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HomeMy WebLinkAboutRBPR-09-2016-24687.TIF -1/4441\T- C'' A . G THIS IS NOTA PERMIT Case # RBPR-09-2016-24687 UP) CATAWBA COUNTY HEALTH DEPARTMENT ��,. oV � PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig�2Residential Building Plan Review - Building Newni o..r•o o .. fi AUTH_CONST- NEW WELL D P •f ; : Applicant CJ HOMES, INC (DONALD WISWALL), 8311 AEROMARINE BLVD, CATAWBA NC 28609 H:8284784200 C:8284469090 HOME:8284784200 Contractor *C J HOMES, INC (DONALD WISWALL), 8311 AEROMARINE BLVD, CATAWBA NC 28609 B:828-446-9090 C:8284469090F:828-478-9458 CJHOMES a EMBARQMAIL.COM Owner CJ HOMES, INC (DONALD WISWALL), 8311 AEROMARINE BLVD, CATAWBA NC 28609 H:8284784200 C:8284469090 HOME:8284784200 NAME TO APPEAR ON PERMIT CJ Homes, INC (Donald Wiswall) SITE ADDRESS: 3573 STILL KNOLL LN, SHERRILLS FORD NC 28673 PIN # 460712971451 NAME of SUBDIVISION: STILLWATER KNOLL Lot# 15 Section/Block PROPERTY SIZE: Square Feet Acres 0.53 DIRECTIONS: Hwy 150, Left onto Slanting Bridge Rd, Left onto Stillwater Dr, Right onto Still Knoll Lane, House is on the left after the existing house. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY : Private Well DESCRIBE WORK: new single family dwelling 70 x 38/ 3 bedrooms 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 lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70 x 38 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes 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: Individual Well REPLACE WELL?: NO E9-ehapplication 09/07/2016 16.34 Page 1 of 4 CATAWBA COUNTY Case 4 RBPR-09-2016-24687 5 kin Public Health Department Subdivision STILLWATER KNOLL < � ,,�;-± "l Environmental Health Division PIN# " ,,... 460712971451 �- •� PD Box 389, 100-A Southwest Blvd, Newton.NC 28658 NAME ON PERMIT: CJ HOMES, INC ( DONALD WISWALL), 8311 AEROMARINE BLVD, CATAWBA NC 28609 CJ Homes, INC ( Donald Wiswall) Site Address: 3573 STILL KNOLL LN, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.53 Directions: Hwy 150, Left onto Slanting Bridge Rd, Left onto Stillwater Dr, Right onto Still Knoll Lane, House is on the left after the existing house. 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 FEENAME • - ' - ` DATE • FEE AMOUNT Authorization to Construct Fee (New/Expansion) 09/07/2016 $150.00 Fee Well Permit& Inspection Fee 09/07/2016 $300.00 TOTAL.FEES $450.00. _I FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 09/07/2016 16:34 Page 2 of 4 CATAWB THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct® Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit®Replacement Well ❑ Well Abandonment❑ Well Repair 0 Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 35 Di Si (l<No// LAa Subdivision Sri ife rt,,ils 60.20 Mc .2g4),3 Lot# Acres Sectio n/Block/Phase Driving Directions to Property fl )y 15-0 1.,cFr0ei R:Wp(+64A Srlrw.4T4� tvc. RA6-11-/-6,4 S 3;//kNo// L,gN4G /40✓S£ +5 0,v 77/£ L/,c-7—/Pacr ,re'r,kw- /47c,ft-. NAME TO APPEAR ON PERMIT? Owner Applicant 19 Contractor Applicant Contact Information Name boistr3U1 e GUIs•eti✓I (/ t homes (o) Bmbar$mal . Com Address //g5 N. $'.40.vAFi,t.5 DA— CA.77 w3A- ALC. .2 gi7.0 91 Phone gag_ ¶?9-'/ap0 Cell Phone g,zg_ scy6,- 90 Po Owner Contact Information Name g4,viS T2s A-P,ov£ Address Phone Cell Phone Contractor Contact Information Name ( ,, Address !($S N Ss9VNA4./LS M. e ).)