Loading...
HomeMy WebLinkAboutRBPR-07-2017-26980.TIFContractor Lien Agent Owner SITE ADDRESS: THIS IS NOT A PERMIT Case # RBPR-07-2017-36980 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New AUTH CONST -NEW WELL 0 *SIGMON , DAVID (DAVID SIGMON ), 5947 E NC 150 HWY, DENVER NC 28037 C 7044839423 SIGMON-DAVIDI—wYAHOO.COM OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY (NICHOLAS LONG, JR), 19 W HARGETT ST SUITE 507, RALIEGI-I NC 27601 B:8886907384F:9194895231 JOSEPH K. MARIA SIGMON, , C:7047786501 NAME TO APPEAR ON PERMIT Joseph & Maria Sigmon 1251 HOPEWELL CHURCH RD, CATAWBA NC 28609 NAME of SUBDIVISION: PROPER"rlSIZE: Square Feet Acres 3 15 PIN # 460901387916 Lot k 8 Scction/Block DIRECTIONS: Hwy 16 S, left on Buffalo Shoals Rd, right on Bandys Cross Rd, slight right on Sherrills Ford Rd, lef ton Hopewell Ch Rd, approx 1 8 on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New, one-story, 3 bedroom, attached garage with unfinished bonus room, unfinished basement 'Septic to be sized for 4 bedroom for future 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? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32x70 House & 22x24 Attached Garage # OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED, ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? Yes CONVENTIONAL ANY. YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO L`) - chopplmau,m 07/14/2017 14 57 Page 1 of 4 eA CATAWBA COUNTY case a RBPR-07-2017 6980 �T 2 Public Health Department Subdivision av ,� Environmental Health Division PIN# 460901387916 PO Box 389, 100-A Southwest Blvd, Nca4on. NC 28658 1gq �i sM NAME ON PERMIT: ( JOSEPH R MARIA SIGMON), , ( Joseph & Maria Slgmon) Site Address: 1251 HOPEWELL CHURCH RD, CATAW BA NC 28609 Property Size: Square Feet Acres 3.15 Directions: Hwy 16 S, left on Buffalo Shoals Rd, right on Bandys Cross Rd, slight right on Sherrills Ford Rd, lef ton Hopewell Ch Rd, approx 1.8 on left 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 FEENAME DATE FEEAMOUNT Authorization to Construct Fee (New/Expansion) 07/14/2017 $300.00 Fee Well Permit & Inspection Fee 07/14/2017 $300.00 TOTAL FEES $600.00 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) L1/ - ca,iat, l [cation 07/14/2017 14 57 Page 2 of 4 C T/ WB ^ THIS IS NOT A PI-RIVI['I COUNTY..... �. _,.._ i CATAWBA COUNTY HEALTH DEPARTMENT „ r Application fir 13nvironmenlal Set vices Page 1 Improvement Permit ❑ Authorization to Colnnstruct Septic Repair 11 septic malfunction El Septic Expansion ❑ New Well permit Replacement \Vell ❑ Well Abandonment El NVell Repair ❑ Existing Sysic n Inspection (Pre -Approval Required) El Application is for New Construction Existing Facility ❑ Property Address / S( �lvOr .�/��_ G� ��� l �r.(' Subdivision < �r Yc ✓ ✓e S�cm `% [ ' i Tiy Ce.fV 'Jb J /1/C_ 2 F6 Oq Lot # 5f Acres I Section/Bloch/Phase Drivutg Dir/ections to Properrty _H 6J `/ 16 •5c,, �, +4 L,/ -/fo. 15'r. 51,,.((g�7 Ur! iG /i i. _ d' �, J� G/J% S %(JC+/�^ r. S�/c C f F�r�(� � O-+ C%O S/. P; �i�I/ fri.1:✓1 �Y� l�I f nn /rY /fie 7,-r✓/ �l CN4/U/� 4e"( 6�/�l�/J ^rye. /J ,"Ir /P J' o /!'K / /I / NAME TO APPEAR ON/PERDIIT? ty] Owner ❑ Applicant ❑ C ntractor Applicant Contact Information Name -r I .1 ()BCrCI!, �c .irf/� �:. �.+,�i— _ Address J�/� �� Lan C<�F—� �r� C,_ic he "'VG 99�� 001 I Phone �tj - ���- (o r-6 ( Cell Phone Owner Contact Information Name ,l o5,, : /�� ✓ 5'.' 'C" _ Address �'� /,v,. - /L s L /i Ca Phone �U[r - �.7e 5 / Cell Phone gO/rSo I Contractor Contact Information Name VJC' v,i"l Address 5-9'r7 A�)t .2J -v37 Phone �(J r- rfrI/ 9 Cell Phone gUk �Z�!•- �/l NVIIO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant YContractur Description ol'Existing Structures on Site # of Bedrooms Ij- Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes 0 No The Applicant shall notify the local health depm hnent uprni suhmittal of this applicalion if any of the following apply to tbo property it) question. I1 the answer to any question is "yes", applicant must attach supporting documentation. ® Yes t o Does the site contain anyjurisdictional wetlands? * Yes Dues the site contain any existing wastewater systems': 0 Yes t}to Is any wastewater going to be generated on the site other than domestic sewage? Yes Is the site subject to apprnval by any other public agency? ® Yest'N'o Are there any easements or tight of ways on this property? Describe Existing Watu' Supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public Water supply available:' •`* ❑ Yes VN 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) 71 Accepted 15 Alternative m Conventional ❑ Innovative ❑ Other t THIS IS NUT A PERMIT L7�1.