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HomeMy WebLinkAboutRBPR-07-2016-24404.TIF vay R_ • THIS IS NOT A PERMIT Case # RBPR-07-2016-24404 r- CATAWBA COUNTY HEALTH DEPARTMENT � 0 ' _ ''' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 :M Residential Building Plan Review - Building New • o o' 11;1 r. AUTH_CONST- NEW WELL -;CA W, .'1 Applicant SAME AS OWNER. Owner JOSEPH BRINDLE. 1650 KENSINGTON CIR,NEWTON NC 28658 NAME TO APPEAR ON PERMIT Joseph Brindle SITE ADDRESS: 1325 THURBER LN.NEWTON NC 28658 PIN # 372012952997 NAME of SUBDIVISION: AVIAN WOODS PH 3 Lot# 41 Section/Block PROPERTY SIZE: Square Feet Acres 0.98 DIRECTIONS: Startown road to Milton streeet left onto Milton left on thurber lane. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Zoning approval and New well permit and Authorization permit 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 90X60 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO E9-ehapplicmion 07/29/2016 15:35 Page 1 of 4 $A CATAWBA COUNTY Case# RBPR-07-2016-24404 Public Health Department Subdivision AVIAN WOODS PH 3 =�+( '11 Environmental Health Division•In PfN# 372012952997 PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 !g 2 w NAME ON PERMIT: (JOSEPH BRINDLE), 1650 KENSINGTON CIR,NEWTON NC 28658 ( Joseph Brindle) Site Address: 1325 THURBER LN,NEWTON NC 28658 Property Size: Square Feet Acres 0.98 Directions: Startown road to Milton streeet left onto Milton left on thurber lane. 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 AREA2 FEENAME DATE FEE'AMOUNT Authorization to Construct Fee (New/Expansion) 07/29/2016 $300.00 Fee Well Permit & Inspection Fee 07/29/2016 $300.00 TOTAL FEES 5600.00 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) E9-chapplication 07/29/2016 1536 Page 2 of4 CATAYV 17A THIS IS NOT A PERMIT COUNTY - CATAWBA COUNTY HEALTH DEPARTMENT ,,,,� ,,,,, Application for Environmental Services Page I Improvement Permit ❑ Authorization to Cons uct 1 Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection( 'ZS Ib (Pre-Approval Required) ❑ Application is for New Construction 12�J Existing^Facility El Address 13u "t: IAM !Subdivision yuLuJ I/ WS jttratuTv I o-lc 21;i4& Lot # 411 /447— Acres 2. A ," Section/Block/Phase 3 Driving Directions to Property 5()tz.��,�,, ____pr 10 M t n t,! Gfr ., f Mto,tunl _ (Aft- o,JJ ¶)4 Aapt tau F NAME TO APPEAR ON PERMIT? EXOCvner n Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name v(Qc eB iotxx Address 1325 'TKl�f'-r VLJc Phone 2,in - t 515f Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site #of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures CI Yes Mt No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property ' question. lithe answer to any question is "yes", applicant must attach supporting documentation. • Yes o Does the site contain any jurisdictional wetlands? f9 Yes Vpio Does the site contain any existing wastewater systems? O Yes gide Is any wastewater going to be generated on the site other than domestic sewage? 1 Yes o Is the site subject to approval by any other public agency? O Yes a, No Are there any easements or right of ways on this property? Describe Existing water supply in use 5 Individual Well ❑ Community Well 5 Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes N No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can he ranked in order of your efercnce) O Accepted 0 Alternative Conventional 0 Innovative f 'Other9S5o(l&Am 0 Any y 44-N.4to5y CPI" CATAwB A THIS IS NOT A PERMIT couvrvv CATAWBA COUNTY HEALTH DEPARTMENT 'r...... Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *t 4 Project DescriptionS•fl& O r„ Si_ 14,40-i R iiU,,ti4 Structure Dimensions yo 1C Cao # of Occupants 2- Basement E Yes ❑ No Basement Fixtures "Yes ® No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed Li Multi-Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Scats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shill #of Shills Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space #of Employees per Shift # of Shifts ❑ Other Facility Type Specify I f Church # of Scats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Constr ction/Abandonment/Repair Proposed Well Type Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type 0 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. t 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 comers and making the site accessible so that a complete site evaluation can be perlbrmed. Signature of Owner or Agent �G% AOA ^ Date ����6/ Printed Name of Owner or Agent 3"c- az/1:41.4- .. /1: ptif r 5 a3 Z C, .611 412 cc C p E;I.-yC Va G s5sSE. ss >, w Ec 3xa Z 99 r Mehl$ieei€ ^z rc d0 . b , dC R ' w • f 9 Oa f p$ /'T — al- g3 34 S 'I �`e g �. nim x (!2: < g:: a -',?3 ,2 % � 5 U = --' _ ,z 4 ` rg p;-�l '.a v) - 4 - z$"- h I' I z i ,-v - _a 4E 1I.S 3ti id JI A a It. -31 I-III $3 a'3 \ O 21 yo Fr Sxe� Yh 'C a 5 , 4 /7- A w \�I aaa ,;3' / \ cO t:, Thar/ / C \ „ n p / P Y 30t' OGw \a / y \/ J + G x9 / Si - �\\ - z U li C - // I .-1 _ Q� V , I S w cr: zz _ / _xvv I `S_ W C rO C / a� Jr oF,),'' ^ J MM p // O � W a �"A zz�� -0 �/ Q N / I O y / _ LLi m' I' / /9a ?o z Q ©u yt Kc/n--/— , nl IM I K wo o 1 't _ _-.� � z Al Al { TN i`g 3 h 8%4 3oR.Yee- 'F 'at, A la 9 .a 9 ayiq d5r9a [][] 5 as _s /T hrgi d !///2,110"a E.€"1 q} € dh is e -' ' iyiy! dF A Fg 3 as 4 93 , V i-4 I :1a ;/1./t ^I ;f Y Iia ..yr g - s -as J s 1 °eti a rag._,. sai 3 - R es ° -s Yg Ea per' I a ;�, � jsa• 5 dgiq' � 'n iq, x s $4 dhaRs $ 8 8 s 1 4ri9 1� ]aai sn : 1;� a9v ` �� k '£ IW-!W S i b,�.S ��y 3 as x S ib s � ¢k IB !p qq 1P ! !!I : !F a";b55 I..Ip: ) 3 �"• f 13 p9 2 E`y3 Y _;3 i 4 3 ; i,g�a 5 i 35( w f� as a' g 6' d €.'6 9 -s.q 3 ii9]3552 BSP¢ l,L §S Fi is �F �`-'� &11� -ad I. Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372012952997 Owner: BRINDLE JOSEPH Parcel Address: 1325 THURBER LN Owner2: BRINDLE TAMMY City: NEWTON, 28658 Address: 1650 KENSINGTON CIR LRK(REID): 903070 Address2: Deed Book/Page: 3339/1478 City: NEWTON Subdivision: AVIAN WOODS PH 3 State/Zip: NC 28658-9431 Lots/Block: 41/ Last Sale: $60,000 on 2016-05-02 School Information: Plat Book/Page: 54/133 School District: COUNTY Legal: LOT 41 41 PL54-133 AVIAN WOODS PL Elementary School: STARTOWN Middle School: MAIDEN 54-133 Calculated Acreage: .980 High School: MAIDEN Tax Map: School Map Township: NEWTON State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $37,500 Zoning3: Assessed Total Value: $37,500 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710372000J Building Details 2010 Census Block: 2002 WaterShed: 2010 Census Tract: 011701 Voter Precinct: P34 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. ©2016, Catawba County Government, North Carolina. All rights reserved. qmpni u) C D. http://gis.catawbacountync.gov/nomap/parcel report.php?key=372012952997&typ=P 7/29/2016 ,e3 • CATAWBA COUNTY "e ' t- : e:Ei Case IMPV-04-2016-071588 Public Health Department :4 . % 1:t Subdivision