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HomeMy WebLinkAboutRBPR-04-2018-28981.TIF • \3251/4 • THIS IS NOTA PERMIT Case# RBPR-04-2018-28981 CAT-AWBA COUNTY HEALTH DEPARTMENT = .❑' S• tK c r PLAN REVIEWAPPLICATION FOR ENVIRONMENTAL SERVICES :J .:. Ig 42 SM Residential Building Plan Review- Building New .: n.144.1:, Ths- IMPROVEMENT- AUTH CONST- NEW WELL ,0 0 Applicant JONATHAN MCLELLAND,2560 STARTOWN RU,NEWTON NC 28658 H:7049025293 HOME:7049025293 Owner JAMES GAI'FIIER,2352 MILTON ST,NEWTON NC 28658 NAME TO APPEAR ON PERMIT Jonathan McLelland SITE ADDRESS: 1192 HARPER LEE DR.NEW'T'ON NC 28658 PIN # 372015743872 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Syuare Piet Acres 4.4 DIRECTIONS: From Settlemyre Bridge Rd, Left onto Startown Rd, Left onto Milton St, Right onto Harper Lee Dr.,Property is on the back left corner of circle wooded lot PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 80x50 Single Family Dwelling with a 42x30 Attached Garage,with 4 Bedrooms, No Basement 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: New Structure 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: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x50 w/42x30 attached garage #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25%reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO • chapplicauon 04/24/2018 15:02 I'age 1 of4 agA THIS IS NOTA PERMIT Case# RBPR-04-2018-28981 <nrm CATAWBA COUNTY HEALTH DEPARTMENT ❑' = ^" .❑" 4 S•• .- • T �`/ � ��� ` PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES }� 1842 94 Residential Building Plan Review- Building New 1 , o+ ISo . 5 •IMPROVEMENT- AUTH_CONST- NEW WELL • Applicant JONATHAN MCLELLAND,2560 STARTONN RD.NEWTON NC 28658 H:7049025293 HOME:7049025293 Owner JAMES GAITI-IER 2352 MIEFON ST,NEWTON NC 28658 NAME TO APPEAR ON PERMIT Jonathan McLelland SITE ADDRESS: 1192 HARPER LEE DR,NEWTON NC 28658 PIN U 372015743872 NAME of SIJI30I VISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 4.4 DIRECTIONS: From Settlemyre Bridge Rd, Left onto Startown Rd,Left onto Milton St, Right onto Harper Lee Dr.,Property is on the back left corner of circle wooded lot PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 80x50 Single Family Dwelling with a 42x30 Attached Garage,with 4 Bedrooms, No Basement 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE(IF ANY) OIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x50 w/42x30 attached garage #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: YES ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ehapi icari•'n 04/24/2018 14:44 Page I of 4 416 • CATA\\BA COUNTY Case ft RBPR-04-2018-2898! ' .Tlli• Public Health■! Z Subdivision 2 Wail Environmental Health Division PINS! 372015743872 - PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /2f42 54 NAME ON PERMIT: (JONATHAN MCLELLAND),2560 STARTOWN RD,NEWTON NC 28658 (Jonathan McLelland) Site Address: 1192 HARPER LEE DR,NE WTON NC 28658 Property Size: Square Feet Acres 4.4 Directions: From Settlemyre Bridge Rd,Left onto Starlown Rd,Left onto Milton St, Right onto Harper Lee Dr., Property is on the back left corner of circle wooded lot Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years):with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements 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. The undersigned is the owner of the property or legal agent of the owner. Date: 2W1-1?) Signature of Applicant or AgentT AQ If you need further information or assistance please call 828-466-7291 AREA2 #i}#tfi!#4fitfiitfifitt iti tttikttit iitiY}!}#ikkiik!#fittttttittkt iliilkkYiii}}ti####kk#t#itlfitiiiitiiitikii}!!!!} FEENA\Ib; DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 04/24/2018 $300.00 Fee Improvement Permit Fee 04/24/2018 $150.00 Well Permit&Inspection Fee 04/24/2018 $300.00 TOTAL FEES S750.00 • 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) clapphmnion 04/24/2018 14:44 Page 2 of 4 'CATAWBA THIS IS NOT A PERMIT COUNTY wCATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Application is for: New Construction Existing Facility Improvement Permit Authorization to Construct New Septic n Septic Repair/Malfunction n Septic Relocation ❑ Septic Expansion �❑ Existing System Inspection or Reconnection x .New Well ❑ Replacement Well n Well Abandonment ❑ Well Repair Property Address Farce ID it - 312015/4381Z Subdivision YatkaA Wks y �e t pte bee or. Mebhoa r fC Lot# Acres 'I.q Driving Directions to Property From Se`Nente 3r•to ed. Nuke . /WE 5 c. pd. f1CAe /�r�' o• . / A.( .i S4. /f -lCe se.f. G/. . A lace- kc eo/ner JF c:fcle oat. eo91 Applicant Contact Information Name Jotk4IiA, /t�lIeltn4„d Address 2560 5hr-oiJ- , Ne Z0(9sg Phone Cell Phone 7041 982 5293 Owner Contact Information Name James q •%[.tcl.el (a a,Hier Address 2352 /h:/fo, 5/. A2 Ac zgC.Ceo Phone Cell Phone colt - (093) 53o ego/ Contractor Contact Information Name Same as Appkr,,,} License # Address Phone Cell Phone Name to Appear on Permit? 