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HomeMy WebLinkAboutRBPR-07-2016-24368.TIF , \Arrondsr) THIS IS NOT A PERMIT ra CA �'^AVV t]A CATAWBA COUNTY CITY HGAL'fIl DEPARTMENT Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (he-Approval Required) ❑ Application is for New Construction ❑© Existing Facility ❑ Property Address 4508 Kiser Island Road I • ,Subdivision Terrell, NC 28682 Lot # Acres 0.46 Section/Block/Phase Driving Directions to Property From 150 traveling West, turn lett on Kiser Island Road.Properly is on the left at 4508 Kiser Island Road. NAME TO APPEAR ON PERMIT? ❑ Owner ❑® Applicant ❑ Contractor Applicant Contact Information�, s{, -„� Wax .n„� Name Charles L. Fulp Jr. lJ hC— l.L.�/1 4� Address 240 Bluffton Road Mooresville, NC Phone 704-799-7570 Cell Phone 704-930-9923 Lord Owner Contact Frcform:Rtmr—` Lord "• Name yirtM �,,� r ,., Address 1 ) ��1�� Rd ter U v&±r, Phone egy CelllllPhone anon � Cyf15U1Cn ,`CfYI Address ) to ' d re5o PhonegO —273—— )40 Cell Phone C14_QM— I AS190 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor Description of Existing Structures on Site Noslmotureson site Jc0t tl (..o\- #of Bedrooms *t Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. O Yes n No Does the site contain any jurisdictional wetlands? CI Yes F3 No Does the site contain any existing wastewater systems? *Yes CI No Is any wastewater going to be generated on the site other than domestic sewage? Yesi0 No Is the site subject to approval by any other public agency?BD - -------------- ----- --i Yes �No Are there any easements or right of ways on this property? Descrire Existing water supply in use L Individual Well U Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes 0 No lfapplying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) Yi!1/4.ny ❑ Accepted ❑ Alternative Conventional ❑ Innovative ❑ Other • r _.. , t • CTAWB l �. +T US-IS*N T A PERMIT •i • NA. " CATAWBA COUNTY HEALTH DEPARTMENT Couurr Application for Environmental Services Page 2 Proposed Facility Type (-0 ' B❑ Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Building a house Structure Dimensions 40'x 50' # of Occupants 2 Basement 0 Yes ❑ No Basement Fixtures Ci Yes a No ❑Y Accessory Structure(s) Describe Pool La _f► jt #of New Bedrooms *t if applicable Structure Dimensions 45'x # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing • Yes ❑ No Describe Plumbing Needed Water Line ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *t 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 k of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy - Application for Well Construction/Abandonment/Repair• I - : •' • L • • 1. • h •- • Proposed Well Type .Individwil Well, •❑ Semi-Public Well ; ❑,Community Well Abandonment Type ❑ Drilled - " ` ".J Bored • '❑ Dug' ❑ Unknown Well Repair Requested ❑ Yes ❑ No :Describe - , Calculated Design Flow; Con mercial;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 tithe of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will he 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. 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 arc 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 ttamfen-able. Permits may 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 grantedright 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 he performed. Signature of Owner or Agent /n)��I r 1'�n n Date O 1 I ZI I ` � Printed Name of Owner or Agent C � L• r JLP JK. Katherine Harris From: Angel Caudle [angel.caudle@hunterconstructiongroup.coml Sent: Thursday, July 21, 2016 12:12 PM To: Katherine Harris Subject: Septic Tank and Well Permit Attachments: Signed Application.pdf Katherine—Thanks for walking through the application process with mc. If there is anything I have failed to include in this package, please let me know. Angel Caudle Assistant Project Manager (c)704.223.7140 (o)704.799.7570 (f)704.799.7576 all gel.caudlelatinterconstinc t loll CiO U p.Co n ASV HUNTER C:rn,ninrie.Cawpin. 118 Timber Rd. Mooresville,NC 28115 1 CATAWBA Geospatial Real Estate Search _a Information Services ow) 0 o /ii3h112,11i.fieio.; l5' S -C QAuo 50' aux 16i , '-)e-k. (251) SEPTI C PWL �X3gi rte`' ,� 't, 115/ �- ��. K4,144 ., I %' 0 1a 0111 .I !