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HomeMy WebLinkAboutEHPR-11-09-2729.TIF THIS IS NOT A PERMIT Case # EHPR-11-09-2729 CATAWBA COUNTY HEALTH DEPARTMENT U :,C Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP AUTH CONST APPLICANT = OWNER CONTRACTOR RMR CONSTRUCTION RMR CONSTRUCTION Q ~ PO BOX 595 PO BOX 595 I CONOVER NC 28613 CONOVER NC 28613 828-464-8597 828-464-8597 NAME TO APPEAR ON PERMIT RMR CONSTRUCTION Pin#: 373305290654 SITE ADDRESS: 1810 THOMASVILLE RD, Conover, NC DIRECTIONS: SPRINGS RD/ RT ON COUNTY HOMES HOME/ RT ON THOMASVILLE/ 5TH HOUSE ON RT NAME of SUBDIVISION: THOMASVILLE ACRES Lot # 8 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.54 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 3 Basement: Water Using Fixtures in Basement: 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 Ist 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? NO Type of Water Supply: Individual Well Community Well Municipal Semi-Public 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 confirm to applicable setbacks. (Q ' :z j Date: ( - t Signature of Applicant or Agent /'i 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 FEE NAME DATE AMOUNT Front 30 Side 15 Rear 30 TOTAL FEES 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 12:42 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct,k Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit A,/', C-z~, 2. Permit Requested By 4-C Business Phone i 4 i. L- J 9 Address P -zy "f--CtJ- Home Phone _ 3. Property Owner f~ ~'_e Business Phone ~ `t ~'~'r 7 Address T Home Phone 4. Name of Subdivision ~e Lot #_n Section/Block/Phase Property Address NAP C-" Directions to Property: 4A_Ln!r_r • Inc ~ o~ . .f' o.-~ 5. Property Size: Square Feet Acres r 1' Date Platted/Recorded 6. TYPE OF FACILITY: House X Mobile Home Dimension of Structure ter) -x -W Bedrooms* 3 K" i:: y ~}yr r. "R'4i~4A` e5~'", t~~F' .~id.YP N~"-dn' m s ? ' f4 mom'that wilt-be. intended for sleeping+at the Time of'cot~struction oi,for future cons~derati .ild be noted is a ' . '"d 5~~(+ l +1 "~Cw j brUirvoin acid counted on, all appltcations The=number-of~bedrooms. will' 7 confirm l h rooms>i i ied on house plans as a bedroom;atathe tiiiie;of builduig perms ISSU<ince. This m' y _r„eve11 uthe~need ioi _systeii ,izc ,uicrea~ iii i.hU,fuwl%; ; Basement: ye o Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub ye 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 Ist 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes o 10. Is a public water supply available on or adjacent to the above property? Yes / No Check type that is available: [ ] Community well [ ] Semi-public well ounty/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 IS N ADDITIONAL CHARGE.** Date Signature of Owner or Agent rmt arce ap,:and Report . _ _ . . . _ Pagel of 3 R ~I 4 Real Estate Search kt 96 96 a C3 19, C L 4M 1642 N rn X90) !\c s Parcel Summary _ Printed Map Scale 1 inch = 60ft Parcel ID: 373305290654 Parcel Address: 1810 THOMASVILLE RD, CONOVER 11Owner: RMR CONSTRUCTION C671 Address: PO BOX 595 INC City: CONOVER Owner2: Address2: State/Zip: NC, 28613-0595 Building(s) Value: Land Value: $11,900 Total Value: $11,900 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 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. - r~ Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Countypromotes and reconanends the independent verification of any data contained on this map product by the user. The County of Catmvba, its employees, agents and personnel diSClailn, 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 product or the use (hereof by any person or entity. Legend Selected Parcel Number: 3733-05-29-0654 1 inch = 60 feet Prepared for: 10 _2,83A / 9605 j ED 87.50 . ' T696 8 WSJ N r ~ 06 5,4 1642 0) 263,1\ (90 ` (8) 99 Plat 67-64 42 97 5,5 . 23.13 9s 3G 8s ~ THIS IS NOT A LEGAL DOCUMENT Monday, November 16, 2009 12:43 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3733-05-29-0654 Name: RMR CONSTRUCTION CO INC Name2: Address: PO BOX 595 Address2: City: CONOVER State: NC Zip: 28613-0595 Account: 159744885 Calc Acreage: 0.54 Tax Map: LRK: 404164 Deed Book: 2779 Deed Page: 1907 Subdivision Name: THOMASVILLE ACRES Subdivision Block: Lots: 8 Plat Book: 67 Plat Page: 64 Building Number: 1810 Street Name: THOMASVILLE RD Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: 1504 Total Bldgs Value: Land Value: $11,900 Total Value: $11,900 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 12:43 PM CATAWBA COUNTY Case # W LS2007-00991 Pubic Health Department " Environmental Health Division Subdivision TBD PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 