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HomeMy WebLinkAboutEHPR-07-2016-24296 (2).TIF New s-AerAm 2xgA d OOJ) g) ILO Catawba County Environmental Health 7. r °° `` .�----.� ?0p 660.00 42 4 I / 1 • 1.; 1 /45 c\\)\ 46 / 80 t , , 47 - r I r 0 1 I i 1 o° I • r I rl •8 4 9 t N / 1 / a -AUL MACKIE. / / 6Q I1 II / g `�, 1 I I , 1r 1 Sid• 1 1 o r 1 r ! I to , I ' R, X50 I o / I r l I . rr I C �--- 1-�„ I j 1 1) r y I J 1ao.ao 1 I 1 ' 4i f 4 1 1 1 1 o so 1 r i r r 1o9.00 1 CAMPGROt •vO �/EWRD I I, 1oo I / r 1 1 r •i l too 90 / 1 1 I . Parcel: 367904730468, CATAWBA, 28609 1in=50ft 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 07/15/2016 � THIS IS NOT A PERMIT Case # EHPR-07-2016-24296 G CATAWBA COUNTY HEALTH DEPARTMENT 0 •o+" .0•� ��7) 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' 1842 sm Environmental Health Plan Review - OSWP D ;�T ' < • IMPROVEMENT 0 'r $ i2{ Applicant SCARLETT HARRIS, 2849 MT PLEASANT RD, SHERRILLS FORD NC 28673 C:8283816284 Land Owner JOHN & ELIZABETH MACKIE, 1824 BUFFALO SHOALS RD, CATAWBA NC 28609 C:8283816284 NAME TO APPEAR ON PERMIT Scarlett Harris SITE ADDRESS: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609 PIN # 367904730468 NAME of SUBDIVISION: PAUL MACKIE Lot# 44-47 Section/Block PROPERTY SIZE: Square Feet 20,473.20 Acres 0.47 DIRECTIONS: Hwy 16 South to Buffalo Shoals Rd, Left onto Buffalo Shoals Rd &go past Balls Creek Campground, Campground View d is 1 mile on Left, Property is on the Left (next to last lot) PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for purchase* 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? Yes Property Easements Description: 60 ft ROW- may potentially abandon Showing on GIS APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32x50 #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: F9-ehnppl icaion 07/15/2016 15:43 Page 1 of4 . xA , CATAWBA COUNTY Case# EHPR-07-2016-24296 Public Health Department Subdivision PAUL MACKIE 4 ifizi.�„ ,;; Environmental Health Division PIN# 367904730468 PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 Ig 2 94 NAME ON PERMIT: (SCARLETT HARRIS),2849 MT PLEASANT RD, SHERRILLS FORD NC 28673 ( Scarlett Harris) Site Address: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609 Property Size: S q uare Feet 20,473.20 Acres Directions: Hwy 16 South to Buffalo Shoals Rd, Left onto Buffalo Shoals Rd & go past Balls Creek Campground, Campground View d is 1 mile on Left, Property is on the Left(next to last lot) 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 labelin of all property lines and corners and making the site accessible s. that a complete site evaluation can be performed. Date: fl—\s, 1 v) Signature of Applicant or Agent ' � 1.. tingle An Environmental Health Specialist will contact you within 5 world days of application date. If you need further information or assistance please call 828-466-7291 AREA1 iilllilCnifiwp,- Ill`,�,il` r, 4`i `" `. " t ``llii{ l,do' h�P; t11{I'^ �t"`171t'' alaij EEENAME I'IIJ0li�uwv ! )ry r: it { iDATE (,�, `FEE AMOUNT: Improvement Permit Fee 07/15/2016 (. $•1i50•!.00 h�i��l�iYi" , "� �p,TOTALIIEEES i � 1ll�il��il �I TT . 1000A 01{ i. ,0, a!A If ad .iI`1._..iu,.,a" St I ,..,.1>U FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplieaunn 07/15/2016 15:43 Page 2 of4 • \I CATAWBA THIS IS NOT A PERMIT co CATAWBA COUNTY HEALTH DEPARTMENT „,.,„ .,,� Application for Environmental Services Page 1 Improvement Permip< Authorization to Construct❑ Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well PermitarReplacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ ( �1 Application is for New Construction ❑ Existing Facility ❑ Property Address 1.�Y`(�� (Cl na \SSC'`n\ t-o , Subdivision QQv j\ 'MaC1F,te, s� w L a$tp o Lot# Acres ( . 470 ' Section/Block/Ph s/ey L — 4 Driving Directions to Property read \lo sokYkAn to \o,J fal. a t VIoa.S Ydad/ \- Ww-■ ktOr rug}o V)t3 fo o 5V\00t1s Qcotad, Qo paw loco C,r eeit, c:aNQ wcwmrd ,�carn�f�>rouna vi 8&A f-cad is one tinge titni NAME TO APPEAR ON PERMIT? Owner V Applicant ❑ Contractor lei api*r t5 d �'JCA Applicant Contact Information �Y� e �t J Name 5c0f key 9.art;s Address agggvutt ,P\rcoconk PGi . 5Ypary \\5 --d, NC aa(o73 Phone Cell Phone gaR- 3g)- (92 R4 Owner Contact Information Name -sown `v\oLcY t e, Address iB24 you c'A\o shoals czck ; CakGuist 4\1L a ecoon Phone Cell Phone Contractor Contact Information • Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Vpplicant ❑ Contractor Description of Existing Structures on Site n ane #of Bedrooms *1- Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes C No -r The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property iry question. If the answer to any question is "yes", applicant must attach supporting documentation. D Yes No/ Does the site contain any jurisdictional wetlands? El Yes No Does the site contain any existing wastewater systems? ❑Yes o Is any wastewater going to be generated on the site other than domestic sewage? ® Y No Is the site subject to approval by any other public agency? y Yes lip No Are there any easements or right of ways on this property? Describe / V' Ar lif MI- 0 QI�� Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well n et ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No ` -�(n If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): � laUle) (systems can be ranked in order of your preference) j / ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other 11' y CATAWBA THIS IS NOT A PERMIT cassi CATAWBA COUNTY HEALTH DEPARTMENT ®N,,,h;,,, Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *j 3 Project Description S—h c I Structure Dimensionsr�� erg• #of Occupants If Basement ❑ Yes No Basement Fixtures ® Yes � ty o Li Accessory Structure(s) Describe #of New Bedrooms *j if applicable _ Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Ycs ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*T Total #Bedrooms *t _ Structure Dimensions U Food Service Specify Type #Seats 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 ❑ 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. fi 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 Pcmtits and Well Permits are transferable. 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 or Agent Date �' , c Printed Name of Owner or Agent Jo 04 MA Cr FE Catawba County Environmental Health (-I -7) --- —� Cal1Mrov 1 -\ l.l.'\0°°� I 1oa r 1,1 / 1°°.d1 r 1 4 1 sso.00 1 r,: 45 D g,1 / so `'' r / qg 1 :g... 11„'. . / l5' /% . 3 ��p1rKyJ\ r 8 d9 r 1 1 c, •AUL iNCKIE I i > r e0 • 1 ! 1 ,Y^1 1 1 • ! �! 1 1 1 /' 1 1 ■ ar o - / • 1 1 1 • 1 Y - �' :100 00 J ��; ! r 1 N.. 1 60 1 r r N. 1 , I 1 lo900 f •1-411111. CAMPGROUND Vl @�y RD ///00/00 / / Parcel: 367904730468, CATAWBA, 28609 1in=50ft 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 07/15/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367904730468 Owner: MACKIE JOHN LINDSEY Parcel Address: Owner2: MACKIE ELIZABETH B City: CATAWBA, 28609 Address: 1824 BUFFALO SHOALS RD LRK(REID): 2938 Address2: Deed Book/Page: 1600/0967 City: CATAWBA Subdivision: PAUL MACKIE State/Zip: NC 28609-8028 Lots/Block: 44-47/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 10/103 Elementary School: BALLS CREEK Legal: LOT 44-47 44-47 PL 10-103 PL 10-103 Middle School: MILL CREEK Calculated Acreage: .470 High School: BANDYS Tax Map: 003AK 03001 Township: CALDWELL State Road #: 1943 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: $8,700 Zoning3: Assessed Total Value: $8,700 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel It: 3710367900J Building Details 2010 Census Block: 4014 WaterShed: WS-IV Protected Area 2010 Census Tract: 011402 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 far 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. 1kt/ilia 4-40144 bkittoks http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367904730468&typ=P 7/15/2016 44%1 A Cp CATAWBA COUNTY t s 100A SOUTHWEST BLVD , NEWTON, NORTH CAROLINA 28658 RECEIPT U," "aasv PHONE: 828.465.8399 Friday, July 15, 2016 1. 4' sM www.catawbacountync.gov PAYOR: Harris, Scarlett PAYMENTS TRANSACTION NUMBER: TRC-73 5407-1 5-07-20 1 6 PAYMENT DATE : 07/15/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330534 Improvement Permit Fee $75.00 TOTAL PAYMENTS : $75.00 EFIPR-07-2016-24296 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609 Applicant SCARLETT HARRIS, 2849 MT PLEASANT RD, SHERRILLS FORD NC 28673 C:8283816284 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Land Owner JOHN & ELIZABETH MACKIE, 1824 BUFFALO SHOALS RD, CATAWBA NC 28609 C:8283816284 receipt 07/15/2016 15:43 Page I of 1 4'A CATAWBA COUNTY �" O 1-' t OOA SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT d ma sayet3 PHONE: 828.465.8399 \1vdpv `C Friday, July 15, 2016 I$ }2 sm vww.catawbacountyncgov PAYOR: Harris, Scarlett PAYMENTS TRANSACTION NUMBER: TRC-735406-15-07-2016 PAYMENT DATE : 07/15/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330534 Improvement Permit Fee $75.00 TOTAL PAYMENTS : 575.00 EHPR-07-2016-24296 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609 Applicant SCARLETT HARRIS, 2849 MT PLEASANT RD, SHERRILLS FORD NC 28673 C:8283816284 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Land Owner JOHN & ELIZABETH MACKIE, 1824 BUFFALO SHOALS RD, CATAWBA NC 28609 C:8283816284 receipt 07/15/2016 15:41 Page I or 1