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HomeMy WebLinkAboutRBPR-07-2016-24272.TIF 1v THIS IS NOT A PERMIT Case # RBPR-07-2016-24272 ,�a CATAWBA COUNTY HEALTH DEPARTMENT 0 • 'D 'F: . 0 � 9 y' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 '- i 1842 sM Residential Building Plan Review - Manufactured Home o_ ro, o AUTH_CONST WIl. Io, ~ 0 Buyer RANDON EDMONDSON, 3771 MAIN AVE DR NW, HICKORY NC 28601 C:8286388386 Contact Person OAKWOOD HOMES (GENO BAKER), 1265 US 70 FIWY, NEWTON NC 28658 C:8284497512 Contractor BRADLEY'S MOBILE HOME MOVERS,263 MILL SHOALS RD, MILL SPRINGS NC 28756- B:828-446-1089 Land Owner HAROLD SCARLETT, 32685 E ALBEMARLE CT, MILLSBORO NC 19966 Lien Agent OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY (NICHOLAS LONG, JR), 19 W HARGETT ST SUITE 507, RALIEGH NC 27601 B:8886907384F:919489523] Primary Contractor *OAKWOOD HOMES 14712 (ELIOBERTO ALFONSO), 1265 70 HWY W, NEWTON NC 28658 B:(828)217-1862 C:(828)464-2662F:828-464-4301 R712@nCLAYTONHOMES.COM NAME TO APPEAR ON PERMIT BRANDON EDMONDSON SITE ADDRESS: 1019 HEATHER GLEN DR, CATAWBA NC 28609 PIN # 470003039875 NAME of SUBDIVISION: MAPLE GLEN Lot 4 5 Section/Block PROPERTY SIZE: Square Feet Acres 0.92 DIRECTIONS: Hwy 10 E, right on Murray's Mill Rd, left on Sherrills Ford Rd, Left on Long Island Rd, right on Maple Glen, right on Heather Glen, property in cul-de-sac on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New DW mobile home, 32x76, 6x6 front porch and 6x6 back deck. IP & Well on file. New AC Required due to New Owner Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property "If this new home is a replacement for an existing home—that existing home must be removed from the site within 30 days of the issuance of the Certificate of Compliance** 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: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION E9-ehappl icatinn 07/12/2016 16:13 Page 1 of 4 ,e CATAWBA COUNTY Case RBPR-07-2016-24272 Public Health Department Subdivision MAPLE GLEN Environmental Health Division PIN# 470003039875 y PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 18 2 NAME ON PERMIT: BRANDON EDMONDSON Oakwood Homes ( Geno Baker) Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609 Property Size: Square Feet Acres 0.92 Directions: Hwy 10 E, right on Murray's Mill Rd, left on Sherrills Ford Rd, Left on Long Island Rd, right on Maple Glen, right on Heather Glen, property in cul-de-sac on right NEW STRUCTURE DIM:: DW Mobile Home 32x76, Decks: F &B 6x6 #OF NEW BEDROOMS:: 3 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 accessible so that a complete site evaluation can be performed. Dale: 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 �a11 FEEN'AME ' lll i�: u'�w kmtr., !4 1Jdl' I�+ I�l !iI�IiDATF�Y; iIFEEAM0UNT4 Authorization to Construct Fee (New/Expansion) 07/12/2016 $150.00 Fee 7'977'141 t �� FOTALiFE ',54111111b,.._ 1 00010;. Hr Il 4,n 1 111;:;; 1,11W 34WOW J 91YLW II4ILLIInII llrl 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) 1:9-ehapplicatiou 07/12/2016 16:13 Page 2 of 4 vSY A �G THIS IS NOT A PERMIT Case# RBPR-07-2016-24272 ti71 O -'� ''_• f'i CI f CATAWBA COUNTY HEALTH DEPARTMENT • kri PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ,rw '� 3i ti j. 1842 sM Residential Building Plan Review -Manufactured Home # r AUTH_CONST �•1 4 r' Buyer BRANDON EDMONDSON,3771 MAIN AVE DR NW,HICKORY NC 28601 C:8286388386 Contractor BRADLEY'S MOBILE HOME MOVERS,263 MILL SHOALS RD,MILL SPRINGS NC 28756- B:828-446-1089 Lien