-c✓A4 NC age 0,0 Phone g2 S'? - 5'200 Cell Phone L t- yv6-R'p FO WHO WILL BE THE PRIMARY CONTACT? El Owner 0 Applicant ❑ Contractor Description of Existing Structures on Site N 4 of Bedrooms *t Structure Dimensions H of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® 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. Yes Olo Does the site contain any jurisdictional wetlands? CI Yes ANo Does the site contain any existing wastewater systems? C Yes *No Is any wastewater going to be generated on the site other than domestic sewage? Yes No Is the site subject to approval by any other public agency? C Yes CCM Are there any casements or right of ways on this property? Describe Existing water supply in use 0 Individual Well ❑ Community Well H Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ®No 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) 0 Accepted 0 Alternative %Conventional 0 Innovative 0 Other 0 Any CATAWBA THIS IS CO COUNTY HEALTH DEPARTMENT RMIT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ® New R idence ❑ Addition to Residence #of New Bedrooms *j' 3 Project Description Si�1�j`f !kmil - tS i _ t .131 int Structure Dimensions 1) : # of Occupants Basement ❑ Yes ii No Basement Fixtures ® Yes yo No ❑ Accessory Structure(s) Describe #of New Bedrooms *1' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑No Describe Plumbing Needed ❑ Multi-Family Residence 4 Units #Bedrooms per Unit*t Total#Bedrooms *'h 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 4 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 J Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ 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. 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 tines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent ( , L 1.4.1a4S Date e 21-/(0 Printed Name of Owner or Agent 6o1,44/.6 C GJt LALI 1/ Catawba County Environmental Health Ivry _ ! ...7" ffo. f !! F 4 es ..� ��' ....ea.,- _i-r--'- ----11QS s. -,-,____.....„.„..._26 ` N „<"„e7y J NC .-',"'-' `�^-.,� • 010037 �a • •3565 I 46 / 1 0 372 N I � e "N II "t! ~t\ 1e .353 S 'n� 4 �, ••3583,x '' Z^ �p5� y t II r jr r 9�\� o0 IIIII /II y III 10�a0 '.� I I I II 0100372 • 1000238 • ti • I * .355 I I I Parcel: 460712971451, 3573 STILL KNOLL LN lin=50ft SHERRILLS FORD, 28673 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 08/31/2016 Catawba County Environmental Health 'so7 ,.......:#5".eee.-777 850 0 101'. ' eSS eik 0 q ', Y. ff{ ryf yq try N 'dn41'a�'.a } Na lit , 105. L� 0 _ACP ill OLL 4,C1LL O 1000 I, ' 11111111111 )11 , c........aecS\ \\II Parcel: 460712971451, 3573 STILL KNOLL LN 1in=50ft SHERRILLS FORD, 28673 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 08/31/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC • Parcel Information: Owner Information: Parcel ID: 460712971451 Owner: CJ HOMES INC Parcel Address: 3573 STILL KNOLL LN Owner2: City: SHERRILLS FORD, 28673 Address: 8311 AEROMARINE BLVD LRK(REID): 801681 Address2: Deed Book/Page: 3332/0407 City: CATAWBA Subdivision: STILLWATER KNOLL State/Zip: NC 28609-8892 Lots/Block: 15/ Last Sale: $20,000 on 2016-03-11 School Information: Plat Book/Page: 50/109 School District: COUNTY Legal: LOT 15 PL 50-109 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: .530 Tax Map: High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $15,100 Zoning3: Assessed Total Value: $15,100 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: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460700J Building Details 2010 Census Block: 3005 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 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,lass 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. 4e, Ace, P Z 3(DD3Pd N 10 i ( $.380 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460712971451&typ=P 8/31/2016 ' ,s-k r, CATAWI3A COUNTY ❑e iiz fEi Case# IMPV-03-2016-069928 .t r Public Health Department • f• &V' Subdivision STILLWATER KNOLL 2 : t ..7: Environmental Health Division 14 r � s+ ri- PINf 460712971451 Illhir-d- • PO Box 389, 100-A Southwest Blvd.Newton, NC 28658n. .,q.i• r h0'I N 15 r i}c G Y NAME ON PERMIT: CJ HOMES, INC, 8311 AEROMARINE BLVD, CATAWBA NC 28609 Site Address: 3573 STILL KNOLL LN, SHERRILLS FORD NC 28673 Property Size: Square Peet:23,086.80 Acres:0.53 Directions: Hwy 150, Left onto Slanting Bridge Rd. Left onto Stillwater Dr, Right onto Still Knoll Lane, House is on the left after the existing house. Improvement Peiinit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? 