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Home My WebLink AboutEHPR-6-11-11146.TIF �� C� 2HIS �S NOT A PERMIT Case # EHPR-6-I 1-11146 �, � , � a� �� CATAWBA COUNTY HEALTH DEPARTMENT V�� ;,se ''�' Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT - AUTH CONST NAME TO APPEAR ON PERMIT GARY SHELTON S�TE A��RESS: 2147 QUARTER CREST DR, Newton, NC Pin#: 364917015533 NAME of SUBDIVISION:STERLING RIDGE Lot# g Section/Block/Phase PROPERTY SIZE: Square Peet Acres 0.36 DIRECTIONS: 321 S/ LEFT SMYRE FARM RD/ RT QUARTER CREST DR / LOT RIGHT APPLICANT OWNER CONTRACTOR GARY SHELTON KATHY BURRIS OAKWOOD HOMES #712 2147 QUARTER CREST DR 526 TWINS COVE RD 1265 HWY 70 WNEWTON NC 28658 NEWTON NC 28658- TAYLORSVILLE NC 28681 82-464-2662 (828)291-2847 PRIMARY CONTACT: Contractor APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Public Water CALCULATED DESIGN FLOW: 360 Public water IS available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: DW MOBILE HOME PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: PROJECT DESC: DW MOBILE HOME PROJECT DIMENSION: 28 X 52 BASEMENT? No BASEMENT FIXTURES? No 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 on this property. ;kny representa � n by you of house or structure location should conform to applicable setbacks. j' ' c_i� �Date: Signature of Applicant or Agen - ti An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information ar assistance please call 828-466-7291 AREA1 ****�*****************************�************************************************�********************************** Minimum Setbaeks Front: Side: Rear: Side St: Max Height: � ' 06/03/11 12:41 ��,A . CATAWBA COUNTY , Case # EHPR-6-1 1-1 1 146 , G Public Heaith Department �,4' � � �. Subdivision STERLING RIDGE a Environmental Health Division - Plan Review d >:� '<' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot# g !g 2 �w PIN# 36491701�533 Applicant/Owner GARY SHELTON, 2147 QUARTER CREST DR, NEWTON NC 28658- Site Address: 2147 QUARTER CREST DR, Newton, NC Property Size: SF 0.36 ACRES Directions: 321 S/ LEFT SMYRE FARM RD/ RT QUARTGR CREST DR / LOT RIGHT FEE NAME DATE AMOUNT BALANCE DUE Auth to Con Fee (Ne Fee 06/0 3/201 1 $15 0.00 $0.00 Impr Pe rmit F ee � � 06/03/ �� $15 0.00 �� $0.00 TOTAL FEES $300.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 06/03/I1 12:41 � THIS IS NOT A PERMIT � � � CATAWBA COUNTY HEALTH DEPARTMENT �� Application for Environmental Services Page 1 Is42 5�, Improvement Permit ❑ Authorization to Construct� Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Repl cement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address � �� - D�/ Subdivision ��c��,� �� Lot # Acres Section/BIocWPhase �" Driving Directions to Property � �� l FeS �� L -� , _ .� ;� �� W - .� � W � a NAME TO APPEAR ON PERMIT? ❑ Owner �Applicant ❑ Contractor � Applicant Contact [nformation O Name m Address ' � �{ , �- � � < < ;r' _ � Phone - q �. - Cell Phone = Owner Contact Information � Name �y� C Z Address O Phone Cell Phone � Contractor Contact Information � Name � �� I � Address �� ,� - � r � Phone` _ C Cell Phone z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Contractor � Description of Existing Structures on Site Q # of Bedrooms * j Structure Dimensions �j � K,�� # of Occupants �� Basement ❑ Yes � No Basement Fixtures ❑ Yes ❑ No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) � Describe � Pr Future Structure Dimensions # of Bedrooms * i 