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HomeMy WebLinkAboutEHPR-09-2016-24731.TIF �A THIS IS NOTA PERMIT Case # EHPR-09-2016•-24731 G Q . H CATAWBA COUNTY HEALTH DEPARTMENT ❑° . pay rID.t EJ �° 4'� „"' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �lr.. 1 1842 sM Environmental Health Plan Review - OSWP o o 'G r{ A IMPROVEMENT- AUTH CONST 0 S o Owner BOBBY HOPSON, 2M5 MOUNT OLIVE CHURCH RD,NEWTON NC 28658 C:828-308-6472 BHOPSONr@rDSIDSLCOM NAME TO APPEAR ON PERMIT Bobby Hopson SITE ADDRESS: 2515 MT OLIVE CHURCH RD, NEWTON NC 28658 PIN # 375018403419 NAME of SUBDIVISION: Lot 4 Section/Block PROPERTY SIZE: Square Feet 67,518.00 Acres 1.55 DIRECTIONS: East NC Hwy 10, onto Mt. Olive Church Rd., Go about .9 miles &the home is on the Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: Requesting a whole new septic system. Existing 3 BdRm Home. 360 GPD Existing Garage on property built recently. In the garage a full bathroom (sink, toilet & shower)was plumbed in. Fixtures are not currently installed. Possible future BdRm in Garage. Sizing 240 GPD. Total = 600 GPD for new System. 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, Garage EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: House 64x38, Garage 60x52 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION #OF NEW BEDROOMS:: 1 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: E9-ehapplication 09/15/2016 11:04 Page 1 of 4 sB • CATAWBA COUNTY Case# EHPR-09-2016-24731 .i I iiia z, Public Health Department Subdivision - 99-7,7)� Environmental Health Division PIN# 375018403419 "FIV 0a41 PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 1842 ,w NAME ON PERMIT: ( BOBBY HOPSON),2515 MOUNT OLIVE CHURCH RD, NEWTON NC 28658 ( Bobby Hopson) Site Address: 2515 MT OLIVE CHURCH RD, NEWTON NC 28658 Property Size: Square Feet 67,518.00 Acres 1.55 Directions: East NC Hwy 10, onto Mt. Olive Church Rd., Go about .9 miles&the home is 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 identificat" nd libeling of all property lines and corners and making the site acpeisible s pthat a gomplete site evaluation can be performed. Date: ����llo Signature of Applicant or Agent 1 ctk22 '`,V,Ii OH 6in1,,i 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 IEI � , ri 'irlilli t1�' D .lliL nFNAMEII k, ", l. , i l„kJATEVJJFEE AMOUNt Authorization to Construct Fee (New/Expansion) 09/15/2016 ' $300.00 Fee Improvement Permit Fee 09/15/2016 . $150.00 1111111 I ql !POTAL+FEES1,y1';11!)/LJul P r:'` - ff,,dmh«IrMl a�!8ot, ''lilh;y 'I`''$450Nill l iht • Al 1 - a m �� i � � i J Vi9l4WILWtit EwL M1'N P1.��f�Iti4 '" ',U: WNII I INfi tqqilUy,t„(In(PtUd' t KiCIL 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) • E9-ehapplloth ion 09/15/2016 11:04 Page 2 of 4 CATAWBA THIS IS NOT A PER,�DT as ` CATAWBA COUNTY HEALTH DEPARTMENT Applieution for Environmental Services Page 1 Improvement Permit V 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 ltd Property Address&SIS 014. onve C,41lrruj Rd Subdivision K)e,,obm, tor. a4 k0 Lot# Acres /+ p Section/Block/Phase • DrivingDirections to Property M4, O t Op_ - OSS 4,09 D - • 9 NileB DA. e silk+ NAME TO APPEAR ON PERMIT? [2C weer ❑ Applicant ❑ Contractor Applicant Contact Information Name uo p5pyt Address a sieMI. ()Liu?, [`,fit N1GGi Rr� Phone Cell Phone eag.. e,Iou[l. Owner Contact Information Name 5`4m Address Phone Cell Phone Contractor Contact Information Name tetn0[Cdtht(� Address Phone Er-Owner Cell Phone WHO WILL BE 411E PRIMARY CONTACT? ❑ Applicant ❑Contractor Description df Existing Structures on Site krA4.4 p, 0 n,d, saragL. #'of Bedrooms *f 3 Structure Dimensions #of Occupants 4- Basement ❑Yes ['No Basement Fixtures ® Yes Kaclo The Applicant shall notify the local health department upon submittal of thisapplication 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 CY o Does the site contain any jurisdictional wetlands? fines El No Does the site contain any existing wastewater systems? ID Yes ECKo Is any wastewater going to be generated on the site otlierihan domestic sewage? Yes l'o Is the site subject to approval by any other public agency? Y7 Yes Digo Are there any easements or right,of ways.on this proPerty? Describe Existing water supply in use Iii'Individual Well ■ Community Well ❑ Semi-Public'Well ❑ County/City/Township Water Line Is a public water supply available.? ** Yes ❑ No If applying loran Improvement Permit or Authorization to Construct, Please Indicate Desired System Typc(s): - (systems can be rankedin order of you-preference) ❑ Accepted D Alternative • Jonventional 0 hmovative 0 Other `'Any CATAWBA THIS IS NQT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT �i'inUR�n'tliti — „ w�„a, � r\pplicatiitnforEnviromnentalSetvices Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *j' Project Description Strad-Mc Dimensions #of Occupants Basement ❑Yes ❑ No Basement Fixtures nYes ® No Accessory Stru cture(s) Describe #ofNew Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑No Describe PlumbingNeeded U Mttltl=FatnilyResidence#'Units #Bedrooms per Unit*t Total #Bedrooms *j' Structure Dimensions ❑ hood Service Specify Type # Seats Floor Space-Entire Fool 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 LJ 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 Weft.Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information May be required to determine design Bow firom certain facilities. Thisvalue will he determined during,censultation 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 thetime or:Wilding perdu fissuance. This may preventthe need for septic system size increase in the future. I- If structure isplumbed but no bedrooms,calculated design flow is required. **If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN ArND/OR RETRO WILL INCUR AN ADDITIONAL.CI-IARGE(SEE FEE SCHEDULE) Improvement.Permits issued as a result of this information are valid for 5 yeas or maybe non-expiring under certain specified conditions:An Authorization to Construct-issued by this department is valid for(5) five years from thedate'issued and is not transferable; ImprovemenCPennits and Well Permits arc transferrable. Permits may be revoked if the information on Misapplication, site plans or intended use changes for theproposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state oftici als 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 alt property lines and corners and making the site accessible so that a complete site evaluation can be performed. - Signature of Owner or Agent tom__ i . _ Date 9,is-- I to Printed Name of Owner or Agent.by �rsp,Son_ • Catawba County Environmental Health \y c 7s .v El ado O (( ry • rte O%a, vu it/ X04. Or, cy Rp .p. (260) 0p1 11111111111111100,. • Pit ac y 44/ t' ss • f • Parcel: 375018403419, 2515 MT OLIVE 1in=60ft - CHURCH RD NEWTON, 28658 This map/report product was preparedlrom the Catawba County.NC Goospatial Into:motion Services. Catawba County has made substantial effoes to ensure the accuracy of location and labeling information contained on Ihrsmap or data on this report.Cainwha County promotes and.recommonds the independent verification of data contained on Ipts+napheporl pmducl by the user.The County of Catawba,ifs employees agents,and peiseenel disclaim,and shall not beheld liable lor'any and all damages,loss or liability.whether direct,indiiocl On consequential which arises or may arise from this map/report product ea the use,thereof by any personor entity. Copyright 2014 Catawba County NC 09/01/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375018403419 Owner: HOPSON BOBBY G Parcel Address: 2515 MT OLIVE CHURCH RD Owner2: HOPSON LAURA JO City: NEWTON, 28658 Address: 2515 MOUNT OLIVE CHURCH RD LRK(REID): 35010 Address2: Deed Book/Page: 2107/1478 City: NEWTON Subdivision: State/Zip: NC 28658-9636 Lots/Block: / Last Sale: $84,000 on 1998-09-01 School Information: School District: COUNTY Plat Book/Page: Legal: 2515 MT OLIVE CH RD Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 1.550 Tax Map: 063N 01019 High School: BANDYS Township: NEWTON School Map State Road #: 1802 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: $129,800 Zoning2: Land Value: $16,500 Zoning3: Assessed Total Value: $146,300 Zoning Overlay: Year Built/Remodeled: 1955/2004 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: 3008 WaterShed: 2010 Census Tract: 011300 Voter Precinct: P22 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=375018403419&typ=P 9/15/2016 23 m X r" —I O v No O * m o 0Q M 0 Do ° 70 0 o N = 0 a -i H 1\ �f «I. LA ro \O ` 1 \ ry a +\` 2 \ 06_01 ' _ 0 T n omr S 1 .) \ri Wzt).H , � C '.._ N IN/ Fr w x aA. O.o �� ' m P , co " A [(0) 3 � '1 m v_' r 41.1:-• t y I Q V^• x Z A 7� • ?� Z C a } 45. VI al N Z M Q. ro O m i 0_ -' Z a L ` �O \ Z n Z cr d v mkl: m I in I >.avi Z � fl r i \ S D D D n ° D71 � a a 93 w o ^' la S -� a 7 r' y, z H .l �. 'O Q • - a H w --[ in O ..I 3 a c R1 N z 7? CD V) D z A o _ MI N � Q CO m m ft �y m Cl m D a 1D a. 3 FI&IA‘4\ z o -( t t X "I <-- _ r Q ] p ( N �n " ] C T •Q j0 O O pt ,` �f Z xi ,r111 k :< 8 m m c1 l f C O ^ Oc m \ 1 0 - 3 : �,/ 0 ' •^rro o' C o t a o �' ro .o o ? a o` v o �.13A CQ CATAWBA COUNTY 4� ;i y 100A SOUTHWEST BLVD rn1 Y._Y._,.` NEWTON,NORTH CAROLINA 28658 RECEIPT yr gyiiii PHONE: 828.465.8399 U 'h .,,t•-4ise—, September 15, 2016 1842 sel www.catawbacountync.gov PAYOR: Hopson, Bobby PAYMENTS TRANSACTION NUMBER: TRC-834442-15-09-2016 PAYMENT DATE : 09/15/2016 • PAYMENT TYPE: Credit Card payment by phone from Bobby INVOICE NUMBER FEE NAME FEE AMOUNT 09-16-332704 Improvement Permit Fee $150.00 09`16 332704, " P Iv;.'"' .,y ,IEIA*4:"Autliorization,to,GoostrueflEee '1617x' •$300:'0 (New/Expansion) Fee TOTAL PAYMENTS : $450.00 EHPR-09-2016-24731 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2515 MT OLIVE CHURCH RD, NEWTON NC 28658 Owner BOBBY HOPSON, 2515 MOUNT OLIVE CHURCH RD, NEWTON NC 28658 C:828-308-6472 BHOPSON@DSIDSLCOM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 09/15/2016 11:04 Page 1 of I