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Home My WebLink AboutRBPR-03-2021-37020.tif $ �G THIS IS NOT A PERMIT Case# RBPR-03-2021-37020 d CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 5M Residential Building Plan Review- Building Addition IMPROVEMENT- AUTH_CONST- REPLACE WELL - `1 /),1)) Red,wEXPANSION- ABANDONMENT- RELOCATION Owner JONATI IAN HART,3868 LANDMARK DR,SHERRILLS FORD NC 28673 C:704-598-1605 NAME TO APPEAR ON PERMIT Jonathan Hart SITE ADDRESS: 3868 LANDMARK DR,SHERRILLS FORD NC 28673 PIN# 460703144409 NAME of SUBDIVISION: AARON H LAIL Lot# 7 Section/Block PROPERTY SIZE: Square Feet Acres 0.49 DIRECTIONS: Hwy 150 to Little Mt Rd,Little Mt Rd,to Landmark Dr,Property on Lakeside PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLO S ER DAY: 480 WATER SUPPLY: Private Well SCRIBE WORK 9/21/22 REVISION HOME SIZE WILL BE 40 X 75 4 BEDROOM.ADD WELL ABANDONMENT AND REPLACEMENT WELL. SEE NEW SITE PLAN. 11/2/21 REVISION EXISTING HOME WILL BE DEMOLISHED. NEW HOME WILL BE 50 X 60 4 BEDROOM IN SAME APPROXIMATE LOCATION AS EXISTING. PREVIOUS DESCRIPTION:Add 623 Sq ft to main floor and 899 Sq ft and finish the basement, New deck will be 348.5-Expand footprint to 41x54.5-Move and expand septic to support house expansion 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? Yes 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 37.5 x47 SFD with 2 Bedrooms TO BE REMOVED EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 37.5x47 NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 2 __� PROPOSED CONSTRUCTION NEW STRUCTURE DIM) 40 X 75 #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: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: YES APPLICATION FOR WELL ABANDONMENT ABANDONMENT TYPE: chapplicatam 09/21/2022 13:32 Page I of c.. CATAWBA COUNTY Case a RBPR-03-202 1-37020 r Public Health Department Subdivision AARON H LAIL � Environmental Health Division P1NN �\\\""�\\\"� 460703144409 �R. PO Box 389,100-A Southwest Blvd,Newton,NC 28658 s. NAME ON PERMIT: (JONATJ IAN HART),3868 LANDMARK DR,SI ERRILLS FORD NC 28673 (Jonathan Hart) Site Address: 3868 LANDMARK DR,SI IERRILLS FORD NC 28673 Property Size: Square Feet Acres 0-49 Directions: Hwy 150 to Little Mt Rd,Little Mt Rd,to Landmark Dr,Property on Lakeside 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 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 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: J -a/-2 Signature of Applicant or Agent I f you need further infumhation or assistance please call 828-465-8270 AREA4 SETBACKS: 50 from 760 Contour Line FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 03i05/2021 S300.00 Fee Improvement Permit Fee 03/052021 SI50.00 Well Permit&Inspection Fee 09.212022 S300.00 Well Abandonment Fee 09121/2022 SI00.60 TOTAL FEES S850.00 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) 09.21.2022 13 32 Page 2 of 7 catawba county public hea Application for Environmental Health Services THIS 1S NOT A PERMIT Application is for: JX1New Construction_(]Existing Facility ❑Improvement Permit Authorization to Construct Cg[New Septic ❑Septic Repair/Malfunction D Septic Relocation ❑Septic Expansion ❑Existing System lnspecti n or Reconnection New Well Replacement Well Well Abandonment ❑Well Repair Property Address 35C•$ Lw..oi.r+orlr. 1D.1vC,F ��+�e �`1� l^u.cQ /j( aFi '3 Acres .q 9 Subdivision /gGror, FI L o,•I Lot# Driving Directions to Property '7-41/ce. IC S , on / r// Io 5Ao..lr t12d iZ 6,1 G,plc. /"lf La,If el drA or k /Or. Describe work La h4.t,n.i, Applicant Name !-{ol6 „ s 1�c PQA t3� � , 140 Applicant Address 39 s 1. lJ�x •r ei L i �(Il i AJ a Fs 3 ) Phone —2°`i -'.30- force Email bra„ GJ beoL ....N. . co,•� Owner Name ,/e., 4 fir,.,, a E7a be"•l Owner Address 325co - L.oJ-n-,aCk , rlye, 31w,,eirills Fol rc d c AIL -2 .73 Phone 7o-1- -)7o - 1'77!7 IEmail /`cv." ra,f+dni�'.JoA w•n �,we n ailk �, v�' Contractor Name f 4014I.15s . n G Di;4 �c.