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 ounty/City/Township Water Line Existing water supply in use ❑ Individual Well ❑ Communit , ell ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMB[NED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION P R O CEDUES) �a�� THIS IS NOT A PERMIT , � L CATAWBA COUNTY I�EALT�I DEPARTMENT � �� ~ Application for Environmental Services Page 2 �84 sM � Proposed Facility Type � ❑ Primary Residence ew Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description � � �: S�� j� �� Structure Dimensions # of Occupants Basement ❑ Yes [��No Basement Fixtures ❑ Yes 0`1�10 ❑ Accessory Structure(s) Describe # of New Bedrooms *�' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Desc► Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedrooms *�' 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 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 Describe 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 wiil 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. j'If structure is plumbed but no bedrooms, calculated design flow is required. ** IfNo, 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 REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) � I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental a � Health 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 V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the proposed facility. An Author' ation to Construct issued by this department is valid for m � (5) five years from the date issued and is not trans-ferabl ? Signature of Owner or Agent � � Printed Name of Owner or Agent �; �� ,�'�,�., �;,,� Date -� — / va ��A r� THIS IS NOT A PERMIT ��' ;: � ;� CATAWBA CO�JNTY HEALTH DEI�ARTM[ENT ��. �°� -� Application for Environmental Services Page 1 1 84 2 sM Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address Subdivision L'ot # Acres SectionBlock/Phase Driving Directions to Property 0 � W a NAME TO APPEAR O y PERMIT? ❑ Owner ❑ Applicant ❑ Contractor O Applicant Contact Inform tion V Name � W Address � m � Phone Cell Phone j Owner Contact Information � Name Z Address O Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone ell Phone � � I z WHO WILL BE THE PRIMA CONTACT? ❑ Owner ❑ Applicant ❑ Contractor � � Description of Existing Structures�on Site � Q # of Bedrooms *�' Structure Dimensions # of Occupants � Basement ❑ Yes .❑ No Basement Fixtures ❑ Yes ❑ No � Planned Future Additions or Impr�vements (Building Permit NOT requested at this time) � Describe � Proposed Future Structure Di ensions # of Bedrooms *�' if applicable ' ? Are there easements or right-of-way 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 ❑ Communi�y Well ❑ Semi-Public Well ❑ County/Citiy/Township Water Line Existing water supply in use ❑ Individual 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) Print Parcel Map and Report Page 1 of 2 Etea 1 �� a' �: a � n,. � s ,� � + � �� ' � � `� � � <y", 4 _ � ��!'' ('3� ' �` ��:l. � `''��° "�' � �� '� ? �� ;c��f,-�� . ._: ��► �� 'C�'1 i�i.9� i�s.6z 94.8 � 1 7.54 06.41 �� 5613 _ . . 196.11 153.63 65.9 4.39 � � . .. � � _ � 'K - � , 0.31 �-... . � :56 8.29 100.0 . 1.96 G 5463 � � � , � .46 19.6� � 150.00 p � Parcel Summary Printed Map Scale 1 inch = 61f,t Parcel ID: 364917015533 Parcel Address: 2147 QUARTER CREST DR, NEWTON Owner: BURRIS KATHY HARRIS Address: 2007 STARTOWN RD City: HICKORY Owner2: Address2: State/Zip: NC, 28602-8308 Building(s) Value: Land Value: $15,100 Total Value: $15,100 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. http://www.gis.catawba.nc.us/website/Parcel/printMapandReport.asp?pinc=364917015533 ... 