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HomeMy WebLinkAboutEHPR-06-2016-24056.TIF THIS IS NOT A PERMIT Case # EHPR-06-2016-24056 d I CATAWBA COUNTY HEALTH DEPARTMENT El PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • : • 1842 sM Environmental Health Plan Review - OSWP --o ,r�`n o OA fi , ' IMPROVEMENT - & 1 c ; Contact Person BEASON GENERAL CONTRACTORS (BRENT WILSON), PO BOX 636, SHERRILLS FORD NC 2f B:7042301016 C:7047756525 BRENT @BEASONNC.COM Contractor *BEASON GENERAL CONTRACTORS (JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC B:7042301016 C:91043 169 1 5F:(704)230-0016 BRENT @BEASONNC.COM Owner BRAD MORAN,7464 MATCHPOINT, SHERRILLS FORD NC 28673 C:7047462292 NAME TO APPEAR ON PERMIT *Beason General Contractors (JOHN BEANE, Ill) SITE ADDRESS: 7464 MATCHPOINT, SHERRILLS FORD NC 28673 PIN # 460703445537 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot# 20 Section/Block PROPERTY SIZE: Square Feet 30,927.60 Acres 0.71 DIRECTIONS: Hwy 16 South towards Denver& go about 5miles, Left onto Balls Creek Rd go about 1 mile, Right onto Little Mountain Rd go about 7 1/2 miles, Left onto Mt Pleasant Rd go about .7 miles, Right onto Dockside Lane go about .8 miles, Right onto Matchpoint, Lot is at the end of the Road. PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for proposed Building Modifications to property. Existing 3 BdRm home on property & Boat house. Existing Tennis Court to be Removed. Proposing Detached Garage 28x35, Pool House 28x16, Swimming Pool w/concrete 17'2" x 37'3". *No New BdRms, Pool House will have 1 bathroom. The existing drain field will need to be relocated. Proposed pool will be in that location. 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, Boat House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: House 89x70, Boat House 34x19 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: Garage, Pool House, Pool w/Concrete*See Above* 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: ti 9-ehapplicatinn 06/08/2016 13:46 Page 1 of 5 Sd• CATAWBA COUNTY Case# EHPR-06-2016-24056 .Q' .n j Public Health Department Subdivision CRESCENT LAND AND TIMBE Environmental Health Division '5' PIN# 460703445537 � PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 18.2 s. NAME ON PERMIT: *BEASON GENERAL CONTRACTORS (JOHN BEANE, III), PO BOX 636, SHERRILLS FORD NC 28673- 'Beason General Contractors ( JOHN BEANE, Ill) Site Address: 7464 MATCHPOINT, SHERRILLS FORD NC 28673 Property Size: Square Feet 30,927.60 Acres 0.71 Directions: Hwy 16 South towards Denver& go about Smiles, Left onto Balls Creek Rd go about 1 mile, Right onto Little Mountain Rd go about 7 1/2 miles, Left onto Mt Pleasant Rd go about .7 miles, Right onto Dockside Lane go about .8 miles, Right onto Matchpoint, Lot is at the end of the Road. 