value: $22,300 Zoning Overlay: WP-0 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: 2026 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 Voter Precinct: P1 Agricultural District: Proximity 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.catawbacount ync.gov/nomap/parcel_rcport.php?key=367803414205&typ=P 7/12/2016 • _\'w „ CATA,WBA COUNTY .,la' o-w \ Public Health Department Case# WLS2008-00816 I. i En vironmmnlal Health Division Subdivision WYNSWEPT -A.Av a// PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 Sect/BL/PlVLot# 4 ,w (828)465-8270 FAX(828)465-8276 11)13(828)465-8200 PIN# 911367804614029-4 Applicant/Owner HECI-IT DEVELOPMENT CO INC Site Address: 3315 CAYTON CT X05 l!'/ Property Size: SF 1.03 ACRES / Directions: HWY 16 S/LFT ON RANT DRUM RD!TURN LFT ON DIRT RD JUST PAST HEMLOCK ST Improvement Permit —...C2_ Permit Valid For: Five years No Expiration t- Facility(Residential): House G on House X Mobile Home Multi-Family Bedrooms 4 New? ✓ Addition? Projected Daily Flow 7 30 g.p.d Water Supply Private Well? t/ Public? Semi-Public? Basement: N Basement Plumbing: N - Ho1Tuh/Spa: N,�J Special Fixtures(explain): Proposed Wastewater System: t infect Type: Pro posed Repair: � rth`- re Permit Conditions: Owner or Legal Representative ':•• • e: 4 - Date: //...77— 0 V Authorized State Agent: t'� - -- i_/�$. Date: 7p -at—or The issuance of this permit by the Health Department does not guarantee 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 met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site 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 and Ruler for Sewage Treatment and Disposal Systems' (ISA NCAC 18A .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. Authorization to Construct Wastewater System (Required for Building Permits * See site plan and additional attachments( )- Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair Expansion _ Soil LIAR: g.p.d./ft2 Type of Facility: Basement: N Basement Plumbing: N HotTub/Spa: N Special Fixtures(explain): Wastewater System Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in Trench Width ft Minimum Soil Cover in Minimum Trench Seperation ft Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other_• Additional Specifications: Authorized State Agent: Date: Permit Expiration Date: 1 have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Form B nsTulc'nmiVbnnMVLSnnn.vu CATAWBA COUNTY , %r'/`' *A' PubliesHealth Department Case tt WLS2003-00816 F.1 'Environmental Health Division Subdivison W}'NSWEPT .I\\ -d"// PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 Secl/BUPh/Lut 4 4 -.Ls is (828)465-8270 FAX(828)465-8276 'mu(328)465-8200 PIN# 911367804614029-4 Applicant/Owner HECHT DEVELOPMENT CO Site Address: 3315 CAYTON CT Property Size: SF 1.03 ACRES Directions: HWY 16 S/LFT ON RANT DRUM RD/TURN LFT ON DIRT RD JUST PAST HEMLOCK ST EnImprovement Permit CI Authorization To Construct 0 Well Permit SITE PLAN 1 I\ r / / / / 57/ ' r k -5o-i ° f i /fig r N&Z Sc ffc 5ris.. ,j3 ,"`_' d ialr /1 Ga-/ rr Cp kid ?SA. fa.ra�F.: -'7yz• r lo• i 3S/ ' / '� /so Scale System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. /t4: /B :t-©8' Authorized State Agent Date Form C ,nndmmtM opn,MVLsnun.w, DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet I of r ' DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION / for ON-SITE WASTEWATER SYSTEM OWNER: 1.I/t tJc t /2 669 APPLICATION DATE 2'(Syr 05 ADDRESS: / U p DATE EVALUATED: �S-or PROPOSED FACILITY: ?/+� PROPOSED DESIGN FLOW(.1949): `f" c` PROPERTY SIZE: LOCATION OF SITE: ,,� PROPERTY RECORDED: WATER SUPPLY: ❑ Private 0 Public l7 Wel( 0 Spring 0 Other EVALUATION METHOD: U AA er Boring Pit 0 Cut TYPE OF WASTEWATER: ?U.-Sewage 0 Industrial Process 0 Mixed P :: R SOIL MORPHOLOGY :: OTHER 0 F (.1941) PROFILE FACTORS I 1940 ... a:: .:. _ : • L _ E LAND RORI i .1942 .I SCAPE ZON :: .1941 1941 SOIL 1943 1956 .1944 N POSITION/ DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR PCLASS ' .. CLASS.... SLOPE% :.(LN) .,._TEA"TURE-: ::MINERALOGY ...COLOR DEPTH CLASS tiOR17. :::&.;LTAR.'.'. 6,870 D-.z¢ SZ ScL -0C O - F _ 36' As - �� 1 2) 36 /(� �s�ccj . . ,35 2 0 • 3 3 4 - DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): S SITE CLASSIFICATION(.1948): PS Available Space(.1945) .3 S � System Type(s) �' 52 ,/ , _ �, EVALUATED BY: /�". j OTHER(S)PRESENT: Site LTAR • 3 3 COMMENTS: