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HomeMy WebLinkAboutEHPR-03-2016-23343.TIF I� THIS IS NOT A PERMIT Case# EHPR-03-2016-23343•14 la <4�' CATAWBA COUNTY HEALTH DEPARTMENT 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES � .ti • E I8 2 sm Environmental Health Plan Review - OSWP Fo fo-*o •--1. 1• ti IMPROVEMENT `moo Contractor *COMPASS BUILDING&REALTY, LLC (MARK VOLAK),638 RIVER SIDE HWY SUITE F, MOORESVILLE NC 28117 B:7044833633F:7044837426 MARK.VOLAK @COMPASSBANDR.COM Owner NELSON THOMAS C HEIRS (RICHARD), 716 DAWNWOOD CT, RALEIGH NC 27609 NAME TO APPEAR ON PERMIT NELSON THOMAS C HEIRS (Richard) SITE ADDRESS: 1318 LYTTON LN, CATAWBA NC 28609 PIN # 461901192539 NAME of SUBDIVISION: OLD MILL SUBDIV Lot# 17 Section/Block PROPERTY SIZE: Square Feet 22,651.20 Acres_ 0.52 DIRECTIONS: 10E/right Murray's Mill Rd/sharp left onto Sherrills Ford Rd/left Molly's Backbone/right on Rowe St/2nd right Lytton/ on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: IP Only*to see if septic will work on lot. 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 65x90 #OF NEW BEDROOMS:: 2 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 03/07/2016 16:20 Page 1 of 5 ���� CATAWBA COUNTY Case# EHPR-03-2016-23343 (...._4 IL L Public Health Department Subdivision OLD MILL SUBDIV d re; Environmental Health Division PIN# 461901192539 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 I, su NAME ON PERMIT: NELSON THOMAS C HEIRS (RICHARD),716 DAWNWOOD CT, RALEIGH NC 27609 NELSON THOMAS C HEIRS ( Richard ) Site Address: 1318 LYTTON LN,CATAWBA NC 28609 Property Size: Square Feet 22,651.20 Acres 0.52 Directions: 10E/right Murray's Mill Rd/sharp left onto Sherrills Ford Rd/left Molly's Backbone/right on Rowe St/2nd right Lytton/ 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 rul- I u •erstand that I am solely responsible for the proper identification and lab ling of all property lines and corners and making the site ac -ssible =o that . c• pl- - site evaluation can be performed. Date: 3 2/i & _ Signature of Applicant or A!- t Al , An Environmental Health Specialist will contact you within 5 we ng days of application •a -. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME': DATE FEE AMOUNT Improvement Permit Fee 03/07/2016 $150.00 TOTAL FEES '' $150 00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplicarion 03/07/2016 16:20 Page 2 of 5 COUNTY BA CATAWBA COUNTY HEALTH DEPARTMENT North Application for Environmental Services Page 1 Improvement Permit ig Authorization to Construct 14. 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 / j/ L y rro N L N• Subdivision Asg Lot# Acres Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? wner ❑Applicant ❑ Contractor _Applicant Contact Information Name L'o ,� o�ss 3 u.,l�l ry j?,,f.„,...19rx L L C ' MA-.a,e v Address za 3 �' ,z,�✓2"— y (3 04 �• ,,h r.'.2 is v, /lam Phone -7,0 y_ y �3 34, 93 Cell Phone ikOwner Contact Information Name X,' 611474 N /s Address / ino os, A) C.?_) r lefr`g../- Phone Cell Phone Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner S Applicant ❑ Contractor Description of Existing Structures on Site #of Bedrooms *t Structure Dimensions # of Occupants Basement .Yes ❑ No Basement Fixtures kYes ❑ 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 &No Does the site contain any jurisdictional wetlands? ❑ Yes fir-No Does the site contain any existing wastewater systems? ❑ Yes g..No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes j-No Is the site subject to approval by any other public agency? ❑ Yes J -No Are there any easements or right of ways on this property? Describe Existing water supply in use .14_ 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): (systems can be ranked in order of your preference) is-Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT „.„ Application for Environmental Services Page 2 Proposed Facility Type • Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *j a'L Project Description c) R,nA,zH l i 41.6"441,A, T �C Structure Dimensions 9 b # of Occupants �2 Basement Yes n No Basement Fixtures RYes ❑ No ❑ Accessory Structure(s) Describe #of New Bedrooms *j if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑No Describe Plumbing Needed ❑ Multi-Family Residence#Units #Bedrooms per Unit*j Total#Bedrooms *1' 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 n 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 lines and corners and making the site accessible so that a complete site evaluation can be performed. 