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Home My WebLink AboutEHPR-3-11-10028.TIF � THIS IS NOT A PERMIT Case # EHPR-3-1 1-10028 �` �� CATAWBA COUNTY HEALTH DEPARTMENT v ,.... '�' Plan Review Application far Environmental Services j842 SM Environmental Health Plan Review - OSWP SEPTIC MALFUNCTION NAME TO APPEAR ON PERMIT JOHNNY JENKINS SITE ADDRESS: 1 H29 GRANDVIEW DR Newton, NC Pin#: 363914440851 NAME of SUBDIVISION: MRS EMMA L KILLIAN ESTATES Lot # 7 Section/BIocWPhase PROPERTY SIZE: Square Feet Acces 0.519 DIRECTIONS: HWY 1 W, LEFT ON 2ND JARRETT FARM RD, LEFT ON GRANDVIEW DR, 1 ST HOUSE ON RIGHT, HOUSE NUMBER ON HOUSE AND AT MAILBOX APPLICANT OWNER CONTRACTOR JOHNNY JENKINS JOHNNY JENKINS 1829 GRANDVIEW DR 1829 GRANDVIEW DR NEWTON NC 28658 NEWTON NC 28658 (828)466-9831 (828)466-983 I PRIMARY CONTACT: Owner APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 52 X 41 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 5 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED OESIGN FLOW: Public water is **NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: SEPTIC MALFUNCTION DESCRIPTION OF HOUSE AND STORAGE BUILDING EXISTING STRUCTURES ON SITE (IF ANY) PROPOSED FUTURE ADDITIONS NONE OR IMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION 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 ro locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable selbacks. . Date: -- �� j/ Signature of Applicant or Agent � � An Environmental Health Specialist will contact you w� hi � working a of application date. If you need further information or assistance please call 82 -466-7291 AREA1 ******��*********�*****M******�******************�**************�****�**********************�***************�********* Minimum Setbaeks Front: Side: Rear: Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Authorization to Construct (Repair) Fee 03/25/2011 $300.00 $0.00 TOTAL FEES $300.00 $0.00 03/25/11 1220 I � CATAWBACOUNTY Case# EHPR-3-11-10028 ,y � G Public Health Department Subdivision Q Environmental Health Division - Plan Review MRS EMMA L KILLIAN ES� � -�� `�' PO Box 389, 100-A Soutlnvest Blvd, Ne�vton, NC 286�8 Lot# � Is42 �� PIN# 363914440851 ApplicantlOwner JOHNNY JENKINS, 1829 GRANDVIEW DR, NEWTON NC 28658 Site Address: 1829 GRANDVIEW DR, Newton, NC Property Size: SF 0.519 ACRES Directions: HWY 1 W, LEFT ON 2ND JARR�TT FARM RD, LGFT ON GRANDVIEW DR, 1ST HOUSE ON RIGHT, HOUSE NUMBER ON HOUSE AND AT MAILBOX CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/25/11 1220 � ,� `��,� � THIS IS NOT A PERMIT � CATAWBA COUNTY HEALTH DEPARTMENT �, �; Application far Environmental Services Page 1 1 84 2 �M Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit � Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ E�sting System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address � �� dJ � e+� ,� � ' Subdivision � �w�-c� V1 � C � �� Lot # Acres $ection/Block/Phase S p� iv �n� Directions to Property j-� � y 1 D 1.� �-.. z S r - �- a2, d J r�1' Fa � w► R� _ '� �R-�- �u�� On `3 (�a��c� (Zc� ls+ �o�se or1 R�-.. 0 � W � a NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor O Applicant Contact Information U Name �'o h �'1 �'e n k � S W Address � $ � � ;� � 1 - m � Phon � � _ �' �3 Cell Pho e� � � - = Owner Contact Information � Name Z Address O Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � � WHO WILL BE THE PRTMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of E�sting Structures on Site Q # of Bedrooms * j Structure Dimensions ��- �I' � # of Occupants S 1► Basement ❑ Yes o Basement Fixtures ❑ Yes �To � Planned Future Additions or Im rovements (Building Permit NOT requested at this time) OC Describe ��Q� � Proposed Future Structure Dimensions # of Bedrooms *�' if applicable ? Are there easements or right-of-ways recorded on this property ❑ Yes No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes ❑ No Check type available ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Existing water supply in use dividual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUA PROCEDUES) „a� THIS IS NOT A PERMIT ` G � �: CATAWBA COUNTY HEALTH DEPARTMENT ° ' `' '''' ` Application for Environmental Services Page 2 1 842 Sa+ Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description Structure Dimensions # of Occupants Basem ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *�' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plum bing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedroom * �' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food 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 ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ Na 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 Well Repair Requested ❑ Yes ❑ No D escribe Calculated Design Flow, Commercial �' Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation 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 the time of building permit issuance. This may prevent the need for septic system size increase in the future. �'If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. 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. � CHANGE WORK ORDER REQUIItING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) a I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental � Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand � that an Improvement Pernut issued as a result of this information is valid for 5 years or may be non-expiring under certain V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site m plans or intended use changes for the proposed facility. An Authorization to Construct issued by this deparnnent is valid for � (5) five years from the date issued and is not transferable , = Signature of Owner or Agent �o � ' � Printed Name of wner or Ag� p -2 Date �3 �2.3 i Catawba County, North Carolina N Thrs map pi•oduct ivas prepared fi�om rhe Cnlmvba Co��nty, NC, Geographic /n joriria�ron Svstem. Ca�awba Co��nh� has made sabslaniinl eJfo�•ts to enseo�e [he ncctn'acy ojlocntion nnd lnbelrng informalion contained or� thrs map. Catmvba Coanry promotes nnd recommends the independent verifrcation ofany dala contained on (his mnp produc� by fhe use�•. The Co:n�ry ofCntawba, its employees, agents and personnel disc/aim, nnd sha(/ not be held linble jor any and nll damages, loss or /iabi/iry, whether direct, lndi��ect or consequential which arises or mny arise firom Ihis map producl or �he use thereo any person or entiry. L@g@Ild Selected Parcel Number: 3639-14-44-0851 l inch = 40 feet Prepared for: ° 9976 °° . _- - , _ �- �� 0 _._._, o� � ,' E ,, 0974 __ _ , _ _ __ -- - ,�---_---- ___, ,\__ 8 � ? T�o 1 � 1 � �_______I c� ° �9 0 3 w o€ w o � �,n� _ a 1 . � � r ��. Q 96 . � � , -_�� ti �� . ,� . . - �__ � s �� -� � ;�� ....� � �.. ��, 7 � �� 4 �� ,��!*, o�.. 5 �� 0 0 � �� 6' '�,�*� `�..-` - �.. h 0' .`� , " ' �p �` � �o� • _ � � I � �.� , �' 5 /� ' , � � ...._------.�� .��,� (50) ��. i %" ,.---� `�� ;' ., � 4 � ,. �� , . .. ; ; _, � �--.,.�,,-�''., � ; �� , -. ,, _� ,, J . , , -� , A , � �. 