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HomeMy WebLinkAboutEHPR-05-2016-23997.TIF SSv,A • THIS IS NOT A PERMIT Case # EHPR-05-2016-23997 " CATAWBA COUNTY HEALTH DEPARTMENT O 5 ' O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES f4cir 1842 sM Environmental Health Plan Review - OSWP 'o _ o + -D AUTH CONST- REPAIR 'EraisA a� • T Applicant HECHT REALTY (BOB HECHT), 885 N NC 16 HWY, DENVER NC 28037 B:7044891183 C:7046344444 BOB a HECHTREALTY.COM Owner ROGER CALHOUN, 3326 CAYTON DR, MAIDEN NC 28650 C:980-241-1239 NAME TO APPEAR ON PERMIT Roger Calhoun SITE ADDRESS: 3326 CAYTON DR, MAIDEN NC 28650 PIN # 367803407901 NAME of SUBDIVISION: Wynswept PH 1 Lot# 12 Section/Block PROPERTY SIZE: Square Feet 41,382.00 Acres .950 DIRECTIONS: Hwy 16 S, septic lot at corner of 16 and Cayton Dr PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Hwy 16 Widening Project, NCDOT ROW will move fence and green space into septic area 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? Yes Property Easements Description: NCDOT ROW on septic lot APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF single family residence EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 53 x 63 NUMBER OF EXISTING BEDROOMS: 4 #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: Other described: E9-ehapplicauun 06/07/2016 11:32 Page 1 of 4 ,(SA e, CATAWBACOUNTY Case# EHPR-05-2016-23997 efai� , Public Health Department Subdivision Wynswept PH 1 Q ;ta:1'au ,� Environmental Health Division PIN# 367803407901 vxk. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1g�2/ NAME ON PERMIT: (ROGER CALHOUN), 3326 CAYTON DR, MAIDEN NC 28650 ( Roger Calhoun) Site Address: 3326 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet 41,382.00 Acres .950 Directions: Hwy 16 S, septic lot at corner of 16 and Cayton Dr 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 identific lion nd labeling of all property lines and corners and making the site accessible so that a complete evaluation can be performed. � Date:cJOM° Signature of Applicant or Agent U + ( - \a_. An Environmental Health Specialist will contact you wit n 5 working days of alplication date. If you need further information or assistance please call 828-466-7291 AREA1 ri r c IIIIII Irr r iA i p(f of 11j I r! r - r - •a �? i j s,. x snr iiiMit Ifit l}(!I) tiFEENAME' 4r i!II �I 11k:� "'„I Ill' 19 IN aa. t...ja. DATE4I ,FEE AMOUNT I Authorization to Construct(Repair) Fee 05/31/2016 $450.00 Ilp"4�'11{�rypp( 91 TOTAt'FEESa 1$.111 �11liiilllIl8 t. _ 1. 1"m�� 'VIIIGI�i tallid illi i .1 _,''01111 14` r�II11.'1 II 1-i lGID4tit intuit mat;Ilolu1WII10111Wnitraia. iru.g,: . tow iiiimi mnu_ ya6l(' 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) 1i9-ehapplication 06/07/2016 1132 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT aunrs CATAWBA as CATAWBA COUNTY HEALTH DEPARTMENT ,„„ cr:,r Application for Environmental Services "2 161�1 Page 1 Improvement Permit❑ Authorization to Construct❑ Septic Repair In 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 Address3326 Cayton Drive Subdivision Wynswept Maiden, N.C. 28650 Lot# 12 Acres .950 Section/Block/Phase 1 Driving Directions to Property Hwy. 16 South from Newton,go through intersection with Buffalo Shoals Road,continue 1/2 mile and see the Wynswept entrance and Cayton Drive on the left. Turn in, and septic is first lot on right, before houses. NAME TO APPEAR ON PERMIT? 