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HomeMy WebLinkAboutRBPR-07-2017-26979.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2017-26979 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure 7�I11111 I2NiSed dCt�A 0`1014 Applicant On ner EXS_SYSTEM TIMOTHY SMITH, 4511 BRIAR CREEK RD, MAIDEN NC 28650 0.7044887626 '1'MSMI-FIi55 DBELLSOU"1.1-I.NET MARVIN ACTON, 4511 BRIARCREEK RD, MAIDEN NC 28650 C:704-488-7626 NAME TO AF—)EAR-QN PERMIT Timothy Smith SITE ADDRESS: 4511 BRIAR CREEK RD, MAIDEN NC 28650 PIN # 367804500513 NAME of SUBDIVISION: QUAILCREEK Lotfl 4 Sccnun/Block PROPERTI'SIZE: Square Fect Acres 0.57 DIRECTIONS: 4511 Briarcreek Rd, Maiden PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 24x24 Detached Garage 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 es Is any of the wastewater going to be generated on the site other than domestic sewage? -- o 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: Now Structure STRUCTURE TYPE: FACILITY TYPE: Accessory Structure DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 NEW STRUCTURE DIM:: 24x24 BASEMENT? No PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED. ALTERNATIVE: OTHER. INNOVATIVE. Other described: PLUMBING REQUIRED? No CONVENTIONAL. ANY EQ - chopphrtlinP u7/17/2017 144-1 Page 1 of 4 0 J CATAWBA COUNTY case # RBPR-07-2017-26979 Public Health Department Subdivision QUAIL CREEK Environmental Health Division 367804500513 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 PINk /g 2 NAME ON PERMIT: ( TIMOTHY SMITH), 4511 BRIAR CREEK RD, MAIDEN NC 28650 ( Timothy Smith) Site Address: 4511 BRIAR CREEK RD, MAIDEN NC 28650 Property Size: Square Feet Acres 057 Directions: 4511 Briarcreek Rd, Maiden 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: 5 Foot From House ''_1'FEENAME,;" i1I�"�illl{'"' {I I�, t'll �{ „DATE' :�Ihi,FEE"AMOUNT'' Existing Tank Check Fee 07/14/2017 $30.00 ,i(1j;,;,TOTAL'FEFS „°ii{ii�{i�I�iir 'ii��lli gUlI!!p, 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) Iv - chupphc.ui:,n 07/17/2017 14 44 Page 2 of 4 THIS IS NOT A PERMIT Case # RBPR-07-2017-26979 CATAWBA COUNTY HEAUFH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure EXS_SYSTEM Applicant TINIOTHY SMITH, 4511 BRIAR CREEK RD, MAIDEN NC 28650 C:7044887626 TMSMI-1'1155UBELLSOU7'I-I.NE-T Owner MARVIN ACTON, 4511 13RIARCRFFK RD, MAIDEN NC 28650 C:704-488-7626 NAME TO APPEAR ON PERMIT Marvin Acton SITE ADDRESS: 4511 BRIAR CREEK RD, MAIDEN NC 28650 PIN # 367804500513 NAME of SUBDIVISION: QUAIL CREEK Lot# 4 Section/Block PROPERI Y SI -/_E: Square feet Acres 057 DIRECTIONS: 4511 Bnarcreek Rd, Malden PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 2424 Detached Garage 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: Accessory Structure DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 NEW STRUCTURE DIM:: 24x24 BASEMENT? No New Structure ** NO STRUCTURE SELECTED ** OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED ALTERNATIVE OTHER. INNOVATIVE: Other described. 3 PLUMBING REQUIRED? No CONVENTIONAL ANY: 1,9-c11,1iphcmian 07/14/2017 14 43 Page 1 uf4 `gA CATAWBA COUNTY Case# RBPR-07-2017-26979 �z' 2 Public Health Department Subdivision QUAIL CREEK L'nvironmental I lealth Division I IN# 367804500513 110 Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 m NAME ON PERMIT: (MARVIN ACTON), 4511 BRIARCREEK RD, MAIDEN NC 28650 ( Marvin Acton) Site Address: 4511 BRIAR CREEK RD, MAIDEN NC 28650 Property Size: Square 1'cet Acres 0.57 Directions: 4511 Brlarcreek Rd, Maiden 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 r s I understand that I a5i4olely responsible for the properidentificatio lab ling of a I property lines and corners and making the site sl le hat a o plete i ev ation can be performed Date: /—�'� ) Signature of Applicant or Agent a An Environmental Health Specialist will contact you withi 5 workin2Z of do If you need further information or assistance please call 828-466-7291 AREA1 ########################################################################################################### SETBACKS: 5 Foot From House FEENAME Existing Tank Check Fee TOTAL FEES DATE FEEAMOUNT 07/14/2017 580.00 $80.