` i`YYil�� CATAWi3A (:Oi iIV"TY I3Eh1LTiI DEPAR'1'MF:N 1' ��` . _ ' ,.,„���:,:�. APi}?.-attiot: 'er la:�.irern?;:t?tat Se:'c• ccs ^age "_' Proposal Facility Type ❑� ❑] Primary Residence New Reside::ce n Addition to?,'esiderce rcfNeWllidnaoms Prgjcct Descril,tion NP �,J //ur^r' �FF Co r`. � `rye L� r — .�!� 5�{fl hj'I 7 rr itpn Sti'il(,tni"C D7inei7Sii))1s /(� O Y .3t� if Ot OL;�'.tlj)3111ti � -for YN,_LW.v-� S �(�^k Baseme:;t .❑�Ycs ❑ N) B.i/:`. ,r.'_ Fix"xes 0 Vas �No raorr, Accessor.v Structure(s) Describe r,7r. (,a n d( vi' Ven Bedroom:+'j ifapplical.ile Stru t( ore Diurr-n�s'ions iI CI occupai?i5 r1ccessory Dwelling � I i'Js (_/1 NO Pluulbing ❑ Yes Lvr�No De,;ribu Pluwhinp:, Needed ❑ Multi -Family Residence #t 'Units -_,__ _ #I3edroonns per i Inii `1' _ Tntal # Bedrooms 'IT Structure Dimensions ❑ Food Service Specify Typc Seats Flno, S-naLt -Entire Pood Service F: htv !Sq F # Employees per Shift _ - V of SlIdIs _ -_ Dining Arca (Sq. Pt.l j_j Business Specific Type efBusiness Retail Roor Space__ n of Emp,oyten pe" S'.1;(', _ 4 or& its !—I OTlrer Faeiiitc ”'}'pe S;�eciiy If Cnoch # af'Seats Kitchen ❑ Yes ❑ No If Daycare S;,ec-.fy Occurancy _ Application for Well (b,�ns/tructiun/Ahaodutunen(/Repair Proposed Well Type IJ✓ lndividual \Nell ❑ Setni Public Well ❑ t;ommuuit,y Well Abandonment Type ❑ Diilicd ❑ Borcti U Dug ❑ thlknown W(:I! Repair Req. -sled F7 Yes ❑ Nu Desc, ib Calcu:aic� Dosigil F;mv. Commercial '`j Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. ; .Dear "bit `Viu'`e+r.,endcd f+*r sleeping a:::.e'i;ne.,i eesstrcL:'nn er f -r f;:ture eonsidera:io'. shca::a!r anted as a bedru"m an; counted on all applications. The number of bedromw will be confirmed by rooms identified on house pinus as a hedroom at the time of huiiriing permit issuance Tris may prevent the need for septic sysiem size imncasc in the, Cullum If structure is rluail,e(1 but no bech'oca!s, cal.:ulatcd c!eaign ttuw is reouired. ' * If No, a well permit must be issued with the Authui ization in Construct. SYSTR'N] REDESIGN AND/OR RETRIP WILL INCUR AN ,kDDI'FIONAL CHARGE (SEE FEE SCHEDULE Imprcn,entcnt Permits issued as, a result of this in Gxmation me valid far 5 wars or maybe non -expiring undei cerlain specified ecrr.!StienS. An .lethoriration v, Construct issacd by tl1s deo, -t:nent is viFd f_: !>) "vo .e,vrs f:om '.'.:c date issued asci 's na: tiattsferahle; Improvement Permits and Well Permits are transferrable. Peumits may be, ieeoked if the information on this opplieation, _i c plans cr intended use changas f:r :he pre;->st('. f<;:i'it}'. I have read this apulication and certi l'y that t!:e iul'milutlnn provided herein is true, complete and cutrect- Authorized county and state officials are granted right of entry to conduct necessnly inspections in determine compliance with applioablc Imvs and rales. I understand that I mn solely responsible fmthe pauper identifcalinr and labeling of all propert• ]ices and earners anti :making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Arent,7, %). 75L , Date Printed Name of Owner or A%/nt �n scab ",I S; ,: ;,, „ -, Catawba County Environmental Health Parcel: 460901387916, 1251 HOPEWELL CHURCH RD CATAWBA, 28609 1 in=100ft 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. Copyright 2014 Catawba County NC 07/14/2017 Parcel Report Parcel Report - Catawba County NC Page 1 of I Parcel Information: Owner Information: Parcel ID: 460901387916 Owner: SHERRILL CHESTER JOE LIVING Parcel Address: 1251 HOPEWELL CHURCH RD TRUST City: CATAWBA, 28609 Owner2: SIGMON JUDY S TRUSTEE LRK(REID): 302400 Address: 5947 HIGHWAY 150 E Deed Book/Page: Address2: Subdivision: City: DENVER Lots/Block: 8/ State/Zip: NC 28037-6768 Last Sale: Zoning Information: City Tax District: All in County School Information: Plat Book/Page: 77/24 Zoningl: FORD/BANDYS School District: COUNTY Legal: LOT 8 PLAT 77-24 Zoning3: Land Value: $0 Elementary School: CATAWBA Calculated Acreage: 3.150 Small Area: SHERRILLS FORD Year Built/Remodeled: / Middle School: MILL CREEK Tax Map: Zoning Agency Phone Numbers High School: BANDYS Township: CATAWBA School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: County Fire District: SHERRILLS Zoningl: FORD/BANDYS Zoning2: Building(s) Value: $0 Zoning3: Land Value: $0 Zoning Overlay: Assessed Total Value: $0 Small Area: SHERRILLS FORD Year Built/Remodeled: / Split Zoning Districts: / Current Tax Bill Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel It: Building Details 2010 Census Block: 1077 WaterShed: WS -IV Protected Area 2010 Census Tract: 011503 Voter Precinct: P21 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This maphepon product was prepared from the Catawba County, NC Geospanal 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, disdain, 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 orihe use thereof by any person or entity © 2017, Catawba County Government, North Carolina. All rights reserved. ► ���� (� S l,zJ r1a6,,� �t r -PUO �`I/ �I 1 c �h http:I/gis.cata\vbacountync.gox,/nomap/parcel_report.pllp?ke) 4609d1387916&typ—P 7/14/2017 its CATANBA COU NTY `C Public Health Department doh ,Ci Environmental Health Division PO Boy 339. IOU -A Southwest BA d. Newton. NC 2058 1' - Ell L 0 Case Ih91>V-04-2017-084779 Subdivision PINK 460901296818 Ln F4 8 NAME ON PERMIT: LIVING TRUST, 5947 HWY 150 E, DENVER 28037 Site Address: 1251 HOPEWELL CHURCH RD, CATAWBA NC 28609 Property Size: Square Pecs 137,214 DO Acre 3.15 Directions: Hwy 16 South, Left onto Buffalo Shoals Rd, Right onto Bandys Crossroads, Slight Right onto Sherrills Ford Rd, Left onto Hopewell Church Rd, Destination is approximately 1 75 miles on the Left Improvement Permit doe,ILI :I;AitilrlItiylOwj1a!J;JyJ;liyr• 10E --]r_ AW.'IILelg Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes — - --- - -- ----------—-- INITIAL SYSTEM SYSTEM SPECIFICATIONS Permit valid: Expires In Five Years _X_ No Expiration' Projected Daily Flow 480 g.p d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE LFPLUEN I PUMP Pl1MP 11E0U111E1) Permit Conditions: REPAIR SYS'1-Elvt SPI7-CIPICG'�I'IONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTElvI W/SINGLIi EFFLUENT PUMP PUMP REQUIRED Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, Is not approved, and may result In failure to approve the Initial system Installation, or the suspension/revocation of existinq permits. the issuance of this permit by the f lealth Department does not gum ontcc the issuance of other permits. It is the responsibility of the applicant/property owner to Insure Iha! all Cniawba County Planning/%using 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. 'Phe 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 'Lanny and Rules for Sewave Treatment and DAPocal SPAI' rus' (ISA NCAC IRA .1900). Neither Catawba County nor the Environmental Health Specialist wamrurts that the septic tank system will continue to function satisfactorily for any given period of time. Robbie Phelps 04/27/2017 Alpfl IOR0:1) S UO 1, AGGN'I APPROVAL DA! E Pemn Expiration Date 0412712022 ,fro ,gi ading or construclum acnr+t , is allowed in areas desigruded jou a;vate17 curl rrpau' Wlihow apps oral of rhe Health Deparnnenr lips Inn 11,1128/2017 10 06 DEPA TmEN10FENVIRONMENf AND NATURALRFSOUEMS Shed —O�— DVn=N OF eMLONMENCAL HEALTH PROPERTY E) N. ONSITE WASTEWATER BECKON COUNTY' fo SouisrTE EVALUATION �a � rr r O T -SITE WASTEWATER SYSTEM C I r W 7/ &II`TION DATP OWNER: ✓' ALI PPCA ADDRESN 0. r/ !ro LIva, DATE EVALUATED 3 23 -f 2 PROPOSED YACM=.- 15�SED DESIGN FLOW (.1949): ILL" PROPERTY SITE. T � A T nV nC III I, PROPERTY RECORDED: s- /v IS—Z6 1 sr Ila-�t I I- I I 3 ,�� 12742 C r&h C L -irp infYA I I DESCP=)I I A'1T7AI. SYSTEM AwDWc Sparc (.1947) J Sy=Tvattl Site LTAR Fr fr f f rrrrr 3� ovri— 4Z REPAjR s'sTRW I OTHER FACTORS (,1946} J I SITE CLASSIFICATION (.1948): �r L S eG I EVALUATED BY: f OTHER(S) PRESENT: I 3 ,2f- ' 2.. j-- ' 22