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HomeMy WebLinkAboutRBPR-07-2017-26896.TIFA = THIS IS NOT A PERN7IT Case # RBPR-07-2017-26896 CATAWBA COUNTY HEALTH DEPARTMENT v e° PLAN REVIEW APPLICATION POR ENVIRONMENTAL SERVICES -1, PLAN 4� 1842 5u Residential Building Plan Review - Building New t L t IMPROVEMENT - AUTH_CONST - NEW WELL 0'11 '7151n 7pu;1 ccl loll PnIYU Contractor *KENNETH BEALER HOMES INC. PO BOX 3398, MOORESVILLE NC 28117 13:7046626400 KIM@KENNETI-IBEALERHOMES.COM Owner BRIAN BAKER, 5 DUMONI' CT. BEIDGEWATER NJ 08807 C:484-553-1911 NAME TO APPEAR ON PERMIT *Kenneth Bealer Homes Inc SITE ADDRESS: 4224 SIGMON COVE LN, TERRELL NC 28652 PIN # 461704508745 NAME of SUBDIVISION: THE VINEYARDS AT KISER Lot # 5 Section/Block PROPERTY SIZE: Square Peet Acres 0.75 DIRECTIONS: 150E / Kiser Island R d/ on left across from Babe Dr PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: new single family dwelling w/ 4 bedrooms -- pool 20 x 30 with 25 x 40 concrete & retaining wall SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? Does this site contain any existing wastewater systems? Is any of the wastewater going to be generated on the site other than domestic sewage? Is the site subject to approval by any other public agency? Are there any easements or right-of-ways on this property? No APPLICATION FOR: -Now-StructCf7@--, STRUCTURE TYPE: ( PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70 x 82 # OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Yes Desired system types (Improvement Permit crAuthorization to Construct): ACCEPTED: ALTERNATIVE. CONVENTIONAL. OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO 1:9 - rhappheauem 07/05/2017 13 41 Page 1 of 4 CAT0,W 3A COUNTY Case e RBPR-07-2017-26896 V:81 Public Health Department Subdivision THE VINEYARDS AT KISER Environmental Health Division PINK 461704508745 PO Bos 389. 100-A Southwest Blvd, Newton. NC 28658 ,� NAME ON PERMIT: *KENNETH BEALER HOMES INC ( ), PO BOX 3398, MOORESVILLE NC 28117 `Kenneth Bealer Homes Inc ( ) Site Address: 4224 SIGMON COVE LN, TERRELL NC 28682 Property Sa Size: q 0.75 P care feet Acres Directions: 150E / Kiser Island R d/ on left across from Babe Dr Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 SETBACKS: 50ft riparin buffer enforced by DEQ !In Iun'numu'I ' nI nIl 'li^ II' J;I I,gai7:1.' " •i P1' 'hij!'•,, dtlr.;' i ',in:u:I;x!uuIi:fFFENAMGl�i�liQ.1I:I1;. 1, [1 ATE'FEE'AMOUNT:rin1!IN;. � Authorization to Construct Fee (New/Expansion) 07/03/2017 $;00.00 Fee Improvement Permit Fee 07/03/2017 $150.00 Well Permit & Inspection Fee 07/03/2017 S300.00 n ail", i i11�61�,d,;{li,,`�il.,TO,TAGFEES,hIIIPi!IQIkItl{II;I;Ytlj^pl',1{n{;.IPatlnid'r�:lll" ,,!�h1:9fiIVl�� '.xn,l;ll'^• .;i;;h'fdS750.00lp!II QIII::'. ,.l .',:,p.-. .n014xann •._.m,. tIIILL,•er„ .n 0, FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - ehapplicatiun 07/05/2017 13 42 Page 2 of 4 THIS IS NOT A PERMIT Case It RBPR-07-2017-26896 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST - NEW WELL Contractor *KENNETH DEALER HOMES INC. PO BOX 3398, MOORESVILLE NC 28117 B.7046626400 KIM a KBNNETI-IBEALERHOMES.COM Owner BRIAN BAKER. 