7� � � � ,s�� o� • -� ___ �_, . � ,� __1 THIS IS NOT A LEGAL DOCUMENT , Friday, March 25, 20ll 12:06 PM / � I ^ CATAVVBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel I D: 3639-14-44-0851 Name: JENKINS JOHNNY LEE Name2: JENKINS DOROTHY J Address: 1829 GRANDVIEW DR Address2: City: NEWTON State: NC Zip: 28658-8624 Account: 35926900 Calc Acreage: 0.52 Tax Map: 076N 07007 LRK: 39136 Deed Book: 2023 Deed Page: 0165 Subdivision Name: MRS EMMA L KILLIAN ESTATES Subdivision Block: E Lots: 7 Plat Book: 10 Plat Page: 96 Building Number: 1829 Street Name: GRANDVIEW DR Site Zip: 28658 Township: NEWTON Fire Code: NEWTON RURAL City Code: COUNTY State Road: Total Bldgs Value: $75,300 Land Value: $10,800 Total Value: $86,100 - � Year Bu+lt: 1977 � �'(��Ct �L{ Year Remodeled: �� '� Last Sale Date: 5/1/1997 G Last Sale Amount: $74,000 Neighborhood: 92 Watershed: Watershed Split: Voter Precinct: P34 E911 District: NEWTON Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: NEWTON Split Zoning Dist: N SplitZoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: STARTOWN Middie School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011701 Census Block 2010: 2055 Small Area Plan: Agricultural District: Printed: Friday, March 25, 2011 12:06 PM �p CATAWBA COUNTY, NC �,� 100-A South West Blvd pLAN RECEIPT �] Newton, NC 28658- ; �1� � (828)465-8399 Friday, March 25, 2011 �► 1842 sM www.catawbacountync.gov P�an �ase: EHPR-3-11-10028 �nvoice ►vumber: INV-3-1 1-27341 0 Environmental Health Plan Review Invoice Date: 03/25/2011 Site Address: 1829 GRANDVIEW DR, Newton, NC APPLICANT OW NER CONTRACTOR JOHNNY JENKINS JOHNNY JENKINS 1829 GRANDVIEW DR 1829 GRANDVIEW DR NEWTON NC 28658 NEWTON NC 28658 Fee Name Fee Amount Authorization to Construct (Repair) Fee Adjustable $300.00 Total Fees Due: $300.00 PAYMENTS PAYER: JOHNNY JENKINS Date Pay Type Check Number Amount Paid Cha 03/25/2011 Check 1051 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 pl:in r,-ccipt 03/25/201 I 12:19 � ;, � � � CATAiBA COUNTY HEALTB DEPARTMENT �� c�04 � 46s-a2�o N_ 0 016 6 4 Lot Evaluatiop Iaprove�ent Per�it Rep air Pernit�Coopletion Pernit_�,� O�raer/A�ent ' Phone �'� � ' � �/ r � Address "�w r' • Subdivision Section/Block Lotll Lot Size Directions: w ��'�l�' c.��n- ..Q,M r � � Facilit7: House Mobile Hose Businesa . Other: Zoning Approval yes/no �l Ifulti-fasily_ Other . 100x Repair Area yes/no Bedroo�s Seats Eaployees . CPD Flow Application Rate Aot 'Itib or Spa yes/no Special Fixtures . REPAIR NOTICE: REPAIRS MUST BE i1ITHIN Basewent yes/no B�se�ent Plu�bin� yes/no . 30 DAXS OR DAYS FROM DATE OF Nater Supply: Private +� Public . PF�tNIT. ��*****�*** Type of S�ste�: Trench Bed Syste� Other (Specify) Tsnk Size: Septic Tank � X 1 S�/ v� C Puap Tank �� Nitrification Field: Total Square Feet (,o JC� Depth of Stone Bed Size � � � Trench Width Total Lea�th of All Trenchea a C3a Nu�ber of Trenches � . , � �� Individual Trench Len�th�C�1/�/ �7/_/_ Feet oa Ceater� Maxi�ua Trench Depthc�� Distance oi Nearest fiell r �_ Lot Srraluation: Approved s no (Void After 24 oonths) **s�e�* Topo Z Slope I - i - inal ' Texture ( / �-� n � �� t � l� r $tr1lCtLlrC � � Clav Nin. I Soil Wetness " 1 Soil Dep�h " I .I � � Restric. Hoz. at "( � � �XISII � r'�It� ��, �,,�� Available space yes/nol �� Overal l Class S PS U 1 - - = �v � � (,� ..0 ��-�-� Cossents: I � r � '� \ � . � � �(,%f ��- . �� Ji ' � �, � ,� �� T � �Q ��-2 � � " � � \ 3 � �� _,� .�� ' i � � ) , � CA�- Iuvv` °� i � � f � � I � � ,.� t `_ , , ��L� � � � � 3 w �c,o'�-�- , S � - � �° � � � s� , �,;�(,� a'`�` !�'� ' lat e �( �„ ��,�,r,,c�-�.z �� i i ,�,�,�.,�,�,�,�*�«* ,�,►,�.,� Pernit Date � (Isprovesen Persit void after 60 uonths> Owner/Agent 1�` �� - Sanitarian W Instal led By� ' �� Ua�e .�,�1 °>'�:' Sanitarian � ' .r: .�x�.. i (Nott any changes/infor�ahion in red or by sketch on back)