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Home My WebLink AboutEHPR-11-09-2739.TIF t]~~'A c~G THIS IS NOT A PERMIT Case # EHPR-11-09-2739 r Y d y CATAWBA COUNTY HEALTH DEPARTMENT v Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR BLAKE W CAR`hER 111 BLAKE W CARTER III BLUE HAVEN POOLS OF NC INC 4617 GOLD FINCH DR 4617 GOLD FINCH DR PINEVILLE NC 28134 DENVER NC 28037-8469 DENVER NC 28037-8469 704-889-1300 laylward@bluehavennc.com NAME TO APPEAR ON PERMIT BLAKE W CARTER III Pin#: 460601 170330 SITE ADDRESS: 4617 GOLD FINCH DR, Denver, NC DIRECTIONS: HWY 16/ CAMPGROUND RD/LFT ON CATAWBA BURRIS/ RT ON BANKHEAD/ LFT ON GOLD FINCH NAME of SUBDIVISION: PEBBLE BAY PH 3 REVISION Lot # 93 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.69 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 Basement: No Water Using Fixtures in Basement:No No. in Family 3 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 X Community Well Municipal 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 conform to applicable setbacks. Date: 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 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: `Yes No Zoning Approval 4: UDO Zoning Form A Minimum Setbacks FEE NAME DATE AMOUNT Front 1o 0 Existing Tank Check Fee 11/18/2009 $80.00 Side t Rear 10 TOTAL FEES $80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/18/09 13:33 THIS IS NOT A PERMIT wLS a 37 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services F IP F- AC S.T. Rpr. F- S.T. Exp. R Exist. 5. T. Well Permit Replacement Well 1. Name to Appear on Permit: Blue Haven Pools l/ 2. Permit Requested By: Lisa Aylward Business Phone: 1704-889-1300 Address' 10020 Industrial Drive Pineville, NC 28134 Home Phone: Blake & Kathy Carter 3. Property Owner a Business Phone: 14617 Gold Finch Drive Home Phone: 704-463-2317 Address: Pebt~le Bay ~ 4. Name of Subdivision: Lot 93 Section/Block/Phase: (1617 Gold Finch Drive Denver, NC 28037 Property Address: 485-16N-Campground Rd (R) - Cataba Burris (L) - Bankheap (R)- Gold Finch (L) Directions to Property. i 5. Property Size: Square Feet Acres ' Date Platted/Recorded I 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure F_ Eedrooms*; tet~deil :for,sleeping at the time of ron~buctkm ut #or ~trture Cpr+sideratftxa should be noted as a bedrgom and.wumed on all =An1? room that will 156116 appNptlons.. The rxuratw ar bN 7gcj=' willti, i6ofinn~d by moms idw7tiPl d 6n the Wvse plans as a bedroom a[ the 6me of lwitding Pemvt iswar,~ce nnBasemmP~ ~ Water Using Fixtures in Basement- C Yes (-,,No No. in Family: Whirlpool Tub: (-Yes CNo Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms F DAYCARE: Number of Children i RESTAURANT: Seats Square Feet Dining Area !I Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: No. of Employees 1st 2nd! 3rd - OTHER : (Spec&y) inground swimming Pool 16X30 7. Do you anticipate any additions to Facility? (-Yes (-No If so describe SLR I h~ ~E ~_;~d a~rrn,.y C~~hGEbBhG~ E~•~GG srei:./eT;Sr~ 06/10/'2005' 00:23 7045430420 AYLIJARD PAGE 03 8. Has any grading, removal, or addition of soil been done to this property? Yes r No if so describe F 9. Are there easements/right-of-ways recorded on this property? Yes No 10, Is a public water supply available on or adjacent to the above property? t' Yes (_VK_0 Check type that is available: l- Community well F Semi-public Well ir- County/City/rownship waterline 11. Well Type Applying For: l- Individual well r- Community well l- Semi-public Well I- Irrigation Well F- Geothermal Well 12. Monitoring Well Request: C Yes r No # of Wells: Name of Site: I understand that this 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 thls 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 ba eligible for 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 (S) 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 set backs. "'°IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE." Date: 11110/2009 Signature of Owner or Agent: Lisa Aylward Prirrt Form 05/10/2005, 00:23 7048430420 A`ILWARD RAGE 04 MIDE NTI.AL PLOT PLAN FOR INTER fET PE T APPLICATION PERMIT ENTER SURUMA L NUMBER HERR: I Street ~IV,S, cv1~ '1 _ Rtmet Na,`w (Av dySt j i Project/Subdivision Name 1r~ k,~Y•'I/ , %v Phase section Lot # ` Block # sand Area (Sq. r.) OWNER INFORKA.MON City: State . 