_lbr h no o_ PaP,KNG / N (2791 I ,. . _ Z5tig5 /'.. I 17.48 `,5a\ 21.80 „yr' '7 N^ 1 in=50ft WtE S Parcel: 461602577837, 4508 KISER ISLAND RD TERRELL, 28682 Owners: HUNTER KRISTA H, null Owner Address: 4516 KISER ISLAND RD Values - Building(s): $0, Land: $106,500, Total: $106,500 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 07/21/2016 ` . Catawba County Environmental Health y 43.40 0 11. IIIIO 32.60 (310) at i '' il....,icSr F�'t�Y,1' �firr �lu�, ��l , I i �. me— vt 1,: . I ��' 29 85 r. H t .'tt; }P �1l��1.1� III IY (254) , 1E :1 )1.; '� Hi. sI� t: N I rfc„ �lily 1 u tr.l o :�lu` a f 1 1'l N .A 1,t) 3,dpO _.-cn . CCW to 2 (2191 25185 765"^_---_ _ .14"--.../ 21.80 n / '..-- 541>\ fog -1.* (110) / 66.,7 Parcel: 461602577837, 4508 KISER ISLAND RD 1 in=50ft TERRELL, 28682 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 07/21/2016 Parcel Report Page 1 of I • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461602577837 Owner: HUNTER KRISTA H Parcel Address: 4508 KISER ISLAND RD Owner2: City: TERRELL, 28682 Address: 4516 KISER ISLAND RD LRK(REID): 14004 Address2: Deed Book/Page: 3069/1334 City: TERRELL Subdivision: State/Zip: NC 28682-9769 Lots/Block: 1/ Last Sale: $108,500 on 2011-03-23 School Information: Plat Book/Page: 22/199 School District: COUNTY Legal: LOT 1 PL 22-199 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: .480 Tax Map: 013 X 04010 High School: BANDYS • Township: MOUNTAIN CREEK School Map State Road #: 1841 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoning(: R-30 Building(s) Value: $0 Zoning2: Land Value: $106,500 Zoning3: Assessed Total Value: $106,500 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permits for this parcel. Firm Panel #: 3710461600L Building Details 2010 Census Block: 5016 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 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. py i r „ /�t�. ©20 6, Catayrba unty rnment, North Carolinats reserved. I y,L LA) I` 7'I (`tel X/ \)�1 f �Nt 313Sni aDo Yp «b . http://gis.catawbacountync.gov/nomap/parcel_report.php?key=461602577837&typ=P 7/21/2016 • gyp* CATAWBA COUNTY Case 0 IMPV-5-10-7695 Public Health Department 3 '3�` Subdivision Environmental Health Division ' p',',4 -r PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Lot It �8a W PINK 461602577837 Applicant/Owner JEFFREY BAILEY Site Address: 4508 KISER ISLAND RD,,NC Property Size: SF 0.479 ACRES Directions: HWY 16 S-TURN LEFT ONTO HWY 150-TURN RIGHT ONTO KISER ISLAND RD- I 1/2 MILE ON LEFT Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Facility: House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Well Type: Individual Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years:_X_ No Expiration: Projected Daily Flow 360 9Pd Proposed Wastewater System: 50% REDUCTION 0 Type: **** no system class assigned **** 0 Pump Required?: Yes • Operator Required?:YES Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA - ANY SYSTEM WITH LPP DISTRIBUTION Pump Required?: Yes Operator Required?:NO 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 Rates for Sewaee. Treatment and Disposa/Systems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Luke Sears 05/27/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/26/20 15 No grading or construction activity is allowed in areas designatedfor system and repair without approval of the Health Department. 05/27/10 10:00 \Pim 1 - \o • -±.3a iMP`c . 5-to - - b`ls 1. 61/4 At04 4 Accor 5D% teducmca to s 30044 uoobt. S° ay 5' '1o55;),k 73 vnAk .111 Mw k;stx Zs\a,+& Wd • • Department of Environment,Health,and Natural Resources Sheet: Divis(on of Environmental Health Property ID: On-site.Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: Owner: Jeffery Bailey Applicant: Address: 4508 Kiser Island Rd Date Evaluated: 2/22/2010 Proposed Facility: Design Flow(.1949) Property Size: Q Location of Site: Property Recorded: Water Supply: ( ]Public [ ]Individual [X]Well ( I Spring [ I Other Evaluation Method: [ ]Auger Boring [X ]Pit [ ]Cut Type of Wastewater [X]Sewage ( )Industrial Process [ ]Mixed p .•-t to ,.�. T r 0 SOIL MORPHOLOGY b.' PRE= OFILFACTORS.,µ;. I :1940 .n - n. 1a L , Landscape- Honzon 194f 1941 _• ' Solt j'1943 '1856 1944 ,Profile }'"rv- " 1.36' 1.3 o',. Structutea- -- c E Position/ 'Depth re( 'Consistence Wetness/ .Soil Sapro Restr Class # 'Slope% - ;,;(IN.) " Texture AMineralogy - Color -Depth.