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HomeMy WebLinkAboutRBPR-07-2016-24394.TIF IgA >� THIS IS NOT A PERMIT Case # RBPR-07-2016-24394 iTan CATAWBA COUNTY HEALTH DEPARTMENT EL.:rola. c. ❑' �' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 5M Residential Building Plan Review - Building New o114a : C AUTH CONST - NEW WELL Applicant BEASON GENERAL CONTRACTORS (BRENT WILSON), PO BOX 636, SHERRILLS FORD NC 21 8:7042301016 C:7047756525 BRENT@BEASONNC.COM BEASONNC.COM Contractor *BEASON GENERAL CONTRACTORS (JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC B:7042301016 C:9104316915F:(704)230-0016 BRENT@BEASONNC.COM Owner JMB HOLDINGS INC,/DBA BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FOI NC 28673 . B:7042301016 Paid By RYAN B WILSON,6441 OSPREY TRAIL, DENVER NC 28037 NAME TO APPEAR ON PERMIT *Beason General Contractors (JOHN BEANE, Ill) SITE ADDRESS: 3303 CAYTON DR, MAIDEN NC 28650 PIN # 367803415277 NAME of SUBDIVISION: WYNSWEPT PH 1 Loth 5 Section/Block PROPERTY SIZE: Square Feet Acres 0.91 DIRECTIONS: Hwy 16 South about 7 miles! left Cayton Dr/property is located about .1 mile on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 1 story dwelling 58 x 66 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: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 58 x 66 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplication 07/28/2016 16:03 Page 1 of 4 .4.1$A • CATAWBA COUNTY Case 4 RBPR-07-2016-24394 r��g Public Health Department Subdivision �� ,�Q 2• WYNSWEPT PH 1 Q ; = j ,'-? Environmental Health Division PIN# 367803415277 PO 13os 389, 100-A Southwest Blvd,Newton.NC 28658 18.2 s, NAME ON PERMIT: *BEASON GENERAL CONTRACTORS (JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC 28673- `Beason General Contractors ( JOHN BEANE, III) Site Address: 3303 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.91 Directions: Hwy 16 South about 7 miles/ left Cayton Dr/property is located about .1 mile on left 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 information or assistance please call 828-466-7291 AREA1 �_ _ ..... FEENAMEDATE FEE AMOUNT. Authorization to Construct Fee (New/Expansion) 07/28/2016 $150.00 Fee Well Permit& Inspection Fee 07/28/2016 $300.00 TOTAL FEES $450.00 -1 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-ehapplication 07/28/2016 16:04 Page 2 of 4 C ATA` e THIS IS NOT A PERMIT coots.11[ » ----[, CATAWBA COUNTY HEALTH DEPARTMENT Nsigagile„.,.' Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct 0 Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑® Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-ApprovalRequired) ❑�I Application is for New Construction Existing Facility ❑ Property Address 3303 Ceylon Drive / Subdivision Wynswept Maiden,NC 28650 Lot# 5 Acres .91 Section/Block/Phase 68/194 Driving Directions to Property Take hwy 16 south about 7 miles. Turn lett onto Cayton Drive. Property Is located about.1 miles on left NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant 0 Contractor Applicant Contact Information Name Brent Wilson Address PO Box 636,Sherrills Ford,NC 28673 Phone 704230.1016 ' Cell Phone 704.775.6525 Owner Contact Information Name Beason General Contractors Address PO Box 636,Sherrills Ford,NC 28673 Phone 704.230.1016 Cell Phone 704.775.6525 Contractor Contact Information Name Beason General Contractors Address PO Box 636,Sherrills Ford,NC 28673 Phone 704.230.1016 Cell Phone 704.775.6525 WHO WILL BE THE PRIMARY CONTACT? ❑Owner Q Applicant ❑ Contractor Description of Existing Structures on Site w^ #of Bedrooms *t 3 Structure Dimensions 57'4•x 65'8^ #of Occupants Basement 0 Yes ( No Basement Fixtures 0 Yes ;O 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 I7 No Does the site contain any jurisdictional wetlands? a Yes l0 No Does the site contain any existing wastewater systems? ID Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes 0 No Is the site subject to approval by any other public agency? 