SecUBL/Ph/Lot # 8 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PN# 91 1373305284966-8 Applicant/Owner RMR CONSTRUCTION CO INC Site Address: 1810 THOMASVILLE RD QOS fed Ski Property Size: SP 55 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 p cy° 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 Ho[TLib/Spa: N Special Fixtures (explain): Proposed Wastewater System: Type: Proposed Repair: 4/' Permit Conditions: nc+ '214e, 77777- Owner or Legal Representative Si ature: Date: Authorized State Agent: Date: 9/,967 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 Riles 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 attachments ( Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair Expansion Soil LTAR: 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: It 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: 1 have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Form B , ATidcrnrk\h-nN1VLSupv., v1 CATAWBA COUNTY Public Health Department Case # WLS2007 00991 TBD Environmental Health Division Subdivision PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Sect/BUPh/Lot # 8 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 P1N# 91 ► 373305284966-8 Applicant/Owner RMR CONSTRUCTION CO It • Site Address: 1810 THOMASVILLE RD Property Si SF .55 ACRES Directions: 16N/ LEFT COUNTY HOME RD/ SUBDIVISION ON LEFT AFTER PASSING SIPE RD ® Improvement Permit IM Authorization To Construct C3 Well Permit SITE PLAN via a17 7 -1 Tip,, 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. !~Jl/ W , -Authorized State Agent Date Form C r.\TiA ekV.'-'V1V1-7 uro. rnt DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _L aj-j- DMSION OF ENVIRONMENTAL HEALTii PROPERTY ID Oti-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: - Wl P~►t'n/G'~'on APPLICATION DATE ADDRESS: . DATE EVALUATED: PROPOSED FACILITY: 3 Br-. PROPOSED DESIGN FLOW (.1949): 31.D , PROPERTY SIZE: 55 f~ , LOCATION OF SITE: -rR D 14rt R - ~r.c w.a~sy + I fe P,c~ PROPERTY RECORDED: WATER SUPPLY: 0 Private ;R Public 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring . -9 Pit 0 Cut TYPE OF WASTEWATER: Sewage 0 Industrial Process 0 Mixed . pAp .~Cti~ ............................................................:.:...............:..:.:.::::...:.:::::::::::::::'1<tU w TO.T : D ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.144..::::::::::::::::.:::::::::::::::::::::: :::::::::::Z()1V ::::::,1941:::::::::::::::::::::::::::::::k9.dL;........:..:::::::::::. S1~IL:::............:::::::::::::::.....1956..............1944.......... DEPTH 5I$UCTC11tIfJOIVSISTI~(CJ:........'YNESS.f SAS'![1:::::::: ' R ~LASS:::::::::HORIZ i:. a &:LTAR c - 2 e ~ - ~3 3 65 13 - d rr 1 DESCRIPTION INMAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): Available Space (.1945) SITE CLASSIFICATION (.1948): System Type(s) , EVALUATED BY: Iq r~ OTHER(S) PRESENT: Site LTAR 3 COMMENTS: T LEGEND use the following. stair dard abbreviations SOIL CONVENTIONAL LPP 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 Groin) CV (Convex Slope) LS (Loamy Sand) SEXP (Slightly Expansive) M (Massive) D (Drainage Way) EXP (Expansive) CR (Crumb) DS (Debris Slump) II SL (Sally Loam) 0.8-0.6 0.4-0.3 GR (Granular) FP (Flood Plain) L (Loam) SBK (Subangular Blocky) ABK (Angular Blocky) FS (Foot Slope) H (Head Slope) III - SCL (Sandy Clay Loam) 0.6-0.3 0.3-0.15 PL (Platy) L (Linear 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 (Tenace) VFR (Very Friable) NS (Non-sticky) IV : SC (Sandy Clay) 0.4-0..1 0.2-0.05 FR (Fdable) SS (Slightly Sticky) sic (Silty Clay) F1 (Firm) S (Sticky) C (Clay) VFl (Very Firm v. Very Sticky) VS (Very Sticky) O (Organic) None EFI (Extremely Firm) NP (Non-plastic) SP (Slightly Plastic) *Adjust LTAR due.to depth, consisteneq 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 RE RICTIYEHORIZON Thickness and depth from land surface SAPROLITE S(suitable) or U(unsuitablc) SOIL WVNESS lathes from land surface to fire water or inches from land surface to soil colors with chtorna 2 or less - record Munsell color chip designation CLASSIFICATION S (Suitable), PS (Provisionatly Suitable), or U (Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate (LTAR): gal/day/Ila Show profile locations and other site features dimension reference or benchmark, and North). .......T......4 p......:...... t....... q...................... j...... y......5............ ......:.......:........j......j.......:......5....... j . i....... i........ • ......:.......:.......j......j............. . . : y...... v...... 3 n.....•~ p . .....j... W , i...... i y... a....... . T.. ..q...© : i....... ; -16 DENR Review