Loading...
HomeMy WebLinkAboutEHPR-05-2016-23827.TIF THIS IS NOT A PERMIT Case # EHPR-05-2016-23827 "A CATAWBA COUNTY HEALTH DEPARTMENT ' •o• •o- = f D „ �S � PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES .�+�7e�} "• 1842 s�+ Environmental Health Plan Review - OSWP D. f re?' 1 f. IMPROVEMENT .—d. • ' Contractor AMERICA'S HOME PLACE (REX MINTON), 1206 GREENLAND DR, STATESVILLE NC 28677 B:704872440((''C:828313774 )w Owner MARILYN MCCASLIN, 3652 N OLIVERS CROSS RD,NEWTON NC 28658 C:8284282432 NAME TO APPEAR ON PERMIT America's Home Place (Rex Minton) SITE ADDRESS: 3654 N OLIVERS CROSS RD, NEWTON NC 28658 PIN # 366702880506 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 40,946.40 Acres .94 DIRECTIONS: Hwy 16 South, North Oliver Crossroad, on the Left past Mt. Ruhama Church Rd, Will be open field with mailbox&# sign for 3652. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for Subdividing* 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: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 50x62 #OF NEW BEDROOMS:: 3 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: 139-chapplica ion 05/10/2016 15:54 Page I of CATAWBA COUNTY Case# EHPR-05-20 1 6-23 827 L if 2 Public Health Department Subdivision : i ti Environmental Health Division PIN# 366702880506 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 • 2 o NAME ON PERMIT: AMERICA'S HOME PLACE ( REX MINTON), 1206 GREENLAND DR, STATESVILLE NC 28677 America's Home Place ( Rex Minton) Site Address: 3654 N OLIVERS CROSS RD,NEWTON NC 28658 Property Size: Square Feet 40,946.40 Acres '94 Directions: Hwy 16 South, North Oliver Crossroad, on the Left past Mt. Ruhama Church Rd, Will be open field with mailbox&# sign for 3652. 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 airgpasiblo so that a complete site evaluation can be performed. Date: 5--/0 /(o 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 LIhlll MPt � I� j. II � �lATEI I �' 1N°: IFEENAE= y 11IJW - ' I lI -.[St" ' u8 IID 1 FEE Ap,jl Mfl7OU8gNlniPlnlll i ; Improvement Permit Fee 05/10/2016 $15000 , ,� � TOAFEENV 4 lJ e mut allll1it ll1llWu1L H,; �'{�HLIINac_CAWWWWIOWIna u uillBlNlf11IW nllm P�y'1lIIIW"Itl'IlIIl�x. 00 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) 19-application 05/10/2016 15:54 Page 2 of 4 C A T AW BA THIS IS NOT A PERMIT it CATAWBA COUNTY HEALTH DEPARTMENT ,�.::� Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct Septic Repair ❑ Septic Malfunction ❑ Septic Expansion n New Well Permit , Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction 0 Existing Facility ❑ Property Address3651 N. Oliver's Cross Rd. Subdivision Newton, NC 28658 Lot# Acres /‘ J C Section/Block/Phase Driving Directions to Property 4 /V c 'e4 CR-a 5 A n PqS� leidIa "5 c Cvrec, NAME TO APPEAR ON PERMIT? ❑ Owner El Applicant IA Contractor Applicant Contact Information Name Rex Minton Address 1206 Greenland Dr. Statesville, NC 28677 Phone I Cell Phone 828-313-7748 Owner Contact Information Name Marilyn McCaslin Address 3652 N. Oliver's Cross Rd. Newton, NC 28658 Phone 828-428-2432 Cell Phone Contractor Contact Information Name America's Home Place Address 1206 Greenland Dr. Statesville, NC 28677 Phone 704-872-4400 I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner j tl, pplicant i•1 Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes ® 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. 0 Yes 0 No Does the site contain any jurisdictional wetlands? ® Yes CI No Does the site contain any existing wastewater systems? ❑ Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes o No Is the site subject to approval by any other public agency? ® Yes o No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line is a public water supply available? ** ❑ Yes 0 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 X Any A'T+AU 7fA THIS IS NOT A PERMIT ci:n rr —�. CATAWBA COUNTY HEALTH DEPARTMENT ' „„„ Application for Environmental Services Page 2 Proposed Facility Type El Primary Residence 0 New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description New single family construction Structure Dimensions 50x62 # of Occupants 1 Basement n Yes 0 No Basement Fixtures ® Yes ® No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed n Multi-Family Residence# Units #Bedrooms per Unit*t 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 Individual Well n Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled IT Bored ❑ Dug n Unknown Well Repair Requested n 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. 