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HomeMy WebLinkAboutEHPR-12-09-3003 (2).TIF THIS IS NOT A PERMIT Case # EHPR-12-09-3003 ~ G CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXPANSION APPLICANT OWNER CONTRACTOR FRANK LONCAR FRANK LONCAR STROM CONSTRUCTION INC 8792 ASHBY POINTE CT 8792 ASHBY POINTE CT 2343 SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673 CROFTE DR 828-478-9053 828-478-9053 SHERRILLS FORD NC 28673- 704-506-4000 NAME TO APPEAR ON PERMIT FRANK LONCAR Pin#: 461802792556 SITE ADDRESS: 8792 ASHBY POINTE CT, Sherrills Ford, NC DIRECTIONS: 16S/ 150E/ LEFT SHERRILLS FORD RD/ RT ISLAND POINT RD/ LEFT CAPES COVE/ LEFT ASHBY POINTE / LOT 308 NAME of SUBDIVISION: NORTFIVIEW HARBOUR PH 5 Lot # 308 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.889 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 70 X 70 Bedrooms 5 Basement: Water Using Fixtures in Basement:No No. in Family 2 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: BEDROOM, BATHROOM & KEEPING ROOM / 20 X 40 Has any grading, removal, or addition of soil been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE Type of Water Supply: Individual Well Community Well Municipal X Semi-Public I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from th date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this propert . A , r res ntation by you of house or structure location should conform to applicable setbacks. Date: 9 Signature of Applicant or Agent n E vironmental Health Specialist will contact you wit ' work' g da, application date. If you need further information or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) ~~q Zoning Approval: ;~T'es No Zoning Approval #N~ I~'v! - o~~ UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE _ AMOUNT Side 15 Authorization t'o Construct Fee (Newt 12/04/2009 ~ S275.00 ` Rear 30 Improvement Permit Fee 12/04/2009 $150.00 Max Hght TOTAL FEES $425.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 12/04/09 12:22 CATAWBA COUNTY PERMIT ~,A co ZONING AUTHORIZATION R Single Family Dwelling Q~ 1'. 0. Box 389 a PERMIT NO: ZONR-12-09-3124 IOOA Southwest Blvd APPLIED: 12/04/2009 Newton, North Carolina 28658 ISSUED: 12/04/2009 184 SM Phone: 828-465-8380 EXPIRES: 06/02/2010 FAX: 828-465-8962 www.catawbacountync.gov APPLICANT OWNER CONTRACTOR FRANK LONCAR FRANK LONCAR STROM CONSTRUCTION INC 8792 ASHBY POINTE CT 8792 ASHBY POINTE CT 2343 CROFTE DR SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673- PROPERTY IDH: 461802792556 CENSUS TRACT: STREET ADDRESS: 8792 ASHBY POINTE CT, Sherrills Ford, NC LOTH 308 PROJECT DESCRIPTION: ADDITION TO EXISTING DWI--.LI..IN / Bi-DROOM & BATI-IROOM & KI-EPING ROOM DIRECTIONS: COMMENTS: ADDITION TO EXISTING DWELLING / BEDROOM, BATHROOM & KEEPING ROOM FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SIDE l: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Office, the applicant must pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 12/04/2009 $25.00 TOTAL FEES S25.00 The applicant herebv certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was issued on the hasis of the information required herein The applicant further acknowledges that any construction. alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County "Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply with all existing d d restrictions pertaining to the property. Issuance ofthis permit is not certification of such compliance and does not relieve Applicant of the duty to c mply. "This Zoning Authorization Permit shall expire six t it is from tale of issuance unless a building-p mit is secured and remains active. r ►s S41-6 w, APPLICANT NANIF (PRINTED) I'PI,I NT SIGNA"I~ RE ZONING APPROVED BY ZONING FEES ARE NON-REFUNDABLE COMPANY NAMF, Pau I of I THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit El Authorization to Construct ❑ Septic Repair ❑ Septic Expansion Existing Tank Check ❑ New Well Permit F-1 Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit L4V-A 2. Permit Requested By 0 14(-Ls to Business Phone 8Z0'K7$ -Y`66-0- Address 2-141 AV~ Or 54.rr,1Ld -C K e- Home Phone 3. Property Owner g2 .S b o%w't' v r&ti.k okCCI Business Phone Address -y ,-,e Celt D -Sn6-4~~ 4. Name of Subdivision a Vtw" t o l Lot # 3o g Section/Block/Phase 3 Property Address a"L 4 otl%t r Directions to Property: '.f ska+-d, nou~► r k- s oyv- L aa,% sty bk (?vl►, 0 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure 15,y 60 Bedroor *Any roorn that will be. intended for sleeping at the time of construction or'for "fature consideration should be noted as a bedroom and counted on,all applications. The