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I:`) - eh.ipph.auon 07/14/2017 14 43 Page 2 oro CATAWBA THIS IS NOTA P>;UUT COUNTY _ ^ - _ CATAWBA COUNTY HEALTH DEPARTMENT Application f r Environmental Services Page 1 tnprovement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandopg1ent ❑ Well Repair ❑ Existing System inspection (Pre -Approval Required) Application is for New Construction ElExisting Facility Property Address �Jtl� EVlyv(?✓eC(e Subdivision ( l)I.0 ( /� VCCG- 140 / [ 1 40 L— 1.1 r Lot # Acres Sectio n/$pock/Phase DI'1v111 I Directions toll'roop�erty / •,�Iy�p\ � — 1�1 he / �q`--}T —_��� I.ICa 1 \ l " I/C'P.IC'ISL 1 � G � t' �V 14 �G✓'CL'.lti� �i � �c: L.. S L NAME TO APPEAR ON PERMIT? '[Owner ❑ Applicant ❑ Contractor Applicant Contact Information I Namc I INVV,>-, � m - So, i7*L Address LJS[ I —F,V Ie,,CveaC��c / ✓�t�p� L Phone D Cell Plwne Owner Contact Information Namc Address Phone Cell Phone Contractor Contact Information Name I / /1 j Address /If l AI - phone V 1 Cell Phone WHO WILL BE THE PRIMARY CONTACT? [Owner ❑ Applicata ❑ Contractor Description of Existing Site # of Bedrooms "r_ Structure biinenns-T(aw # of Occupants Basement ❑Yes X�1No Basement PixtUles 0Yes 41 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. ® Yes ip No Does the site contain any jurisdictional wetlands? As Yes No Does the site contain any existing wastewater systems? 0 Yes q No Is any wastewater going to be generated on the site other than domestic sewage? XYes ilio Is the site subject to approval by any other public agency? 14 Yes No Are there any easements or right ol'ways on this property? Describe Existing wafer supply in use Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township yTter Line Is a public water supply available? ** ❑ Yes ❑ No 11'applving for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) (()Cc -1tab,7 0 Accepted El Alternative El Conventional El Ltnovative Pother e0JCCtz ❑ Any Cq A � p� ^ TT -IIS IS NOT r1 PF-IMT L 1�1� VY, L)� 1 CAT;AWBA COUNTY HEALi H I)El',�12.ri1Eti'1' ,. Aft il'cat'.nP. fel' F'itt'tr ommncni£.l Sevv4 cet: 1'aae 2 Proposed FacilityType 0 Primary Residence Ll NQw Resitlettce ❑ Additiol7 to Residence !! of New Redroomr * Application for Well Consttvction/Abandonment/Repair Piopogrd Well Type ❑ kidividual Well ❑ Semi -Public Well ❑ Community Well Abandonn:en'. Type LJ Dri;Fcd ❑ But cd ❑ Dug a (Jnii TloNsn Well Repair Requested ❑ Yee ❑ No Describe Cale_ikucoi Desig:; Fa,w, Corm.iaci i Additional information may be required to determine design now from certain facilities. This value will he determined during consultation with on-site stai'f. `Anv. eo:n 'hc' wi!l !,e tnte :dee fi,r sleeping at the ii,i =.;I coas'r_;c_!on }r f r f;nue xnsiderati,;n s':ouid !,c ::o:cd as a lazdronm :aid counted on all applications. The nmuber of bediuorns will be confirmed by rooms identified on house plans is a bedroom at the rima ofou"Iding permit lsstance This ma} prcvetd tiic need for squc system size increase in the future. .11 IFstruconc is plumbed but no be(it wins, onIcuIaIed desFun flow is required. ,, If No, a well permit roust be issued with the Authorization to Construct. SYSTEM REDF,SIGN AND/011 RrTRIP WILL INCUR AN ADDITIONAL CAARGE (SISE FEE SCHEDULE) improvement