6/3/2011 Catawba County, lOTorth Carolina N This map product was prepared jrom rhe Carmvba Counry, NC, Geographic Infoi�ma�ion Svstem. Catawba Counh� has made su6stantral eJjorts to ensnre �he accra�acy of lacatron and labeling injormation contnrned on this map. Cntaivba Coi�nN promotes and recommends the independent verification of any dala contnined on this map prodi�ct by the user. 77�e Counry ojCatawba, its employees, age�rts aird personnel disclaim, and shal/ not be held Irable for nny and all damages, /ass ar liabr/rty, whether direct, indirect or conseqi�entral ivhich arises a mm� arise from rhis mnp product or the use thereojby any person or entiry. LQgend Selected Parcel Number: 3649-17-01-5533 1 inch = 40 feet Prepared for: � _..�......_._ _.__,__....._ _-} ��,,, ' � ' �`��,, a i I I I I ' ^ `1J ^, � .�� 4 .� � l � —�, _._. . � � � . c�r '� � � -Q {P 561 � -� � �� -�1 7 � � ______ � � � , � �� ,, � ___ ' �, = ��i� . �� c � 2� � 3 � � �� x 15 '� � rn� � � � �� c� .,- � � � � � a� , � . ' ��' � � C� � 1 � O �� i �� . _ s A � �� - ,,i � ♦ � � - i a � y ,' , � . � , ' �� .�0 ' � `�� (� (,j1 � O � M �---� �1 � � 5e ' � �,/� �� - � �w �55.33 � � ` ' N � �:.� r ` r i � 1 � � ` } * � � (.9 1 , 4 —� � � r i � �t 3,'' - .f = � 9 " �nn .- �- � ,� � � .0� . . o _� t ,� t� � 5 _ _ �.: _ e' + � �— - ' i o Q � 0 _ _r � • O � ' � � �'; � � � ' � ti t 5463 � � - -- � 'o - � ° _ , _,,; � C� g ---~-_, ,_ � THIS IS NOT A LEGAL DOCUMENT Friday, June 03, 2011 12:21 PM � 1 � �� v � � CATAWBA COUNTY NC - Parcel Report , . Information Regarding Selected Parcel(s) ParcellD: 3649-17-01-5533 Name: BURRIS KATHY HARRIS Name2: Address: 2007 STARTOWN RD Address2: City: HICKORY State: NC Zip: 28602-8308 Account: 159741015 Calc Acreage: 0.36 Tax Map: LRK: 903252 Deed Book: 2911 Deed Page: 0104 Subdivision Name: STERLING RIDGE Subdivision Block: Lots: 8 Plat Book: 56 Plat Page: 131 Building Number: 2147 Street Name: QUARTER CREST DR Site Zip: 28658 Township: NEWTON Fire Code: City Code: NEWTON State Road: Total Bldgs Value: Land Value: $15,100 Total Value: $15,100 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 113 Watershed: Watershed Split: Voter Precinct: P32 E911 District: NEWTON Zoning: R-20A Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: NEWTON Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 1031 Small Area Plan: Agricultural District: Printed: Friday, June 03, 2011 12:21 PM .�g' e� CATA WBA COUNTY, NC ��' • �,� 100-A South West Blvd �/ f0 A/ R��1�� {- �] Newton, NC 28658- L./`°'1►'Is v .�� (828)465-8399 Friday, June 3, 2011 d► j84'L sM www.catawbacountync.gov P�an case: EHPR-6-11-11146 �nvoice Number: INV-6-11-276026 Environmental Health Plan Review Invoice Date: 06/03/2011 Site Address: 2147 QUARTER CREST DR, Newton, NC APPLICANT OWNER CONTRACTOR GARY SHELTON KATHY BURRIS OAKWOOD HOMES #712 2147 QUARTER CREST DR 526 TWINS COVE RD 1265 NEWTON NC 28658- TAYLORSVILLE NC 28681 HWY 70 W (828)291-2847 NEWTON NC 28658 82-464-2662 Fee Name Fee Amount Authorization to Construct Fee Adjustable $150.00 (New/Expansion) Fee Improvement Permit Fee Fixed $150.00 Total Fees Due: $300.00 PAYMENTS PAYER: CMH HOMES, INC Date Pay Type Check Number Amount Paid ChangE 06/03/2011 Check 4126419 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 pian receipt 06/03/201 1 12:40