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HomeMy WebLinkAboutRBPR-09-2016-24739.TIF IgA •G THIS IS NOTA PERMIT Case # RBPR-09-2016-24739 F d CATAWBA COUNTY HEALTH DEPARTMENT CR 'o ''.<0 err" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICESat �1842T sM ildr IC 1 Residential Building Plan Review - Accessory Structure o o la. EXS_SYSTEM a - ri Land Owner ROBERT ISENHOUR, 5154 BATTLE RUN DR, CATAWBA NC 28609 Owner BOUKEO HOMSOMBATH, 5154 BATTLE RUN DR, CATAWBA NC 28609 C:8284617620 NAME TO APPEAR ON PERMIT Boukeo Homsombath SITE ADDRESS: 5154 BATTLE RUN DR, CATAWBA NC 28609 PIN # 378003104240 NAME of SUBDIVISION: BATTLE RUN CREEK PHASE I Lot# 6 Section/Block PROPERTY SIZE: Square Feet Acres 4.97 DIRECTIONS: 10E/Murray Mill Rd/left into Battle Run Dr/2nd house on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: pvt accessory building 44 x 44 (metal) for RV storage "` 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF single family EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 53 x 53 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 44 x 44 BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED?No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 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 labeli g of all property lines and corners and making the site accessible/y,that a complete site evaluatio ff be performed. Date: cjiib /b Signature of Applicant or Agent - An ,nvironmental Health Specialist will contact you within working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 E9-ehapplication 09/16/2016 10:15 Page I of4 ,aft CATAWBA COUNTY Case# RBPR-09-2016-24739 1Q' ri n y Public Health Department Subdivision BATTLE RUN CREEK PHASE I 6 ,� H Environmental Health Division PIN# 378003104240 ;�`�+- '< W' PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 NAME ON PERMIT: ( BOUKEO HOMSOMBATH), 5154 BATTLE RUN DR, CATAWBA NC 28609 ( Boukeo Homsombath) Site Address: 5154 BATTLE RUN DR, CATAWBA NC 28609 Property Size: Square Feet Acres 4'97 Directions: 10E/Murray Mill Rd/left into Battle Run Dr/2nd house on left SETBACKS: 5ft from house FEENAME. -s DATE - FEE AMOUNTJ Existing Tank Check Fee 09/16/2016 $80.00 TOTAL FEES - $80.00 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 09/16/2016 10:15 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT coutrr 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 ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 5/54 gkTTl E 2ti N DR- Subdivision Lot# Acres 5— Section/Block/Phase Section/Block/Phase k Driving Directions to Property I+wir lD 6-1;)v 11,wor e- Wli tl vA,: cls S ov Shi - I I .- d A/ To-h Iz-Ji- 4/b RAJ-He kin D iC , NAME TO APPEAR ON PERMIT? NIX Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information 4 Name 37, I<to I}o , rip nn8 rl+ Address St St{ i3 lj t Au, DA Phone Cell Phone g 2S - 4 C 1 - i 6 La Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? IR 6wner ❑ Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *1' 3 Structure Dimensions / # of Occupants 3 Basement [vrYes ❑ No Basement Fixtures C Yes [Q-txo —� 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. © Yeso Does the site contain any jurisdictional wetlands? )SrYes Does the site contain any existing wastewater systems? [3 YQs' 0-N-o Is any wastewater going to be generated on the site other than domestic sewage? 0-Yes 0 Nom Is the site subject to approval by any other public agency? 0 Yes 0.1 o Are there anyzeasements or right of ways on this property? Describe Existing water supply in use L✓Individual Well ❑ Community Well ❑ 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): L (systems can be ranked in order of your preference) 0 Accepted ❑ Alternative 0 Conventional ❑ Innovative 0 Other 0 Any CATAWBA THIS IS NOT A PERMIT coUNTY CATAWBA COUNTY HEALTH DEPARTMENT „„„hc, Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *j Project Description Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures ® Yes ® No Accessory Structure(s) Describe `tau: Idt4-6 t'{ X .