The URL can be used to link to this page

Home My WebLink AboutEHPR-3-10-4454.TIF ~~A C THIS IS NOT A PERMIT Case # EHPR-3-10-4454 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR RYAN AKIN RYAN AKIN 4749 SAGITTARIUS CIR 4749 SAGITTARIUS CIR DENVER NC 28037 DENVER NC 28037 704-578-9436 704-578-9436 NAME TO APPEAR ON PERMIT RYAN AKIN Pin#: 368616932344 SITE ADDRESS: 4749 SAGITTARIUS CIR, Denver, NC DIRECTIONS: 16 S / LF ON GRASSY CREEK / LF SAGITARRIUS LOT ON RIGHT NAME of SUBDIVISION: STONECROFT PH 6 Lot # 118 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.46 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 55 X 60 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 I st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: OPEN DECK ON REAR OF EXISTING DWELLING 20 X 25 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? NONE 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 norrexpiring 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 of this property. ny represe #ation ou of house or structure location sho ld co orm to applicable setbacks. Date: o Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 rking days of pplication date. If you need further information or assistance ase call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: Yes No "Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Existing Tank Check Fee 03/22/2010 $80.00 Rear 30 TOTAL FEES Max Hght $80.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/22/10 11:54 w Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic Information System. 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 ofany data contained on this map 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 product or the use thereofby any person or entity. Legend 4,-,~ J~ Selected Parcel Number: 3686-16-93-2344 1 inch = 40 feet 1Y N, ve C Prepared for: 550 Plat 65-5 65 co ys 79 yo 117;. •S`0 ~ 4 \11460\ o 118 DSO cb• \ •O O x C j 2344 00 119 O 3228' o 23.18 O THIS IS NOT A LEGAL DOCUMENT Monday, March 22, 2010 09:57 AM ,r, 7 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3686-16-93-2344 Name. AKIN RYAN C N~xne2: AKIN JENNIFER C eAddress: 4749 SAGITTARIUS CIRCLE Address2: City: DENVER State: NC Zip: 28037-7660 Account: 207192 Calc Acreage: 0.46 Tax Map: LRK: 802421 Deed Book: 2784 Deed Page: 1064 Subdivision Name: STONECROFT PH 6 Subdivision Block: Lots: 118 Plat Book: 58 Plat Page: 180 Building Number: 4749 Street Name: SAGITTARIUS CIR Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $198,100 Land Value: $22,400 Total Value: $220,500 Year Built: 2006 Year Remodeled: Last Sale Date: 10/3/2006 Last Sale Amount: $254,500 Neighborhood: 129 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 4051 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, March 22, 2010 09:56 AM THIS IS NOT A PERMIT WLS# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services r IP AC J- S.T. Rpr. I- S.T. Exp. r~,;/E x ist. S. T. r Well Permit r Replacement Well 1. Name to Appear on Permit: 2. Permit Requested By: Ryan Akin Business Phone: Address: [4749 Sagittarius Cir. Denver NC 28037 Home Phone: 704-483-4746 3. Property Owner: Ryan Akin Business Phone: 704-578-9436 4749 Sagittarius Cir. Denver, NC 28037 704-483-4746 Address: Home Phone: Stonecroft 4. Name of Subdivision: Lot Section/Block/Phase: Property Address: Single Family Directions to Property: lr~ O~C01 or.1 Cv-(-tk<~ Ljfe'A) 5, ifWMr?c~Fr xl~ So~~"I~ -►a 5. Property Size: Square Feet F-Acres Date Platted/Recorded 6. TYPE OF FACILITY: House C' Mobile Home Dimension of Structure Bedrooms*7 *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 the house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: l' Yes No Water Using Fixtures in Basement: Yes No No. in Family: Whirlpool Tub: Ce Yes No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units 1 Total Number of Bedrooms DAY CARE: Number of Children F- RESTAURANT: Seats F-Square Feet Dining Area r Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: No. of Employees 1 st F- 2nd F 3rd OTHER : (Specify) 7. Do you anticipate any additions to Facility? CfiYes r No If so describe c.k X5, X 2-0 8. Has any grading, removal, or addition of soil been done to this property? (-Yes No so describe 9. Are there easements/right-of-ways recorded on this property? Yes i(No 10. Is a public water supply available on or adjacent to the above property? Yes No Check type that is available: r Community Well F- Semi-public Well r County/City/Township waterline 11. Well Type Applying For: I` Individual Well f- Community Well I- Semi-public Well F Irrigation Well Geothermal Well 12. Monitoring Well Request:(' Yes (No # of Wells: F_ 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 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.** _ f Date: 03/22/2010 Signature of Owner or Agent: ,r-L, R'L Print Form /`CATAWBA 0UNTY HEALTH DEPARTMENT Telephone (828) 465-8270 TDD (828) 465-82/0~0~,`w' WLS # ~pGjo-Dac%•7g Improvement Permit X AC X Repair Permit•_ Operation Permit. System Type t3 ell Permit. Replacement-Well G ;;Neer/Agent N(t A-- I 'h C, c ~yy*L AU L d e!:5 Phone -70q 2b it j Address ' ~ Subdivision -792o M Dn-e~2 4~-_ tJC- Section/Block/Phae• _to Lot# 1 Lot Size Directions ( A -Property Address 4- I 'L6 ~ L- Facility-House Mobile Home Business Multi-family Other- Pin Number '3j&0 Ra Other Zoning Approval-# # Bedrooms # Seats # Employees Application Rate GPD Flow Hot Tub or Spa yes pecial Fixtures Basement yen 100% Repair Area e o Basement Plumbing yeso Water Supply- Private Well Public Semi-Public Type of Svstem: Trench Bed Pump Pump/Panel Panel LPP Other e& eA al Septic Tank Size 10tj Pump Tank Size Nitrification Field. Total Square Feet %1J Zcj Depth of Stone Bed Size Trench Width Total Length of All-Trenches- 4? Number of Trenches Trench Length L Qa Feet on Center Maximum Trench Depth 3Q LA Distance of Nearest Well D& *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope I ~L, S SAX X''~ ht,t,tS~ 4?~ inti t i'1 DC I r l OO t Y12L~Y>°`~'~ Structure~:'~'~ Clay Min. I L] f ~h A'A - la` ~}am 1`~""f"' -1 l.I-► S Soil Wetness I t `0"' - J~~rrsYYt 1 LICa W t`~ Soil Depth I (p-Y g ~v ~b Ylt7~ Cdr I V~ 1 i % Restric Hoz. at Available space y no I C~9 Overall Class ; U Comments I Po ~y P Op ' 0- I Ra. y I ee. I P~h~Z° G I p29/O Rc~ Filter Required Riser required when tank is more than 6 I `~'J inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** An Authorization to Construct.is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba Countv Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the.Health Department. Permit Date 3 - EHS Oii,~,e OCp Owner/ ent Septic Tank Install d By Date /-3-0(p EHS Q '"uWell Installed By Well Grout Approval Date Well Head Appr val Dote Date Sample Collected Date of Results Results EHS White Office Yellow Owner/Agent Pink Building Inspection Authorization to Construct Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained or this map. Catawba Comity promotes and reconmencis the independent verification of any data contained on this map product bi, the user. The Countv 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 product or the use thereof by any person or entity. Legend Selected Parcel Number: 3686-16-93-2344 1 inch = 26 feet Prepared for: 17 , Ora r. l 4 r ► 118 r u! Y! J,4 % $ r ovd 4 1 t .,LLB ~SkyC 1 ~!1 L 7 THIS IS NOT A LEGAL DOCUMENT Monday, March 22, 2010 09:32 AM CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE Q+ r-j Newton, NC 28658- 0 (828)465-8399 Monday, March 22, 2010 O 184 Z sM www.catawbacountync.gov Plan Case: EHPR-3-10-4454 Invoice Number: INV-3-10-260641 Environmental Health Plan Review Invoice Date: 03/22/2010 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/22/2010 Credit Card -1 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 plan invoice;Sehac?5Fd=4?1-X45=42-hf-1f'cc0 80C63a3,.rp1 03/22/2010 11:53