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HomeMy WebLinkAboutRBPR-09-2016-24728.TIF �v�4 A • THIS IS NOTA PERMIT Case# RBPR-09-2016-24728 ,. ? CATAWBA COUNTY HEALTH DEPARTMENT EYti-fEl ,/`S "'"' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 84Z SM Residential Building Plan Review - Building New of r•o o Ir AUTH_CONSTc. 0 .. Contractor MADISON HOME BUILDERS (RYAN PRUITT), 301 10TH ST NW SUITE F-105, CONOVERNC 5:8284648870 C:8282440968 Owner CHRISTOPHER & KATIE TAYLOR, 6268 LONG ISLAND RD, H:8283151600 C:8283151602 HOME:8283151600 NAME TO APPEAR ON PERMIT Christopher & Katie Taylor SITE ADDRESS: 2257GLOVIER RD,CATAWBA NC28609 PIN # 379102750494 NAME of SUBDIVISION: Lot# 2 PT 3 Section/Block PROPERTY SIZE: Square Feet Acres 12.01 DIRECTIONS: HWY 10 TOWARD CATAWBA RIGHT ON HUDSON CHAPEL RD TURN ON GLOVIER ROAD PROPERTY ON LEFT PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING A NEW 3 BEDROOM SINGLE FAMILY DWELLING 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:: 56X58 #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: Other described: • E9-ehapplication 09/14/2016 14:06 Page I of ,4AcATawaA COUNTY Case a SPR-09-2016-24728 AIL'2 Public Health Department Subdivision 1 Environmental Health Division p� 379102750494 1\12_,..10-...:7) 'PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1812w NAME ON PERMIT: (CHRISTOPHER& KATIE TAYLOR), 6268 LONG ISLAND RD, ( Christopher& Katie Taylor) Site Address: 2257 GLOVIER RD, CATAWBA NC 28609 Property Size: Square Feet Acres 12.01 Directions: HWY 10 TOWARD CATAWBA RIGHT ON HUDSON CHAPEL RD TURN ON GLOVIER ROAD PROPERTY 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 law d rules. I u , .nd that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accesse so that a co •let: site - - - _ . -- ::..rmed. Date: 5- ) 9 -1 6 Signature of Applicant or Agent a. An Environmental Health Specialist will contact you wi in 5 forking d.-s 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) 09/14/2016 $150.00 Fee TOTAL FEES t. 5150:00 %_.. 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 09/14/2016 1406 Page 2 of4 CAT e THIS IS NOT A PERMIT I-} 1 ?- coup r L1 CATAWBA COUNTY HEALTH DEPARTMENT ;;, Application for Environmental Services Page I Improvement Permit❑ Authorization to Construct Septic Repair❑ Septic Malfunction H Septic Expansion 1 New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) H Application is for New Construction \N. Existing Facility ❑ Property Address z2-C7 Cou)EIL {'All Subdivision N/ft C4i4(NBYj NC, Z9609 Lot# Acres 13.339 Section/Block/Phase Driving Directions to Property Awe( 10 f y+Ago rmip la gA Rr 94 AW P C4 OPEC Rol., at ' :4Rr3 6f c-CoVi€R R0911. , PP0P6P-rf os) Cen NAME TO APPEAR ON PERMIT? ❑Y6wner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name C44R1S t Kirie 7YL0)2 Address 2257 CrcovtC>1 y,,,Ay Com Wd, /uG Z96o1 Phone `9e- 3/S--- )601 k#9.116 Cell Phone Contractor Contact Information Name MAD/IN 14-44k Biu/tl-At/S — RYg•' PRNErr Address 3c, ( icro SI in) StItit= F-los Cor-rveA NC 296/3 Phone Sag- %Y-82-7o Cell Phone Size-2.yL--/,,- oon)f� WHO WILL BE THE PRIMARY CONTACT? H Owner ❑ Applicant ,ontractor Description of Existing Structures on Site _111 Wrm f IMP ir V J5 6 X CS #of Occupants t{ # of Bedrooms * S Structure :unensiot Basement Yes [-No Basement Fixtures 0 Yes 10 r 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 e'No Does the site contain any jurisdictional wetlands? El Yes no Does the site contain any existing wastewater systems? © Yes ErNo Is any wastewater going to be generated on the site other than domestic sewage? ®'Yes 0 No Is the site subject to approval by any other public agency? ® Yes Inno Are there any easements or right of ways on this property? Describe Existing water supply in use /Individual Well ❑ Community Well LJ 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): �sy ms can be ranked in order of your preference) ld Accepted 0 Alternative ❑ Conventional 0 Innovative 0 Other 0 Any cATAVV 17A THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT • "% , �eo„„a ' Application for Environmental Services Page 2 Proposed Facility Type �� Primary Residence Z New Residence ❑ Addition to Residence #of New Bedrooms *t 3 Project Description /SIJ STICK )8 u)c7 lionte Structure Dimensions 5 6- 4:9 # of Occupants�,/ { Basement ❑ Yes ❑�No Basement Fixtures ® Yes 621 No H 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 #Bedroorns per Unit*j 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 r Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type H 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 willbe 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. 1' 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. ignature of Owner or Agent a v �L� Date /y-IC' • Printed Name of Owner or Agent RYA - Pp &(-7 T Catawba County Environmental Health ----------7- : i , I, 480) / f a r f ttrim,‘ 111;11 + � 1 fI f• I._, 4, . a df I }obi b JA• I 1• I - • • I • I • I O I o �� i \' \�Zb— If y• o I f r `n2S r \\*\\ + I I • (d7 fr. f SGU/ f 1,2b r co I 1 % B alk.. it 1,„ NUO5pHf CHAPEL RU ilk (a4n I \ (30 in r 'RJ P • J' L / 24858 (P53) 0)P5.00 F Parcel: 379102750494, 2257 GLOVIER RD 1 in=150ft CATAWBA, 28609 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 09/14/2016 Catawba County Environmental Health yi\ 1 1 ISi\,,,,,,,v_____________„..\ I . • 0,--- 7 t ` • onsiii )1 1r°1 x801 1 I . I tie )1/4° ` rid 1� fall' , ( I if s ii, I I a ii 1 I I 00,91, 1 I I , E. I I \ 0 1 CIf 411 111 go . , 0 ° 1;11 i Vi 1 .--:' sa. HUD n SON CHAPElino (44�) I 11111":"• CPI Mir si (Zan (8) J an 1 Parcel: 379102750494, 2257 GLOVIER RD lin=200ft CATAWBA, 28609 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 09/14/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 379102750494 Owner: TAYLOR CHRISTOPHER J Parcel Address: 2257 GLOVIER RD Owner2: TAYLOR KATIE A City: CATAWBA, 28609 Address: 6268 LONG ISLAND RD LRK(REID): 12995 Address2: Deed Book/Page: 3334/0776 City: CATAWBA Subdivision: State/Zip: NC 28609-8972 Lots/Block: 2 PT 3/ Last Sale: $70,000 on 2016-03-29 School Information: Plat Book/Page: 6/21 School District: COUNTY Legal: LOT 2 & PT 3 PL 6-21 Elementary School: CATAWBA Middle School: MILL CREEK Calculated Acreage: 12.010 Tax Map: 012 Y 01022 High School: BANDYS Township: CATAWBA School Map State Road #: 1004 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CATAWBA RURAL Zoningl: R-40 Building(s) Value: $0 Zoning2: LI Land Value: $65,100 Zoning3: Assessed Total Value: $65,100 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: 2008-03-18 Building Permits for this parcel. Firm Panel #: 3710379100K Building Details 2010 Census Block: 1001 WaterShed: WS-IV Protected Area 2010 Census Tract: 011503 Voter Precinct: P21 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. I}� 1 \fe91 �� ria Ltt ISO 3gotem \Ob . . http://gis.catawbacountync.gov/nomap/parcel_report.php?key=379102750494&typ=P 9/14/2016 Katherine Harris From: Jonathan Greer Sent: Tuesday, May 17, 2016 10:46 AM To: Katherine Harris Subject: RE: Parcel ID# 379102750494 The home is more than 250 feet from the sewer line so we will not require connection. Thanks. From: Katherine Harris Sent: Tuesday, May 17, 2016 10:46 AM To: Jonathan Greer Subject: Parcel ID 0; 379102750494 Jonathon, I have a customer who is applying for a septic & well permit at the Parcel ID #379102750494, New address 2257 Clavier Rd. I show a sewer line running down Hudson Chapel Road. The home they are proposing will be 500± feet from the road. I just want to make sure that it is okay for them to apply for septic on this property or if they will be required to connect to the sewer line. Thank you, Katherine Harris Administrative Assistant I Environmental Health Catawba County Public Health 100A Southwest Blvd Newton NC 28658 828-465-8270 828-465-8276 fax The information contained in electronic transmissions is confidential and may be subject to protection under the law,including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are notified that any use,distribution or copying of the message is strictly prohibited.If you received a message in error, please contact the sender immediately by replying to the email and delete the material from any computer. 