9 Owner M Applicant 9 Contractor Who will be the Primary Contact? 9 Owner g Applicant 9 Contractor Existing Structures on Site? 9 Yes M No If yes, describe #of Bedrooms * #of Occupants Structure Dimensions Basement 9 Yes 9 No Basement Plumbing 9 Yes 9 No Existing Water Supply? 9 Individual Well 9 Community Well 9 County/City/Township Water Line Is a public water supply available? ** 9 Yes No Well Construction/Abandonment/Repair Proposed Well Type 121 Individual Well 9 Semi-Public Well 9 Community Well Abandonment Type 9 Drilled 9 Bored 9 Dug 9 Unknown Well Repair Requested 9 Yes 9 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well plead to Pressure Tank? 9 Yes 9 No CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Proposed New Construction - Residential Primary Residence VI New Residence ❑ Addition to Residence # of New Bedrooms *t 4 Project Description _ D Sb 1,J 2 U a 'Mu, Structure Dimensions S x 7�— # of Occupants Basement ® Yes ❑ No Basement Plumbing ®Yes ❑ No Accessory Structure(s) Describe Structure Dimensions Plumbing ❑ Yes ❑ No Describe Plumbing Needed Accessory Dwelling ❑ Yes ❑ No #of New Bedrooms *t # of Occupants Proposed New Construction - Commercial Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq. Ft.) # Employees per Shift #of Shifts Dining Area (Sq. Ft.) Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts If Church #of Seats Commercial Kitchen ❑ Yes ❑ No If Daycare,#of Children If Multi-Family Residence, #of Apartments #Bedrooms per Apartment*j Total # Bedrooms *t Other Information Calculated Design Flow, Commercial t (This value will be determined by EI-I staff) 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 No Does the site contain any jurisdictional wetlands? ❑ Yes ki No Does the site contain any existing wastewater systems? ❑ Yes Ig No Is any wastewater going to be generated on the site other than domestic sewage? )(Yes _:o Is the site subject to approval by any other public agency? ❑ Yes to No Are there any easements or right of ways on this property? Describe 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) 25 7. Wad,'•n -5y5itm ❑ Accepted ❑ Alternative ❑ Conventional 0 Innovative ❑ Other ❑ Any *Any room that will be intended fur sleeping at the time of construction or for future consideration should he noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by moms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design now will be determined by EH Staff. ** If No.a well permit must he issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CIIARGE(SEE FEE SCIIEDULEI Completed applications are valid for a period of 2 years. Improvement Permits arc valid: with complete site plan=60 months(5 years): with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid. Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may he revoked if site conditions are altered such that they effect permit conditions or installation requirements. 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 l 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. The undersigned is the owner of the pro - or legal ag mt of the owner. Signature of Owner or Legal Agent 'Ea tz�C e� Date `x-20-/ °o Printed Name of Owner or Legal Agent atada �l/e/Mend • Catawba County Environmental Health ci N H ii/ 147./.5 T.92 _ _ _ _- - .•.491 I 4,7A '9.5 202. ipppr 184.*v�� p -42 14 80? 50 ze • 0 illreiallip .,0 59 : . Alik or"- 100 Ulllr� e,. edi • IS, 4 i 052551 . 1. / ;yl� , 7 : i ill, ..-- (At": Parcel: 372015743872, HARPER LEE DR 1 in=100ft NEWTON, 28658 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 04/24/2018 Parcel Report Page 1 of I Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372015743872 Owner: GAITHER JAMES C Parcel Address: HARPER LEE DR Owner2: GAITHER RACHEL C City: NEWTON, 28658 Address: 2352 MILTON ST LRK(REID): 903999 Address2: Deed Book/Page: 3176/0886 City: NEWTON Subdivision: State/Zip: NC 28658-9471 Lots/Block: / Last Sale: School Information: Plat Book/Page: School District: COUNTY Elementary School: STARTOWN Legal: Calculated Acreage: 4.400 Middle School: MAIDEN High School: MAIDEN Tax Map: Township: NEWTON State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $74,700 Zoning3: Assessed Total Value: $74,700 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 2002 WaterShed: 2010 Census Tract: 011701 Voter Precinct: P34 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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. ©2018, Catawba County Government, North Carolina. All rights reserved. 7 4 R q‘bv �.3 tw tAhlt $ 3p(,I http://gis.catawbacountync.gov/notnap/parcel_report.php?key=372015743872&typ=P 4/24/2018