Loading...
HomeMy WebLinkAboutEHPR-03-2016-23494.TIF Y A r� THIS IS NOT A PERMIT Case # EFIPR-03-2016-23494 . CATAWBA COUNTY HEALTH DEPARTMENT 0 --. .7.--5;:::1; 0 A• '' 4JM} j PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 4 ' 842 to Environmental Health Plan Review - Repair r WELL REPAIR •-ai.iieT . 350)41;; O k.. f ` Owner ERNEST BARRY SCHRUM, 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 C:9802418880 NAME TO APPEAR ON PERMIT Ernest Barry Schrum SITE ADDRESS: 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 PIN # 460602858810 NAME of SUBDIVISION: MOONLITE BAY Lot# 21 Section/Block PROPERTY SIZE: Square Feet 22,215.60 Acres 0.51 DIRECTIONS: Hwy 150, Slanting Bridge Rd, Tradewinds Dr, 6th house on Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: Well needs a new 40 ft sleeve - Mike & John Brooks have met onsite. 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 House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 34x96 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 2 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: APPLICATION FOR WELL REPAIR WELL REPAIR REQUESTED? Yes New 40 foot sleeve required 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 and nd that I am solely responsible for the proper identification�rtd labeling of all property lines and corners and making the site acc sible yo a a comp) _ site evaluation can be performed. Date: f- 2.' - ,1 4e Signature of Applicant or Agent �- 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 AREA1 E9-eliapplicnuon 03/29/2016 10:14 Page 1 o1'4 �eA CATARBA COUNTY Case# EHPR-03-2016-23494 rim' Public Health Department Subdivision MOONLITE BAY 6 Environmental Health Division PINit 460602858810 V®�• PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 /842 NAME ON PERMIT: (ERNEST BARRY SCHRUM), 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 ( Ernest Barry Schrum) Site Address: 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 Property Size: Square Feet 22,215.60 Acres 0.51 Directions: Hwy 150, Slanting Bridge Rd, Tradewinds Dr, 6th house on Right. E i u.;;i i ` Il - re ,i p I Ia1V-�;' a. .li r p"1- 1 a FELNAME ; � ?��, -�°^ '�� :,.,r.f ':, t`s E � "r DATE t ',. aa'N FEE AMOUN7 I14 Well Permit& Inspection Fee 03/29/2016 $300.00 l h !IC, Talr TOTAL FEES i i r`t`p tt a�`I F I ,` $300 00' �, , : -. to, k. �:=. .�';,, ._ .xn.a_..3 Eu LS. �°Du,�. .,,fk'" a.R. -ar, r,...ass ci _. ,�,i 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) 09-ehappl ical ion 03/29/2016 1014 Page 2 of 4 CAT© e THIS IS NOT A PERMIT COUNTY - " CATAWBA COUNTY HEALTH DEPARTMENT No„ �a , Application for Environmental Services Page 1 Improvement Permit Authorization to Construct n Septic Repair ❑ Septic Malfunction ❑ Septic Expansion n New Well Permit n Replacement Well ❑ Well Abandonment❑ Well Repair Existing System Inspection (Pre-Approval Required) H Application is for New Construction H Existing Facility X ^i'Property Address '7977 /eli_d= I3iAJ i ` _� Subdivision JJ�� Aei2i iIIc Goedy AJC g6,Z-3 Lot# 02 l Acres � � ( ection/Block/Phase $ Driving Directions to Property 'A ,ivlT1 ,I.�C> 8,/' nc(01 p - LE 7'f o ti --r, J) 7 e G,)//-9D c NAME TO APPEAR ON PERMIT? [X] Owner n Applicant l Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name -8AiaQQy S'eh l2(.4 M 1 I _ Address 7qc -) /724C-tL ; Js L0r2 Shet2� 1 �)s tom � � � � 73 Phone cap a q-) _ g g go I Cell Phone Contractor Contact Information Name License # Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Xywner ❑ Applicant ❑ Contractor Description of Existing Structures on Site }-tOUAS-I- -a # of Bedrooms *t o? Structure Dimensions # of Occupants ‘2,___. Basement ❑Yes No Basement Fixtures H Yes 1X1No 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? A Yes ❑ No Does the site contain any existing wastewater systems? ❑ Yes ,O No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes $No Is the site subject to approval by any other public agency? ❑ Yes Ft No Are there any easements or right of ways on this property? Describe Existing water supply in use * Individual Well H Community Well H Semi-Public Well H County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) J ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other %Any CATAWBA THIS IS NOT A PERMIT • • COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence n New Residence ❑ Addition to Residence # of New Bedrooms Project Description Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures _ Yes n No n Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing _ Yes n No Describe Plumbing Needed n Multi-Family Residence# Units #Bedrooms per Unit*j _ Total #Bedrooms *t Structure Dimensions n Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) #Employees per Shift # of Shifts _ Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space #of Employees per Shift # of Shifts n Other Facility Type Specify If Church # of Seats Kitchen n Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well n Semi-Public Well [ Community Well Abandonment Type n Drilled n Bored Dug _ Unknown Well Repair Requested$Yes ❑ No Describe N 4n s i 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 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 — Printed Name of Owner or Agent r - 2� 2u2 j a ~' Catawba County Environmental Health • 4 ID Pa a I it 153.22 - P R, a af g a 9h @; u +! o r:' J 111 do'...i r '�.ud*�, 'a 2. ;lido .Sr l -r � lq' z it d �5 al w sir y " ? } t �� r � 'MO g di g 9 e w 1$4p a 1500 pt, Q ?it0 �+i itt lr1a 233.97 65 ,4 '01, g? ZLS'+,t q, /f dkj,il9f i N ,. ,21 e ::::w 0 7,13,E0 a 6 i `s..tif cs,ItiL.1— • , 4.A.-T. � l 1 R w " ' tl 212.86 i .7 � , � . �� �� ,,a° ,f� �:��-erg 'a`- ' "a� 1. co g) r r0 7$ f w "t,eht 1 y i E l �+•ti } yryy tq+ y T vyui "•A•'µ. lR C ,. ! , CO 1\ iiiiiir, ,5 i i� k 117 Pir /AP 91y Z } n t Y �� ! � J a � 1 t F�� Parcel: 460602858810, 7927 TRADEWINDS DR '�Rtl 1 in=50ft SHERRILLS FORD, 28673 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 03/29/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460602858810 Owner: SCHRUM ERNEST BARRY Parcel Address: 7927 TRADEWINDS DR Owner2: BELL SHARON A City: SHERRILLS FORD, 28673 Address: 7927 TRADEWINDS DR LRK(REID): 19150 Address2: null Deed Book/Page: 3045/1931 City: SHERRILLS FORD Subdivision: MOONLITE BAY State/Zip: NC 28673-9274 Lots/Block: 21/ null Last Sale: $395,000 on 2010-10-14 School Information: School District: COUNTY Plat Book/Page: 12/23 Elementary School: SHERRILLS FORD Legal: LOT 21 MOONLITE PL 12-23 Middle School: MILL CREEK Calculated Acreage: .510 Tax Map: 018AX 05009 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1950 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $305,700 Zoning2: null Land Value: $220,400 Zoning3: null Assessed Total Value: $526,100 Zoning Overlay: CRC-O,WP-O,FPM-0 Year Built/Remodeled: 1964/2012 Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460600J Building Details 2010 Census Block: 4026 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460602858810&typ=P 3/29/2016 i " r ' /� CATAWBA COUNTY Q�J_ 0 Case IMPV-II-2013-043944 ` Ea Public Health Department .]}.r{� a Subdivision MOONLITE BAY G ..� Environmental Health Division 7 }• � •• PINK 460602858810 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 • r. 0 : { . • NAME ON PERMIT: ERNEST SCHRUM, 2511 DANIEL SCHRUM RD, LINCOLNTON NC 28092 Site Address: 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 Property Size: Square Feet 22,215.60 Acres 0.51 Directions: 16S/ LEFT CAMPGROUND RD / SLANTING BRIDGE RD / RT TRADEWINDS DR/ .2 mile on right Improvement Permit • INITIAL SYSTEM EXISTING Facility: Primary Residence Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: CONVENTIONAL Type: IIA• CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: Permit issued to allow existing concrete pad on lake side of home to be covered with a roof. Existing system was inspected and approved by Robbie Phelps under IP 5-11-17575. Repair will be required to be pumped to road side of lot. Keep all parts of any future repair system minimum: 10' from any property line, 50' from any well, 50' from lake, 15' from retaining wall. Lines to be installed on contour. An Authorization to Construct will be required prior to installation of any repair system. Issuance of this permit does not guarantee or warranty existing system to function for any length of time. Due to house configuration, driveway location, location of well, and size of lot, a maximum of 2 BR will be allowed for repair and no further expansion of home or increase in number of bedrooms will be allowed. REPAIR SYSTEM SPECIFICATIONS - ------ -------------- --------- ----------------- Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA- ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED f9-chpennii 11/212011 08:54 Page I of4 �O' CATAWBA COUNTY Case t; IMPV-I I-2013-043944 <��j 2 'Public Health Depanmcnt Subdivision MOONLITE BAY a • ,. Environmental Health Division PINII 460602858810 ','• PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTH 21 NAME ON PERMIT: ERNEST SCHRUM, 2511 DANIEL SCHRUM RD, LINCOLNTON NC 28092 Site Address: 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 Property Size: Square Feet 22,215.60 Acres 0.51 Directions: 16S/ LEFT CAMPGROUND RD /SLANTING BRIDGE RD/ RT TRADEWINDS DR / .2 mile on right Landscaping or other site alterations that potentially dived 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 Planning/Zoning 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 'Lams and Rules for Sewage Treatment and Disposal Systems' (I5A NCAC 18A .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 11/20/2013 AUTHORIZED STATE AGENT APPROVAL DATE 11/20/2018 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. E9-ehpennit 11/21/2013 08:54 Page 2 of qt'' Permit# RBPR-II-13-18190 • CATAWBA COUNTY �i Name Ernest Schrum d MIR 2 Public Health Department Address 7927 Tradewinds DR Sherrills "'4n:. Environmental Health Division Ford NC i'I' PO Box 389, IOOA Southwest Blvd, Newton NC 286. 8 �8 42 to (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 460602858810 Site Plan Improvement Permit • d ,S t V ° * Se-e_ TMPro.,t..,c-c+ (/h,.,.,,P T 1- e >pci__rw k 4a e2.5. (2t). y l 1 1 1 5� S C °, :, C 5 lA rc a Cr) 1- . r 5 0 , l :n.1-o --'-� 5 'I o R` „- : Z *) -i t al) . ca- 6 I Fx,S-t- n7 . to t'P n'e 117` 1 sk t^c") Or. v ( 4z' 10 ° 40 ' 5c-C6AC T' —16o Is, 0i Scale I I , I �� r I K � N o Q '�,V Department oLEnvironmenl,Health,and Natural Resources Sheet: Division of Envlronmenlal Health Property ID: On-site Wastewater Section Lot Y: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: 10483 Owner: Barry Schrum Applicant: Address: 7927 Tradewinds Dr Date Evaluated: Proposed Facility: ar, Design Flow(.1949) 240 Property Size: Location of Site: Properly Recorded: Water Supply: I ]Public [x]Individual 1 x I Well I ]Spring ( I Other Evaluation Method: I ]Auger Boring I ]Pit I ]Cut Type of Wastewater: I I Sewage I I Industrial Process ( Mixed :P. 7....7'"74.; '� 14Y1 1 c, by4.r S^ ! #. eie Z ` I S\ 3 [` N' . \� Rr i� t +fna ytecr �'ri eky } >�' C� r! n •tv :% ,y3 Ata!(1. 1jciK. I' av 7� r p,7 .lyr 1 L•O try:', n� J.; r > z-• OIL MORPHOLOGY't';! f�j'ty ti ! r7.r.: '"l `' . )?/i Lg ��+ t �� r Y 6 ` „Yt;Y l+ 194ifEEN � ` ` Y .. \4 PROFILE FACTORS '" ` I.I,\ 4j 1940\✓x fit c r `t..:.w' \ :\ v_ $. r1942i I t ` p r , 4 W er m'n :y ]r 4 4 i t .R_ s yK r v C.. t. L- �. L; 7I1.L!ndscape yHOnzpn v1rkG1,40!S I 1!941 F��>s r 1+ Soilti�*f� I 1943 v 2. 195e1 y 1944 Profile ' I` E; 1 yPoslhory ,Depth Structure/ \ Cogsirtence :a*'ryl `s" Wetness/ t + Soil Sapro, y Reslr,;.: r . Class'" i?' .);Y,-,.ii.:...;.<:Slope J �;PN:):, l Teiiture t;$ . .,, ^.}Mineralogy cy;t a y c;_ I. ._Color ,- ,Depth;(IN) ..-.Class"s :t .. !, ,;&LTAR�:,`.' 1 0-48 scl,sbk fr,ss,sp 48 0.35 2 0-46 scl,sbk fr,ss,sp 48 0.35 46+ rock 3 0-40 scl,sbk fr,ss,sp 40+ sap+c fr 40 0.35 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s Soil Evaluation By: Robbie Phelog System Type(s) 25% Others Present: Site LTAR 0.35 _ Site Classification(.1948): ps Site Evaluation By: Others Present'. • Sheet: -COMMENTS: FILE p: Landscape Position Group Texture .1955 LIAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain 55-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-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-Silly Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable S5-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Ptaslic VP-Very Plastic Sketch of Soil Evaluation Locations w (.9 ' INIPV-5-I1-17575 � c, CATAWBA COUNTY Name Michael Shane Beal FT � 2 Public Health Department Address 7927 Tradewinds Dr 4� y Environmental Health Division ' PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN;) !°� 18 42 w (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 SITE PLAN V N I PJ-pt ar n,1 I� "t" l a ft : si • f yA /o Jr —_ o Jt Scale I 0 1 BA CATAWBA COUNTY IO SOUTHWEST BLVD NEWTON, RECEIPT ONN,, NORTH CAROLINA 28658 PHONE:FI ON E: 828.465.8399 K_ �t�p' Tuesday, March 29, 2016 � � 1842 sM www.catawbacountync.gov PAYOR: Schrum. Ernest Barry PAYMENTS TRANSACTION NUMBER: TRC-645775-29-03-2016 PAYMENT DATE : 03/29/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-326564 Well Permit& Inspection Fee S300.00 TOTAL PAYMENTS : S300.00 EHPR-03-2016-23494 CASE TYPE: Environmental Health Plan Review WORK CLASS: Repair SITE ADDRESS: 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 Owner ERNEST BARRY SCHRUM. 7927 TRADEWINDS DR, SHERRILLS FORD NC 28673 C:9802418880 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 03/29/2016 10:13 Page 1 or 1