Loading...
HomeMy WebLinkAboutEHPR-09-2016-24702 (2).TIF , A �% THIS IS NOT A PERMIT Case # EHPR-09-2016-2470? �� ''� CATAWBA COUNTY HEALTH DEPARTMENT ' t0 v �' ' iO'� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Environmental Health Plan Review - Septic Malfunctiono oi'.131.% . r y AUTH_CONST- SEPTIC_MALFUNCTION o, }or •a .; : Contractor LEATHERMAN SEPTIC TANK SVC INC (HARVEY LEATHERMAN), 8420 REEPSVILLE RD RD, LINCOLTON NC 28092 H:8282444409B:7044622194 C:8284612985 HOME:8282444409F:7044622636 Owner LARRY DRUM,2852 BUFFALO SHOALS RD, NEWTON NC 28658 NAME TO APPEAR ON PERMIT Larry Drum SITE ADDRESS: 3109 WINFIELD DR, MAIDEN NC 28650 PIN # 367803225237 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 80,150.40 Acres 1.84 DIRECTIONS: Hwy 16 towards Denver, 1st Left after Buffalo Shoals Rd., Straight down the road to the end. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: Open Hole in ground."Tank has collapsed. -tank only replacement 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? Yes 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF House EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 28x24 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chappli:aunn 09112/2016 10.03 Page 1 of 7 te \ CATAWBA COUNTY Case# EHPR-09-2016-24702 ^ ef: 4. Public Health Department Subdivision 6 T,�v_ ` Environmental Health Division PIN# 367803225237 r\ /% PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 7442 NAME ON PERMIT: ( LARRY DRUM), 2852 BUFFALO SHOALS RD,NEWTON NC 28658 ( Larry Drum) Site Address: 3109 WINFIELD DR, MAIDEN NC 28650 Property Size: Square Feet 80,150.40 Acres 1.84 Directions: Hwy 16 towards Denver, 1st Left after Buffalo Shoals Rd., Straight down the road to the end. 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 andeeeerules. I understand that I am solely responsible for the proper identification and labelin of all property lines and corners and making the site accee> i s that a complete site evaluation can be performed. 1/ Date: IU—12—16 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 FilrilI N II , Y 11,151 IIu i:161 iphri�{�+p, r.�,��i,a�:w�F[ IIEIIiad,lb D , bi111 li k Iw,l: I , U()ii� n ("&FEENAME�!` ttnii � 1 �l i l( �' �i I DATE ,'ry`YI FEEiAMOUNTci Authorizationr�Ito Construct (Repair) Fee 09/12/2016 $150.00 II,lid 11.ilii, T m v . j:,.opion�mintrtll liuir. . .awsiniRulllilljullu�iillttfljtilllltiililll,,nl;;;,,,I„I.l.liiihaiti iifIiiiiim 'oB U; FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 09/12/2016 10:03 Page 2 of 7 CATAWBA THIS IS NOT A PERMIT couNrr t:2 CATAWBA COUNTY HEALTH DEPARTMENT Non„co— Application for Environmental Services Page I Improvement Permit❑ Authorization to Construe Septic Repair [ Septic Malfunction$ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for ''^^New Construction ❑ Existing Facility Property Address 3/0 y �.n c'e id U r Subdivision 47. 41c1:den/ 4/( 71.650 Lot# Acres Section/Bloch/Phase Driving Directions to Property 1-1‘.-,y, /d 40i,/ar1C ntn,er, 1422--t tecf d.i4-er hct ln * 5Lis Po NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name Lc rfy4.t'„n.n II Address i-Nc Harley_ Dcktd50n Or. 2-roc)c CCi-fag--day 4/C Phone Cell Phone Contractor Contact Information Name Fic rkekLee, erwton Address V120 ReP fy //e id. Li`n(e/n/ory .4'( 26092 Phone(7oy)2162-JRd. t/ Cell Phone WHO WILL BE THE PRIMARY CONTACT? 114wner ❑ Applicant ❑ Contractor Description of Existing Structures on Site 1-0(510 #of Bedrooms *j 2 Structure Dimensions �/ #of Occupants Basement ❑ Yes �No Basement Fixtures a Yes E No _ The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property i uestion. If the answer to any question is "yes", applicant must attach supporting documentation. in YYeso Does the site contain any jurisdictional wetlands? I[9/Yes ® o Does the site contain any existing wastewater systems? C Yeso Is any wastewater going to be generated on the site other than domestic sewage? CI Yes in yo Is the site subject to approval by any other public agency? ❑ Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use [Gf Individual Well ❑ Community Well U 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): \:#1,./ (systems can be ranked in order of your preference) ❑ Accepted 0 Alternative L CConventional 0 Innovative 0 Other 0 Any cATA'( (jL? A THIS IS NOT A PERMIT COODUNTYL�VV L7L CATAWBA COUNTY HEALTH DEPARTMENT N,„„7,;;; . Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement ❑ 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 ❑ 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# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ 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. 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 Date Printed Name of Owner or Agent GUr y Co/e LeJ/e terWt44 ✓1 Catawba County Environmental Health Si. ss 75 ,)fr 42.45 240.08s, 31.06 208.00 p Tfp 117.0,, O J 0 251,94 mo `e N• * • r7Vt %/1 v Septic ink (2SoJ 207.49 C7 ve) / 76 Parcel: 367803225237, 3109 WINFIELD DR lin=60ft 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 09/12/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367803225237 Owner: DRUM LARRY D Parcel Address: 3109 WINFIELD DR Owner2: DRUM JUDY S City: MAIDEN, 28650 Address: 2852 BUFFALO SHOALS RD LRK(REID): 4984 Address2: Deed Book/Page: 3283/1892 City: NEWTON Subdivision: State/Zip: NC 28658-8244 Lots/Block: / Last Sale: School Information: Plat Sale: ge: School District: COUNTY BookLegal: Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 1.840 Tax Map: 005 K 05008C 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 Zoning1: R-40 Building(s) Value: $500 Zoning2: Land Value: $14,300 Zoning3: Assessed Total Value: $14,800 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 #: 3710367800J 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. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367803225237&typ=P 9/12/2016 dy CATAWBACOUNTY eJW *g1:1 Cased IMPV-03-2016-069929 -tit] Public Health Department T' 1� Subdivision { t gli s, Environmental Health Division PIN 367803225237, �s PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 0.13 �yj t LOTH 8 *c NAME ON PERMIT: LARRY DRUM, 2852 BUFFALO SHOALS RD, NEWTON NC 28658 Site Address: 3109 WINFIELD DR, MAIDEN NC 25650 Property Size: Square Feet:80,150.40 Acres:1.84 Directions: les past Buffalo Shoals Rd /left Winfield / property straight ahead Improvement Permit u u IM' ..f��-r-- a-r s• iz �Lc is a _414F. `�i€' , 2 x i .N rte"' 5 r ,,f5' it`d g Aa-i'•+ rf.h ,:4; m- '- e Il\T I_IAL`^S STEI<1�EXIST NG ; ti-a r: , g„3 r e rt : Facility: Primary Residence - House Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: CONVENTIONAL Type: HA- CONY SYSTEM (SINGLE-FAMILYOR480 GPD OR LESS) Permit Conditions: *Place the new house at least 5 feet from the existing septic tank. REPAIR SYSTEM SPECIFICATIONS -------- ------- Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONV 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 applicanUpropeny 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 Rules(Pr Sewage Treatment and Disposal Systems' (I5A 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. Robbie Phelps 03/09/2016 AUTHORIZED STATE AGENT APPROVAL DATE 03/09/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. uhpennit 03/102016 08:24 Page 1 of 3 Catawba County Environmental Health ,�Iiov-'�-7016 069929 55 is • 42.48 . u. 31.06 59 64 1 IS 47.75 20800 • • ...69 g •88., 79/90 • i2 . •2? •0 251,94 c? E�v 43. y„1 ll lli.d 6V .r If rte 'nog w. ' Iso' I Q .- Pa w. c p n,,,. Z%% i'o- • to • 2 ..I‘ J Er,:r>Fr, c `fin 'dy.c zy `?~ aa- 2, 207.49 o/ •/ <// 7,9 av 6�/ ti i 447 (<_� noir' / Is Parcel: 367803225237, 3109 WINFIELD DR 1in=60ft MAIDEN, 28650 This mapheport product was prepared from the Catawba County,NC Geaspatal 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 Courcy promotes and recommends the Independent verifa;aaon of any data contained on this map/repod product by the user.The County of Catawba.hs employees.amants,and personnel,disclaim,and shall not be held liable for any and all damages.loss or liability,whether direct.Indirect or consequential wmer,arises or may arise from this map/report product or the use thereof by any ypersorightor 2014 tity.CopCatawria Courtly NC 03769/2016 .r.:. i i ..,.. 4c• 'A '`yN1af.N 4�.L ity '• A r •'xr �y p4 a'x- .. ._ .i• '�, , +YixPx' 'Q frTJ_9pi1 .S y' - "" .._ :__... '+.v :,• ...,., • ' ' .. Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: 23141 I Owner: barn/Drym Applicant: Address: 3109 Winfield Dr Date Evaluated: -316 Proposed Facility: Zoe Design Flow(.1949) 240 Property Size: Location of Site: Property Recorded: Water Supply: [ ]Public [ ]Individual [x]Well [ I Spring [ ]Other Evaluation Method: ] ]Auger Boring [x]Pit [ ]Cut Type of Wastewaler: [x ]Sewage [ ]Industrial Process ( ]Mixed 2 T4'r( t I t1`2t e i '=vT' m rr ' LhC me *.. .3ci r rC 2 ,ti I t ut.. M MIC Y . f r � � i� r. � �.� n L''I ,e., sl�'�v' P � x K-e�'' > '�� � �- r a`��i �: rR_.1 : r,x f4[I+ - l`t!i4:3 r:,,r til, a s r q u r 4'*G ` Pn t ".+'r� y tits+ t it ± �2i„ e+ ,en. l e a Hk 55 h s `^ 8 8-'• E k z� 5:. rry i F'r1 rt.3s_ ,x� a Y- O•r '- -t.�. o ' y� 94'.+i3;:,8? r. OI MORPH,OLOGYa�' E L -s }wry�ryi' s sn'-`•b-e�i e ± T v ro rn.w' ad': F -•F.sti1 6 ,fry 1 p• f o e c ✓� . k 0 . a, .-� 'stili 94“: 1 . a .� :s PROFILE FACTORS. 35.. r, .7$ rl 4 a jai r 1940,r} tir ,e ";' 66 g Yr,�yg tp�, h.. i 1.1942 ''°H • "M r`Y.�1 -g "ws4' 6 y♦ y w, e s y. -y 3 p3;b p, d { , t ifr t - a � 5 v I n ,t r ' ii- L1 S,,tI*nErdlsnpe jH 3W 1': ked-1941 .''r'x` �' 4,,,,.-.,,,,-1!).-.0K1,_4, i�L Solt ,, -1 ki 9' wrt u -,; - ,I 944 ti-.:).71„.....41.43,::, ; s rofle 4. ES ::^ 111 %ositionf Deplh;� Structure/h�e CCConsrstence+ 1',..?F'664--_ -,Wetness/ 4fi g ,r -Shit �Sapio F o RestL;r Classt, ' d '- t 1 *).t, . . :a 'k ' r..z'. lkr: 4 -4 ,..et, i - - 1 .rte w.d, `'� I ;r.(i #..,...,�Siope:/o`�-_,.(INt);µ ��Tezfure'�,x, 1yai_M;neralogy-Awsli u,i'•,.;::::--..`. Colorr�,,t.p �_DepIb�IN Zai Ciass. ,I?�Honz',p H.. &LTkR�I,'.. i 1 0-6 scL fr 10%,L 6-23 c,sbk fr,ss,sp 23-36 c+sap 1r,ss,sp 36-52 sap fr 36 s 0.3 2 10%,L 0-6 set fr 6-23 c,sbk fr,ss,sp 23-33 c+sap fr,ss,sp 33-55 sap fr 33 s 0.3 3 10%,L 0-7 sot. fr 7-29 c+sap fr,ss.sp 29-55 sap fr 29 s 0.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s Soil Evaluation By: Robbie Phelps System Type(s) 25% Others Present: Site LTAR 0.3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: j-pndscape Position Group Texture .1955 LIAR Structure • R-Ridge I S-Sand 1.2-0.6 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Learn 0.8-0 6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ASK-Angular Blocky CC-Concave Slope III SI-Sill 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 Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VA-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations V. ---------:-------------L55 IS P ,7 A ..... ... ., d2.?8 w 2!0.09 I -.2/ . • x7.75 111/ -..20800 —� .. .. _. -90 / dT' .. a oj O • 251.w/r� • CPT • • * ' N / • / .. .� • 20749 • - . • • °i, • • 7d' Oci. 4J 4v ted'' _ v %; t • Parcel: 367803225237, 3109 WINFIELD DR lin=60ft MAIDEN, 28650 This map/report product was prepared from the Catawba County.NC Geospalial Information Services. Catawba County has made substantial effor',s 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 mapbeport product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03700/2016 ..., r4 gACATAWBA COUNTY IOOA SOUTHWEST BLVD ,LT it (-A NEWTON, NORTH CAROLINA 28658 INVOICE/RECEIPT ict, i fist►? HPHONE: 828.465.8399 v ' vi►� Monday, September 12, 2016 /841AI www.calawbacountync.gov Invoice Number: 09-16-332535 Invoice Date: 09/12/2016 EHPR-09-2016-24702 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 3109 WINFIELD DR, MAIDEN NC 28650 Owner LARRY DRUM, 2852 BUFFALO SHOALS RD, NEWTON NC 28658 Contractor LEATHERMAN SEPTIC TANK SVC INC, 8420 REEPSVILLE RD RD, LINCOLTON NC 28092 H:82824444098:7044622194C:8284612985F:7044622636 ACCOUNT: 50131 PAYOR: LEATHERMAN SEPTIC TANK SVC INC FEES EHPR-09-2016-24702 FEE AMT DUE AMT Authorization to Construct(Repair) Fee 09/12/2016 5150.00 S150.00 FEES: 5150.00 $150.00 TOTAL FEES: $150.00 $150.00 invoicereceipl 09/12/2016 10:03 Page 1 of 1