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HomeMy WebLinkAboutRBPR-07-2016-24339.TIFOctober 31, 2016 Michael Drum 4264 Carpenters Cove Rd Claremont, NC 28610 Catawba County Public Health www.catawbacountync.gov/environmentalhealth Environmental Health P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone (828) 465-8270. Fax (828) 465-8276 Re: Application for Improvement Permit for 4309 Carpenters Cove Rd, Claremont; Health Department file number RBPR-07-2016-24339 Dear Mr. Drum: The Catawba County Health Department, Environmental Health Division on 8/17/16 and 8/27/16 evaluated the above referenced property at the site designated on the plat/site plan that accompanied your IP. According to your application the site is to serve a 2 bedroom house with a design wastewater flow of 240 gallons per day. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 including related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules. Based on the criteria set out in Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a sanitary system of sewage treatment and disposal. Therefore, we must deny your request for an improvement permit. A copy of the site evaluation is enclosed. The site is unsuitable based on the following: Unsuitable soil topography and/or landscape position (Rule .1940) Unsuitable soil characteristics (structure or clay mineralogy) (Rule .1941) Unsuitable soil wetness condition (Rule .1942) Unsuitable soil depth (Rule .1943) Presence of restrictive horizon (Rule .1944) X Insufficient space for septic system and repair area (Rule .1945) X Unsuitable for meeting required setbacks (Rule .1950) Other (Rule .1946) These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, into surface waters, directly to ground water or inside your structure. The site evaluation included consideration of possible site modifications, as well as use of modified, innovative, or alternative systems. However, the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE, and no improvement "Leading the Way to a Healthier Community" (`//`�v. UW °H ealth � � _. Health K•. 4' ryn'n pen -nit shall be issued for this site in accordance with Rule .1948(c). Note that a site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review, of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the North Carolina Department of Health and Human Services regional soil scientist. A request for informal review must be made in writing to the local health department. You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 431-3000 or download it from the OAH web site at htti)://www.ncoah.com/forms.html . The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 15OB-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is October 31, 2016. Meeting the 30 day deadline is critical to your formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 15013-23) to serve a copy of your petition on the Office of General Counsel, N.C. Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001. Do not serve the petition on your local health department. Sending a copy of your petition to the local health department will not satisfy the legal requirement in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, N. C. Department of Health and Human Services. You may call or write the local health department if you need any additional information or assistance. Sincerely, 5t�, -(�� Steven Price, REHS Environmental Health Specialist Enclosures: Copy of Rule .1948 U.S. Postal Services., (Domestic Mail Onl ; No Insurance Covera a Provided pr�tle_I very niormation visit our yweba teyat www.usps.como Postage $ Cenirietl Fee Return Receipt Fee Q Here (Endorsement Required) 1 _ Hestrimed Delivery Fee (Entlorsement Required) Total Postage & Fees $ sent to KIS I'K-U /-LU 10-1 4.5-W m o svear:anrN-------------- Michael--Drum------------------------------ O or PO Box No. r` cm;saia,-zir a----- ----"42641-Car-pcnters-Cauc.Rd......... Claremont. NC 28610 If�Rf3lrtkELLlL�rtarmcfLE7 Onilantwnfr arstrmaR1m, Certified Mail Provides: a A mailing receipt RECEIVED U A unique identifier for your mailpiece u A record of delivery kept by the Postal Service for two years Important Remindi NOV 04 2016 o Candied Mail may ONLY be combined with First -Class Mail® or Priority Mail®. o Certified Mail is not av�,ATAI;VOAcgd@ pfkWational mail. o NO INSURANC,pleas REM"r A I tH Certified Mail. For valuables, please CCdd���� e r ISMt o For an additional fee, a Return Receipt may be requested toprovide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpieoe'Return Receipt Requested' To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,Please present the arti- cle at the post ofice for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9097 dwfff+r�Na'11Y(R �:3vrd8r:f,+ila�Yutj a+i�dlo Ile Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X /�� / _ /% x" � A ■Print your name and address on the reverse /j- �</j-t-.Cdr <IY/Cddressee so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: V 4. �a113e1 Dt-um 426TCal-penic -s Cove Rd clavenlo,nt, \C 38616 2. Article Number; I I (transfer from servlce labeQ PS Form 3811, July 2013 D. Is delivery address different from Rem 17 0 Yes If YES, enter delivery address below: 0 No 3. Service Type XCertiged Malls 0 Priority Mall Express" 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 Collect on Delivery 4. Restricted Delivery? (ire Fee) 0 Yes 7008 1830 0004 6921 9037 Domestic Return Receipt • Sender: Please print your name, address, and ZIP+4® in this box* RECEIVED 0 ,2oc:'&'_I NOV 10 2016 N.`A,';\I::, N`: ISS. CATAWBA COUNTY ENVIRONMENTAL HEAUTH '�I��I�Inlllr'ilhilllIt 111L,111Ill LLlI1,] lllul1111 UNITED STATESPQ$TAL,�`ERVICE First -Class Mail Postage &Fees Paid 0"-) lU I r, USPS Permit No. G-10 01 (,-"4339 - .... • Sender: Please print your name, address, and ZIP+4® in this box* RECEIVED 0 ,2oc:'&'_I NOV 10 2016 N.`A,';\I::, N`: ISS. CATAWBA COUNTY ENVIRONMENTAL HEAUTH '�I��I�Inlllr'ilhilllIt 111L,111Ill LLlI1,] lllul1111 / a i Catawba County Environmental Health o Pf- 07_ Zot6_ Zy33j 0 it a r c r A r 31. \ \ \ 116.70 \ \ \ \ 167.72 \ \ 1 \ \ .29 \ \ 1 \ 1 \ \ \ \ \ 37.53, 57. Parcel: 377403404211, 4309 CARPENTERS COVE RD CLAREMONT, 28610 1 in=40ft 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 15A NCAC 18A.1948 SITECLASSIRCATION (a) Sites classified as SUITABLEmay be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation ofaground absorption sewage treatment and disposal system or have slight limitations that are readily overcome by proper designand installation. (b) Sites classified as PROVISIONALLY SUITABLE maybe utilized for aground absorption sewage treatment and disposal system consistent with these Rules but have moderate limitations. Sites classified Provisionally Suitable require some modifications and careful planning, design, and installation in order for a ground absorption sewage treatment and disposal systemto function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However, where a site is UNSUITABLE, it maybe reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules .1956 or .1957 ofthis Section. (d) A site classified as UNSUITABLEmay be used fora ground absorption sewage treatment and disposalsystemspecifically identified in Rules .1955, .1956, or .1957 of this Section or a system approved under Rule .1969 if written documentation, including engineering, hydrogeologic, geologic or soil studies, indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLEifthelocal health department determines that the substantiating data indicate that: (1) a ground absorption system can be installed so that the effluent will be non-pathogenic, non-infectious, non-toxic, and non -hazardous; (2) the effluent will not contaminate groundwater or surface water; and (3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it could come in contact with people, animals, or vectors. The State shall review the substantiating data if requested by the local health department. History Note: Authority G.S. 130A -335(e); Eff. July 1,.1982;. Amended Eff. April], 1993; January 1, 1990. yYiA r G 1842 sM THIS IS NOT A PERMIT Case # RBPR-07-2016-24339 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Nell IMPROVEMENT Owner i MICHAEL DRUM, 4264 CARPENTERS COVE RD, CLAREMONT NC 28610 C:828-308-8281 NAME TO APPEAR ON PERMIT Michael Drum SITE ADDRESS: 4309 CARPENTERS COVE RD, CLAREMONT NC 28610 PIN # 377403404211 NAVE of SUBDIVISION: LAKE CITY SUBDIVISION Lot # PT 21 Section/Block PROPERTY SIZE: Square Fect Acres 0.21 DIRECTIONS: HWY 321, Travel N, turn right onto Hwy 70 E, bear left onto Rock Barn Rd, continue on Rock Barn Rd, to Oxford School Rd, Turn right on Bolick Rd, Right on Carpenters Cove Rd PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY : Private Well DESCRIBE WORK: New 2002 cabin (including 8x20 uncovered) , 1 bedroom, no basement *Existing well is located on adjacent property & owners have a well easement. 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? Yes 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: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: DESCRIPTION OF SW Mobile Home (to be removed) EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 10x52 NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x32 single fam dwelling # OF NEW BEDROOMS:: 1 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED ALTERNATIVE OTHER INNOVATIVE Other described PLUMBING REQUIRED? Yes CONVENTIONAL ANY YES 19 - ehapphcatmn U7/20/2016 17 06 Pagc 1 oro V84 CATAWBA COUNTY case 11 RBPR-07-2016-24339 �,Public Health Department SubdiNimon LAKE CITY SUBDIVISION '�Environmental Health Division PING 377403404211 ~ PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 IZ s. NAME ON PERMIT: ( MICHAEL DRUh9), 4264 CARPENTERS COVE RD, CLAREMONT NC 28610 ( Michael Drum) Site Address: 4309 CARPENTERS COVE RD, CLAREMONT NC 28610 Property Size: Square Peet Acfes 0.21 Directions: HWY 321, Travel N, turn right onto Hwy 70 E, bear left onto Rock Barn Rd, continue on Rock Barn Rd, to Oxford School Rd, Turn right on Bolick Rd, Right on Carpenters Cove Rd 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 Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further infomtation or assistance please call 828-466-7291 AREA2 �Ilif' , :, a•.. I ., Il , :l, I �'n: ,.boil'!,;' rip '!' ]'IjrljjT :�-T"! III IIn,I I-��'rll'{111',I(InIO�'I!� • •--,-' B IIFEENAME i,ll i) i�ni�111'I 1 I19 !v II!liPhll'IDATE,ill�'I'II,'IFEEAMOUNT' a ullu�lu6�iu1.:�_ ,11'm.. �hhlu,V�u.:— Improvement Permit Fee 07/20/2016 $150.00 �i�I'..":I I�lili IP: I.a'_, :iii Ill Il! iililI{i.l % 'I 1ii1,1111 1 i I1 I!1 r .1p49 i �Ii ,':f"t I $h50:00 `.� ll l'` ::' I::,, i ilu.Yllh TOTA.i;! F E Es. li .11 4i ill 41!. I::: li I �I ll illlill.'I! i :, . "''il:ili l,'r'` n r dtli: 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 - 07/20/2016 17'06 Pagc 2 of 4 THIS IS NOT A PERMIT Case # RBPR-07-2016-24339 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENrTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT Owner MICHAEL DRUM, 4264 CARPENTERS COVE RD, CLAREMONT NC 28610 C:828-308-8281 NAME TO APPEAR ON PERMIT Michael Drum SITE ADDRESS: 4309 CARPENTERS COVE RD, CLAREMONf NC 28610 PIN # 377403404211 NAME of SUBDIVISION: LAKE CITY SUBDIVISION Lot # PT 21 Section/Block PROPERTI' SIZE DIRECTIONS: Square Fect Acres 021 HWY 321, Travel N, turn right onto Hwy 70 E, bear left onto Rock Barn Rd, continue on Rock Barn Rd, to Oxford School Rd, Turn right on Bolick Rd, Right on Carpenters Cove Rd PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: New 20x32 cabin (including 8x20 uncovered) , 1 bedroom, 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? Yes 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: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF mobile home EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 10x52 New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x32 single fam dwelling # OF NEW BEDROOMS:: 1 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED ALTERNATIVE OTHER: Other described: INNOVATIVE: CONVENTIONAL* ANY: YES 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 Date: 7-�20-// Signature of Applicant or Agent,/%[ ,/_.,-, rx Wk/J � 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 AREA2 E9 - chapphtation OV20/2016 16 47 Page 1 of 4 CATAWBA COUNTS' Case # RBPR-07-2016-24339 �U Public I lealth Department Subdivision _ G LAKE CITY SUBDIVISION d e� Environmental I-lealth Division PIN# 377403404211 PO Bos 389. 