5 DUMONT Cr. BEIDGEWATER NJ 08807 CA84-553-1911 NAME TO APPEAR ON PERMIT "Kenneth Bealer Homes Inc SITE ADDRESS: 4224 SIGMON COVE LN. TERRELL NC 28682 PIN # 461704508745 NAME of SUBDIVISION: THE VINEYARDS ATKISER 101# 5 Section/Block PROPERTYSIZE: Square Feet Acres 0.75 DIRECTIONS: 150E / Kiser Island R d/ on left across from Babe Dr PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: new single family dwelling w/ 4 bedrooms -- pool 20 x 30 with 25 x 40 concrete 8 retaining wall SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? Does this site contain any existing wastewater systems? Is any of the wastewater going to be generated on the site other than domestic sewage? Is the site subject to approval by any other public agency? Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: NEW STRUCTURE DIM:: 70 x 82 # OF NEW BEDROOMS:: 4 New Structure ** NO STRUCTURE SELECTED ** OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Yes Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE: CONVENTIONAL, OTHER: INNOVATIVE: ANY: Other described APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO LQ - diappli, anwil 07/03/2017 12 14 Page I of CoA CAT AWBA COUNTY Case a RBPR-07-2017-26896 .T y Public Health Department Subdivision THE VINEYARDS AT KISER Environmental I-lealth Division PINK 461704508745 PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 Ig 2 w NAME ON PERMIT: *KENNETH BEALER HOMES INC ( ), PO BOX 3398, MOORESVILLE NC 28117 *Kenneth Bealer Homes Inc ( ) Site Address: 4224 SIGMON COVE LN, TERRELL NC 28682 Property Size: Syuare Pcct Acres 075 Directions: 150E / Kiser Island R d/ on left across from Babe Dr Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed Date: Signature of Applicant or Agent An Environmental Health Specialist Nvill contact you within 5 working days of application date If you need further information or assistance please call 828-466-7391 AREA1 SETBACKS: 50ft riparin buffer enforced by DEQ FEENAME Authorization to Construct Fee (New/Expansion) Fee Improvement Permit Fee Well Permit & Inspection Fee TOTAL FEES DATE FEEAMOUNT 07/03/2017 5300.00 07/03/2017 $15000 07/03/2017 $300.00 5750.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - ehspph, alien 07/03/2017 12 14 Page 2 of 4 CAC`AWBA THIS IS NOT A PERMIT cca r rr y CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit le Authorization to ConslructX Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New WellPermitReplacement Well ❑ Well Abandonment ❑ Well Repair Existing System nspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ f Property Address t42,q51emby) Coot, Ln Subdivision ThiVlvlt'L{Qvd-s Q,t VCISBV TSiA�G� -jTev' ( I NL Lot # 5 1 Acres I XD(o W Section/Blo k/Phase Driving Directions to Property 150 f. ro 1� 15 v WrO PA , t)i'1 IC�k Q CWD5 fyvl-n 00e, Dr NAME TO APPEAR ON PERMIT? rfOwner ❑ Applicant 113166ontractor Applicant Contact Information Name Address Phone Owner Contact Information Name _L�V1(� ll_ (�2iA1/ Address -5 bUy-)b)-j ' is{' -N/A- t w6Vr (Phone L��4-553-Dill Contractor Contact Information Name j/ t t'1 h,fk � o (/ V 4)tjjl P, I h l. Address I70 IBX �5Mg HWVesVI ll� Phone'7of.4_ (1)(07 - (a4Ur7 Coll Phone N J OW Cell Phone ygLj-553-1111 NL 'L�IIi Cell Phone WHO WILL BE THE, PRIMARY CONTACT? ❑ Owner ❑ Applicant a6ontractor Description of Existing Structures on Site # of Bedrooms *j Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. 