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HomeMy WebLinkAboutEHPR-08-2016-24417.TIF vJY COG THIS IS NOTA PERMIT Case # EHPR-08-2016-24417 , *'i� CATAWBA COUNTY HEALTH DEPARTMENT an`'� n.• jro e PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842, Si, Environmental Health Plan Review - OSWP ' o_ ' ..o r: • REPLACE WELL -�:b { 4 ciNile.a: Owner JOSHUA RITCHIE, 1372 LITTLE RD, NEWTON NC 28658-9668 C:8288511317 NAME TO APPEAR ON PERMIT JOSHUA RITCHIE SITE ADDRESS: 1372 LITTLE RD,NEWTON NC 28658 PIN # 375019513159 NAME of SUBDIVISION: VERNON B SETZER ESTATE Lot It 12 Section/Block PROPERTY SIZE: Square Feet 61,855.20 Acres 1.42 DIRECTIONS: Hwy 10 from Newton, Right onto Mt Olive Church Rd about 1.5 miles, Left onto Little Rd& 6th driveway on the Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Replacement Well. Existing bored well is muddy & is not clearing up. 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, 2 garages, pool EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: House 44x54, Garages 24x30 NUMBER OF EXISTING BEDROOMS: 3 #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 CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: YES E9-ehapplicalion 08/02/2016 08:45 Page 1 of4 #esA CATAWBA COUNTY Case# EHPR-08-2016-24417 d �L Public Health Department Subdivision VERNON B SETZER ESTATE �"' Environmental Health Division Ike) PIN# 375019513159 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Ig42 ,u NAME ON PERMIT: (JOSHUA RITCHIE), 1372 LITTLE RD,NEWTON NC 28658-9668 ( JOSHUA RITCHIE) Site Address: 1372 LITTLE RD, NEWTON NC 28658 Property Size: Square Feet 61,855.20 Acres 1.42 Directions: Hwy 10 from Newton, Right onto Mt Olive Church Rd about 1.5 miles, Left onto Little Rd & 6th driveway on the Right. 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 abelin. of all property lines and corners and making the site acc • o thaJ4 co lete site evaluation can be performed. Date: Signature of Applicant or Agent Vico A Environmental Health Specialist will contact you thin 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 *********************************************************************************************************** k-FFENAME ' ' DATE. o "FEE AMOUNT) Well Permit & Inspection Fee 08/02/2016 5300.00 °.TOTAL_FEES i $300 00' 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) C;9-ehapplicetion 08/02/2016 08:45 Page 2 of4 CATAWBA THIS IS NOTA PERMIT counn- - ., CATAWBA COUNTY HEALTH DEPARTMENT ,off Application for Environmental Services Paee 1 Improvement Permit D Authorization to Const-net LJ Septic Repair ❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit Replacement Well n Well Abandonment❑ Well Repair E Existing System Inspection (Pre-Approval Required) ❑ Application is for Newconstruction ❑ Existing Facility' Property Address 13 7 /�;�f �& Subdivision New/ /V,6 ‘,2414,.< .s1 Lot# Acres Section/Blo . Phase Driving Direc ions to �(. /, S r✓!%/� Property ` tilt vri Pu/7Cr. r ). 26-1? On Gt/1kviG,d+G 0,71 t NAME TO APPEAR ON PERMIT? n Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name DQcAaftt ,/ / 4- Address /37 Z 47 /7c_ �ri� 4(4-fdit 4/(-, .gqi el Phone Cell Phone gad'— f /-/S/'7 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? E. Owner [ Applicant ❑ Contractor Description of Existing Structures on Site AD, _ I- ev'si ra. ' Poo / # of Bedrooms *j' Structure Dimensions fSG0)# #of Occupants Basement ❑ Yes EF-No Basement Fixtures 0 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. CI Yes s-No Does the site contain any jurisdictional wetlands? El Yes 9.No Does the site contain any existing wastewater systems? Yes 1-No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes ca-NO Is the site subject to approval by any other public agency? �] Yes s-No Are there any easements or right of ways on this property? Describe Existing water supply in use (R—Individual Well ❑ Community Well ❑ Semi-Public Well County/City/Township Water Line Is a public water supply available? ** ❑ Yes n 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 0 Conventional 0 Innovative ❑ Other $.. Any C ATAV TL? A THIS IS NOT A PERMIT COUNTY ®s,. CATAWBA COUNTY HEALTH DEPARTMENT �J� ,.li ,� Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *j Project Description Structure Dimensions # of Occupants Basement E Yes ❑ No Basement Fixtures ® Yes ® No ❑ Accessory Structure(s) Describe # of New Bedrooms *j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing E Yes ❑ No Describe Plumbing Needed E Multi-Family Residence # Units #Bedrooms per Unit*t 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 ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type % ,Individual Well ❑ Semi-Public Well 9 Community Well Abandonment Type I Drilled 9 Bored 9 Dug 9 Unknown Well Repair Requested 9 Yes 9 No Describe Calculated Design Flow, Commercial .I 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 I� Date. 2-/6 Printed Name of Owner or gent OSGIa, I , �� Catawba County Environmental Health sh) • ...._ i .17-7 -------C\N \ \ N r \ t ki • (A C • e ' 3/4..,.... 