1 CATAWBA Q . � Y . - p rfEJ Case* IMPV-06-2016-073438 • T ,. •y Public Health Department sie Subdivision Environmental Health Division • ri PIN# 379102750494 \\t 4� PO Box 389, 100-A Southwest Blvd, Ness2on,NC 28658 • LOT// 2 PT 3 • s0 -O a ._rJ • NAME ON PERMIT: CHRISTOPHER & KATIE TAYLOR, 6268 LONG ISLAND RD, Site Address: 2257 GLOVIER RD, CATAWBA NC 28609 Property Size: Square Feet:523,155.60 Acres:12.01 Directions: Take Hwy 10 toward downtown Catawba, Right onto Hudson Chapel Rd, Property is on the Left at the Corner of Glover Rd & Hudson Chapel Rd. If you reach Brown Chapel Rd you have gone too far. 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: IIIG -OTHER NON-CON V'FRENCH SYSTEMS • Permit Conditions: Keep all parts of septic system and repair system minimum: 100' from any well, 10' from property lines, 5' from home including decks. Lines to be installed on contour. Do not grade drive or fill oyer system or repair area Authorization to Construct permit required prior to obtaining building permits. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: II1G -OTHER NON-CONN 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 PlanninLJZoning 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 for Sewaste Treatment and Disposal Systems' (15A 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. Jason Boyd 06/14/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06114!2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpemrit 06/14/2016 09:59 Page I of3 ,4‘13A IL Permit '#.' EHPR 5-I6-223885 Apti �, CATAWBA commCOU't " ^, Name Christopher and Katie Taylor 2 Public Health Department Ami Address 2257 Glovier Rd Catawba NC 4 i 'rei,a ,C Environmental Health Division 28609 ;e'g PO Box 389, 100A Southwest Blvd,Newton NC 28658 r8 2 y, (828)465-8270 Fax (828)465.8276 TDD(828)465-8200 Y1V 379102750494 Site Plan Improvement Permit / S IZ� , Za,S O f ss T...k ,� Icy 5 0 >Q �` 3 �`-Pa ,r d r.� t13 2s7. lot' o P r 1,Jo Th I. so b V s-r ' 3 cL r R � + 2 3 e • L , «-E. : s t - I0 Scale Department cf Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-5.16-23885 Owner Christonpher and Katie Taylor Applicant: Address: 2257 Glover Road Catawba NC 28609 Date Evaluated: 6/10/2016 Proposed Facility: 3 SR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: mechanical auger boring by owner [ ]Cul Type of Wastewater. X Sewage [ ]Industrial Process [ ]Mixed Pilt'x Ih,]M "k 'Ix ' 7+ '� 1UIIIt1 lo"C� "w1' �II �"1 •R ° , p4r., i'+ : 1Io' ij friHOLOGY 49 JIFF rw� '/141-.$.4 '931ita `�ici��10IN, 1'i ea-' [� tiP,ROFI EFA 41: . !€ P a i:s II ,t ,11to �Iu 'l I `.1940 a 1 N•L 1 ,I' '' re"? ", II f'Y"-- 1942 "'y'a t I �' i+ 4a , a I.^ mea- a� I� giVE y rygi,IpN; �i ��? �i, { �c ' a `h•a RITF ' ri 1 s /GIVE t a�"�i;4' °1 ''tf r„.(];. i7 'fx (h1.1941,,,,,•"i , f�IIr. 11941 , '1 Soil r`. I (v1943� 56); f(,1944 .alliEC IPrafile l'],: F`.. �yLn>.-du��+ pii. 'ioiin�� rAI 1 I swionn J y h - l n,n,fw w.,•r ' +ti.=v1 ,I K-�. t mtn'.... ,u, ^'cN�u E: ' ry . Po t n Ih . h I' {IIxuS ori 1 i i Cavniieu+ d 0 5. Weires / -01'-1 d Soll 1� INr��bSaPros Restr 1 ii tv'SCI,atssu nutter, #�, •_;. �i �Slope.kr'�.F G,"•(ItJ,)1�7!',°, Texture nx'�� t Mineralogy ' Ji[, [ayi' : Color Il ,,-q.,, pth'I(�NI)Gine-sr 4idHoa'rz , tS LTA ,Pyp 1 LL 3-5% 0-12" topsoil 12-45" SC SS SEXP SP FR 48” PS.3 2 same as 1 48" PS.3 3 same as 1,2 48" PS.3 4 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) BIG PIG Others Present: Site LTAR .3 .3 Site Classification(.1948): E Site Evaluation By: Others Present: Sheet: COMMENTS:. • FILE#: Landscape Position Group Texture 1955 LIAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-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 SBK-Subangular Blocky HS-Head Slope ASK-Angular Blocky CC-Concave Slope Ill 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 Mineralogy Moist Wet SEXP-Slighlly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations S yp `' s . -t-v � � � �