5- ~FP ' 5- Phone 7 FOR DEPAiR;TMENF RISE Tax Parwi # Tax Jursdiction Z06FLg Iuris Map # R/W Special (Circle) C D N P S Flood Plain O v~ Flood lrlev Eire Dist. Q irtrs Lot: 0 Corner 0 'through 0 F1-omt street (if d.ifrzrent) Minimum Setbacks: Front Left Side Right Side Rear 'f DRAW ?LOT PLAN -a_ at the ak L- vgqueqLqg, "s'ype wovlk, / I Iftl2re are.-m. &M ons or ex'ens''ons, what work d being done. `Ne•,,v _Additioc~ ,,~ccPSSa~r ; 1 o + I Project Description- Single Family (detached) -Duplex Modular _ Garage _ Other Area (sq. EL)-. Heated ilrdheated Deck(s) :yule: This plot plavt ntccs! !ie fuzed ~ r ~ • ~ ~ ~y(~~ bE fora your Internei permit will be 1 V " 1 i processed Central off ice: 704-336-3833: South office: 704-814-0874: North office: 704-132-3523. ! ALL EX S 140'~%'D PROPOSED BUILD[NG(S) ON LOT ARE SHOWN WITH MEASUA,EMENTS tip ICATED. Fax It Applicant's Signature ? Date Print Applicant's'Name Contractor Name Contractor Acct_ # ME,CKLENDURG COUNTY' ENGINECPING & BULL. NG STPuNDARDS DEPARTMENT for Deparisaot Use P. 0. Qox 31097, Charlotte, NC 38231-1097 a (704) 336-3803 - Fax it (704) 336-3823 Zonim, Appeoved ay ~ Abbrrviatiorts: C = Cnndiuooal Use U c Non-Conforming S - Spoetnt Use P:rmit lniral Dsra i D =11i,3to6c Distr.:[ P =Historic Property 06/110/2005' 00:23 7048430420 A`r'LWARD PAGE 01 I y , 595+ ~ HMN pcwWadd's Blue Maven Pools of NC Inc. F2kX MEMORANDLTiNvI -pages including cover D,4.TE: 1 PHONE: FRONT: SUBJECT: Please Repi~. FYI For Review C.raeri CATAWBA COUNTY Case # WLS2008-00086 ,`-,Public Health Department - ~ -Environmental Health Division Subdivision PEBBLE BAY PH 3 REV IS101` PO Box 389, 100-A Southwest Blvd. Newton, NC 28658 Sect/BUPh/Lot # P11 3 REVIS 93 (828) 465-8270 FAX(828)465-8276 TDD (828) 465-8200 PIN# 460601170330 Applicant/Owner: CONSTABLE BUILDERS INC Site Address: 4617 GOLD FINCH DR DENVER NC Property Size: SF 1.69 ACRES Directions: revised 4/15/08 HWY 16 S/ LFT ON CAMPGROUND RD/ LFT ON CATWBA BURRIS/ RT ON BANKHEAD/ LFT ON GOLDFINCH/ LOT 93 ON LFT 7-1560 Catawba Count Health Department Operation Permit M-521 4-3-08 Acc~~y P•1Cthr , S ste s' System Type: Description: ( d e Types V and VI systems expire in 5 years. (In accordance with T Ale Va) Owner must contact health d1apartmAit 6 months prior to exiration for permit renewal. PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule .1961. Il. Monitoring: As required by Rule. 1961. III. Maintenance: As required by Rule . 1961. Other: Subsurface system operator required? Yes No-)L If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All c ndit'pns the I ; rovement Permit and Construction Authorization. PA 1108 System Ins alter ~ I ns ion Date Z d u on State gen Date of Op ration Permit Issurance Form F r:\TidelnnrAlFnnn.SV IVLS.4 on. rnr 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 County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catcnvba, 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 product or the use thereof by any person or entity. Legend Selected Parcel Number: 4606-01-17-0330 l inch = 60 feet Prepared for: 94 V 23.98 il. 32A --s~ /-k 10) ~0 C0 l~ 9489 .D 4505 Imo- ~ ~ r~~ P ~i a t i61 O,3 1.69A l 1 / ®a ~ 0339 93 ~ t 1.53A 11 a~4 t 92 dr THIS IS NOT A LEGAL DOCUMENT Monday, November 16, 2009 04:33 PM r i i~ r~P ~ ~ y r O CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4606-01-17-0330 