7 (175) \ \ •Jil A \ („, \ 4 \ \ p . . \ ., \ \,........_ \ . \ r 1 \ h /:O 66, \ N • jr"") : \ Parcel: 375019513159, 1372 LITTLE RD 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. Copyright 2014 Catawba County NC 08/02/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 37501 951 31 59 Owner: RITCHIE JOSHUA L Parcel Address: 1372 LITTLE RD Owner2: RITCHIE STEPHANIE W City: NEWTON, 28658 Address: 1372 LITTLE RD LRK(REID): 901287 Address2: Deed Book/Page: 2925/1167 City: NEWTON Subdivision: VERNON B SETZER ESTATE State/Zip: NC 28658-9668 Lots/Block: 12/ Last Sale: $18,000 on 1998-09-01 School Information: School District: COUNTY Plat Book/Page: 42/94 Elementary School: BALLS CREEK Legal: LOT 12 LOT 12 PL 42-94 PL 42-94 Middle School: MILL CREEK Calculated Acreage: 1.420 High School: BANDYS Tax Map: Township: NEWTON School Map State Road #: 1805 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoningl: R-30 Building(s) Value: $133,000 Zoning2: Land Value: $16,300 Zoning3: Assessed Total Value: $149,300 Zoning Overlay: Year Built/Remodeled: 1999/ Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710375000J Building Details 2010 Census Block: 3004 WaterShed: 2010 Census Tract: 011300 Voter Precinct: P22 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=375019513159&typ=P 8/2/2016 f6A Case# EPHR-4-10-4660 } G CATAWBA COUNTY Subdivision ,T: ,,aZ Public Health Department tj `j Environmental Health DivisionSeetioho`, PO Box 389, I00A Southwest Blvd,Newton NC 28658PIN" 2, ui (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 i X S\i-S- ro -7N8 Applicant/Owner Joshua Ritchie Site Address: 1372 Little Rd Property Size: 1.419 a Directions: EXISTING SYSTEM INSPECTION REPORT Site/System Diagram . a a R....1 e ` r r 'c> 5 7.4 r J 1 S s .- y J4 .1 11011 0 111 I6 00 Type of Facility: House ® Mobile Home f #Bedrooms 3 Business nI Specify Other 7 Specify Proposed Additions/Accessory Structure: Metal Garage 24 x26 Approved E Not Approved ❑ Reason: Existing post was moved and now there is no structure support within 5ft of tank Evidence of System Malfunction : YES ❑ NO E System Type/Description 2a-trenches Robbie Phelps 5-7-10 AUTHORIZED STATE AGENT DATE T:ADocumentsand Smmgsy.ngishuocaSen„es\TemporugIneme: Files\Content.Outlook\TENCGZZI\EXISTING TANK CHECK for approval Josh Ritchie.docx i : 3u -Z:s CATAWBA CpOUNTY HEALTH DEPARTMENT 4 N� 3215 c Improve. Permit_Authorization to Construct)( Repair PermitPermit [Oper. System Type .2A Owner/Agent I S' {/!a. J/5 /n. Phone Address �Y ' Subdivision _ //SSection/Block/Phase Lot# Lot Size Directions: 0 E dile , /%z ih, 07.791F— Facility: h Facility: HouseX Mobile Home Business . Other: Tax Map # - 7S0 - %S'--✓/-315 Multi-family Other . Zoning Approval # z9$OS// Z # Bedrooms - # Seats # Employees . Application Rate act' GPD Flow 316n Hot Tub or Spa es,e Special Fixtures . 100% Repair Area s/no Basement yes/4Basement Plumbing yes/no .) CellOar Water Supply: Private Well X Public Type of System: Trench X. Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size /COO Pump Tank Size �/ Nitrification Field: Total Square Feet gap Depth of Stone /2/Rcch Bed Size ( Trench Width 3 Total_ Length of All Trenches 360 Number of Trenches 3 Individual Trench Length/a)//e°//e-0/! / Feet on Center L Maximum Trench Depth :-3G 2. Distance of Nearest Well .fJrl) W/ *DO NOT INSTALL WHEN WET* Topo 2 % Slope Texture C/ft Structure 1Sf — Clay Min. / it I I - . Soil Wetness . . r'to j DaL- Soil Depth ¢K Restric. Hoz. at— " ` �� I Available space,yps/no Overall Class S PSS �1� Comments: 1 b ') �l/ t cl , m ii iti s a - **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five/� earrsAprom date issued and is not transferable. Permit Date '7/k ( d owner/Agent, fthd\ lkt . Sanitar± s—_ � i_ Installed By ,t'e 41 `„-U b Date i/-30-/c't Sanit.' ian eff White-Office Blue-Building Inspection Operation Permit Yellow-Owner/Agent Green-Building Inspection Authorization to Construct ,s11 -NSA C CATAWBA COUNTY �4 ,f Q r � �' y NEWTON, NORTH CAROLINA 28658 RECEIPT VVa PHONE: 828.465.8399 U °p_ J{�asa:� Tuesday, August 2, 2016 8942 m+ www.catawbacountync.gov PAYOR: RITCHIE, JOSHUA PAYMENTS TRANSACTION NUMBER: TRC-762140-02-08-2016 PAYMENT DATE : 08/02/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 08-16-331122 Well Permit & Inspection Fee $300.00 TOTAL PAYMENTS : $300.00 EHPR-08-2016-24417 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1372 LITTLE RD, NEWTON NC 28658 Owner JOSHUA RITCHIE, 1372 LITTLE RD, NEWTON NC 28658-9668 C:8288511317 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 08/02/2016 08:45 Page I of I