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Home My WebLink AboutEHPR-9-10-7265.TIF THIS IS NOT A PERMIT Case # EHPR - - 10 - 7265 at d ��- CATAWBA COUNTY HEALTH DEPARTMENT '" Plan Review Application for Environmental Services \84 sM Environmental Health Plan Review - OSWP EXS SYSTEM NAME TO APPEAR ON PERMIT DAVID REITZEL SITE ADDRESS: 2946 NE PALMER DR, Conover, NC Pin#: 375304708505 NAME of SUBDIVISION: ROCK BARN CLUB OF GOLF Lot # 70 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.55 DIRECTIONS: 321 N/ RT ON HWY 70/ GO TO ROCK BARN RD/ TURN INTO ROCK BARN MAIN ENTRANCE/ 1ST RT/ GO TO 2ND RT ON PALMER DR/ HOUSE ON RT APPLICANT OWNER CONTRACTOR DAVID REITZEL DAVID REITZEL KEMP SIGMON CONSTRUCTION CO IN( 2946 NE PALMER DR 2946 NE PALMER DR PO BOX 1303NEWTON NC 28658 CONOVER NC 28613 CONOVER NC 28613 828 - 464 -2995 828 - 850 -1935 828 -850 -1935 ACCOUNT: 6905 PRIMARY CONTACT: Contractor APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 65 X 70 APPROX EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank EXISTING WATER SUPPLY IN USE: Public Water CALCULATED DESIGN FLOW: WELL TYPE: Public water IS available for this property. PUBLIC WATER TYPE AVAILABLE: County/City /Township Water DESCRIBE WORK: ADDING 1 BEDROOM ADDITION / DELETING ONE EXISTING BEDROOM IN HOME & TURNING IT INTO A HALLWAY/ NUMBER OF BEDROOMS REMAIN THE SAME DESCRIPTION OF HOUSE EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EASEMENTS: NO PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? Add /Alt to Residence # OF NEW BEDROOMS: # OF STRUCTURE OCCUPANTS: PROJECT DESC: ADDING BEDROOM ONTO EXISTING HOME PROJECT DIMENSION: 22 X 26 BASEMENT? No BASEMENT FIXTURES? 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: / — / v Signature of Applicant or Agent, ; An Environmental Health Specialist will contact you withi king days of application date. If you need further information or assistance please call 828 -466 -7291 AREA2 09/10/10 14:03 ,v,A ,. CATAWBA COUNTY Case # EHPR 9 10 7265 G Public H ealth Department �� Subdivision ROCK BARN CLUB OF GOI 2 E nv i r o n men t a l Health Diiion PI Ri '4® 4 PO Box 389, 1 00 -A ea Southwest vs B lvd , Newto n NC 28658 Lot# 70 18.2 . PIN# 375304708505 Applicant/Owner DAVID REITZEL, 2946 NE PALMER DR, CONOVER NC 28613 Site Address: 2946 NE PALMER DR, Conover, NC Property Size: SF 0.55 ACRES Directions: 321N/ RT ON HWY 70/ GO TO ROCK BARN RD/ TURN INTO ROCK BARN MAIN ENTRANCE/ 1ST RT/ GO TO 2ND RT ON PALMER DR/ HOUSE ON RT Minimum Setbacks FEE NAME DATE AMOUNT BALANCE DUE Front 30 Side 15 Existing Tank Check Fee 09/10/2010 $80.00 Rear TOTAL FEES $80.00 Side St Max Hght CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • 09/10/10 14:03 THIS IS NOT A PERMIT Q t MC CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 1 842 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 2, ?‘-/l:, Pa.l E, f l d D S ubdivision o � � i-n G /�•.� F Lot # '7 0 Acres o • fa A� ^- �,,/ Section/Block/Phase Driving Directions to Property 3 2/ B8 % -4 r a - - r -- - , 7 � O 0 -.o - /Qoc,� 4 0 - 0-4 f n e / c�L� �� r r� 7�� : vi �.. frx nc �- ! !� ! R o A O + r✓� Ai d' W O. NAME TO APPEAR ON PERMIT? 1 Owner ❑ Applicant contractor Applicant Contact Information Q V Name �a Ste., c _ 4 l m Address `fl / 5 .fir./ Phone g-ap _ Z r Z Cell Phone -2,c _ Zc7 - o '/3 Z Q Owner Contact Information Name 1 & ,, ; d 7� a�r Re , Z Address 2 9Yto 1=1,1,3, 0 , . � 6,9n0 77.6. 2 g / 3 Q Phone Cell Phone 22-g, - FS Contractor Contact Information I Name Address2) S 7 I Al; , l4v c . Sk: Le [ o ! 774_,x.. - to.) 71.C, 2 = Phone 924-_ YG y 2g � , s' - Cell Phone g ,o y 3 Z WHO WILL BE THE PRIMARY CONTACT? ❑ Ownerplicant ❑ Contractor z Description of Existing Structures on Site 6A, p -e- o S'A ,, O # of Bedrooms *t 3 Structure Dimensions fv 5 X 0 # of Occupants 7 Basement ❑ Yes F1- No Basement Fixtures n Yes ❑ No Planned Future Additions or Improvements (Building Permit NOT requested at this time) CC Describe 11�,>1 0 Proposed Future Structure Dimensions # of Bedrooms *t if applicable Are there easements or ri ht -of -ways recorded on this property ❑ Yes Describe C7 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 1 Individual Well ❑ Community Well ❑ Semi- Public Well 0 — County/City /Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) t �� THIS IS NOT A PERMIT „ Y CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 /842 va Proposed Facility Type n Primary Residence ❑ New Residence E to Residence # of New Bedrooms *� Project Description /9-40 �z r o k±e. on -t o lce _a,-6,04.4 Structure Dimensions 2 Z X 2. (p # of Occupants 3 Basement n Yes E- Basement Fixtures ❑ Yes ❑ No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes n No Plumbing n Yes ❑ No Describe Plumbing Needed ❑ Multi - Family Residence # Units #Bedrooms per Unit* j' Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space - Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) n 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 n Semi - Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug E Unknown Well Repair Requested n Yes No Describe Calculated Design Flow, Commercial t 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. tIf 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. CZ V CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 1 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 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 Authorization to Construct issued by this department is valid for CO (5) five years from the date issued and is n t transferable Signature of Owner or Agent Printed Name of Owner or Agent � 1 Date N • 2063 4 �� - ATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465 -8270 TDD: (704) 465 -8200 �- /nom Improve. Permit Authorization to Construct )(Repair Permit Oper. Permit System Type J Owner /Agent it) 1 te- bock +'L($l(IZc4t,t... Phone Address Subdivision (4/, SW LA. �� S pt'pn/ lock/ as- _ Lot# Lot Size Directions:6cv� �S� i / ,,e.G. . Facility: House / K Mobile Home Business . Other: Tax Map # 3 3 C S -3- Multi-family Other . Zoning Approval # 2 9 7 Y ) # Bedrooms # Seats # Employees . Application Rate O GPD Flow 3t 0 Hot Tub or Spa yes /) Special Fixtures . 1006 Repair Area yes /no Basement yes) Basement Plumbing yes /no Water Supply: Private Well Public X **************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Type of System: Trench X Bed Pump Pump /Panel Panel LPP Other Tank Size: Septic Tank Size Imo Pump Tank Size �� Nitrification Fiel Total Square Feet ft Depth of Stone (L /n�: 't Bed Size Trench Width 3 4` Total Length of All Trenches L=�' Number of Trenches .5 Individual Trench Length 7/ Z' / L fkCi � � �Gy Feet on Center � Maximum Trench Depth � it g / �� Distance of Nearest Well 0 *DO NOT INSTALL WHEN WET* **************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Topo 7 %- Slope Texture 6. � 3 Structure ;/ _ Clay Min. / 1 / \ Soil Wetness — " Nat= �,.� Soil Depth 4-g ,, Restric. Hoz. at € Yyr Available space y�e5 /no Overall Class S P�J • Comments: N. \ cz.... E l t . 1 , 6 1.0,4,- .<- U'l • ,c) � Sun+ l� _- ' r O 42 RA., * *NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION ** **************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years from date issued and is not transferable. r Permit Date A ik ds Owner /Agent A✓� Sanita ri. - - A t v Installed By , -raw, g: jMI Date - � " Sanita /an . + i White - Office Blue - Building Inspection Operation Permit Yellow - Owner /Agent Green - Building Ins e on Authorization to Construct • Catawba County, North Carolina N This map prodnc/ erns prepared from the Catawba County, NC, Geographic I frn System. A Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained 011 11115 map. Catawba Count- promotes and recommends the independent verification of any data contained 011 this mop produce by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for alts and all damages, loss or liability, whether direct, mdtrect o calsequelnial udlich arises ur inc,, ' arise from this neap product or the use thereo/ big any person or enter Legend � � �� Selected Parcel Number: 3753-04-70-8505 • 1 inch = 60 feet �--� - LT - ., Prepared for: V. n , i VV i 1..... 7 ` . co :. , ••.,. , 25 , . ; , , : . . • � r 5 ° 222 9 ,.. 1 • ; ::----------------- 7 -----2-' 4 ‘5 36 18 .,,, , , • , ; . ..,,' , 'n) , �: -6 7 � o) 44, / 1::::) ''' 's.....''' ` co • ____-----"---:, ----- , iYoyi ; 9 Q � . 63 ,__._______ . • c5 3505 .„,/,____..,) 6 •\ • 71 ' `1� ....). . • 0'5 0D • . .___ X4 , �� ‘.....„ ,,..,- , :.5 62 6 '� X92 co . 6 . , , . . . ____ ___;, . 2 :9430 1 2 N . \ }. 1 s . . . �. r 6 `� s rn THIS IS NOT A LEGAL DOCUMENT - Friday, September 10, 2010 12:51 PM s Z c / / I CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Pa rcpI ID: 3753 -04 -70 -8505 'Name: REITZEL DAVID E Name2: REITZEL MARY B Address: 2946 PALMER DR NE Address2: City: CONOVER State: NC Zip: 28613 -9304 Account: 55447750 Calc Acreage: 0.55 Tax Map: 3305 05006 LRK: 400607 Deed Book: 2076 Deed Page: 0660 Subdivision Name: ROCK BARN CLUB OF GOLF Subdivision Block: • Lots: 70 Plat Book: 36 Plat Page: 100 Building Number: 2946 Street Name: PALMER DR NE Site Zip: 28613 Township: CLINES Fire Code: CLAREMONT RURAL City Code: COUNTY State Road: Total Bldgs Value: $287,200 Land Value: $63,200 • Total Value: $350,400 Year Built: 1997 Year Remodeled: Last Sale Date: 4/1/1998 • Last Sale Amount: $235,000 Neighborhood: 71 Watershed: WS -IV Protected Area Watershed Split: NO Voter Precinct: P6 E911 District: COUNTY Zoning: R -20 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: NEWTON CONOVER Elementary School: SHUFORD Middle School: NEWTON CONOVER High School: NEWTON CONOVER School Split: NO P &Z Case Number: R- 2004 -14, R -489 Census Tract 2010: 010101 Census Block 2010: 2024 Small Area Plan: ST STEPHENS /OXFORD Agricultural District: Printed: Friday, September 10, 2010 12:51 PM