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 t— �� Date / — 6'/6. Printed Name of Owner or Agent Rex m;rc 1 - n Katherine Harris From: Jonathan Greer Sent: Tuesday, May 10, 2016 4:52 PM To: Katherine Harris Subject: RE: 3652 N Olivers Cross Rd This property will not be required to connect to the water line since the house is more than 250 feet from the utility. From: Katherine Harris Sent: Tuesday, May 10, 2016 4:04 PM To: Jonathan Greer Subject: 3652 N Olivers Cross Rd Jonathan, I have a customer applying for an Improvement Permit to subdivide a .94 acre piece off the property at 3652 N Oliver's Cross Road, Parcel ID # 366702880506. The home will be located 765+ feet from the road. There is a water line showing on GIS that is County/Hickory owned. I just want to make sure that it is okay for them to look at putting a well on this property due to how far off the road the home will sit instead of connecting to the water line available. 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 County Environmental Health IIYI/// Ilb tl`s .i )3 • , !, Nu a., sss • -- 1 T ilk o II: U IP u 1- 1111 IIR h f..: YL' tg1' . v � ° n. •: "� 0,�t4a r " 2 , ' \ t i fir_1'1�5 f. X41.,:ji 46 ?9�o�5a �1 � 4 is..% . se".. 1110)a. cfzi of tivg/..„,//0,' Ilikk'Lli°211. • ' \ J 1 TJ . i ■ f�c..{ ., ) ) ©1 / �/ Q / 'He 9Nti Q r,'t / 41Q Se • 1111 171.A) V_ yob O *� �s �9j r n yr. Parcel: 366702880506, 3652 N OLIVERS tin=300ft CROSS RD 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. Copyright 2014 Catawba County NC 05/10/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 366702880506 Owner: MCCASLIN MARILYN P Parcel Address: 3652 N OLIVERS CROSS RD Owner2: null City: NEWTON, 28658 Address: 3652 N OLIVER CROSS RD LRK(REID): 4907 Address2: null Deed Book/Page: 1847/1084 City: NEWTON Subdivision: null State/Zip: NC 28658-8299 Lots/Block: null/ null School Information: Last Sale: School District: COUNTY Plat Book/Page: Elementary School: TUTTLE Legal: null Middle School: MAIDEN Calculated Acreage: 28.490 Tax Map: 005 K 03040 High School: MAIDEN Township: CALDWELL School Map State Road #: 1858 Tax/Value 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: $161,500 Zoning2: null Land Value: $137,100 Zoning3: null Assessed Total Value: $298,600 Zoning Overlay: Year Built/Remodeled: 1977/null Small Area: BALLS CREEK 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 #: 3710366600J Building Details 2010 Census Block: 2000 WaterShed: 2010 Census Tract: 011601 Voter Precinct: P1 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. Nevi ftJs ' 3 y M CSI keis mss Veva . P qLI http://gis.catawbacountync.gov/nomap/parcel_report.php?key=366702880506&typ=P 5/10/2016 r C..• CATAWBA COUNTY ?{±°� 100A SOUTHWEST BLVD i~ tat NEWTON,NORTH CAROLINA 28658 RECEIPT dr�wns r--^m, �"A �� � �oas�/ PHONE: 828.465.8399 Tuesday, May 10, 2016 IL/ 1842 sn+ www.catawbacountync.gov PAYOR: America's Home Place America's Home Place(Minton, Rex) PAYMENTS TRANSACTION NUMBER: TRC-670402-10-05-2016 PAYMENT DATE : 05/10/2016 PAYMENT TYPE: Check 025304 INVOICE NUMBER FEE NAME FEE AMOUNT 05-16-328200 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EHPR-05-2016-23827 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3654 N OLIVERS CROSS RD,NEWTON NC 28658 Owner MARILYN MCCASLIN, 3652 N OLIVERS CROSS RD,NEWTON NC 28658 C:8284282432 Contractor AMERICA'S HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 13:70487244000:8283137748 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 05/10/2016 15:53 Page I of I