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HomeMy WebLinkAboutEHPR-03-2016-23428.TIF Katherine Harris From: Marty Mooney [mjmooneykw @gmail.com] Sent: Tuesday, April 12, 2016 9:28 AM To: Katherine Harris Subject: Re: Permits You have my authorization to transfer permits for septic tank replacement to Elizabeth and Blake Wright . Thanks Marty Mooney On Mon, Apr 11, 2016 at 11:06 AM, Katherine Harris <Kl-larris n,catawbacountync.gov> wrote: I have attached your Improvement permit & the Authorization to Construct for the Septic. 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(I-IIPAA).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 Stiff A �� THIS IS NOT A PERMIT Case # EHPR-03-2016-23428 Q n' )>/, CATAWBA COUNTY HEALTH DEPARTMENT O ;oO -11 i4.'''' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sm Environmental Health Plan Review - Septic Malfunction u. 'fro leo • AUTH_CONST- SEPTIC MALFUNCTION •b.1- ' i }' x 0 Owner MARTY MOONEY, 2329 VERA CT, NEWTON NC 28658 1-1:8288502590 C:8288503419 HOME:8288502590 NAME TO APPEAR ON PERMIT Marty Mooney SITE ADDRESS: 2329 VERA CT, NEWTON NC 28658 PIN # 372015626506 NAME of SUBDIVISION: Westside Hills Lot# g Section/Block C PROPERTY SIZE: Square Feet 26,136.00 Acres .600 DIRECTIONS: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: system malfunction also expanded, original permit for 3 bedroom 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 54 x 46 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 4 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: 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 c• rect. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws • • ules. I u rstand that I am solely responsible for the proper identification/rid la eling of all property lines and corners and making the site acc; •ibb -o -t mplete site evaluation can be performed. Date: 3l fS �� Signature of Applicant or Agent 1 , 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 ho-ehapplication 03/18/2016 10:35 Page 1 of 7 nA CATAWBA COUNTY Case# EHPR-03-2016-23428 .f( j, Public Health Department Subdivision Westside Hills < a, Environmental Health Division PIN#N# 372015626506 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /g.2 ,. NAME ON PERMIT: ( MARTY MOONEY),2329 VERA CT,NEWTON NC 28658 ( Marty Mooney) Site Address: 2329 VERA CT, NEWTON NC 28658 Property Size: Square Feet 26,136.00 Acres .600 Directions: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac 11� FE'ENAME; Lu'+,, �q,� I ( I!gl; HIL ,�IIDATE H tI FF,EAMOUNT Authorization to Construct (Repair) Fee 03/18/2016 $450.00 11011 hill iiitIIi ���)TOTAL'4FE,ES` t��;� ��1������ll{I�1��"I"r, 11",�, �` lll��i !u ''J1; Iflr$450.06 .-� il,11d1111:1111111 _11"-' •rl3lilitilll11inumr"• .WthWIWI' "uili6li_._:7B�IuWWII GW_...�4t� 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) IN-elmppl lcation 03/18/2016 10135 Page 2 of 7 CATAWBA THIS IS NOT A PERMIT COUNTY ' CATAWBA COUNTY HEALTH DEPARTMENT N „. , 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 ,23.21 Vera lnitrf Subdivision /�J.,675;Jp /4• �/5 Ale&Vfo,',f /VC c 65' Lot# Acres •fL /�r Section/Block/Phase • Directions to Property Q/cY /t 1p/er 5ittr ,ott)r P + , Ichlou/y, 1,470/6 +a Vera Cowl 2 1=e-r4 an Vert' (',>at ,, Mick-lb /vuse. NAME TO APPEAR ON PERMIT? t/I Owner Applicant El Contractor Applicant Contact Information Name Me rnDOVlecq Address 23aq lien? (burl r-1 -. AK ' f Phone $fl-g5U— ,3e/1q -SS J dJ°td Cell Phone 5, "?-850- Owner Contact Information Name Address 5:0/146- Phone Cell Phone Contractor Contact Information Name c�bWe( 1 Sep—k& — Kew',n License# Address Phone can - 3 oa_p^75$ Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site 1-it/K,- /chnc4;7,1/ry �(t #of Bedrooms *t p'Structure Dimensions 1349` N=F tJ� of Occupants Basement ❑ Yes Ell No Basement Fixtures ❑ Yes ENo 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 IX-No Does the site contain any jurisdictional wetlands? ,lYes ❑ No Does the site contain any existing wastewater systems? ❑ Yes allo 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 PiNo Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ,f] 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other A" Any CATAWBA THIS IS NOT A PERMIT