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. Date: Signature ofApplicant 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 tIIFEENAM EII y� '}41 , 'vMtIIJ k k '1� riaj I�I�II.11i. it DATEIR ;;r 1 mFEE4AMOUNT' L`L �`� �, II dap � V �1�' III( � Improvement Permit Fee 06/08/2016 $150.00 �r�� ` , '/"TOTAItu FEES ii 111111111111 l ie�'11II111IIIIIPGII1111kI' "IAN 1Ilit "a1111111Nri u$tso`"oo' ' '' ' s ` �� IF �� •'IIt1i111111N18idt b 0 ���UJ�i�{ll�IlyI��I14flWb`11hsEidi4 il•si+'1 i e , I111In�IilOfCr:rill t .'JS�tllUlillPW m.uswtu m 111 aur,,11wmll 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) Ii9-ehapplication 06/08/2016 13:46 Page 2 of 5 CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT 'I Application for Environmental Services Page 1 Improvement Permit U 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 7464 MATCHPOINT Subdivision CRESENT LAND&TIMBER CORP SHERRILLS FORD,NC 28673 Lot# 20 Acres .71 Section/Block/Phase 15/189 Driving Directions to Property TAKE HWY 16 SOUTH TOWARDS DENVER. GO ABOUT 5 MILES&TURN LEFT ONTO BALLS CREEK ROAD. GO 1 MILE& TURN RIGHT ONTO LITTLE MOUNTAIN RD. GO 7 1/2 MILES&TURN LEFT ONTO MT PLEASANT RD. GO.7 MILES&TURN RIGHT ONTO DOCKSIDE LANE. GO.8 MILES&TURN RIGHT ONTO MATCHPOINT NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name JOHNNY BEANE Address PO BOX 636,SHERRILLS FORD, NC 28673 Phone704.230.1016 Cell Phoneg 10.431.6915 Owner Contact Information Name BRAD MORAN Address7464 MATCHPOINT,SHERRILLS FORD,NC 28673 Phone 704.746.2292 Cell Phone 704.746.2292 Contractor Contact Information Name BEASON GENERAL CONTRACTORS(JOHNNY BEANE) Address po BOX 636, SHERRILLS FORD, NC 28673 Phone 704.230.1016 Cell Phone 910.431.6915 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site 3 BEDROOM,2 BATH HOUSE # of Bedrooms *j'3 Structure Dimensions 89'X 70' # of Occupants 3 Basement ❑ Yes ❑ No Basement Fixtures Q 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. If the answer to any question is "yes", applicant must attach supporting documentation. f1 Yes 0 No Does the site contain any jurisdictional wetlands? El Yes a 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 El No Are there any easements or right of ways on this property? Describe Existing water supply in use U Individual Well U Community Well U 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) IN Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT cou�tr CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Structure Dimensions #of Occupants I� Basement El Yes ❑ No Basement Fixtures ® Yes ®No [] Accessory Structure(s) Describe Add swimming pool OTT x 3T3'),Add garage(2e'x35)s poomouse(28'x 18')Demo tennis mum,move septic system #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing ❑ Yes ❑No Describe Plumbing Needed U Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions U Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) [I Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts_ U 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 ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes Cr 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 , tatab Date .07?-//(_,`.07?-//(_, 4.7. Printed Name of Owner or Agent .7 /Y/on to c Bcn,.c F ' ITzio n ,atgll!!Uq, 1g h R § 6 n 2 0 3aS t g •anh h o M a v s.: .1)C _ a �a E ° �- V .4 *- 1111111lltl 4� �0 ei ¢ d a g nuunm _ Z ttt1t .tu am j 4.. a — 4. y v Itlll .41t l i y a Q $ ---°--.te a , p. \ 1 0 y� / 1 l J � 1 - . I,lit 4y mtti11 � 11 - s ttllltllltl o g X ]1 $f �� l 5 I S 1 U O N ,uY � I - !' ! J tO „an \J __, 8 ; ,a-L.8 .n a��v.Ypi mR 4a di. 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' y �{, N I' I, l� t Yf' In`1 -I1 1111',"I Ir c � y,rt 2 , I ., u 'h•,:,.' l' $II1i '15111 a ,,,-;Al 1,11.10. I It ,, t� �4 11 r i.,1 11 ,' 1 111) 1 ''(11 1 �11 li �( �t 2a. 1�� fr , I -+- { I t , r ct t 1: f11 f11fe-i1 �itl, ,.`lll��I��li� S2 �1 tiff' �II' r�� �i{'�1�11 y� 1 i I�+ 14.i.,11 � a " 1 I ' ' �� ii t It11 ft �� 1 4' l' v 'bI n ,.1'11 I i u1'�.: .uf„'' 4 1 � 1 .]I 1 ,: 1 f�r$ 1 It ; I � I1 4, , "��, I 1 1 , y rP � i 1 t1 'F,�4 L�11+f `5�''U il X 11 dn & l ' I i r � � �� ''1 �1 I �'11 1 3' I 1 I) �1'X { 1 6 1 I 'Vc 1, I�'Dr <"I � '�11)I) I� ' aHh,i 1 ,t �� � k ��rt X11 sn��. �p ��II�� � a �1 � f. till t .t i 11 Ilf� . ki (l jilt-147,1.'41611 ,t r71# a,0a1"I, ;eilii11! IA'II i ',1416 ';$8 `'' `Ai ', .h�, �a; Parcel: 460703445537, 7464 MATCHPOINT 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 06/08/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460703445537 Owner: MORAN BRAD R Parcel Address: 7464 MATCHPOINT Owner2: null City: SHERRILLS FORD, 28673 Address: 7464 MATCHPOINT LRK(REID): 70830 Address2: null Deed Book/Page: 3213/1260 City: SHERRILLS FORD Subdivision: CRESCENT LAND AND TIMBER State/Zip: NC 28673-9741 CORP Lots/Block: 20/null School Information: School District: COUNTY Last Sale: $850,000 on 2013-10-08 Elementary School: SHERRILLS FORD Plat Book/Page: 15/189 Legal: LOT 20 PLAT 15-189 Middle School: MILL CREEK High School: BANDYS Calculated Acreage: .710 School Map Tax Map: 012 X 33020 Township: MOUNTAIN CREEK State Road #: 2659 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: $432,200 Zoning2: null Land Value: $196,600 Zoning3: null Assessed Total Value: $628,800 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: 1977/2010 Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460700J Building Details 2010 Census Block: 3999 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460703445537&typ=P 6/8/2016 CV ca I F- a N It• 0 1 .4 m V 24 O Q$b i Z_ o v) o 2- F= S_ E U L Z' tiw ro r Q H 0 Z 1 . �-+ O w 0 I Li L a cg I �( z el .,, , _ OG •11 Q • 9 z z v IM o '� w M c oo ii a- a a N 'a. ,1 z tn Q � � �/ p7 pj 1:: ._, m . ., I z wua °o' O F- 6 w m O /• c w w WI b Z Z ci d a- o i cn a Z Q > a I— :- O J (.''mom 2 , U J cn w O O w V J w m w a _ O O o z Q Q o Q n LA Q E- CK nd j O Z O - z _ w w J; c, L: w O O d IN Q �n i�Cl Q � , c ' o L,4 U • m = Z Ur c7) Z 2 U Q L.)- ,3 rc• < s O Q - vim) y'A C CATAWBA COUNTY IOOA SOUTHWEST BLVD �� NEWTON,NORTH CAROLINA 28658 RECEIPT <k p4 PHONE: 828.465.8399 V �' �11k sv Wednesday, June 8, 2016 1842 SM www.catawbacountync.gov PAYOR: Beason General Contractors Beason General Contractors(Wilson, Brent) PAYMENTS TRANSACTION NUMBER: TRC-688118-08-06-2016 PAYMENT DATE : 06/08/2016 PAYMENT TYPE: Credit Card payment by phone INVOICE NUMBER FEE NAME FEE AMOUNT 06-16-329197 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EHPR-06-2016-24056 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 7464 MATCHPOINT, SHERRILLS FORD NC 28673 Contact Person BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673 B:7042301016C:7047756525 BRENT @BEASONNC.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner BRAD MORAN, 7464 MATCHPOINT, SHERRILLS FORD NC 28673 C:7047462292 Contractor *BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673- B:7042301016C:9104316915F:(704)230-0016 BRENT @BEASONNC.COM receipt 06/08/2016 13:44 Page 1 of I