Agent OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY (NICHOLAS LONG, JR), 19 W HARGETT ST SUITE 507, RALLEGLI NC 27601 B:8886907384F:9194895231 Owner HAROLD SCARLETT,32685 E ALBEMARLE CT, MILLSBORO NC 19966 NAME TO APPEAR ON PERMIT BRANDON EDMONDSON SITE ADDRESS: 1019 HEATHER GLEN DR, CATAWBA NC 28609 PIN # 470003039875 NAME of SUBDIVISION: MAPLE GLEN Lot 5 Section/Block PROPERTY SIZE: Square Feet Acres 0.92 DIRECTIONS: Hwy 10 E, right on Murray's Mill Rd, left on Sherrills Ford Rd, Left on Long Island Rd, right on Maple Glen, right on Heather Glen, property in cul-de-sac on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New doublewide mobile home, 32x76, 3 bedrooms, 6x6 front porch and 6x6 back deck. IP & Well on file. New AC Home must meet appearance criteria --Screen or Remove Towing Tongue, Front Deck must be minimum of 3 sq ft, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property **If this new home is a replacement for an existing home—that existing home must be removed from the site within 30 days of the issuance of the Certificate of Compliance** 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:TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION • NEW STRUCTURE DIM:: 76X32 #OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 07/12/2016 15:42 Page I of4 CATf ` f1 THIS IS NOT A PERMIT , CATAWBA COUNTY HEALTH DEPARTMENT co .. Page for Environmental Services Paa e l \vicees Improvement Permit Authorization to Construct [ Septic Repair _ Septic Malfunction _ Septic Expansion I I New Well Permit IT Replacement Well ❑ Well Abandonment ❑ Well Repair n Existing System Inspection(Pre-Approval Required) ❑ Application is/for New Construction$ Existing Facility �❑/ Property Address/o tk1iri 6,4.-' D✓ Subdivision AyIv_ C-t (e.✓ �C , - Lot# s Acres ` - Section/Block/Phase Driving Directions to Property d . ''Y u. /..: .. ( L_ - -SRC NAME TO APPEAR ON PERMIT? kwner El Applicant ❑ Contractor . Ji aut.Eontact Information-' Curie:— Name 3wde.- /�irtionc(Se✓ Address 3-in ( ;,,, varuv (`.,_.J to A- --'C )41.o 7 Phone " '/m- Cell Phone fa-- 4, 35-- pat —one-reentitet-Infm a ion Callyaetc 7 Name SA-k-0-0,....0 -L ._S 6-4.4,,,, /Sal'-'er Address1 z4T ow low ,,�tle�n ,.� NG z-fl Ca- Phone Cell Phone r z y.yr{I- 7 S(Z �7�- Y�rF - zGG z Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? IT Owner ❑ Applicant XContractor Description of Existing Structures on Site ratM #of Bedrooms *j' 3 Structure Dimensions3Z>c-7G #of Occupants 3 Basement ❑ Yes7K No Basement Fixtures Q Yes CI 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"ycs", applicant must attach supporting documentation. © Yes .nNo Does the site contain any jurisdictional wetlands? 0 Yes 1liNo Does the site contain any existing wastewater systems? o Yes No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes `jNo Is the site subject to approval by any other public agency? 0 Yes &No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well IT Community Well ❑ Semi-Public Well U County/City/Township Water Line Is a public water supply available? ** IT Yes s-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 Y CATAWBA THIS IS NOT A PERMIT n,r u 9 !L➢ CATAWBA COUNTY HEALTH DEPARTMENT ' Application for Environmental Services Page 2�( , Proposed Facility Type > Primary Residence New Residence n Addition to Residence # of New Bedrooms *1' 3 Project Description D t.) KA.16,(, Structure Dimensions 3 i K-1 E. # of Occupants '3 Basement E Yes No No Basement Fixtures 0 Yes n No