number of bedrooms will be confirriied by rooms identified.on' house plans asa bedroom at the tithe of b.uilding permit issuance. This.inay prevent the need for system size increase in the future. Basement: yes/no Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub es no Gallon Capacity j MULTIPLE FAMILY RESIDENCES: Units K~A Total Number of Bedrooms S DAY CARE: Number of Children RESTAURANT: Seats uare Feet Dining Area -Square Feet Food stand at Market Floor Space TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? / No If so, describe: 8. Has any grading, removal, or additio of soil been done to this property? C==y / No If so, describe: u A 9. Are there easements/right-of-ways recorded on this property? No 10. Is a public water supply available on or adjacent to the above property?,/es No Check type that is available: [ ] Community well [ ] Semi-public well [ r6ounty/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well 44 (661 I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO E 0 E Y, THERE IS AN ADDITIONAL CHARGE." Date Z~Y- Signature of Owner or Agent Q y ~ y • 03 MAWBA COUNTYALTH DEP- _ TMENT fls t n Telephone: (828) 465-8270 TDD: (828) 465-8200 WLS #A0Ca-Q13W-_ IP AC_Rpr. Prmt. Opr. Print. Sys. Type.111M Well Prmt. Replacement Well Well Rpr. Prmt. Own r gent M fa0i1.t5`f1LWs 7 IQ TjW-C, Phone 2L2 -Sb6 ''~D Qa Address / SubdivisionnobZ27735to/(=L,J ff-AeBDuQ , S /V C Section/Block/Phase Zj~ - Lot# 30$ Lot Size Q,&; qpk S- Directions: - i c S :1- D N n in/ c.44,c F S,4s• roperty Address $2g.2 RS/,~(j v pb/ C'OCi Facility. House-)(_ Mobile Home Business Multi-family . Other: Pin Number ~l A? QZ !7;2-?,50k-,3d Other . Zoning Approval # 2 e) A/ 2 Q 0;2 - 00 &5W # Bedrooms # Seats # Employees . Application Rate 3 GPD Flow rj$'d Hot Tub or Spa(ano Special Fixtures Basement yes(. 100% Repair Are e no Basement Plumbing yes Water Supply: Private Well Public Semi-Public Type of System: Trench Bed Pump Pump/Panel-X_ Panel - LPP Other - - Septic Tank Size .16igQl Pump Tank Size /D O a Nitrification Field: Total Square Feet R ej a Depth of Stone Bed Size - Trench Width 3 ` Total Length of All Trenches R 2Q Number of Trenches i Trench Length,2~11,5'V/S-01s' ~ Feet Center Maximum Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* psi *WELL RECORD REQUIRED AT COMPLETION* * Topo % Slope I CO y Texture i9timp -</2t C' '/0 Structure Clay Min. ,/U6 7-fiGC19-- 7o A) Soil Wetness Soil Depth Restric. Hoz. at 1e-Prle. 7"A,,VK Co/V72ffe7014, 710 CA4( Available space yes/no I SE v~~tn-<, yS r`o Overall Class S PS U Comments: i - !S iivST~ec,~ U s t E ~Sa~~ ~voT~-S) ~ ~-=Q~pR/2 Fes- 2 Aa~~ ~ i ~ o.V~L -3 3 SAND RFgMte, pT~$3 " 1~vjb 40LA's I - 4)aA.c.-aFF aN Sov,Tcr* GouLaS la~~ ~d ,2~Au,rcx a , 1~vEos~Z~~~ - Filter Required I O Riser required when tank is more than 6 inches deep. **NO GUARANTEE OR ED OR GIVEN AS. TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at an site by the Health Department. Permit Date EHS (Owner/Agent Septic Tank Installed By-42 G .S'e'C77e; Date S-.2tia EHS _ Well Installed By rV~/9 Well Grout Approval Date AYA- Well Head Approval Date !t J04 Date Sample Collected Date of Results Results EHS Z- White - Office Yellow - Owner/Agent'. Pink: Building Inspection Authorization to Construct Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of anv data contained on this tap product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall of be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which ari s or may se from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 4618-02-79-2556 1 inch = 40 feet Prepared for: 74 6.44 f ~~T • O , 101 A 3 0`7 75 / J I 20/29 308' J d'x 28.84 2' tj y.f1 ; \ IA } 24W942 s t t~ t f i t t 1 : ~ o in THIS IS NOT ;LEGAL DOCUMENT ~ ~ Friday, December 04, 2009 11:48 AM I IL 'V1% --j CATAWBA COUNTY NC - Parcel Report Informatidn Regarding Selected Parcel(s) Parcel ID: 4618-02-79-2556 Name: LONCAR FRANK W Name2: LONCAR MARY G Address: 8792 ASHBY POINTE CT Address2: City: SHERRILLS FORD State: NC Zip: 28673 Account: 173720 Calc Acreage: 0.89 Tax Map: LRK: 802125 Deed Book: 2393 Deed Page: 0134 Subdivision Name: NORTHVIEW HARBOUR PH 5 Subdivision Block: Lots: 308 Plat Book: 56 Plat Page: 42 Building Number: 8792 Street Name: ASHBY POINTE CT Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $378,600 Land Value: $388,000 Total Value: $766,600 Year Built: 2002 Year Remodeled: Last Sale Date: 9/19/2002 Last Sale Amount: $189,900 Neighborhood: 130 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 2009 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Friday, December 04, 2009 11:48 AM