Pernriis issued a:; a result of this information are vulid Ila 5 years or may be non -expiring, undar certain specified conditions. An A,ad oriz.'rfon to Cr�pstrua Issued by this denartroort is valid Ltt (5) 5ve yews lioin the date issued and isnot nausfemble; Improvement Permits and Well Permits aro ir'tmsferi able. Permits may be revoked ifthe information on this application, soo plans or ha lcnded use change, 5', the rrnpu5ed 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 tight of entry it, con d Int necessary ill spcctions to (I clot inc comp Iiam•r, wish applicable lav✓s and rules. I understand that I ant solely responsible ror the ptoper identification and lahc!ingi of all property lines and corners and nt<dcinp the site accessible so that a complete site evaluatiu, can be performed. Si;nature oi'Oti-ares or Agent _ �_- �'G// / /��t��r v true i r s I, Printed Name of Owner of Agent Project Description Sat.ciurcDi;ac;ision; tiecnp;aii., ,-3 Basement [1 Yes ❑ No B:Ise,nent F;,Ktures ❑ Yes ❑ No Tf Accessory Structure(s) DQscribe 'I- (::�✓'ar'e L -f e O # of New Bedrooms if eI)pIlcahle Structure Dimensions A' ctss:v 1 Dwellin, ' , es " l'c' P1ulnbing ❑ Yes ( No DesclibuPlutnbinl;Needed ❑ 1Molti-Family Residence I/ Quits _ #Bedrooms per Tlni(*'j Total tf Bedrooms StruGou e Dimensions, Et Food Service Spocif) Typc . it Sults Floor' Snare-F':ntire Foo,! Service Fiicil;ty (Sc Pt; # Employees per Shift _ _ # of Shills _ _ Dining Area (Sq. I't.)_ LI Business Specific -type of Business Retail Floor Space of E:ri;Fa,, s per of Sh.i `s [; Other Facilit}` Type Sherif) If Church # of Seat,; Kitchen ❑ Yes ❑ Nlo ifDayutre Sueciiv Occupancv , Application for Well Consttvction/Abandonment/Repair Piopogrd Well Type ❑ kidividual Well ❑ Semi -Public Well ❑ Community Well Abandonn:en'. Type LJ Dri;Fcd ❑ But cd ❑ Dug a (Jnii TloNsn Well Repair Requested ❑ Yee ❑ No Describe Cale_ikucoi Desig:; Fa,w, Corm.iaci i Additional information may be required to determine design now from certain facilities. This value will he determined during consultation with on-site stai'f. `Anv. eo:n 'hc' wi!l !,e tnte :dee fi,r sleeping at the ii,i =.;I coas'r_;c_!on }r f r f;nue xnsiderati,;n s':ouid !,c ::o:cd as a lazdronm :aid counted on all applications. The nmuber of bediuorns will be confirmed by rooms identified on house plans is a bedroom at the rima ofou"Iding permit lsstance This ma} prcvetd tiic need for squc system size increase in the future. .11 IFstruconc is plumbed but no be(it wins, onIcuIaIed desFun flow is required. ,, If No, a well permit roust be issued with the Authorization to Construct. SYSTEM REDF,SIGN AND/011 RrTRIP WILL INCUR AN ADDITIONAL CAARGE (SISE FEE SCHEDULE) improvement Pernriis issued a:; a result of this information are vulid Ila 5 years or may be non -expiring, undar certain specified conditions. An A,ad oriz.'rfon to Cr�pstrua Issued by this denartroort is valid Ltt (5) 5ve yews lioin the date issued and isnot nausfemble; Improvement Permits and Well Permits aro ir'tmsferi able. Permits may be revoked ifthe information on this application, soo plans or ha lcnded use change, 5', the rrnpu5ed 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 tight of entry it, con d Int necessary ill spcctions to (I clot inc comp Iiam•r, wish applicable lav✓s and rules. I understand that I ant solely responsible ror the ptoper identification and lahc!ingi of all property lines and corners and nt<dcinp the site accessible so that a complete site evaluatiu, can be performed. Si;nature oi'Oti-ares or Agent _ �_- �'G// / /��t��r v true i r s I, Printed Name of Owner of Agent Catawba County Environmental Health 'yD j6T q> S 1500 Oo. ry �� � D �J m F I O 24 _ ` 85.00 1 's2 1r' . PJ '0 Parcel: 367804500513, 4511 BRIAR CREEK RD MAIDEN, 28650 0 IF" 1180 1 in=50ft This map/report product was prepared from the Catawba County, NC Geospahal 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 NG 07/14/2017 Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 367704515293 Parcel Address: 4201 ANDERSON MOUNTAIN RD City: MAIDEN, 28650 LRK(REID): 201754 Deed Book/Page: 3362/1006 Subdivision: Lots/Block: 1/ Last Sale: Plat Book/Page: 76/74 Legal: LOT 1 PLAT 76-74 Calculated Acreage: 1.230 Tax Map: Township: CALDWELL State Road #: Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: BANDYS Building(s) Value: $0 Land Value: $6,300 Assessed Total Value: $6,300 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: Voter Precinct: P1 Parcel Report Data Descriptions List all Owners Deed History Report Page 1 of 1 Owner Information: Owner: MAJOR KYLE ANDREW Owner2: Address: 4183 ANDERSON MOUNTAIN RD Al City: MAIDEN State/Zip: NC 28650-9019 School Information: School District: COUNTY Elementary School: TUTTLE Middle School: MAIDEN High School: MAIDEN School Map Zoning Information: Zoning District: COUNTY Zoningl: R-40 Zoning2: Zoning3: Zoning Overlay: Small Area: BALLS CREEK Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: Firm Panel #: 2010 Census Block: 4001 2010 Census Tract: 011602 Agricultural District: Assessment Report This map/report product was prepared from the Catawba County, NC Geospatial lateral Seances 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 venhcation 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 apse 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.catawbacountync.gox,/nonlap/parcel_report.php'?key=36770}515293&typ=P 7/14/2017 CA,TAWBA COUNTY HEALTH DEPAR T MVIEN�� � Telephone: (704) 465��-82V-�70 TDD: (704) 465-8200 2 72 2 Improve. Permit( -/Authorization to Construct C/i2epair Permit_Oper. Permi _System Type_,-� Owner/Agent,5%fLJF ��(-(//1/r�-�� 'Phone' Address vsl� ,�/% C-'��tT. 4)7 Subdivision C Section/Block/Phase Lot#-� Lot Siz Directions: �� s ,S ,n Facility: House t./ Mobile Home_ Business Other: Tax. Map # [I./TY\ -- /'lq- Multi -family_ Other Zoning Approval # Zc ROW 7 � # Bedrooms,_' # Seats # Employees Application Rate GPD F1ow,3F'( Hot Tub or Spa yes no pecial Fixtures 100% Repair Area yes o Basement yes Basement Plumbing yesQD Water Supply: Private Well Public_ rarrrwr:r«rarrarrraaarraaaarawaa+wa++a+ww♦wa+««aarwwwaawaraawwra+w+wrwwawrraaaaa++wwww+wrwarara Type of System: Trench C/Bed^Pump Pump/Panel_Pane1 LPP Other Tank Size: Septic Tank Size /0 0o Pump Tank Size Nitrification Field: Total Square Feet 92D ... Depth of Stone ),`,� " Bed Size Trench Width .3 Total Length of All Trenches 30 Number of Trenches -911 Individual Trench Leng tl��1 /0 _460-0/ /_ Feet on Center/n! Maximum Trench Depth.,2`�- Distance of Nearest Well S� A� *DO NOT INSTALL WHEN WET* wwaw++wawawarawwwrwrwwawwrr«wr♦«rr rrra+ar+r+wwwwwwwrwwa+«•++rasaaw+ww««rarrawwwwaw«waw«rwaawaw Topo % Slope Texture C:C/9i/r1m —C4C- 1 Structure —' 1 l� 4 C Clay Min. /.' / d. `Y Soil Wetness T' Soil Depth �%Lr " Restric. Hoz. at i-.ea,J7- t 11 Available space e /nol Overall Claes S PS U �� _ 3'Ti(r;CNGH-(�-S Comments: I C�' /OD )�3, I fro / / l 40- **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ♦w++wa+wawawa+a+wwwaw:awraaa+waaaaaaa+a++w+wa+wrwwawwa+w++www+wwwaaaaa+++wawrrwwaa++awwr++w++++ *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 yea,PVErom date issued and is not transferable. .. Permit Date 1929 � Owner/Agent Sanitarian Cr--z��, Installed By - EZ .rnk.G eSanitarian White - Office Blue - Building Inspection Operation Permit Yellow - OwnerlAgent Green - Building Inspection Authorization to Construct