(IN.) Class''; _ Horiz 1 FS 0-48 SCUSBK FR/SS/SP 48" PS 18 .3 2 FS 0-50" SICL/SBK FR/SS/SP 50" PS 18 .3 3 FS 0-30 SCUSBk Fi/FRISS/SP 50" PS PS 17 30-50 SL/GR/SBK Fr/NS/NP .3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) Soil Evaluation By: System Type(s) Others Present: Site LIAR Site Classification(.1948): Site Evaluation BY Others Present: Sheet: . COMMENTS: FILE it 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-Food 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 Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable S5-Slightly Sticky EXP-Expansive FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic Q" VP-Very Plastic ✓ Sketch of Soil Evaluation Locations t l\� J V I5t�� CATAWBAPLANNING & PARKS DEPARTMENT OFFICE PHONE: 828-465-8380 c CATAWBA COUNTY ZONING APPLICATION PO BOX 389, NEWTON, NC 28658 PART A INSTRUCTIONS: TO BE COMPLETED BY APPLICANT 1. Physical Address of the Property 4508 Kiser Island Road (Subject to this Application) City Terrell State/Zip NC 28682 2. Applicant: Charles L. Fulp Jr. Mailing Address: (If Different) 240 Bluffton Road Mooresville, NC 28117 Phone #: (704) 930-9923 Email: efulp@huntereonstructiongroup.com 3. Owner: (If Different from Applicant) Physical/Mailing Address: Phone #: Email: 4. Contractor: (If Applicable) Physical/Mailing Address: Email: (If Known) 5. Type or nature of work to be done on the property or proposed use to be undertaken: (Describe in Detail) Building a house 6. Easements on Property (If known): YES x NO Type: 7. Are you aware of any Restrictive Covenants on this property that might prohibit the proposed project? YES X NO 8. The applicant(if different from the owner) is authorized to act as agent on behalf of the owner, hereby certifies that all information and attachments to this Zoning Application are true and correct,and acknowledges that this permit is issued —on the-basis of-the information-provided-herein. -The-applicant-acknowledges-that-any-constructionralteration-or- additionition which differs from this application shall be subject to removal, alteration or correction so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. The applicant acknowledges that any modification or adjustment to the location'of improvements on the property which affects the setbacks depicted under Part B Page 2 of this application will make this application null and void. The applicant understands and further acknowledges this ap ation IS NOT A ZONI• G PERMIT and cannot be substituted for the same. PPLICANT/O ER'S SI N•TU'7 DATE 1 PART B FOR OFFICE USE ONLY: 1. PIN /t 9&/(0-02- S7- 7 837 2. Zoning g-3O ZONING PERMIT NOT REQUIRED Comments 3. Setbacks: Front 30' Side Lc Rear 301 Side Street (Indicate which street) Any additional comments for setbacks: Note: One story Accessory Dwelling and two story accessory structures must meet principle setbacks for zoning district. 4. Work Class: Residential Accessory Structure /New Building (Single Family) Addition _Accessory Dwelling Alteration Duplex Addition &Alteration Manufactured Home _Swimming Pool Home Occupation Backyard Business Sign S. Work Class: Non-Residential _Accessory Structure Change in Occupancy _Change in Use _Addition _New Structure _Alteration Temp. Const.Trailer _Addition &Alteration Sign _Other (specify) 6. Flood plain: X Yes No Comments: Structure in Flood plain: Yes X No Comments: Property Easements: Yes X No Comments: Overlay District: X Yes No Comments: C2C -D Watershed District: )( Yes No Comments: LIS-!U C.r`\ i 4 Vire tw Manufactured Housing: MFG Type (Circle one): A B D E Land Ownership: Private Rental _ Required underpinning: Vinyl Masonry _ Minimum Deck Size: 36 Sq Ft New_or Change Out, Year of Manufactured Home 7. City Water Sewer Septic X Well Y _ - 720-k, PLANNING STAFF SIGNATURE DATE THIS APPLICATION WILL NOT BE PROCESSED BY THE PERMIT CENTER WITHOUT A PLANNING STAFF SIGNATURE 2 CATAWBA Geospatial Real Estate Search '�' Information Services 32.60 (310) 0 o �O 4 :til ibs w. . ._ �.._... _...._ scT (254 pTt05 • flTit : v�� ��Fa�� o40 hr. I Its m �� 1ill II CO- iz. pkKKttJG ri ; , !lbi6 N. • 25185 ' I 17.48 \,54)01 21.80 • �c1 N w- E 1 in=50ft fs Parcel: 461602577837, 4508 KISER ISLAND RD TERRELL, 28682 Owners: HUNTER KRISTA H, null Owner Address: 4516 KISER ISLAND RD Values - Building(s): $0, Land: $106,500, Total: $106,500 This map/report product was prepared from the Catawba County,NC Geospatiat 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 07/21/2016