Ti Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes n No Plumbing n Yes ❑ No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions I I 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 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 I Community Well Abandonment Type 1-1 Drilled n Bored ❑ 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 he 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{low 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 maybe 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 Ag- r 47 / Date 4Ca Printed Name of Owner or Agent �,,..-tar Catawba County Environmental Health o ct 0 206.60 W 70.45 a Cr ti 7 h P. CD o 1 O r� ,7 A X 7"41 k? 52.29 z / e * ,?....\ * (711 \ Q id CO 1.-- C a CO, ° SOL`o 233.94 { 36.2 / 231,50 Parcel: 470003039875, 1019 HEATHER GLEN 1in=50ft DR 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 07/12/2016 Parcel Report Page 1 of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 470003039875 Owner: SCARLETT HAROLD Parcel Address: 1019 HEATHER GLEN DR Owner2: City: CATAWBA, 28609 Address: 32685 E ALBEMARLE CT#E7 LRK(REID): 300927 Address2: Deed Book/Page: 2658/0650 City: MILLSBORO Subdivision: MAPLE GLEN State/Zip: DE 19966-4825 Lots/Block: 5/ Last Sale: $15,000 on 2005-04-27 School Information: Plat Book/Page: 48/92 School District: COUNTY Legal: LOT 5 5 PL 48-92 MAPLE GLEN PL 48- Elementary School: CATAWBA 92 Middle School: MILL CREEK Calculated Acreage: .920 High School: BANDYS Tax Map: School Map Township: CATAWBA State Road #: 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: $12,500 Zoning3: Assessed Total Value: $12,500 Zoning Overlay: WP-0 Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710470000J Building Details 2010 Census Block: 1021 WaterShed: WS-IV Protected Area 2010 Census Tract: 011503 Voter Precinct: P21 • 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. .1 "Aj 1? Oat \IT OZ1 Lil , SUC-a( ' pc_ AA No rv, 3-zyikoroch),-pron; -,7\-71)ek L01(.0 rogy_i\ -- (00 ),\ )da(i. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=470003039875&typ=P 7/12/2016 ,71.0 .,yyA CATAWBA COUNTY � :4 �°- � 0 Case# IMPV-08-2013-040768 _Q�� Public Health Department y.� , ��' Subdivision MAPLE GLEN 4 art` < ,7; Environmental Health Division *1 ' ,;� PIN# 470003039875 PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 �..,A� °, D LOT# 5 18.'- ,. r' D° ° ° • NAME ON PERMIT: MICHAEL VAUGHN, 2204 QUARTER CREST DR, NEWTON NC 28658 Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609 Property Size: Square Feet 40,075.20 Acres 0.92 Directions: 10F/ RT MURRAY'S MILL RD/ LEFT SHERRILLS FORD RD/ LEFT LONG ISLAND RD/RT MAPLE GLEN/ RT HEATHER GLEN / PROPERTY ON RIGHT IN CUL-DE-SAC Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: See AC for permit conditions. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: WA-ANY SYSTEM WITH LOP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. 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 Rules for Sewnt'e Treatment and Disposal Systems' (I5A NCAC I8A .t 900). 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. Jason Boyd 08/08/2013 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/08/2018 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 1:9-ehpennii 08/0820 13 11:06 Page I of 3 1 �$A Permit# RBPR 7-13-17714 e��G CATAWBA COUNTY Name Michael Vau'hn Public Health Department Address 1019 Heather Glenn Catawba NC '"" "�'o.g Environmental liealth Division litto . PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN'# 470003039875 \/8 42.