Name: CARTER BLAKE W III Name2: CARTER KATHRYN V Address: 4617 GOLD FINCH DR Address2: City: DENVER State: NC Zip: 28037-8469 Account: 159742504 Calc Acreage: 1.69 Tax Map: LRK: 802786 Deed Book: 2886 Deed Page: 1793 Subdivision Name: PEBBLE BAY PH 3 REVISION Subdivision Block: Lots: 93 Plat Book: 62 Plat Page: 103 Building Number: 4617 Street Name: GOLD FINCH DR Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $458,600 Land Value: $64,000 Total Value: $522,600 Year Built: 2008 Year Remodeled: Last Sale Date: 1/14/2008 Last Sale Amount: $85,000 Neighborhood: 131 Watershed: WS-IV Critical Area Watershed Split: Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: SU2008-004 Census Tract 2010: 011502 Census Block 2010: 4013 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, November 16, 2009 04:33 PM \ CP AWBA COUNTY 00086 Case # WLS2008 Health Department <1 Environmental Health Division Subdivision PEBBLE BAY PH 3 REVISIO' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Sect/BL/Ph/Lot # PH 3 REVIS 93 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 460601170330 Applicant/Owner CONSTABLE BUILDERS INC Site Address: 4617 GOLD FINCH DR DENVER NC Property Size: SF 1.69 ACRES Directions: revised 4/15/08 "'4 bedroom & 1 bedroom accessory dwelling'' HWY 16 S/ LIFT ON CAMPGROUND RD/ LIFT ON CATWBA BURRIS/ RT ON BANKHEAD/ LIFT ON GOLDFINCH/ LOT 93 ON LIFT Improvement Permit Permit Valid For: Five years ✓ No Expiration Facility (Residential): House House X Mobile Home Nlulti-Family Bedrooms ~ 5 New? _/Addition? Projected Daily Flow ZO g.p.d Water Supply Private Well? Public? Semi-Public? Basement: _ N _ Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain): Proposed Wastewater System: Z5 to re UC n Type: , Proposed Repair: vm~ 50pa re[~u~ I1Z' b,.p Permit Conditions: Owner or Legal Representati a Si ature: Date: Authorized State Agent: Date: 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 attachments Proposed Wastewater System: 2 re Type: Wastewater Flow 20 g.p.d New /Repair Expansion _ Soil LTA .3 g.p.d./ft2 Type of Facility: ~L}t_a_M'!!P_fli f' C Basement: N. Basement Plumbing: N jlotTub/Spa: N Special Fixtures (explain): Wastewater System Requirements Tank Size: Septic Tank 1.5W gal Pump Tank gal Grease Trap gal Drainfield: Total Area: ~O sq ft Total Length: (niT) ft Maximum Trench Depth 30 in Trench Width _3 ft Minimum Soil Cover 6 in Minimum Trench Seperation 6 _ ft Distribution: Distribution Box ✓ Serial Di tributio Pressure Manifold LPP Other Additional Specifications: *t r rre e~ 6 ~t 5 Authorized State Agent: e~Nw,fi~ Date: tlt Z2 OQ Permit Expiration Date: 01/24/2013 1 have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: o/ ~L,~✓~- Date: 5cl 17D0 Form B ra7'idemmklForms15W4CAoo. rn1 iATAWBA COUNTY Public Health Department Case # WLS2008-00086 Environmental Health Division . Subdivision PEBBLE BAY PH 3 REVISIOP PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Sect/BL/Ph/Lot # PH 3 REVIS 93 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 460601170330 Applicant/Owner CONSTABLE BUILDERS INC Site Address: 4617 GOLD FINCH DR DENVER NC Property Si SF 11.69 ACRES Directions: revised 4/15/08 -4 bedroom & 1 bedroom accessory dwelling- HWY 16 S/ LFT ON CAMPGROUND RD/ LFT ON CATWBA BURRIS/ RT ON BANKHEAD/ LFT ON GOLDFINCH/ LOT 93 ON LFT ® Improvement Permit Authorization To Construct Well Permit SITE PLAN -#W4 4e-r (FAC rn44 ~ e ee. (*c4:1010% r"Gtr c'req ?4;=~S+~l~ or► fov~~-av1Y ik DO hc4 c.rive/ ti~~t or gra~e over s e-p };urea ~ C c 3x5.55 ~V o mss. wol~ sy We o C1af0'~e ~ ,y se~e~ mow. prc f r4y Imes -15 ~ v •n' P 001 -5 t ~ro rr. S~s'vL~v rP S ~xNo4i~y En~~ronn~en~atl Nea~~, art w~a~r line i,5 Pvf r~ re fetr area Scale System components represent approximate contours only. The contractor must flan the svstam nrinr tn hartinninn the