Avian Woods PH 3 < ---' . t Environmental Health Divisiont PIM/ 372012952997 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 SOF _ ; Lir�, LOT# 41 and 42 NAME ON PERMIT: JOE BRINDLE, 1650 KENSINGTON CIR, NEWTON NC 28658 Site Address: 1325 THURBER LN, NEWTON NC 28658 Property Size: Square Feet: 93,218.40 Acres:2.14 Directions: Startown Rd, left Milton St, left on Thurber, both lots left side of cul-de-sac Improvement Permit Facility: Primary Residence - house Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: 111G - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 11IG - OTHER NON-CONY TRENCH SYSTEMS PUMP *MAY BE* 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 aoorove 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/Zonine 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 previsions of the North Carolina 'Laws and Rules fir Serraee Treatment and Disposal Sys-tents' (ISA 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. Megen McBride 04/26/2016 AUTHORIZED STATE AGENT APPROVAL Dab Permit Expiration Date: 04/26/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpemrit 04/26/2016 09:29 Page i of 3 TP Mpg-o4-oI6-)3s . 13)5 Tuck( Lm, (\kI{-on 1 t fps•Musf be,(Ow boned prior ISSvancc oc AG ra0,4_ , ilk; perml'r i5 no{ in ended for Quit. '1rsic“V Aior vvrpses• •4 po ��} dr;vt o�cPr�z, cel , of -rig oder Sei}ic are0.5. . 1 1 f k f ys 4aII 1 Lojc lint TO I be, (-m00 SeP •L' 5'so Re alfr a(e �. s d� a yv,sa. i , , , ,,.,./354.. 3p �// Z7)4 - ' 'S� Redo ep{/e �r y 1 PIO p05•d ./soh ��gr Pq , o' u W1 } ,30 ^y (oDfi c. NOVSC •€ 1 -+SD' 75C155 7a• 1 t f a 1 IDD' E 7s i t e$rblt 6� \ t Pwur �5. X5,• greq 4:41 :4 Niiivtkr in. 4`61°ri • •a 1 COI i s 4 g. pap . ,Y` e 3 r:�,yycc' ,:.,i f.. .Y? .y.sS� T,''-..sxt “,: 9::4E. R.t,- 8Yw,,k1:7 3*t w. y "s#. 'd4 . . . "...',�..- �.x - °. . .�� n:JV'�J° r"'.K' i31.,}l*'r�„ <a ..aC' ,?�.v � t'. st!}r.5.4 1 .. k.� .•�•s .,.. DrTARTMFMOFENVIRONMENT AND NATURAL RESOURCES • Shed of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID t ON-SITE WASTEWATER SECTION COUNTY: 5011JSITE EVALUATION 1 ��1l II II-- for ON-SITE WASTEWATER SYSTEM ..n owNiat cite RrfndN'. APPLICATION DATE Y'(r / F,iIPRi0-3016-)358`, ADDRESS: DATE EVALUATES. -18-16 PROPOSED FACILITY: 4 SR Y6• PROPOSED DESIGN FLOW LI 949): 'IW . PROPERTY SIZE J:I'(001$ LOCATION OF SITE:J325 Thy,W r Jt4J'v,0 PROPERTY RECORDED: WATkRSUPPLY: Private 0 Public N Wel 0 Spring C Other EVALUATION METHOD: 0 Auger Boring Pit 0 Cut 'TYPE OFWASIEWATY:R: Stwugr Indus-dialProcessU Nfixcd • .._. _. _-. .amu:_-:_- a _ Ur�sr itixc sPl �s c�a o�IIz Yb-:Cdr .............................- ; , . ! .A`� TIOIBT3942 - . ktfi&' ° rah zaY 15aY i d sar>z ?q 14�b X44 r>z4rir 'OS1TmIY- TIEFDIL s' 0,C0ruRRr CON LCTENC)7 AVINFSJ SFII $rPS¢ L3dSS. .... ,..{I]h1 tA)GX., ,,,, .... tie a. fk LS klCtlux TrATt= 0-11 Shit.-CL , "ELS Ci SDcp L 11-50 I^5i4. CLNInlicp vf1.5S, Seip - PS 1590 50 0335 • • 0-31. . 56 ... .... ...,. I.�( QS sexy J y� )1-I{`i 4SW& ('"WI Mttk Iv1,SS. . u ' 2 94-60 SPP • 11(r, ss, Serf - - SAP MO 0.3)5 • 0-1% SW CL ff,SS. Srsp 3 13 �o wSbK C,L .41 mist _ ��I.SS, SPXC — 60 - _ P5 �.3"5 4 • DaScal:n-9a n.[1T1Ar.SYSTEM REPAIR sYSTEta OTHER FACT ORS(.1946): Ater7able Spat(.1sas) SITE CIASSWICATION(.1948): ,/� Thr) -tyTut.� 1�1q EVALUATED SY: IVX, Pt!'1 de- 1 E J OTHERS)PRESENT: Sit4LTAR Q,3)5 (>3;5 COMMEWIS: s _ ..k}.� bec�,oyP� ,,. 1 \ \ \ 4,,y,4„--- \\ .goo. r s' 1\ \\. f\\TIDs trop p i i CsiSti I90. 4 Icy /,. \ \i SGS&