0 Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Bob Hecht r V Address Hecht Realty, Inc., 885 No Hwy. 16, Denver, N.C. 8037 Phone 704-489-1183 Cell Phone 704-634-4444 Owner Contact Information Name Roger L. Calhoun Address 3326 Cayton Drive, Maiden, N.C. 28650 RECEIVED Phone Cell Phone 980-241-1239 Contractor Contact Information MAY 3 1 2016 Name Address CATAWBA COUNTY Phone Cell Phone tNVIRONMENTAL HEALTH WHO WILL BE TILE PRIMARY CONTACT? ❑ Owner 0 Applicant ❑ Contractor Description of Existing Structures on Site _ • eSl)<xt, # of Bedrooms *t4 Structure Dimensions /C #of Occupants 2 Basement ❑ Yes ] No Basement Fixtures ® Yes ;O 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. lithe answer to any question is "yes", applicant must attach supporting documentation. 0 Yes 0 No Does the site contain any jurisdictional wetlands? %Yes No Does the site contain any existing wastewater systems? 0 Yes u No Is any wastewater going to be generated on the site other than domestic sewage? CI Yes C No Is the site subject to approval by any other public agency? a Yes 0 No Are there any easements or right of ways on this property? Describe Right of Way Existing water supply in use U 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any cArrA I BA THIS 1S NOT A PERMIT COUNTY VV .g,t1J CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type - Q Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *tom Project Descriptiol - - • - - - - - - •- em Structure Dimensions #of Occupants Basement ❑ Yes Q No Basement Fixtures ® Yes al 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 ❑ 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 ❑ Semi-Public Well Ti Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may he 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 lime orconstruction 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) Live years from the date issued and is not transferable; Improvement Penults and Well Permits are transferrable. Permits maybe 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 slate 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 ' eicr Date -c/ ib Printed Name of Owner or Agent R . )*e p k-( Catawba County Environmental Health 11444 hp 4) i Vo302 ary •3315 AA. t IP 42.16 t 70.60 \ cc° bitili 41. 62•81 1\ •3353 •3 14 114.89 p`lTON DR * / 85.63 ♦ 60.72 • \''` 2, 63 �6 111.79 22.09 )e •3326 .49 •3348 )216 • �4 emu, 6p i 1h o, o p f�( 98 co�o nll+ll�ir acs 38496 51.':b& m• �'I I� �Il co 1lil r, 00 a pjtlr: rya. • 15,85 a) Sp0 N V �S c0 X99 0 co •3372 S�4? co 'c 5 I S 3 co bb 7 J f �� cY 1 96 cp ..•O 00 I Y> ` ^b S t °°� 8 ry° �`� sy �yy �, 6 7,56.5/0 / s 445// / \ Parcel: 367803407901, 3326 CAYTON DR 1in=80ft MAIDEN, 28650 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 05/31/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367803407901 Owner: CALHOUN ROGER L Parcel Address: 3326 CAYTON DR Owner2: null City: MAIDEN, 28650 Address: 3326 CAYTON DR LRK(REID): 201361 Address2: null Deed Book/Page: 3164/1008 City: MAIDEN Subdivision: WYNSWEPT PH 1 State/Zip: NC 28650 Lots/Block: 12/ Last Sale: $248,000 on 2012-12-27 School Information: Plat Book/Page: 68/194 School District: COUNTY Legal: LOT 12 YNSWEPT PH 1 PL 68-194 Elementary School: BALLS CREEK W Calculated Acreage: .950 Middle School: MILL CREEK High School: BANDYS Tax Map: null Township: CALDWELL School Map State Road #: null 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: $263,700 Zoning2: Land Value: $19,300 Zoning3: Assessed Total Value: $283,000 Zoning Overlay: WP-O Year Built/Remodeled: 2010/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: null Building Permits for this parcel. Firm Panel #: null Building Details 2010 Census Block: 2026 WaterShed: WS-IV Protected Area 2010 Census Tract: 011501 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. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367803407901&typ=P 5/31/2016 aef CATAWBA COUNTY Case# OP-5-11-18340 �;)WPublic Health Department - Environmental Health Division Subdivision "P: Y PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Lot# /.20, w PIN# 367803407901 Applicant/Owner HECHT DEVELOPMENT CO IN Smith & Son Homebuilders, LLC H R S-I D-5557 Site Address: 3326 CAYTON DR, Maiden,NC Property Size: SF ACRES Directions: Catawba County Health Department Operation Permit IVA-ANY SYSTEM WITH LPP DISTRIBUTION System Type: (In accordance with Table Va) Description: 50%REDUCTION PPBPS \. Types V and VI systems expire in 5 years. Owner must contact health department 6 months prior to exiration for permit renewal. System Installation Comments: Tanks,drain field,pressure head verified by Luke Sears 10/13/10. Alarm checked by Jason Boyd on 5/25/11. PERMIT CONDITIONS: 1. All maintenance, monitoring, and performance requirements shall be in accordance with 15A NCAC 18.1900, Rule .1961 2. Operation & Maintenance Specifics: Subsurface system operator required? Yes_X No If yes, see attached sheet for additional operation conditions, maintenance and reporting. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization. Wayne Clontz #1835 05/25/2011 SYSTEM INSTALLER INSTALLATION DATE Jason Boyd - #1810 05/26/2011 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F 05/26/11 08:32 ��A Permit# AUTH 6-10-8086 �! ` JsG CATAWBA COUNTY Name Smith and Son Homebuilders i, T Public Health Department Address 3326 Cayton Dr Maiden NC d ��� Environmental Health Division pIN# 367803407901 a4� PO Box 389, 100A Southwest Blvd,Newton NC 28658 d, 4.11706) sni (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Operations Permit 4( CIA'c kt) c-l b r•,^•v \„) I f C`Y�° 0 . fir . Sr, :f1-, 56151ki wGLL \- ® is < <•. '<- S arc . AP.e- 1) \ 1 A Crud P (-LSgvft_ ht-e.�• LI-. .<.)c_e ) 1")yL "' Le- 5L-srs 1 ° IVS11 10J•-■ h �.L d LS a PC oe 5 ; -c- * -k la i ti il c to- ) f 1 {.. I" ^ r P C c k 3 r I) A- Scale • CATAWBA COUNTY Case# AUTH-6.10-8086 Public Health Department /. :. Subdivision WYNSWEPTPHI �.� •Environmental Health Division d PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Lot# 12 PIN# 367803407901 Applicant/Owner Smith & Son Homebuilders, LLC Site Address: 3326 CAYTON DR, Maiden,NC Property Size: SF 0.949 ACRES Directions: FROM NEWTON HWY 16 S/LT ON CAYTON DR/SOUTH OF BUFFALO SHOALS RD Authorization to Construct Pet nit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments( ). Proposed Wastewater System: 50%REDUCTION Wastewater Flow 480 g.p.d Type: IVA -ANY SYSTEM WITH LPP DISTRIBUTION Soil LTAR: .3 g.p.d./ft2 Permit Category: New Septic Type of Facility: House Basement? No Basement Plumbing? No Bedrooms: 4 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume 245 gal Pump Specs: 42 GPM @ 40 TDH Pressure Head 2 ft Draw Down 12 in Drainfield: Total Area: 800 sq ft Total Length: 320 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 2 ft Minimum Soil Cover 6 in Minimum Trench Separation 8 ft on center Number of Drain Lines 4 Distribution: LPP Additional Specifications: Install 4 @80'x2' PPBPS on Contour. Septic is to be placed on Off-Site Easement 12A. Keep supply line 10' from property line on lot 12 and within the designated easements when crossing property lines. Call environmental health with any questions about the installation. 06/08/10 16:07 �8• CATAWBA COUNTY Case# AUTH-6-10-8086 C . Public Health Department "1'■2 Subdivision WYNSWEPTPH1 G : Environmental Health Division �� 'r PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Lot# 12 t•• PIN# 367803407901 Applicant/Owner Smith & Son Homebuilders, LLC Site Address: 3326 CAYTON DR,Maiden,NC Property Size: SF 0.949 ACRES Directions: FROM NEWTON HWY 16 S/LT ON CAYTON DR/SOUTH OF I3UFFALO SHOALS RD Landscaping or other site alterations that potentially divert 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. Proposed Repair System Class: Proposed System: 50%REDUCTION Distribution Type:: LPP Soil LTAR: .3 g.p.d./ft2 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 Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct 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 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A 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. Luke Sears 06/08/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/07/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 06/08/10 16:07 ter=s>•-..?a<— "z /'� a y 1 'mss. - — N C S 7671 . Tr_ .66 . z , --.....Thr"b1.--ki.‘•*"Nt . 4scaf" VI CC sA J g `. @7)� I . ^-7055;Abl� C , a b ` G Ate`' j 0� ` I�DVS¢ . • � S J A 53 c`19' • • I m 56 — �� C-, • I U !J (, v, h\D J 6:// ._. , 1 OD/ � °QQ`O� bo ta o ( T1 L.K It � z _= n v _..-z c .0 - --- n CATAWBA COUNTY � � IOOA SOUTHWEST BLVD a NEWTON, NORTH CAROLINA 28658 INVOICE/RECEIPT VPe PHONE: 828.465.8399 CJ\ vae° i Wednesday, June 1, 2016 \/$4 L sM www.catawbacountync.gov Invoice Number: 05-16-328899 Invoice Date: 05/31/2016 EHPR-05-2016-23997 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3326 CAYTON DR, MAIDEN NC 28650 Applicant HECHT REALTY, 885 N NC 16 HWY, DENVER NC 28037 B:7044891183C:7046344444 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner ROGER CALHOUN,3326 CAYTON DR, MAIDEN NC 28650 C:980-241-1239 PAYOR: Hecht Realty Hecht Realty(Hecht, Bob) FEES EHPR-05-2016-23997 FEE AMT DUE AMT Authorization to Construct(Repair) Fee 05/31/2016 $450.00 $150.00 FEES: $450.00 $150.00 TOTAL FEES: $450.00 5150.00 PAYMENTS INVOICE NUMBER FEE NAME FEE AMOUNT TRANSACTION NUMBER: TRC-682864-31-05-2016 PAYMENT DATE : 05/31/2016 PAYMENT TYPE: Check 1033 received by mail 05-16-328899 Authorization to Construct (Repair) $300.00 Fee TOTAL PAYMENTS : $300.00 invoicereceipt 06/01/2016 08:16 Page 1 of l - CATAWBA COUNTY OG 100A SOUTHWEST BLVD _ " 'L NEWTON,NORTH CAROLINA 28658 RECEIPT .µw„ m„„;net►e PHONE: 828.465.8399 v yoaso. Tuesday, June 7, 2016 \842 sM www.catawbacountync.gov PAYOR: Hecht Realty Hecht Realty(Hecht, Bob) PAYMENTS TRANSACTION NUMBER: TRC-687239-07-06-2016 PAYMENT DATE'. 06/07/2016 PAYMENT TYPE: Credit Card 165443985 INVOICE NUMBER FEE NAME FEE AMOUNT 05-16-328899 Authorization to Construct (Repair) $150.00 Fee TOTAL PAYMENTS : $150.00 EHPR-05-2016-23997 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3326 CAYTON DR, MAIDEN NC 28650 Applicant HECHT REALTY, 885 N NC 16 HWY, DENVER NC 28037 B:7044891183 C:7046344444 **NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner ROGER CALHOUN,3326 CAYTON DR, MAIDEN NC 28650 C:980-241-1239 receipt 06/07/2016 11:28 Page 1 of I