-y # of New Bedrooms *t if applicable ,tj Structure Dimensions✓ # of Occupants Accessory Dwelling ❑ Yes E f'No Plumbing ❑ Yes [✓"No Describe Plumbing Needed ❑ Multi-Family Residence# Units I/Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions I— Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area (Sq. Ft.) n 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 n 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 lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date 7//b/I6 Printed Name of Owner or Agent f3 d tc,eo )1.I0 ri. I t Cza Catawba County Environmental Health 200.00 • 95.80 c41 , .; 2".00 $ 297.10 . • 0 r 199.45 ii 6 7 14111111/111111ir ' • : ', y9 NI hN al y 1 • i • • • •f e i 0 t t ' 2 _d K • cts 87.00 .0.00 50. . k C': $A�a RUN DR 18450 Parcel: 378003104240, 5154 BATTLE RUN DR lin=100ft 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 09/16/2016 Parcel Report Page 1 of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 378003104240 Owner: ISENHOUR ROBERT HENRY JR HEIRS Parcel Address: 5154 BATTLE RUN DR Owner2: City: CATAWBA, 28609 Address: 5154 BATTLE RUN DR LRK(REID): 20169 Address2: Deed Book/Page: 2000E/0802 City: CATAWBA Subdivision: BATTLE RUN CREEK PHASE I State/Zip: NC 28609-8051 Lots/Block: 6/ School Information: Last Sale: $12,500 on 1988-05-01 Plat Book/Page: 23/28 School District: COUNTY Legal: LOT 6 PLAT 23-28 Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 4.970 Tax Map: 019 Y 04040 High School: BANDYS Township: CATAWBA School Map State Road #: 3103 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $163,400 Zoning2: Land Value: $40,200 Zoning3: Assessed Total Value: $203,600 Zoning Overlay: WP-O Year Built/Remodeled: 1990/ 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 #: Building Details 2010 Census Block: 2011 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 Voter Precinct: P5 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. �1n v� ©2016, Catawba County Government, North Carolina. All rights reserved. ���' xqc_i JX�sfi 1 *l k V -1)1°AB° 3 'ci — 3(0U gkk I aAb http://gis.catawbacountync.gov/nomap/parcel_report.php?key=378003104240&typ=P 9/16/2016 MI R � I r CATAWBA COUNTY HEALTH DEPARTMENT N° Q Q 1 6 4 (704) 465-8270 Lot Evaluation- Improvement Permit L—'Repair Permit Completion Permit 1-- Owner/Agent _5-&-7-2_4-1C__ Phone Address p.21- E :2.__C--.4. Subdivision 11(.61777",c'- RUA/ GK 17,nAmiiFX, /I/, C CL3 Section/Block Loth e Lot Size ,.n4 fcDirections: i.X. S LFp7— nA.'N) 434 frigen SftDALs 1 - - Ni' ey7 n/l1 c -J 7 Facility: House L—Mobile Home Business . Other: Zoning Approval Es.,220 # /3392 Multi-familyOther • 1002 Repair Area yes no Bedrooms Seats Employees . GPD Flow ' R't) Application Rate ; 7 Hot Tub or Sp 4► no Special Fixtures . REPAIR NOTICE: REPAIRS MUST BE WITHIN Basement ve _a Basement Plumbing yes(no). 30 DAYS OR DAYS FROM DATE OF Water Supp y: Private; _Public . PERMIT. Type of System: Trench coed System Other (Specify) Tank Size: Septic Tank /c5d d Pump Tank Nitrification Field: Total Square Feet 1c,16,6- Depth of Stone )41-1- Bed Size Trench Width 3 / Total Length of All Trenches '14'-6e)- Number of Trenches t Individual Trench Lengt --,Dk_/_ Feet on Center i Maximum Trench DepthcSi Distance of Nearest Well -57) /",- Lot Evaluation: Approved aMno (Void After 24 months) Topo/S-.20 2 Slope I Sketch of lot Evaluation Site - System Design -Fi�) Texture 3 j-qi cL,9y I _ - - - r — Structure C3‘...e_r.e.-?5 I j PEP'9iR 412Ei9 i c Clay Min. 1 1 ( -` - - - - - - - 3 7k'cNGHE-s Soil Wetness ---- " I -'=� ___, \, - 3 Soil Depth lk " I _�_ X Restric. Hoz. at-KALI' I/07- _ ___ _ - _, _ __ - ^ Available space a nom Overall Class I = _ Comments: I kim I i ` I _ I I I Ho usC 1 I Sta f+ 1 cp I I t I I I frillinirlesenitlrfnir****IntiltilrilninInlrirdnirtrinfrintritilrenterfrIntirent 1**Litmliippitsitist•OftatimiesentioniodmienPLamrs.imi.i.a.inbreampom_ Permit Date ..._ - _ - - I I (Improvement. Permit void after 60 months) Owner/Agent .40,__.).111 _,.... Sanitarian G< Installed By _i' . % Date JI-2D-fib Sanitarian ,1a::=7:-, (Note any changes/information tin red or by sketch on back) J