- mi (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 . Site Plan Authorization to Construct 0 N` ' l' 2YS '" \°' 5 6 r n1 ----.._________„j 0 a ( it, ° / _ 12-11 1 I CT 10, 7(5 2 ";11. N.--w 33rz -2-(1‘ , IS La' 11.. ...t. Z. Y (^,blC l , A e etl u�tl ;.-LI 57, 13 11 - 1 Scale I Department of Environment,Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: RBPR 7-13-17714 Owner: Michael Vaughn Applicant: Address: 1019 Heather Glenn Catawba NC Date Evaluated: 8/6/2013 Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ I Spring [ ]Other Evaluation Method: pits by Sean Abee [ J Cut Type of Wastewater: X Sewage [ ] Industrial Process [ I Mixed P .. R o SOIL MORPHOLOGY b• F .1941'. - ' PROFILE FACTORS I .1940 .1942 - • L Landscape Horizon .1941 .1941 Soil .1943 . .1956 .1944 ' Profile E Position/ Depth Structure! Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy - Color Depth(IN.) •Class Horiz B LTAR 1 LL 3% 0-6" topsoil 48" PS.3 6-48" SC SS,SP,SEXP,FR 2 same as 1 3 same as 1 and 2 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG IVA Others Present: Site LTAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet` COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0A SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations n 5 f 3 I ° 0a_ r ` 3° ;Oa • CATAWBA COUNTY VOID I.D o r • - n Case k AUTI-1-08-2013-040769 ' , Public Health Department 111%..x.7 r - ai. Subdivision MAPLE GLEN 'c Environmental Health Division I f 71 PINK 470003039875 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 -s `' - , { LT#O 5 • ob ;. ti • NAME ON PERMIT: MICHAEL VAUGHN, 2204 QUARTER CREST DR, NEWTON NC 28658 Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609 Property Size: Square Feet 40,07520 Acres 0.92 Directions: 10F/ RT MURRAY'S MILL RD/ LEFT SHERRILLS FORD RD/ LEFT LONG ISLAND RD/RT MAPLE GLEN/RT HEATHER GLEN / PROPERTY ON RIGHT IN CUL-DE-SAC Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and nunther of additional attachments ( )- Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: .3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? No Basement Plumbing? No Bedrooms: 3 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 24 in Aggregate Depth in Trench Width ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 3 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system and repair area minimum: 50'from any well, 10' from property lines, 5' from home including decks. Lines to be installed on contour. Do not grade drive or fill over system or repair area. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP Soil LTAR: .3 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED E9-elipcnnn 08/08/2013 11:08 Page I of 4 ) • CATAWBA COUNTY VOID® Case it AUTH-08-2013-040769 .P tmv. Public Health Department V Subdivision MAPLE GLEN < ? ,-; Environmental Health Division PINt 470003039875 44b PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# 5 ,2 w NAME ON PERMIT: MICHAEL VAUGHN, 2204 QUARTER CREST DR, NEWTON NC 28658 Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609 Property Size: Square Feet 40,075.20 Acres 0.92 Directions: 10ELRTMIJRRAY'S MILL RD/ LEFT SHERRILLS FORD RD/ LEFT LONG ISLAND RD/RT MAPLE GLEN/RT HEATHER GLEN / PROPERTY ON RIGHT IN CUL-DE-SAC 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 Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes,or if site conditions are altered. The Authorization to Construct 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 tows and Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any