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Home My WebLink AboutRBPR-08-2020-35248.tif /ILIV THIS IS NOT A PERMIT Case# RBPR-08-2020-35248 ti t I CATAWBA COUNTY HEALTH DEPARTMENT '' ' 'C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1: SM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL I IS h3 Reff 1 SeCir'. Owner AUSTIN*STILWELL,461 EARL ISENHOUR LN, C:8284045239 ASTILWELL6I1 a,,GMAIL.COM NAME TO APPEAR ON PERMIT Austin *Stilwell SITE ADDRESS: 5467 LEE CLINE RD,CONOVER NC 28613 PIN# 374406472587 NAME of SUBDIVISION: Lot# Section/Block_ PROPERTY SIZE: Square Feet Acres 0.86 DIRECTIONS: Springs Rd/right Lee Cline Rd on right at intersection of Eckard Rd PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLON • c NAY: 240 WATER SUPPLY: Private Well 'ESCRIBE WORK: 8/15/23 SEE NEW SITE PLAN DRIVEWAY LOCATION MOVING, SAME HOUSE LOCATION AND SIZE. NEW SEPTIC AREA. PREVIOUS DESCRIPTION: new single family dwelling/2 bedrooms/30x32 /copy of recorded deed on file 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 30x32 #OF NEW BEDROOMS:: 2 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO eltapplication 08/15/2023 12:31 Page I of3 L 4c • CATAWBA COUNTY Case# RBPR-08-2020-35248 • i Public Health Department Subdivision „ .,, Environmental Health Division PIN# 374406472587 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (AUSTIN*STILWELL),461 EARL ISENHOUR LN, (Austin*Stilwell) Site Address: 5467 LEE CLINE RD,CONOVER NC 28613 Property Size: Square Feet Acres 0.86 Directions: Springs Rd/right Lee Cline Rd on right at intersection of Eckard Rd 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 ownerow .lU of the property or legal agent of the owner 6//S Date: ,2,3 Signature of Applicant or Agent Gil. �i c � If you need further information or assistance please call 828-465-8270 AREA3 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 08/03/2020 $150.00 Fee Well Permit&Inspection Fee 08/03/2020 $300.00 Improvement Permit Fee 08/03/2020 $150.00 Authorization to Construct Fee(New/Expansion) 08/15/2023 $150.00 Fee Improvement Permit Fee 08/15/2023 $150.00 TOTAL FEES S900.00 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) chapplicauon 08/15/2023 12:31 Page 2 of t a catawba county public IF altil Application for Environmental Health Services THIS IS NOT A PERMIT .Application is for: [Iew Construction ❑Existin&Facility ❑Improvement Permit ❑ Authorization to Construct leNew Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection ❑New Well 0 Replacement Well El Well Abandonment 0 Well Repair Property Address 5-t/`7 Gee GLu /Z..4 Acres D_Ls Subdivision Lot# /1/35;22 Driving Directions to Property Fie,,,.? Sloe:7 s /4 4.1 71-CA,kr e. r`•9 hf on Zee L/.i+r. .fit/• 74. p r,/,,iv ;5 On the d", 1194 s. - P4 5/ t d geu.S. Describe work ,s/-+►/1MA✓ ..cep/iC"-+ i cr,.iSioeac•td.L. Applicant Name R ;,, S�+/ // Applicant Address q ( ,/ Sc...rltrx.„- 140,6 % J//e le N . 2 S 6 / Phone$2g. yot - ,a39 Email asbi.,..t//Ga/& .1.. Ca n Owner Name / �/.4 371.:/ /' Owner Address [{L/ F 3' i>lu�� y,G,rsv'/A e ,,✓G,? E/ Phone R',2g-.tog..s22 Email f;.4.e/l6//&tre;/,ca Contractor Name Contractor Address Phone 1 Email Name to Appear on Permit? X Owner 0 Applicant ❑Contractor Who will be the Primary Contact? g'Owner 0 Applicant 0 Contractor Proposed New Construction-Residential Primary Residence R. New Residen 0 Addition to Residence #of New Bedrooms *t 2 #of Occupants .2 Project Description 2 Vi A.,,., alit r12,i exeskaete.''An ea-s,:d.,.ec . Structure Dimensions,also specify dimensions of decks&porches ?132 (Choose One) Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 23 No Retaining Wall>2' 21. Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes 0 No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes 0 No Retaining Wall>2' 0 Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes ❑No Environmental Health Catawba County Government Center, 25 Government Drive I PO. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Structure Dimensions #of Bedrooms * #of Occupants Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑Individual Well ❑ Shared Well—Number of Connections ❑Community Well ❑County/City/Township Water Line Is a public water supply available?** ❑ Yes ❑No Commercial ❑Proposed New Construction ❑Existing!Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial. (This value will be determined by EH 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 8"No Does the site contain any jurisdictional wetlands? ❑Yes l 1'lo Does the site contain any existing wastewater systems? ❑Yes ( No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes ll'flo Is the site subject to approval by any other public agency? ❑Yes 12"STo 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) ❑Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other ❑ Any *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 floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinider systems. Catawba County Environmental Health is not responsible for damage to unmarked utilities. 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 ownerr... Signature of Owner or Legal Agent s�%y Date ig-- S Printed Name of Owner or Legal Agent ";,) ,5 fi1...e/f/ Catawba County Environmental Health co 0 p6 475) 0 1,14; • epos •5467 C� rmfi 11-80 •?9,4 '67 60 LEE7 rj •5439 1J (250) jParcel: 374406472587, 5467 LEE CLINE RD 1 in=60ft CONOVER, 28613 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 2023 Catawba County NC 08/15/2023 .14'A • CATAWBA COUNTY �' 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT Aim ) PHONE:828.465.8399 ` Tuesday,August 15,2023 18 2 SM www.catawbacountync.gov PAYOR: *Stilwell,Austin PAYMENTS TRANSACTION NUMBER: TRC-70899116-15-08-2023 PAYMENT DATE: 08/15/2023 PAYMENT TYPE: Credit Card 309448031 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-23-426904 110.580200-663000 Authorization to Construct Fee(N $150.00 ew/Expansion)Fee 08-23-426904 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $300.00 RBPR-08-2020-35248 CASE.TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 5467 LEE CLINE RD,CONOVER NC 28613 Owner AUSTIN *STILWELL.461 EARL ISENHOUR LN, C:8284045239 ASTILWELL611@GMAIL.COM **NO PEOPLESOFTACCOUNTASSIGNED** receipt 08/15/2023 12:30 Page 1 of 1