►♦ /`fb cj Contractor Address 31Sl— 4-;„/ r vi �DA�orI NL aVO3 Phone -704 3o- 1oiCa Email bee, �d ee�Sonnc r,r-. Name to Appear on Permit? ❑Owner ❑Applicant [,-}'Cintractor Who will be the Primary Contact? 0 Owner ❑Applicant [—Contractor Proposed New Construction-Residential Primary Residence E ew Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants O� Project Description a, O'1 S (+S F R 4.1 I S.s c< cQStructure Dimensions,also specify dimensions of decks&porches N O y -I (Choose One) �asement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes o Retaining Wall>2' 0 Yes 0 No d.a ,,, t.� Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures hi Basement D Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Ycs ❑No Describe Plumbing Needed (Choose One) 0 Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement D Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*I- #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' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type []4—ndividual Weil ❑ Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug L -'dknown Well Repair Requested ❑Yes 0 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?all; ❑ 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 0 Community Well ❑County/City/Township Water Line Is a public water supply available?** ❑ Yes 0 No Commercial 0 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 El 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 t (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 [ '1•lo Does the site contain any jurisdictional wetlands? ❑Yes Ellgo Does the site contain any existing wastewater systems? ❑yes ago Is any wastewater going to be generated on the site other than domestic sewage? ayes 0 Is the site subject to approval by any other public agency? ❑Yes 63 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) Ii cepted 0 Alternative 0 Conventional 0 Innovative ❑Other 0 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. t 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 SCHEDULEI 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/sprinkler 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 owner. Signature of Owner or Legal AgenC�� o Date 9.8- a Printed Name of Owner or Legal Agent 7oh.1.7 ,v s•+r*'c. 5,0, c, ., 11 KOS 1 LP 0/< _ --`:; iii—- - qbef» • `co — — - - - 6(1O1N00 ,09L 0-)0 c7) l3N1 ' 4001d 'X0..d`d N 00 a fr aa}lnq '',O5 — — --` _ _ -7 — - - 1 11 Q\\--\4' 1 1 Il 1 1 CO .'� '� 1 f*t r). u, V� wp �f 1 11 � � 1 � 1 1 1 1 1 ' 1 1 y, N 1 i \ \ N 11 1 1 1 �p � 1 1 1 � / �a / 1 1 // 1 / 1 / / a• o ,'° 0116. 000 ,0# 71M 1\1\ G 110:::::.• ...: Atillibill 0 \ 1 �� S�� y�y'A • CATAWBA COUNTY ��' 100A SOUTHWEST BLVD 2NEWTON,NORTH CAROLINA 28658 RECEIPT V4.4.4 O PHONE:828.465.8399 Wednesday,September 21,2022 1842 sM www.catawbacountync.gov PAYOR: Wilson,Ryan Brentley PAYMENTS TRANSACTION NUMBER: TRC-47646493-21-09-2022 PAYMENT DATE: 09/21/2022 PAYMENT TYPE: Credit Card 295327521 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-22-412495 110-580200-663000 Well Abandonment Fee $100.00 09-22-412495 110-580200-663000 Well Permit&Inspection Fee $300.00 TOTAL PAYMENTS: $400.00 R13PR-03-2021-37020 CASE TYPE: Residential Building Plan Review WORK CLASS: Building Addition SITE ADDRESS: 3868 LANDMARK DR,SHERRILLS FORD NC 28673 Owner JONATI IAN HART,3868 LANDMARK DR,SHERRILLS FORD NC 28673 C:704-598-1605 Paid By RYAN BRENTLEY WILSON.951 HOPEWELL CHURCH RD,CATAWBA NC 28609 BRENT@BEASONNC.COM BEASONNC.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 09/21/2022 13:59 Page 1 of 1 t = l""I NI'' oJw � _+ry C 33 r' W 4 � � R�".J • co V rvt 0 mL ,n = S pY4 �65 P' i i i i i 113r— ___ — 09 gn—oiN 0 co -1 — — —3N1' 0001i 'XO..dd N co .3 M I jan.nQ 11 _ _— T-- — 1 11 Q\_ 1 1 11 Z 1 m 11 ' N i 1 1 ems' ;f, w � 1 ems '''' 1 1- r 11 1 r 1 1 r 1 1 1 c- 1 1 1 1 \ 1 1111 1 i‘1\ ::v- .11N 1 1 4. *ii... , \ lilt. 1t �� 1\\\11\t\\\ i ai �111�'��yyt,M1 l`1� � �' �� ! „ S L `1y11�P 1�i\�`'``1