10 Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use U Individual Well ❑Community Well U Semi-Public Well 0 County/City/Township Water Line Is a public water supply available? ** ❑ Yes D No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): stems can be ranked in order of your preference) ski. Accepted El Alternative 0 Conventional 0 Innovative 0 Other )11 Any CATAWBA THIS IS NOT A PERMIT `ouNt. - CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑� New Residence ❑ Addition to Residence #of New Bedrooms *t 3 Project Description Construction of a new residence(approximately 2200 HSF, 1 story) Structure Dimensions 5714'x 65'8" #of Occupants Basement ❑Yes 0 No Basement Fixtures ® Yes .O No U Accessory Structure(s) Describe it of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling 0 Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed LI Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions _ Li Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift_ #of Shifts Dining Area(Sq. Ft.) U Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts U Other Facility Type Specify If Church#of Seats Kitchen 0 Yes ❑No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well 0 Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored 0 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. 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 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 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 17- �% ) Date 740 //Co Printed Name of Owner or Agent h n^y /flv,nd t Dc-n c Catawba County Environmental Health / 11 \ \/ . / 11,99 t • 'et. 28.37 • .- '4/(/ 1 • ..• .....• , v . /:04. .��tt / � ,.....0e,\ 5TQ' Tel N. 3. 111\11Hilisiii.: ... N. N. .17 A A A A \ \ QJs� `r$( b //LO yp�.4/ N'J 1 i} 1Zt' i i tt °s9 4 N IC 4te fid" N fr A ` GJ,` Y �/ • \ /rS9 p t� • y.2 1110.1116. 0� a at- pe G 42.16 70.60 N."*"... / \IP t • Parcel: 367803415277, 3303 CAYTON DR lin=50ft MAIDEN, 28650 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 empbyees,agents,and personnel,tbsdaim,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 07/01/2016 • Catawba County Environmental Health 30)1 •• rn . \\\\Nill:\‘‘' 40 / /11.99 • 28.37 i • 4101 i • i Si : • • 23.34 • 37S -47 3,90 •69 I • • O'cL• O� 0 GP� /1/ . Parcel: 367803415277, 3303 CAYTON DR 1in=50ft MAIDEN, 28650 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 07/28/2016 Parcel Report Page 1 of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367803415277 Owner: JMB HOLDINGS INC Parcel Address: 3303 CAYTON DR Owner2: City: MAIDEN, 28650 Address: 2235 LAZY LN LRK(REID): 201354 Address2: Deed Book/Page: 3335/0412 City: SHERRILLS FORD Subdivision: WYNSWEPT PH 1 State/Zip: NC 28673 Lots/Block: 5/ Last Sale: School Information: School District: COUNTY Plat Book/Page: 68/194 Legal: LOT 5 PLAT 68-194 Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: .910 Tax Map: High School: BANDYS Township: CALDWELL School Map State Road #: 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: $19,100 Zoning3: Assessed Total Value: $19,100 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 2026 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 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 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. t csw, Than apo gAk J� http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367803415277&typ=P 7/28/2016 r:-\\ CATAWBA COUNTY Q i rQ Case# IMPV-01-2016-075117 �i I.Ly + 1 Public Health Department__,D ' ice# ,^ �} Subdivision WYNSWEPT PH 1 1�1 1„l Environmental Health Division rIF. FINN 367803415277 ......2.4..Y.," I'O Box 389. I00-A Southwest Blvd. Newton, NC 28658 _ {r LOTH 5s• r y T•? H tdH •; { ❑' L. . 1 i NAME ON PERMIT: BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673 Site Address: 3303 CAYTON DR, MAIDEN NC 28650 Property Size: Square Fees: 39,639.60 Acres:0.91 Directions: Hwy 16 South, Left onto Cayton Dr, Property is about .1 miles on the left. 