COUNTY -ry CATAWBA COUNTY HEALTH DEPARTMENT „o„h�,,,,na Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence I New Residence ❑ Addition to Residence #of New Bedrooms *j' Project Description Structure Dimensions # of Occupants Basement H Yes H No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes H No Plumbing ❑ Yes ❑ No Describe Plumbing Needed H Multi-Family Residence# Units #Bedrooms per Unit*j Total # Bedrooms *j- Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area(Sq. Ft.) H Business Specific Type of Business Retail Floor Space_ # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen 7 Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type H Individual Well H Semi-Public Well H Community Well Abandonment Type H Drilled H Bored ❑ Dug n Unknown Well Repair Requested H 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 ��(cam'. r/(,(y ,I� Date 3/ 5/76 Printed Name of Owner or Agent Mack-4 DDY�ej Catawba County Environmental Health V ' "N\ • il l li�u 3f • ,II ';.,'' II l��li 35.67 G N A P7.vil II 444' A N cn 'rfN. 52.3 • 1 r \ 6,26 .6.97 • \ \ 52.i \ • \ �/ 52.33 • . In • 115.00 235.7. 275.42 IrliiN ro co N. ,vs, ilok t NNii riy.3‘• il SJgRiO ( 4) • N. -lb o Parcel: 372015626506, 2329 VERA CT 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. Coovrioht 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner information: Parcel ID: 372015626506 Owner: MOONEY MARTY JOSEPH Parcel Address: 2329 VERA CT Owner2: MOONEY LAUREN MARIE City: NEWTON, 28658 Address: 2329 VERA CT LRK(REID): 32334 Address2: Deed Book/Page: 2822/0053 City: NEWTON Subdivision: WESTSIDE HILLS State/Zip: NC 28658-9247 Lots/Block: 9/C School Information: Last Sale: $110,000 on 2007-03-15 Plat Book/Page: 14/37 School District: COUNTY Legal: LOT 9 9C PL 14-37 PL 14-37 Elementary School: STARTOWN Calculated Acreage: .600 Middle School: MAIDEN Tax Map: 053N 03009 High School: MAIDEN Township: NEWTON School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: NEWTON Zoning District: NEWTON County Fire District: All in City Zoning l: R-20 Building(s) Value: $64,900 Zoning2: Land Value: $14,100 Zoning3: Assessed Total Value: $79,000 Zoning Overlay: Year Built/Remodeled: 1971/ Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710372000J Building Details 2010 Census Block: 2003 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 aeritication 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=372015626506&typ=P 3/18/2016 CATAWBA-LINCOLN-ALEXANDER DISTRICT HEALTH DEPARTMENT . HICKORY, N. C.—NEWTON, N. C—LINCOLNTCN, N. C.—TAYLORSVILLE, N. C. Phones 328-2561 464-2011 735-3001 632-3101 ` • PERMIT TO INSTALL SEPTIC TANK / Z 9. �j PERMIT-+NO A + 'l• ) f 1 PERMIT DATE 7 �r • Owner /• l-[ Address"./_. Tenant i( ..nr li-e_ �'/9/ .. �11A-3 ) Address.. ,.,.,. CT i!nisi-oiled by -s" -d _1(.1 .Address (. � / .t Location of Property 1-, t-4q .1..�.'""; ) •14-=.i:W — Ydfit i- !1ta--. --e( tf- 1.+4-Al-G... .4i n.141,"•1 �St" n er l/-.'a.-2.._ ,ut.f'.,- , t'-;'Lrtj , Kind of tank / ( 0° Size /,,, -441...t Length of trench .�,t 2% " f' `� NOTIFY HEALTH DEPARTMENT AT LEAST_EEIG'HT HOURS BEFORE TANK IS TO BE INSPECTED ee Final Inspection ..............a,7 ( 19 r [ I Approved Disapproved ( Remarks:•l 's K { I --.AAti VV.;(11:.1,1-1 -A-1-i {,:haAL( Ore:n !/ sU oAJd -1- First five feet of line from outlet house should be of cast iron soil pipe. ' 49 liCeren. n J ,t i ' f (C-�J 0' Sanitarian. �, ` I I - Sketch of tank and line showing distance LI from dwelling and well on subject property _-� ' sue.. . _ and on adjoining property. n!,!! , A C CATAWBA COUNTY )C.,� NE VI TOOONA SNOOURTTH H\CVAESRT OBLLNVA D 28658 RECEIPT U C PHONE: 828.465.8399 Friday, March 18, 2016 I g 42 Shl www.catawbacountync.gov PAYOR : Mooney, Marty PAYMENTS TRANSACTION NUMBER: TRC-6395 7 1-1 8-03-20 1 6 PAYMENT DATE : 03/18/2016 PAYMENT TYPE: Credit Card 159858799 INVOICE NUMBER FEE NAME FEE AMOUNT •,• 03-16-326269 Authorization to Construct(Repair) $450,00 Fee TOTAL PAYMENTS : 5450.00 EHPR-03-201 6-23428 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 2329 VERA CT,NEWTON NC 28658 Owner MARTY MOONEY, 2329 VERA CT,NEWTON NC 28658 H:8288502590C:8288503419 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 03/IS/2016 10:35 Page 1 of I