7t Signature of Owner or' - ow.,+.-/ . Date 3 174 Printed Name of Owner or Agent A.42* J V a l,rk Catawba County Environmental Health r 5 _..."`'):1 i r r' r Q :1:6 fI.:i 61 I''Pi I — i ....—-——----- / ✓ s, s 70.00 .,,,j , , y Iran, 8. ,--- � f s \9 t Ltd S Ii41, - =, ,-1 "4-‘3r(-g / ,. .• _ 75)6 . . • 0 , , j r IIRIIIII — trr ,tf / Ott 6 ,• • I ‘ )1 , ...V 1 ih Parcel: 461901192539, 1318 LYTTON LN 1 in=50ft 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 03/07/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461901192539 Owner: NELSON THOMAS C HEIRS Parcel Address: 1318 LYTTON LN Owner2: City: CATAWBA, 28609 Address: 716 DAWNWOOD CT LRK(REID): 15324 Address2: Deed Book/Page: 2707/1162 City: RALEIGH Subdivision: OLD MILL SUBDIV State/Zip: NC 27609-4621 Lots/Block: 17/ Last Sale: School Information: Plat Book/Page: 14/105 School District: COUNTY Legal: LOT 17 17 MAP 3 PL 14-105 PL 14-105 Elementary School: CATAWBA Calculated Acreage: .520 Middle School: MILL CREEK High School: BANDYS Tax Map: 014BY 03017 School Map Township: CATAWBA State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoning1: R-30 Building(s) Value: $10,800 Zoning2: Land Value: $161,600 Zoning3: Assessed Total Value: $172,400 Zoning Overlay: CRC-O,WP-O,FPM-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 #: 3710461900K Building Details 2010 Census Block: 1019 WaterShed: WS-IV Critical Area 2010 Census Tract: 011503 Voter Precinct: P21 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. ©2015, Catawba County Government, North Carolina.All rights reserved. 2qC r -- 5°6 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=461901192539&typ=P 3/7/2016 CATA4. 4 lg Catawba County Public Health , t� a www.catawbacountync.gov f environmentalhealth COUNTY Environmental Health P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 North c tiro!intt`•. Phone (828) 465-8270.Fax (828) 465-8276 September 14,2015 Richard Nelson 716 Dawnwood Ct Raleigh,NC 27609 Re: Application for wastewater system Improvement Permit for 1318 Lytton Ln,Catawba Catawba County Health Department Case#RBPR-07-2015-22063 Dear Mr.Nelson: On 9/10/15,the Catawba County Health Department, Environmental Health Section, evaluated the above- referenced property at the site designated on the plat/site plan that accompanied your improvement permit application dated 7/31/15. According to your application the site is to serve a 4 bedroom with a design wastewater flow of 480 gallons per day. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title 15A, Subchapter 18A, of North Carolina Administrative Code,Rule .1900 and related rules. Based on the criteria set out in Title 15A, Subchapter 18A,of the North Carolina Administrative Code, Rules .1940 through .1948,the evaluation indicated that the site is UNSUITABLE for a ground absorption sewage system. Therefore,your request for an improvement permit is DENIED. The site is unsuitable based on the following: ❑ Unsuitable soil topography and/or landscape position(Rule .1940) ® Unsuitable soil characteristics(structure or clay mineralogy)(Rule .1941) ❑ Unsuitable soil wetness condition (Rule .1942) ❑ Unsuitable soil depth(Rule .1943) ❑ Presence of restrictive horizon (Rule .1944) ® Insufficient space for septic system and repair area(Rule .1945) ® Unsuitable for meeting required setbacks (Rule .1950) ❑ Other(rule .1946) These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, in surface waters,directly into ground water or inside your structure. The site evaluation included consideration of possible site modifications, and modified, innovative or alternative systems. However,the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. "Leading the Way to a Healthier Community" f ixuRp�� ! _ Katt6�m, � �'HOnn QO il V®®//��jj 6a It� wwrunaa . UU e, nww= For the reasons set out above, the property is currently classified