niven neriod of time. Jason Boyd 08/08/2013 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/08/2018 No grading or construction activity is al/owed in areas designated far system and repair without approval of the Health Department. • 1 4-ehprnntt 08/08/2013 11:08 Page 2 of 4 �� y. Y® Permit 4 RBPR 7-13-17714 G CATAWBA COUt ` Name Michael Vaughn (rim= Public Health Department r Environmental Health Division Address 1019 Heather Glenn Catawba NC PO Box 389, IOA Southwest Blvd Newton NC 28658 PIN# 470003039875 m (P80)13406854328790, 828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct H- 1\ 12Z . 06 , 23. •�`� N°t 5 6 r C rill `tee 50�_ a �J . 30' • /0' l /6 ° I �� V fc ,.. -... ... ..._ _ _ _ /, Tz, 1 I r k .7°i its , Pc-, N-w 3grz -2_,4, , IS Z 14.0 ^.- za HS- . L\V 31 r R 6, ZS' \\i 57, 13 II GO r Scale trr_ 1 Case acr:�wBA COUNTY O� � O wEl.l.-os-_ol3-040767 s 'y Public Health Department Th � Subdivision MAPLE GLEN • �� or Environmental Health Division r � PIN/ 470003039875 °� PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 T LOTH 5 o ' NAME ON PERMIT: BRANDON EDMONDSON, 3771 MAIN AVE DR NW, HICKORY NC 28601 Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609 Property Size: Square Feet:40,075.20 Acres:0.92 Directions: 10E/ RT MURRAY'S MILL RD/ LEFT SHERRILLS FORD RD/ LEFT LONG ISLAND RD/RT MAPLE GLEN/ RT HEATHER GLEN / PROPERTY ON RIGHT IN CUL-DE-SAC WELL PERMIT WATER SUPPLY: Individual Well • SETBACKS: 1. HUILDNO FOUNDATIONS 25 F. . 2. EXISTING & PROPOSED SEPTIC SYSTEMS MIN. 50 FT. 3 . EXISTING & PROPOSED SEPTIC REPAIR AREA MIN. 50 FT. 9 . SEWAGE PUMP SUPPLY LINE 50 F2. 5 . UNDERGROUND STORAGE TANKS 100 F. . 6. STREAMS/BROOKS/CREEKS 50 FT. 7 . LAKES/PONDS RESERVOIRS 50 eT. ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT. The well driller must verify all setbacks before drilling the well. I f the well driller is unable to maintain any of the above setbacks, contact Catawba County Environmental Health at (828) 465-8270 before drilling the Nell. Grouting Depth: Minimum 20 Feet Casing Height: 12" Above Land Surface All newly constructed private drinking water"elk are required to be sampled in accordance with the North Carolina Rules Regarding Private drinking Water Well Testing (15A NCAC I SA .3800). The fee for this sampling is included in the cost of the well permit. It is the applicant or property owner's responsibility to notify Environmental Health when the well is ready for sampling. Water samples will be drawn front an outside faucet unless otherwise specified. Please note that all water samples are taken during one visit. The processing laboratories have different protocols and timefrantes for reporting results'. therefore,you may receive several different reports concerning your wader sample. For questions or more information; please contact Catawba County Environmental Health at(828)465-8270_ Jason Boyd 08/08/2013 AUTHORIZED STATE AGENT APPROVAL.DATE nth 07/12/2016 14:59 • I - C Permit RBPR 7.13-17714 CATA1alth COUNTY Name Michael Vaghn Public Health Department Address 1019 HeatherGlenn Catawba NC Environmental Health Division , PtN470003039875 PO fans 389, I OOA Southwest fah'd, �ewten NC 25658(823)AGS-8270 I'an (828)465-8276 IUD{S2S)AGi-8200 Site Plan Authorization to Construct 0 Nc' tl , ,q- \1 I7. 2, . 06 , ? 7f' 2 >5 '¢H \0' 56r Lp o_. /....4, 5°_J ¢ 3U— )u' r lobr ... --.. ■ ._ _/JZ,1 1 r rrI«, 1. ' Nc-w 3tez f ZU� , IS . Z t, fit., ^^� 28 HC \lt‘ I5 ' I 6� t.S' y (,,,&CC Ex 11 . gCcA U�~l��� l s 57. 13 — 6 ' Scale