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: II IB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: See AC for permit conditions REPAIR SYSTEM M SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM tV/SINGLE EFFLUENT PUMP PUMP 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 or other permits. It is the responsibility of the applicant/propeny 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. 'Eke Improvement Permit is nut affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rs/es Tor Sec02e Treatment and Disposal SPsrems' (15A NCAC ISA .1900). 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 07/29/2016 AUTHORIZED STATE AGENT APPROIAI.DATE • Permit Expiration Date: 07/29/2021 No grading OP CO nstrnction activity is allowed in areas designated for srsieun and repair without approval of Health Department. elipennil 07/292016 09:29 Ca Permit aBPa-7-IG-24594 CATAWBA COUNTY Public Health Department Name Beason General Contractors Environmental Health Division Address 3303 Caxton Dr Maiden NC 944:11•oPO Box 389, IQUA Southwest Blvd, Newton NC 28658 PINS 367803415277 1841 (a2R)465-s270 Fax 1,823)465-8276 TDD(878)465-8200 Site Plan Authorization to Construct ; F . 1 � rr t°1 _ M, , y^ (u 0 ' r f 1 r r ro - G Asa , 6e 3Ls . ` ( Ito ST SB ` LII--CI— Pr 382 'Is' -- 0 Y L AKE-A Dr J Scale ( itS I �z . 99 ' C'�y {_ Or DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheer_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY 0 6: _ ON-SITE WASTEWATER SECTION COUNTY:Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER:_Heel Development APPLICATION DATE ADDRESS: Lot r_Wynswept DATE EVALUATED: 7/9/2008 _ PROPOSED FACILITY: Bcdroom PROPOSED DESIGN FLOW 0949):480gpd PROPERTY SIZE: LOCATION OF SITE: Wy swept_ - PROPERTY RECORDED: WATER SUPPLY: .Pri vale Public :Well Spring Other EVALUATION METHOD: F-Auger Bodng Pit Cut TYPE OF WASTEWATER: ::::Sewage Industrial Process Mixed P f • 0 - - SOIL MORPHOLOGY OTHER F (.1991) PROFILE FACTORS• t .1940 I • E LANDSC.AII HORIZON I - E DEPTH • 1442 PROFILE A POSITION/ (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS SLOPE 7 STRUCTURE./ CONSISTENCE' WETNESS/ SOIL SAPRO RESTR &LIAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L 0-3 WFGR I L NS NP FR/NEXP >26 26 NA PS PS 2-5% 3-26 AR MMSI3K I C SS SP FR/SEXP floater rock at 1 . L 0-3 WFGR/L XS FR/NEXP >16 >45 NA PS PS 2-5% .3 3-34 M18•ISI3K/C SS SP FI/SEXI' 34-16- MFSDK/C SS SP FR 2 L 43WFOR/L NS NP FR/NEXP >"2 >42 NA PS PS 2-5% i 323 MMSRK I C SS SP FI ISEXP 23-12q MFSRK/C SS SP Fn/SEXP 3 to sou set • I. 0-3 wFGR/L NS NP FR 1 NEXP >32 >a2cy • J' 2-5% V . 3.33 MNISRK/C SS SP F:/SEM' 3442- MFSRK IC SS SP FRI SEXP < fiN i 4 1 0 DESCRIPTION' INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1945): *At c SITE CLASSIFICATION(1948): Available Space(-1945) System Type(s) EVALUATED BY: Lo/6Ff MC OT11ER(S)PRESENT: Site LIAR (0.6C4r " - : - _ E-25—er-- CQMMENTS: _____y LEGEND SOIL/SITE EVALUATION Sheer_al (Coruinuaiinn Slicer) DEPARTMENT OF ENVIRONMENT PROPERTY ID 4: AND NATURAL RESOURCES DATE OF EVALUATION: DIVISION OF ENVIRONMENTAL HEALTH COUNTY: •P rz SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS I .1940 L LANDSCAP .1942 e 110811 .1941 .1941 SOIL E ON ,1943 .1956 .1944 PROFILE POSITION/ STRUCTURE/ CONSISTENCE/ {VETNESS/ SOIL, SAPRO RESTR CLASS DEPT1[ TEXTURE MINERALOGY COLOR DEPTH ' CLASS HOR12 &LTAR SLOPE% (IN.) L 0-3 WFGR/L NS NI'FR/NEXP >42 >42 N PS PS 2-5% .3 3-42+ MMSEK/C SS SP FR/SEXP 5 L 0-3 WPGR/L { NS NP FR /NEXP >18 18 NA PS { PS 2-5% 3-IS AR MMS13K/C SS SP Fl 7 SEXP -------- floater cock at 18- 6 - • • • • COMMENTS: SOIL/SITE EVALUATION Sheer_of (Cnnrinuntion Sliee:) DEPARTMENT OF ENVIRONMENT PROPERTY IDN: AND NATURAL RESOURCES DATE OF EVALUATION: DIVISION OP ENVIRONMENTAL HEALTH COUNTY: