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HomeMy WebLinkAboutRBPR-09-2016-24718.TIF $A � THIS IS NOT A PERMIT Case # RBPR-09-2016-24718 y CATAWBA COUNTY HEALTH DEPARTMENT E r. o f0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES eiM /842 sM Residential Building Plan Review- Building New • qX o o IMPROVEMENT - AUTH_CONST- NEW WELL .S.9( Contractor *NORTHWEST BUILDING CO INC (RYAN MAYBERRY ), 134 WITTENBURG SPRINGS DR, TAYLORSVILLE NC 28681 8:828-459-5109 C:828-312-3535 RYAN MAYBERRYF :828-495-8571 RYAN@NORTHWESTBUILDINGCOMPANY .COM Owner ARTHUR LITTLE, 525 25TH AVE NW, HICKORY NC 28601 C:828-234-1233 NAME TO APPEAR ON PERMIT Arthur Little SITE ADDRESS: 3049 QUAIL DR,NEWTON NC 28658 PIN # 371020914982 NAME of SUBDIVISION: FAIRWAY ACRES Lot# 17 Section/Block PROPERTY SIZE: Square Feet Acres 0.74 DIRECTIONS: Startown Rd/right Sandy Ford Rd/left Chestnut Dr/turns to Rosewood Ln/turns to Fairway Dr/right on Quail Dr/ cleared lot on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 1 story dwelling w/ attached garage/with unfinised basement 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 51 x 52 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplication 09/13/2016 15:58 Page 1 of4 ,ØA N CATAWBA COUNTY Case# SPR-09-2 01 6-247 1 8 �Gy Public Health Department Subdivision FAIRWAY ACRES Environmental Health Division PIN# 2 �lQq '� 371020914982 -z y PO Box 389, 100-A Southwest Blvd, Newton. NC 28658 2842 sn NAME ON PERMIT: (ARTHUR LITTLE), 525 25TH AVE NW, HICKORY NC 28601 (Arthur Little) Site Address: 3049 QUAIL DR,NEWTON NC 28658 Property Size: Square Feet Acres 0.74 Directions: Startown Rd/right Sandy Ford Rd/left Chestnut Dr/turns to Rosewood Ln/turns to Fairway Dr/right on Quail Dr/ cleared lot 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 s complete a evalua • e erformed. Date: i?j—/, Signature of Applicant or Agent c _ 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 1 FEENAME DATE FEE AMOUNT 1 Authorization to Construct Fee (New/Expansion) 09/13/2016 $150.00 Fee Improvement Permit Fee 09/13/2016 $150.00 Well Permit& Inspection Fee 09/13/2016 $300.00 i • TOTAL FEES $660.00 ' 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-ehapplication 09/13/2016 15:58 Page 2 o14 CATAWBA THiS IS NOT A PERMIT u com _CATAWBA CATAWBA COUNTY HEALTH DEPARTMENT „p„; , , � Application fo Environmental Services Page 1 Improvement Permit Authorization to Cons uct Septic Repair E Septic Malfunction 111Septic Expansion ❑ New Well Permit-[Replacement Well U Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New ConstructionExisting acility 111Property Address 369/c7 /�,t_- ,'I DT�ve Subdivision FC-,✓' wei7 Jere /OP ullp 1 Lot# G j Acres 3ly Section/Block/Phasec�" —�j Driving Directions to/Property S'.c t �D Lan �a _k,,,,:ot5 0/A /'C, it I o "2 ' o rd' _� _ .. -f ' i K r n, -Eo , - ,aaaQ - - rVts II 1 G I t\-/ - . 1 411 . 4 ,� I # � I i / NAME TO APPEAR ON PERMIT? IR, Owner ❑ Applicant It ontractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name -���, 1e Address 23 2.54-1h Jre nj kVs.„1 ftd tel° 2N(oO Phone ell Phone Contractor Contact Information n Name or9-lttaec-} u;14; ow 447 _L e -. Address 3 !f 20,E#en 4 J,rO 5S �r.'v& �la✓S v.') Phone O cif 3) ,_33.5s (Cell Phone 5� „,,.e WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant tactor Description of Existing Structures on Site ,OCA C \ • (__(773- 4 of Bedrooms *�j Structure Dimensions 7 x S ) S #of Occupants 9 Basement w res ❑ No Basement Fixtures Qes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property to ion. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes C I Does the site contain any jurisdictional wetlands? ® Yes (0' $ Does the site contain any existing wastewater systems? 0 Yes --Is any wastewater going to be generated on the site other than domestic sewage? es '_ Is the site subject to approval by any other public agency? ® Yes tSi No Are there any easements or right of ways on this property? Describe Existing water supply in use n Individual Well ❑ Community Well ❑ Semi-Public Well /� ❑ County/City/Township Water Line Is a public water supply available? ** Li Yes RI'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) O Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other Any C ATARI T1Q A THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT „„;e,,,, Application for Environmental Services Page 2 Prop ed Facility Type • Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description J` 'w5 It .n- ')7 14o in-t,e Structure Dimensions 51 A 5 ) ' S” # of Occupants Basement es ❑ No Basement Fixtures il.--Y-Ct No H Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes —I No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*jt 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'. t Application for Well Construction/Abandonment/Repair' - • • ' ' ' ' - Proposed Well Type >XIndividual 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. 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 wanted 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 —� 4f iteine Date q—X02—// Printed Name of Owner or Agent •�, ,.,. �7,69c iv 11 '' // -4, tip,m k Jes t,Oic,' / ty �• . c // rA F m ,..) 'A U, s J V A DRIVEWAY .r V e 4;1g —e—a'— m—+n1 v r4 7 tni oti 1 °L 'in 1 E :1, alb ; i r m --4 Y , r fr (j t I I r 1 m N II m I I r 1rye -T n F *1t+-'^-Emir1—i—ie 1 e h cn CO N) Catawba County Environmental Health 15a co • 111111111111111111Z.' p QUAIL DR 15,540 • 17189 . . . • • 180.0n 1 \ 11 f 1 1 ! l'ill 1 1 _. ( 1 300.00 ';�.Op • \ 11 1 • 1II 1 1 1 / 1 ! 1 1 ! _ 1 1 • 1 1 1 1 Parcel: 371020914982, 3049 QUAIL DR 1 in=50ft NEWTON, 28658 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 09/13/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371020914982 Owner: LITTLE ARTHUR Parcel Address: 3049 QUAIL DR Owner2: LITTLE JANET P City: NEWTON, 28658 Address: 525 25TH AVE NW LRK(REID): 43488 Address2: Deed Book/Page: 3349/1571 City: HICKORY Subdivision: FAIRWAY ACRES State/Zip: NC 28601-1251 Lots/Block: 17/M Last Sale: $23,500 on 2016-07-01 School Information: School District: COUNTY Plat Book/Page: 18/307 Legal: LOT 17 PL 18-307 Elementary School: STARTOWN Middle School: MAIDEN Calculated Acreage: .740 High School: MAIDEN Tax Map: 093N 01017 Township: NEWTON School Map State Road #: 2588 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: $24,500 Zoning3: Assessed Total Value: $24,500 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 #: 3710371000J Building Details 2010 Census Block: 2022 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,toss 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. � 1 Yvet( coca 3%j12)01 7(&O 'a. 11% http://gis.catawbacountync.gov/nomap/parcel_report.php?key=371020914982&typ=P 9/13/2016