100-A Southwest Blvd, Nekton. NC 28658 lgg2 :M NAME ON PERMIT: (MICIIAEL DRUM), 4264 CARPENTERS COVE RD, CLAREMONTNC 28610 ( Michael Drum) Site Address: 4309 CARPENTERS COVE RD, CLAREMONT NC 28610 Property Size: Syuare Pect Acres 021 Directions: HWY 321, Travel N, turn right onto Hwy 70 E, bear left onto Rock Barn Rd, continue on Rock Barn Rd, to Oxford School Rd, Turn right on Bolick Rd, Right on Carpenters Cove Rd FEENAME - . DATE, FEE AMOUNT Improvement Permit Fee 07/20/2016 $150.00 TOTALFEES 5150.00 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) Ev - chapphieunn 07/20/2016 16 47 Pagc 2 of ,Ic. AMAWB � THIS IS NOT A PERMIT -ow4rr _ CATANVBA COUNTY HEALTH DEPARTMENT Application for Envirornncntal Services Page 1 Improvement Permit Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well A,baudon ment ❑ Well Repair D E:usting System Inspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ r n Property Address 3 D c1 ((� r Qe ,n-�-ea D (�/�t Subdivision �kP C 1Ctrecnnn•t rrAiC Rt10 Lot Pi- 21 —Acres . -410 Sectio n/BloclJPhase Driving Direction» to Property _ t t,� hear /e'irt 6nfo 1�dCG._ l�dL✓,n /��,1 /t011-0hue �'K i3a..-rnC<'./ 'i'a D)4rA �b�v d �u�'yt Y-• � /.`( i-Y� ��.%z in;.IeJ` -iLu'K [eFt' o„ -(•u :i?a (sem nA, -1i�., r^'a% or�`o NARK TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Inibrmation (Name lYi;thil�l jr) .r}rurY Address oocf 2!0 CGtw ypv, i'a a Phone E� a t{ (�- Owner Contact Information Name Address li (Phone- R,-') V-/_t7/5?2 Contractor Contact Information Name [ Address Phone `ode�(tlaa4" L'/O/L/ ..at /JC. 2�niG) CcII Phone Cell Phone ;;F o 3D Q Cell Phone WHO WILL BE'TM, PRIAIARY CONTACT? (Z Owner ❑ Applicant ❑ Contractor Description of'Existing Structures on Site # of Bedrooms I `L Snucrare Dimensions of Occupants Basement ❑ Yes Y9 ?oto Basement Fixtures 0 Yes � No `The App Iicant, shall notif the l health de ay _ loca— p t tment uUon subinitial 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. �A &7 Yes KNo Does the site contain any jurisdictional wetlands" R' WYes ® No Does the site contain any existing wastewater systems? � 10 Yes M No Is any wastewater going to be generated on the site other than domestic sewage? )KYes M No Is the site subject to approval by any other public agency? \� % Z] Yes § No Are there any earsemeats or right of nays on this property? Describe Existing water supply in use Individual Well [ ]Community Well Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes *0 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) 71 Accepted 0 Alternative ❑ Conventional 0 Innovative 0 Other Any TA' pt, THIS IS NOT A PERIVI1T COUNTY L CATAWBA COUNTY HEALTH DEPARTMENT Y .,off Application for Environmental Services Page 2 posed Facility Type Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms 'P j Project Description CCc l9 /M Structure Dimensions �- G' X 3 'Z' # of Occupants Z Basement ❑ Yes N No Basement Fixtures rJ Yes X No ❑ Accessory Structure(s) Describe # of New Bedrooms *I if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Fancily Residence # Units #Bedrooms per Unit*j Total # Bedrooms *j Structure Dimensions ❑ 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 j Additional information may be required to determine design flocs from certain facilities. This value will be determined during consultation with on-site staff. *Arty room that will be intended for sleeping at the time of construction or for future consideration sbould 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 RE TRIP 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 COJISnuet 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 heretic 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 lilies and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent /`/�f�// �`/� Date Printed Name of Owner or Agent I jlb 0 tc ,'Dry N Lookou Shoals L+ 1' ipc P 3.2 5 5'' 5. oriian of Lot 21 Portion of Lot 21 Peter Denes John W. Carpenter, Jr. W N Jeannie Denes Db. 868, Pg. 12 y . 3 i 97, Pg. 1978 , Pb. 10, Pg. 9 y �' `!' 0 01 Pb. 10, Pg. 9 'U U U.O y � W 14, ro oc i, w o s y' u W Q ovo a ,a0 I v0i �L 20 y O p ILI 14, J Zone y — 15' sideline 4% Zone X 4, 4 - AE 41 4, 4, W ed � W A W W � (9� 58544'19W 161.43' 1/2'P�Pe (f � 100-Y eor Eloy! line Brent K. Tedder ` Db.2875, Pg 679 Pb. 6, Pg 31 N Lookou Shoals L+ Lepra* 0 -1/21 Rate, (a) 0 - bw found M 0 - COICU1010d Point (CP) A - " moll or Concrete Nam nto - Not to Seals r/w - MOM Of Way pp . Power POW Carpenters Cove Road North Carolina Catawba County the survey plat as shown hereon I do that s , hereby certify n all respects -C' and woe prepared from on actual field survey mode by me on the-Mg—th—day of JWY , 2016. Signed: Donald S. Miller N.C.P.L.S, #1257 mag "OR set in Pp *' for tie 41 Zone 1k /11 Zone x AE pp WAS sw44"9 900—year flood Uno Brent K. Tedder Db 2875, Pg. 679 Pb. 6, Pg, 31 Line Table Lookout Shoals Lake Line Bearing IDistance Ll N41'51:12"F 32-06 2 N44'54 30"W 2"x.05'1 L3 N153"I.3'49"'N I 24.67' ! GRAPHIC SCALE 30 0 1 1 5 3 k 0 leo 1W i I inch 30 ft Y Lookout AF 1% Shoals Lake Site Aurae viciutty map Sokout No ScaleLake base Notes; Current tax records are used to identify adjoining property owners. The property shown hereon is subject to oil easements, right of ways, restrictions, and agreements not shown hereon. There were no North Carolina horizontal control morkers found to exist within 2000' Of the surveyed property" BY graphic plotting only: Surveyed property does N. does not lie in a flood hazard area an definedF EA M, Firm Panel Number. 37103779L Effoelve Date' 03-18-08 Total Aroo7 0.210 Acre (9,142 li.f.) (area computed by the coordinate method) Ratio of precision---- 1: 10.D00+, Broken lines represent property lines which are not actually surveyed, Those dashed lines veers token from dead$ or other 90urcss. Survey for Michael Wayne Drum Glenda C. Drum Address; 4309 Carpenters Cove Road— Claremont, NO 28610 Clines Township Cotcwto County North Carolina Scale: 1".30, Drawn By: tea File: 716181 Dead Reference: Book 1914 Page 1447 Pin Number: 3774-03-40-4211 Plat Reference. Be,* 10 Page 9 Tax Map Number: 18-19 Block 03 LOA 07 Survey By: qq/jk Data of Survey: 07-12-18 Drawing Number: H38-5000 it Miller Surveying, Inc. 328 4th Street S.W. Hickory, NO 2$602 Phone: (823) 322-4013 Virtu: License Number: C-0383 Lots 14-20 John K. Moorefield Susan Moorefield Db. 2792, Pg, 1781 Pb. 10, Pg. 9at 1 pipe 3!25' Portion or Lot 21 Portion of Lot 21 Peter Dense Jeannie Danes john W. Carpenter, Jr. Ob, 868, pg. 12 w. Do, 3197, Pg. 1978 Pb. to, Pg. 9 Pb. to, Pg. 9 4, Carpenters Cove Road North Carolina Catawba County the survey plat as shown hereon I do that s , hereby certify n all respects -C' and woe prepared from on actual field survey mode by me on the-Mg—th—day of JWY , 2016. Signed: Donald S. Miller N.C.P.L.S, #1257 mag "OR set in Pp *' for tie 41 Zone 1k /11 Zone x AE pp WAS sw44"9 900—year flood Uno Brent K. Tedder Db 2875, Pg. 679 Pb. 6, Pg, 31 Line Table Lookout Shoals Lake Line Bearing IDistance Ll N41'51:12"F 32-06 2 N44'54 30"W 2"x.05'1 L3 N153"I.3'49"'N I 24.67' ! GRAPHIC SCALE 30 0 1 1 5 3 k 0 leo 1W i I inch 30 ft Y Lookout AF 1% Shoals Lake Site Aurae viciutty map Sokout No ScaleLake base Notes; Current tax records are used to identify adjoining property owners. The property shown hereon is subject to oil easements, right of ways, restrictions, and agreements not shown hereon. There were no North Carolina horizontal control morkers found to exist within 2000' Of the surveyed property" BY graphic plotting only: Surveyed property does N. does not lie in a flood hazard area an definedF EA M, Firm Panel Number. 37103779L Effoelve Date' 03-18-08 Total Aroo7 0.210 Acre (9,142 li.f.) (area computed by the coordinate method) Ratio of precision---- 1: 10.D00+, Broken lines represent property lines which are not actually surveyed, Those dashed lines veers token from dead$ or other 90urcss. Survey for Michael Wayne Drum Glenda C. Drum Address; 4309 Carpenters Cove Road— Claremont, NO 28610 Clines Township Cotcwto County North Carolina Scale: 1".30, Drawn By: tea File: 716181 Dead Reference: Book 1914 Page 1447 Pin Number: 3774-03-40-4211 Plat Reference. Be,* 10 Page 9 Tax Map Number: 18-19 Block 03 LOA 07 Survey By: qq/jk Data of Survey: 07-12-18 Drawing Number: H38-5000 it Miller Surveying, Inc. 328 4th Street S.W. Hickory, NO 2$602 Phone: (823) 322-4013 Virtu: License Number: C-0383 Catawba County Environmental Health Parcel: 377403404211, 4309 CARPENTERS COVE RD CLAREMONT, 28610 1 in=50ft This map/report product was prepared from the Catawba County, INC 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 07/20/2016 Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 377403404211 Parcel Address: 4309 CARPENTERS COVE RD City: CLAREMONT, 28610 LRK(REID): 60442 Deed Book/Page: 1914/1447 Subdivision: LAKE CITY SUBDIVISION Lots/Block: PT 21/ Last Sale: Plat Book/Page: 10/9 Legal: LOT PT 21 PT 21 PL10-9 LK CITY PL 10-9 Calculated Acreage: .210 Tax Map: 1819 03007 Township: CLINES State Road #: 1747 Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: OXFORD Building(s) Value: $500 Land Value: $35,000 Assessed Total Value: $35,500 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: WS -IV Critical Area Voter Precinct: P27 Parcel Report Data Descriptions List all Owners Deed History Report Page 1 of I Owner Information: Owner: DRUM MICHAEL WAYNE Owner2: DRUM GLENDA C Address: 4264 CARPENTERS COVE RD Address2: City: CLAREMONT State/Zip: NC 28610-8170 School Information: School District: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL School Map Zoning Information: Zoning District: COUNTY Zoningl: R-40 Zoning2: Zoning3: Zoning Overlay: CRC-O,WP-O,FPM-O Small Area: ST STEPHENS/OXFORD Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2008-03-18 Firm Panel #: 3710377400L 2010 Census Block: 3011 2010 Census Tract: 010101 Agricultural District: 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 vonOcation 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 of 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. eXiS�r� S *fy) . a,(4 j _y IN�lis C� 1'aje� "din lel Vv2�l. 82�e►�e�, littp:Hgis.catawbacoutitync.gov/nonlap/parcel_report.php?key-377403404211& typ=P J I� 2�� e�► Ick( 7/20/2016 CATAWBA COUNTY HEALTH DEPARTMENT QCOMPLETION PERMIT FOR SEPTIC TANKS !Ground Absorption Sewage Disposal System — G. S. 130-13C) OWNER OR CONTRACTOR ADDRESS PERMIT N° 464 DATEiV7 f LOCATION SUBDIVISION NAMF LOT NO. SECTION OR BLOCK NO _-- HOUSE (;) MOBILE HOME (—BUSINESS (—) NO. BEDROOMS ( _._.) NO. BATHROOMS (—) GARBAGE DISPOSAL UNIT: Yes (—) No (—) SIZE OF TANK Total Gallons NITRIFICATION FIELD k3o l7 Ft. WATER SUPPLY: PRIVATE (L ---r PUBLIC {_) INSTALLED BY CERTIFICATE OF COMPLETION BY DATE INSTALLED 41 i Health Departmen-t— r CATAWBA COUNTY HEALTH DEPARTkUMT FILE COPY z IMPROVEMENT PERMIT FOR SEPTIC TANKS (Ground Absorption Sewage Disposal System - G.S. 130-13C) OWNER OR CONTRACTOR Junius Carpenter DATE 10-1-73 PERMIT NO. F-1 LOCATION Lookout Lake - Off State Road 1766 Mailing Address: Rt. 1, Bos 523, Claremont, N. C. SUBDIVISION NAME Carpenter's Cove LOT NO. HOUSE / / MOBILE HOME / X / BUSINESS NO. BEDROOMS / // NO. BATHROOMS GARBAGE DISPOSAL U14IT: YES / / NO / X / SITE SUITABLE: YES / _X7/ NO 7 REASON: Week -end Cottage SIZE OF TANK 1,000 gals. NITRIFICATION FIELD 750 Esq. ft. _ WATER SUPPLY: INDIVIDUAL / ! PUBLIC IMPROVEMENT PERMIT BY LOT AREA S.R.•1766 SECTION OR BLOCK NO. less than 15,000