13 Yes ID No Does the site contain any jurisdictional wetlands? 0 Yes ® No Does the site contain any existing wastewater systems? ® Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes Cl No Is the site subject to approval by any other public agency? ® Yes ® No Are there any easements or right of ways on this properly? Describe Existing water supply in use N] Individual Well L] Community Well Lf Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted 0 Alternative Pil Conventional 0 Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT `gurlti�� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed FacilityType le Primary Residence t14 New ' Residence Addition to Residence # of New Bedrooms *j'�/ Iyhri Project Description `51 YLlx�"r• wPbyt t � / r'V (y1,P . (z t Structure Dimepsions -70 t'y YY" # of Occupants Basement QYes ❑ No Basement Fixtures VYes ® No ❑ Accessory Structure(s) Describe VOb I #of New Bedrooms *f ifapplicalile Structure Dimensions Alf 3U �'l1'Pbyyo # of Occupants Accessory Dwelling ❑ Yes ❑ No (tn P ' fi .>` (itp1i.F. n•.Suk Plumbing ❑ Yes ❑ No Describe Plumbing Needed QiliMA'\ rJw�L ❑ Multi -Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions Lf Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Sbifts 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 ❑ No 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 t Additional information may he 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 ofbedruoms will be continual 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. t Ifslructure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued anti is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and stale officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so Ihat a complete site evaluation can be performed. Signature of Owner or Agent),- �i�c _ Date COI2ZIt-1 Printed Name of Owner or Agent Lw I/--- R eoj v l .111/1 rwn, F"L", N •S\ ' Ul 97 K- t r l rt unE) I /���tC" g�f y�� I Iryor ol� l ofjj Al 7Sq� = 1 srQ�K zeo7,N�.f // WAL< J tl & / ppm .NO LA 0 CAPE E SEME_NT (LIMITS Of COS) RFMC f SIG-MON COVE LANE 0, f Pr,,ale Mamlename ____ ____________________________ __ __ SEP RC supptr LIVE Cas `AI 6z-zs 0.221 Ac.,rl az z6' M„b6,5ZfS A1„61,1Z.ZS Sna. I5' I Catawba County Environmental Health to N • 218 9.1 4224 1�4 j Parcel: 461704508745, 4224 SIGMON COVE LN TERRELL, 28682 1 in=50ft This map/report product was prepared from the Catawba County, NC Geospabal 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 maptreport product or the use thereof by Copyright or antiCatawba County NG 07/03/2017 Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 4617 04508745 Parcel Address: 4224 SIGMON COVE LN City: TERRELL, 28682 LR K(R E I D): 802989 Deed Book/Page: 3327/1174 Subdivision: THE VINEYARDS AT KISER Lots/Block: 5/ Last Sale: $375,000 on 2016-02-03 Plat Book/Page: 64/178 Legal: LOT 5 PL 64-178 Calculated Acreage: .750 Tax Map: Township: MOUNTAIN CREEK State Road #: Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: SHERRILLS FORD Building(s) Value: $0 Land Value: $318,800 Assessed Total Value: $318,800 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details Watershed: WS -IV Critical Area Voter Precinct: P41 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: BAKER BRIAN A Owner2: DIETRICH FLAVIA Address: 5 DUMONT CT Address2: City: BRIDGEWATER State/Zip: NJ 08807-1984 School Information: School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Map Zoning Information: Zoning District: COUNTY Zoning1: R-30 Zoning2: Zoning3: Zoning Overlay: CRC-O,WP-O,FPM-O Small Area: SHERRILLS FORD Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2008-03-18 Firm Panel #: 3710461700K 2010 Census Block: 5016 2010 Census Tract: 011504 Agricultural District: Assessment Report Page 1 of 1 This map/report product was prepared from the Catawba County, INC Geospabal Information services Catawba County has made substanbal 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 venhcabon 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. © 2017, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountyne.gov/nomap/parcel_report.php?key=461704508745&typ=P 7/3/2017 12, BLDG L/NE �_--J — — . — — 1 308.04° N N 12. BLDG L7/v n 108-8 1 103.2 116.6 m . 100.0 z� PROPOSED\ 1 SINGLE FAMILY\ 25 95.7 �. RESIDENCE 103.0 41.E 118.6 F E=105?? TOP WALL= 117.0 g "'�11'08.2 n P 0q� O tI� 119.7 113.9 AREA r y 5. o 3 X 72' BLDG rn N N71038'36 "W * CATAWBA COUNTI' .e y Public Heath Department < Environmental I leahlb Division PO Bom 389. 100-A Soctlavcst Blvd, Netston. NC 25658 Ctseff IMPV-01-2016-068433 Sandrvision THE VINEYARDS AT KISEF P W;1 461704508745 LOTO 5 NAME ON PERMIT: WOODLAND & WATERVIEW LLC, PO BOX 3398, MOORESVILLE NC 28117 Site Address: 4224 SIGMON COVE LN, TERRELL NC 28682 Property Size: Square FccC 32.670.00 Acres:0.75 Directions: Hwy 150 East, Right onto Kiser Island Rd, The Vineyards Subdivision is right before you get to Babe Dr. Improvement Permit Facility: Primary Residence Permit Category: New Septic t3cdruoins 4 WATER SUPPLY: Private Well Basement? Yes Basement Piumbing? Yes INITIAL SYSTEM SPECIFICATIONS - - - - - - - - - - - -- --- --- --- -- -- Permit valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 50% REDUCTION Type: 1VA- ANY SYSTEM WITH LPP DISTRIBU'PION PUMP REOUIRED ***** OPERATOR REQUIRED Permit Conditions: All parts of septic system and any future repair system must be minimum: 50' from any well, 10' from property lines, 25' from home( upslope), 15' from pool. Lines to be Installed on contour. Do not grade drive or fill over system or repair area Located pits from original IP WLS 2006-00786. REPAIR SYSTEM SPECIF1CA170NS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA - ANY SYSTEM WITH [APP DISTRIBUTION PUN'iP REOUIRFE, ***** OPERATOR REOUIRED Landscaping or other site alterations that potentially divert groundwater or surface wale., toward the septic sysiom, or prevent proper drainage away from the septic system, including the direction of gutter slows or'oundation drains, Is not approved, and may result in failure to worove the initial system installation, or the suspension/revocation of existinq permds The issuance of this permit by the Healik Department does not gunromce :he issuance of other permits. it is the responsibility of the appliemit/propem• owner to insure that all Camwba Count. 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 Tam,3 and Nudes for Sewane Treannenr and Disnowd Srstems' (15A NCAC IRA .1900). Neither Catawba County nor the Environmental Heallh Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Jason Boyd 01/21/2016 AUTHORIZED STAT E AGENT APPROVAL DATE Permit Expiration Date. 0112012021 No grading or construction acvivity is allowod in oreas designated for system and repair widrmul upproval ofthe Health Deparonent. chpennit 01/218016 09 31 Pagc 1 of 3 A I Permit 4 1-16 Q� k CATAWBA COUNTY Name W Woodland and waterview I,I-C P •' G Public Health Department (Kim Bealer) 0„0 C Environmental Health Division Address 1224 Sigmon Cove LN Tenell PO Box 389. I OOA Southwest Blvd, Newton NC 28658 NC Ig 42 y (828)465-8270 ra. (8281465-5276 = _ PIN# /A 461704508745 LAIN 75cgOr UI ifs I --lull Improvement Permit �o 67' 7,,•+,'I aha Zs�r ✓�tPd . � A'�� 1(t Scale -- b J 251 LlSeN�rc 1%041 tit EA Lu �`� fit: Sil /ods, L-A kE J2 T ' Y w 0 Y N 62MotN L-vSl pru Pare/ tl pFpAIITp>�if OP W%V> . A`m t1ATT RAL aBWAC03 (Ky$t➢7pi ffi1Yl.4�AflR{fAL HBALIN 0 WAETBWA[� 98C[b'311 SOUJWE EVALUATION for ON -SM WASTEWATER SYSi' M LACA'(mopffm- 1s4- WATTfl16(JPPM �r ❑ PaNW )3*4 0 1. All A 0 &)YI.IMU�HIApt`Y ln sWINNOW' Aw—q,_ MOrMTY ID A COUNTY: AK4:ICASbOii DA18 DAT9BVALVATW, S jtp4 PROPERTY = PROiPf�'�YRBCOiiUBII� _ _--- Om. rros oY Q!xw=ATm Xuww 0 mamoW Fmoaea d bid IO�ITIGIYOPL) am ,vq e Q>aesx j0dla pm milamrmm cLl�tff{Tw w sora sum aa TRIM a KNURAlAur a= DWIN cumm sneer, 0- I- -I- l3 [mY_SPX5CL Lt -Sr 15AILP 014 d lF. 0-j8 m ek 5L 5,515P 1 �'Y DGICRT" IA.i"4-wog* 9y** T ro*) eWLTAA ao�trs: & Lis T= ssfSP 13 RoccFS I ; 0_ .ft eg '5t �-rR -Z%SP rXBr H' l� [A1 SBK SCl F2 SSIcP 1'2r 11_ '•� l��f�S[iLC: ?� ISO z,- 43 M pad; J:/z sa? I I I i CLAM ALVAI 03 oaruL IYNW I u7An namd OTTIFA PACRW (.1915): LrYAWA'reD BY: 101e:201 oT1ws)PR68mn p n/iJ./�J4tr.�4Gf � )��.} __ ('{✓��p�Qc,.l�r��/�7 .6 �7`/7✓%is?GI' �.-.Sif CATAW BA (;OCN'1'1' W'Jilic'(-IG�I�t Dcpartiunl Case # R'ES2006-00736 ' En,im imival IImIth Division Subdirisiom THE VINEYARDS AT-KISER PO Ooc 389 100-A Southwest Blvd. Newton. \C 25o`S Seet/BL/PhfLot # 5 828 nes-sno FAX s281465 s276 TDD ^2? 14e�-s ou PIN# 9114617045036325 Applicant/Owner WOODLAND & WATERVIEW LLC Site Address, KISER ISLAND RD TERRELL NC Property Size 1 006 Directions: 150E/ KISER ISLAND RD/ SITE ON THE LEFT ACROSS BABE DR Improvement Permit Permit Valid For Five years No Expiration Facility (Residential) House House X Mobile Home Multi -Family Bedrooms 4 New? ✓Addition? Projected Daily Flow y irp g.p d Water supply Private Well? ✓ Public? Semi -Public? Basement.— Basement Plumhuit lotTuh/Spa. N Special )Rxtmes.((eexep-lain) Proposed Wastewater System/ 5 /� <'�d / ��/�� Type: d � [Y / a 1 C Proposed Repair S e hZo' r tz �/�syl, 4-9 — / Permit/J���+on/,i'iy♦�,r,ns' X (s�h.9 e�,aOr �./Pe;✓ ,� � es �1sv r Owner or Legal Representative anatur+,e �/� _-�l ii%a ,t Date: Authorized State Agent: Date: The issuame of this permit by the Health Department does not Guarantee the issuance of other pemtits It is the responsibility of the applicant/property owner to insure that all Catawba County Plannuig/Zonmga and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plat, 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 or the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Svstems' (15A \CAC ISA 19(10). Neither Catawba Count' nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for anv given period of time. Authorization to Construct Wastewater Svstem (Reauired for Buildina Permit) * See site plan and additional airaclunemis ( ) Proposed Wastewater System Type' Wastewater Flow q.p.d New_ Repair Expansion Soil LTAR: g.p.d./112 Type of Facility' Basement: Y Basement Plumbing: Y HoiTub/Spa. N Special Fixtures (explain)' Wastewater Svstem Reauirements Tank Size. Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area sq it Total Length it Maximum Trench Depth in Trench Width it Minimum Soil Cover Minimum Trench Separation it Distribution Distribution Box SeridpDislribulion _ Pressure Manifold _ LPP _ Other _ Additional Specifications: Authorized Stale Agent: Date: Permit Expiration Date I hate react and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature' Date r\i�arnia.r^FonmN�.Lc�oo m� ^T� CATAWBA COU \Tl .:` -:., R�+re Ilr:aat nc,,aainent ;, '9 ,Iincimmnentn113cJW Di�isat .: a� PO Bos 3X9 2S653 0328 365-8270 FAX S2Si 465-82'6 TDD ;8357465-3200 0 Improvement Permit PIN #f 9114617045086325 WOODLAND & WATERVIEW LL Applinmt/Orvner Name Authorized State Agent Construction Authorization SITE PLAN Case # WLS2006-00796 Subdtvisiom TILE VINEYARDS AT KISER Sect/13L/Ph/Lot # 5 PIN# 911461704508632-5 0 Well Permit NVLS If NVLS21106-00786 THE VINEYARDS AT KISER 5 S u bd i v isi on/Sect ion/L of G-/5-o,c Date System components represent approximate contours only The contractor must flag the system prior to beginning the installation to insure that proper grade is maintained Do not install system under wet conditions This permit is subject of revocation it the site plan or site conditions areal Lered Scale r\T:armukV'onmVltL�nvv rvi EjEj;AF� AND KAnMAL RESOUR(ffi sAee+PROPERTY]DA sec1>�N SOHAITE EVALUATION for ON -SITZ VWASI'E'WATER SYSTEM OWNESLO Leri W� V I v16A1"L (PF 4 StY AFPLrATION DAIS ADDRES&O J DATI BVALUATPD. FR0F0WDFA(7Lrff: t4o PROPOSED DESIGN FLOW(.1940.kHO PROPERYSIM LWA7M OF SML -N WATER, SUPPLY: P*luft ❑ Pam VW4 0 Splq BVAU)ATION bB77IOD: o Aar BaeAq APit q cd v ° S RL IAOMPHOLOGY a L LANOWA$ >00mmOfa town= DWM e wOMMIA aRi' .en .ea 0 0-18 L CBKRWnw+ Avm&b3p=C194!) S>>m Ty") SbLTAR -mumEmm. ❑ Odw TM OF WASMWATER: )<&mw 13 Wm*M Ploos ❑ MbW imasio'st OTS - PVA)WRA FACTM Am s m: .nos .ass e4t wmkmp r cet m am $AM >� =VM CLAM NO= Lt B►" a&A i R &- 5L FML 5,515P �jr--C, I : ss/ -v lgai 0 ft 6-e SL Ff- 55&P Utr SS I w 'Br ZIA 0,6sm c zi - `i 3 r1>- SB -tom 4.3- 53 MA <L,911D m ss,S ftd1 r-/(- sae Fe- ^S(nP `iCl et - MPAMSYSMU v v aniER FACDORS (.190): snz a ASSaWATION (.1940 1-15 EVALUATED BY. ///e5;Z9/ /95' O (� P e� Iesom= CLAM A LTAIR 0.3 0,3 _ o a U a _ C ^_• `, O vl O ce v Q J L*' y J L" eon 3OzO E- � 0a Lu oW) w -409 aLu on aQ t rj(J,� 6 0 Q�.^ 3,. Q M -9 bo M r4- = O E Z0 �WZO a �y 2 ¢OEC WzaaQ 5 MOU = a Actio 0 P¢ a w w N/ d $ $ \ � l k � j \ .« f � � N ' B = _ 2 � \ 7j / ] dam U ick a � / / 00 dk W \ \ \ 2 E 2 a A \ a d \ � § � Q � � / § o/ C"C\ / 2 / & � m = 2 % ® om \ \ / / a « owm a 2 Qogo . o Q