UNSUITABLE,and an improvement permit shall not be issued for this site in accordance with Rule .1948(c). However, the site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the NC Division of Public Health,On-Site Water Protection Branch regional soil specialist. A request for an informal review must be made in writing to the local health department. You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Center, Raleigh,N.C. 27699-6714. To get a copy of a petition form,you may write the Office of Administrative Hearings, call the office at(919) 733-0926,or log on to the OAH website, www.oah.state.nc.us/form.htm. The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 140A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C.General Statue 130A-335 (g)provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal,you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. Meeting the 30 day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings,you are required by law(N.C. General Statute 150B-23)to send a copy of your petition to the North Carolina Department of Health and Human Services. Send the copy to: Office of General Counsel,N.C. Department of Health and Human Services, 1601 Mail Service Center,Raleigh,N.C. 27699-1601. Do NOT send the copy of the petition to your local health department. Sending a copy of your petition to the local health department will NOT satisfy the legal requirement in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDHHS. You may call or write the Environmental Health Section of the Catawba County Department of Public Health if you need any additional information or assistance. Sincerely, son Boyd, REHS nvironmental Health Specialist Catawba County Department of Public Health Enclosure: Copy of Rule .1941, .1945, .1950 cc: Doug Urland, Health Director Michael E. Cash, Environmental Health Supervisor "Leading the Way to a Healthier Community" as H ee lth .,,m..,x 10:4 101,YI 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: RBPR-7-15-22063 Owner: Compass Bldg and Realty Applicant: Address: 1318 Lytton Lane Date Evaluated: 9!10!2015 Proposed Facility: 4 BR home Design Flow(.1949) 480 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by contractor [ ]Cut Type of Wastewater. X Sewage [ ]Industrial Process [ ]Mixed e ., ORPHOLOGY r ( -` a C,'D ta,'>, a . -!4i,::,-,,.';-,' . t 1 �� ' ,,;: :':, 41 '` „ 'r PROFILE FAQ ORS ', ,-'. ` n.sc'd'p :: �,. o . ], µ�'S.l r 'if, 1 ' 0�t b°J, `l x` osi ° . ( ,,.E:Co .istence ,;, ` Wetness/ ,if,,',:- 0 „ # ,, �., r $o�,, ,. I T,extpre Mneraloo A , Color ,:.': „ o Honz • _._ . v 1 CC 4-6% 0-6" topsoil 6-48"+ SCVWSbk SS SP SEXP VFI 48" PS.2 2 same as 1 3 CC 2-3% 0-6" top soil 6-30" SC,VSbk SS SP SEXP Vfi 30" US.2 W 30-48" SC M SS SP SEXP vFi 4 5 6 7 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) US US Soil Evaluation By: Jason Boyd System Type(s) Others Present: Mike Cash Site LIAR .2 .2 Site Classification(.1948): FL Site Evaluation By: Others Present: Sheet: COMMENTS: approx 3500 sq ft of usable space for possible drip between house and 50'buffer FILE#: Landscape Position Group Texture ,1955 LTAR 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 ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly 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 SEXP-Slightly 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 i„Noi 1 r A CATAWBA COUNTY IOOA SOUTHWEST BLVD f ink NEWTON,NORTH CAROLINA 28658 RECEIPT V PHONE: 828.465.8399 Monday, March 7, 2016 1842 sM www.catawbacountync.gov PAYOR: *Compass Building & Realty, LLC *Compass Building&Realty, LLC(Volak, Mark) PAYMENTS TRANSACTION NUMBER: TRC-633522-07-03-2016 PAYMENT DATE: 03/07/2016 PAYMENT TYPE: Check 2920 INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-325919 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EHPR-03-2016-23343 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1318 LYTTON LN,CATAWBA NC 28609 Owner NELSON THOMAS C HEIRS,716 DAWNWOOD CT, RALEIGH NC 27609 Contractor *COMPASS BUILDING& REALTY,LLC, 638 RIVER SIDE HWY SUITE F, MOORESVILLE I B:7044833633F:7044837426 LISA.EUREY @COMPASSBANDR.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 03/07/2016 16:18 Page 1 of 1