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: [TIG -OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: *Do not grade, drive, or fill over any designated septic area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS 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 ur the intended use changes,or if site conditions are altered. The 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 Rulers for Sennape Treatment and Dispersal Systems' (ISA NCAC I8A .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. Robbie Phelps 03/09/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/09/2021 No grading or construction activity is nftotved in areas designated for system and repair without approval of the Health Department. chpermit 03/10/2016 08:14 Page ! of 3 Itfiv- 3 -"Loa- 06991 • Catawba county Environmental Health 10 Ne39° �r 4L \ m 6 r ,,05. _ .0 r y. 1,.• y3 n1 { \ J ^ yts J1 • 16 -Oz \ a'I t CD j x2-1 1,yw ea f \, 1�cP LF /K... 1,V- • 1G°- OQ II Parcel: 460712971451, 3573 STILL KNOLL LN 1in=40ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospadal 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 me user.The County of Catawba,its employees,agents,and porsonnel.disclaim,and shall not be held liable for any and an damages,loss or liability,whether direct.indirect or consequential which arises or may arise from this mapheport product or the use thereof by any person or entiy. Copyright 2014 Catawba County NC 03/0912016 Department of E-wironmenl,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: 1.5 • - SOILJSITE EVALUATION File#: • for ON-SITE WASTEWATER SYSTEM ApplO: 23168 Owner: Don Wiswall Applicant: Address: 3573ti1l Knoll Ln Date Evaluated: 3-316 Proposed Facility: 3hr Design Flow(1949) 36.2 Property Size: Location of Site: Property Recorded: Water Supply: [ J Public [ ]Individual [x]Well [ ]Spring [ 1 Other Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut Type of Wastewater: [x )Sewage [ ]industrial Process [ ]Mixed F �°""d tsp'"+4 'tr �a'�{u uj,I ary^X.. -e fi]r ,G t �y°,v.{< ,' a yy� ; 1 ." µ r' iNI ' F it, ,KtTet”r e C-+i3�iit .:x-+rir it 1R :> ±,:irt r a 4 r1t i N ..it r J{a. i l :f4t I `� o''c ntrn *s >- ��y} + 1 i� Z +fig 6 LU�1L�,. -.7, ! �,,�, .. � tAi fA$th • �8 jf �i RA 1I7o, :0'14! ', .4 F j'': SO1137ovPHOLOGYsp f '1 41 4 4-,051 hash at rzitc�: • F 4e I 1 , r i'u `'� . tsat �3,,. .; ' " '9iit- i s -- 1.id rP"xP.,ROFILEBFP,CTORS �' F, 7 2t ii"4.+13,1 .E. '. ....“- !:i`a; A 11940 : 74 +� c rr^ r Y e-t `.. •&N n 194 W 4 +f st o r .4- ' '4142 L-4r Landscape }Honzen i�,f 941.at'y'1,. 191>_� 's; 3 •1 t 'Soil ate }[ 0*19d3 r,�5 1956' `d ° 44�r,J!` aProfilev)' :-y i"Vow u'.' + L.s £d ;'6 i� r :.,'nlrvP�6A 4 e > c L p 'S# dit: : f rpt;.�,'oi 9 1. a:i i Avail x L "it4 , Rosibon, ,sDepth- Siruclure!a ']ACons+stenceti. + + g _ Wen ss i sr} ditibll� `, Sapro' Reail s rCiass , =. AS, �- (N!) 'en`v,.Iul '��y Mineralogy=`.,kr e�. . 'Collor -k„,. tt Depth,(IN s,r�Class4..Ho ztr + -, .&L-TAR...ry # k,-^kl✓�`�RSlope%„ r..r IN ,a .. Texture ,' Y - 4-. + 1 v 1 L,9% 0-10 cl.wsbk fr 10-48 c,sbk tr ss,sp 48 0.3 — 2 L,9% 0-14 c,sbk fr,ss,sp 14-48 s>sap,wsbk fr,ss,sp 48 0.3 3 L,9% t c,sbk fr,ss,sp - 26-48 c-sap fr,ss.sp 48 0.3 Description Initial System Repair System Other Factors(1946): Available Space(.1945) Soil Evaluation By: System Type(s) Others Present: Sue LIAR Size Classification(.1548): Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: • Landscape Position arssig Texture ,1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain 5S-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam S3K-Subangular Blocky HS-Head Slope ASK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralociv Moist SEXP-Slightly Expansive VER-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slighl'y Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EPI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations