HomeMy WebLinkAboutEHPR-11-09-2727.TIF
~A C THIS IS NOT A PERMIT Case # EHPR-11-09-2727
CATAWBA COUNTY HEALTH DEPARTMENT
v C Plan Review Application for Environmental Services
1$42 sM Environmental Health Plan Review - OSWP
AUTl1 CONST
APPLICANT OWNER: CONTRACTOR
RM.R CONSTRUCTION RMR CONSTRUCTION RAl f-
PO BOX 595 PO BOX 595
CONOVER NC 28613 CONOVER NC 28613
828-464-8597 828-464-8597
NAME TO APPEAR ON PERMIT RMR CONSTRUCTION Pin#: 373305292109
SITE ADDRESS: 1789 THOMASVILLE RD, Conover, NC
DIRECTIONS: SPRINGS RD TO COUNTY HOME RD/ TURN RT/ RT ON THOMASVILLE RD/ 2ND HOUSE ON LT
NAME of SUBDIVISION: THOMASVILLE ACRES Lot # 11 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.939 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3
Basement: No Water Using Fixtures in Basement:No No. in Family
Whirlpool Tub : Gal. Capacity:
MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms
DAYCARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd
OTHER: (Specify)
Do you aniticipate any additions to Facility?
If so, describe:
Has any grading, removal, or addition of soil been done to this property?
If so, describe
Are there easements/right-of-ways recorded on this property? N/A
Type of Water Supply: Individual Well Community Well Municipal X Semi-Public
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility.
A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure
location should cop form to applicable setbacks. f
Date: I lo. l ° Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
(FOR OFFICE USE ONLY)
Zoning Approval: Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
Front 30 FEE NAME DATE AMOUNT
Side 15 Authorization to Construct Fee (New[1 1/16/2009 $150.00
Rear 3,015 TOTAL FEES $150.00
Max Hght
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
11/16/09 12:11
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Parcel Summary Printed Map Scale 1 inch = 100ft
Parcel ID: 373305292109 Parcel Address: 1789 THOMASVILLE RD, CONOVER
Owner,; RMR CONSTRUCTION CO Address: PO BOX 595 City: CONOVER
INC
Owner2: Address2: State/Zip: NC, 28613-0595
Buildin (s) Value: Land Value: $12,900 Total Value: $12,900
DISCLAIMER: 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
f by any person ordirect or consequential which arises or may arise
personnel, disclaim, and shall not be held liable for
map/report product or lothe ss use liabilith whether direct,
entity.
from this
THIS IS NOT A PERMIT WLS #
~LSZ❑1-aaga
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
Improvement Permit, Authorization to ConstructX Septic Repair O Septic Expansion ❑
Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
1. Name to Appear on Permit R ,A ~ ~-,r - c
2. Permit Requested By A /v A C~ rte },•~c Business Phone I'J--q 7
Address P ..fl ' 9X acs ~-'c' AC Home Phone
3. Property Owner fc ..e Business Phone C1kV fit('~7
Address Home Phone
4. Name of Subdivision (moo cry Lot # If Section/Block/Phase
Property Address '-7?9
Directions to Property: 1t- -^A-° C--c-^4 ~ I A L-. Q-A°
r t - t-N L c n,, La--1
5. Property Size: Square Feet Acres , q Date Platted/Recorded I
6. TYPE OF FACILITY: House Mobile Home Dimension of Structure '-tVXcl I_ Bedrooms* 3
~t34Y3~~lp8ar1i~~. '"4i►'`X'``' ~g;tT4?s~ 'AI9"fii'yc.Nvfi}: iL'~k :+rr e.,:t:
*Any room,that ~~ll be 4N7 ende '-s lee g atutNe ttme ofA`cons ructton-°or for tuie coizsider
o at un liuld be noted is .a
I IF 11
m~om and counted on all applcati ns. The IT umber o bedrooms tlhbe confirmed by rooms i nut ied 61i house plans as°a
r
om at the l iii f:builci~rig-pertnt tssuaiice. This may recent talieed for:`system sjz0.5, rease in the tuturej
Basement: ye no Water Using Fixtures in Basement: yes/no No. in Family
Whirlpool Tub /no Gallon Capacity
MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms
DAY CARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area _Square Feet Food stand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd
OTHER: (Specify)
7. Do you anticipate any additions to Facility? Yes
If so, describe:
8. Has any grading, removal, or addition of soil been done to this property? Yes /
If so, describe:
9. Are there easements/right-of-ways recorded on this property? Yes /
10. Is a public water supply available on or adjacent to the above property? Ye / No
Check type that is available: [ ] Community well [ ] Semi-public well County/City/Township water line
**If No, a Well Permit must be issued with the Septic Permit.**
11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well
I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage
disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on
this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a
result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well
Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization
to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
**IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE AN ADDITIONAL CHARGE.-
Date rl lD Signature of Owner or Agent
Catawba County, North Carolina
This map product was prepared from the Catawba County, NC, Geographic /nformation System.
Catcnrba County has made substantial efforts to ensure the accuracy oflocation and labeling information
contained on this map. Catawba County promotes and recommends the independent verification of any
data contained on this map product by the user. The County ofCatahvba, its employees, agents and
personnel disclaim, and shall not be held liable for any and all damages, loss or liabilov, whether direct, indirect
or consequential which arises or many arise from this trap product or the use thereof by any person or entity. Legend
Selected Parcel Number: 3733-05-29-2109
1 inch = 80 feet Prepared for:
.55 C)
j b ?5 23.13
96 96
95, S `
30 SR 1504 0
95
.39
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71.07 23.13 _ 94 y- 94
CY) f C=; /
co
co N
4204
0
LO
o
1.12A C-6 "kA
00 229 .
N -
0118 pis 1119 210?
" 13
OCR, J 1
12
30 a/ /10 11
15/
290.82
-N Plat 67-64 3
00 ✓
14,94 3'1 63996 .51 f j f
521.38 /
. THIS IS NOT A LEGAL DOCUMENT Monday, November 16, 2009 11:48 AM
t 4112 / / I ! I t f 1 .F9 to
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 3733-05-29-2109
Name: - RMR CONSTRUCTION CO INC
Name2:
Address: PO BOX 595
Address2:
City: CONOVER
State: NC
Zip: 28613-0595
Account: 159744888
Calc Acreage: 0.94
Tax Map:
LRK: 404167
Deed Book: 2779
Deed Page: 1907
Subdivision Name: THOMASVILLE ACRES
Subdivision Block:
Lots: 11
Plat Book: 67
Plat Page: 64
Building Number: 1789
Street Name: THOMASVILLE RD
Site Zip: 28613
Township: CLINES
Fire Code: ST. STEPHENS
City Code: COUNTY
State Road: 1504
Total Bldgs Value:
Land Value: $12,900
Total Value: $12,900
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 58
Watershed:
Watershed Split:
Voter Precinct: P29
E911 District: COUNTY
Zoning: R-20
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay:
Zoning District: COUNTY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: SNOW CREEK
Middle School: ARNDT
High School: ST STEPHENS
School Split: NO
P&Z Case Number:
Census Tract 2010:
Census Block 2010:
Small Area Plan: ST STEPHENS/OXFORD
Agricultural District:
Printed: Monday, November 16, 2009 11:48 AM
CATAWBA COUNTY
.Public Health Department Case # WLS2007-00994
4 Environmental Health Division Subdivision TBD
N DV'/ PO Be,, 389, 100-A Southwest Blvd, Newton, NC 28658 SccUBL/Ph/Lot #
- __i I 1
1/ , (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 91 1373305284966-11
Applicant/Owner RMR CONSTRUCTION CO INC
Site Address: 1789 THOMASVILLE RD
Property Size: SF •g4 ACRES
Directions: 16N/ LEFT COUNTY HOME RD/ SUBDIVISION ON LEFT AFTER PASSING SIPE RD
Improvement Permit
Permit Valid For: Five years __X_ No Expiration
Facility (Residential): House
House X Mobile Home Multi Family Bedrooms -3- New? Addition?
Projected Daily Flow g.p.d Water Supply Private Well? Public? Semi-Public?
Basement: N Basement Plumbing: N rr I-fotTub/Spa: N Special Fixtures (explain):
Proposed Wastewater System: o~h "Ocj_ Tim Type:
Proposed Repair: t~% gaZ
Permit Conditions:
Owner or Legal Representative Signature: Date:
Authorized State Agent: Date: V__r2~n rr
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 Improvement Permit is subject to
revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement 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.
Authorization to Construct Wastewater System (Required for Building Permit)
See site plan and additional attaclunercts (
Proposed Wastewater System: Type: Wastewater Flow g.p.d
New Repair Expansion Soil LIAR: g.p.d./ft2
Type of Facility:
Basement: N Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain):
Wastewater System Requirements
Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal
Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in
Trench Width It Minimum Soil Cover in Minimum Trench Seperation ft
Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other _
Additional Specifications: _
Authorized State Agent: Date:
Permit Expiration Date:
l have read and accept the specifications and all conditions of this permit as indicated.
Owner or Legal Representative Signature: Date:
Form B
r:\TidcrnrrrdlrnnneVlVLSnuu.rDl '
CATAWBA COUNTY
Case # WLS2007-00994
Q Public Health Department
Environmental Health Division Subdivision TBD
L a ~K/ PO Box 389. 100-A Southwest Blvd, Newton, NC 28658 SecdBUPh/Lot # I 1
~IRl2 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 P1N# 911373305284966-11
Applicant/Owner RMR CONSTRUCTION CO II
Site Address: 1789 THOMASVILLE RD
Property Si SF .94 ACRES
Directions: 16N/ LEFT COUNTY HOME RD/ SUBDIVISION ON LEFT AFTER PASSING SIPE RD
® Improvement Permit Authorization To Construct Well Permit
SITE PLAN
,7r-"
w
Scale
System components represent approximate contours only. The contractor must flag the system prior to beginning the
installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of
revocation if the site plan or site conditions are altered.
~5 a_
luthor z~ ed State Agent Date
Form C
, ATWrrnnrdlFa-,V1VLSoaa. n..
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet ojJ-
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
~or ON-SITE WASTEWATER SYSTEM
OWNER: 9. l+'1LtiGT; d►'~ APPLICATION DATE
ADDRESS: DATE EVALUATED:
PROPOSED FACILITY: 3 r PROPOSED DESIGN FLO (.1949): _ PROPERTY SIZE: Or `l~fA~
LOCATION OF SITE: -r9Q z - a + ~b►-~ v;~ IL' Fl. PROPERTY RECORDED:
WATER SUPPLY: 0 Private `Public 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 ugcr Boring pit 0 Cut
TYPE OF WASTEWATER-Sewage Industrial Process 0 Mixed
OTHER:::::::::::::::::::
...............:.:.:.:::::.:::::::::.::::.........:.•:.::::::::::::::....~'~tUlxI1C,~~+r1C t d?7~:.::.:...................:.::::::::::::....
:::::::::::::::::i9d0:::::::::::::•:::::::::::
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;1442:::':'1
LAND.....:.....AQ.RX
:1441 ...................................I4d1::::::::::::.... 1451;::::::' 1944:::.................
:::::?AN
: ;
: 5 i FEttGDititJ arON>t7`NLSS{.. ........~...........SAPRb ........5 F R::::::::::::::::.::::::::::
P1oru::.::D.~~ .
c n,ss.
OLflR:::[:::::DEPTH::::::: LA HORIZ:::::::::..:........,...::::
& . L3'AR....
2 dDg~ G
L -
3 ~ c -sue ,3
4
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946):
Available Space (.1945) 929 SITE CLASSIFICATION (.1948):
System Type(s) EVALUATED BY: : 5~ ~
OTHER(S) PRESENT:
Site LTAR J? ?j
COMMENTS:
LEGEND
use the following. standard abbreviations
SOIL CONVENTIONAL UP MINERALOGY/
LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR• .1957 LTAR` CONSISTENCE STRUCTURE
CC (Concave Slope) I S (Sand) 1.2-0.8 0.6-0.4 NEXP (Non-expansive) G (Single Grain)
CV (Convex Slope) LS (Loamy Sand) SEXP (Slightly Expansive) M (Massive)
D (Drainage Way) EXP (Expansive) CR (Crumb)
DS (Dcbrs Slump) II SL (Sandy Loan) 0.8-0.6 0.4 - 0.3 GR (Gm--ular)
FP (Flood Plain) L (Loam) SBK (Subangular Blocky)
FS (Foot Slope) ABK (Angular Blocky)
H (Head Slope) III SCL (Sandy Clay Loam) 0.6-0.3 0.3-0.15 PL (Platy)
L (Lirtear Slope) SiL (Silt Loam) PR (Prismatic)
N (Nose Slope) CL (Clay Loam)
R (Ridge) SiCL (Silty Clay Loam) MOIST WET
S (Shoulder Slope) Si (Silt)
T (retrace) VFR (Very Friable) NS (Non-sticky)
IV SC (Sandy Clay) 0.4-0.1 0.2-0.05 FR (Friable) SS (Slightly Sticky)
Sic (Silty Clay) Fl (Firm) S (Sticky)
C (Clay) VFI (Very Firm Y. Very Sticky) VS (Very Sticky)
O (Organic) None EFI (Extremely Firm) NP (Non-plastic)
SP (Slightly Plastic)
*Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater flow and quality. P (Plastic)
NOTES VP (Very Plastic)
HORIZONDEPTH In inches below natural soil surface
DEPTH OF FILL In inches from land surface
RF_EMC77VE HORIZON Thickness and depth from land surface
SAPROL/TE S(suitable) or U(unsuitable)
SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less - record Munsell color chip designat)on
CLASSIFIC4770N S (Suitable), PS (Provisionally Suitable), or U (Unsuitable)
Evaluation of sapmlitc shall be by pits
Long-term Acceptance Rate (LTAR): gaVdayW
Show profile locations and other site features dimensions, reference or benchmarks, and North).
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