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Home My WebLink AboutRBPR-01-2022-39866.TIF w• THIS IS NOTA PERMIT Case# RBPR-01-2022-39866 < CATAWBA COUNTY HEALTH DEPARTMENT 'mil - PLAN REVIEW APPLICATION FOR ENVIRONMEN'I'AI,SERVICES 1 alt S" Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL A/AA se- 3 Contractor *NEST HOMES LLC (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 11:9803374813B:7042084251 C:7044339947 HOME:9803374813 OTHIER:9805001226 JDUBO1S(tJNEST1I OMES,COM Owner WIND AND WATER DEVELOPMENT (SCOTTOLDI?NBIJR(3),PO BOX 365,TERRELLNC 28682 C:7042011095 SQUIRES8()YA110O.COM NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 4496 KISER ISLAND RD,TERRELL NC 28682 PIN# 461602577965 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet _ Acres 0.54 DIRECTIONS: S on NC 16,E on Hwy 150,approx 7 miles,Right on Kiser Island Rd,Kiser Island Rd to parcel on Left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 5l17/23 /AC must be reissued to relocate septic.Areas designated are compromised. a J�t. 3114f2022 NEW SITE PLAN RECEIVED. New 69x46 SFD 3 bedrooms,with Finished 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: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 69x46 SFD,3 BDRS,Fin Basement it OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO .,:qq•h.:,;,,i 06/082023 11:40 Page 1 of 3 A G THIS IS NOTA PERMIT Case# RBPR-0 I-2022-39866 stg CATAWBA COUNTY HEALTH DEPARTMENT k70 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sm Residential Building Plan Review- Building New IMPROVEMENT- UTH CONST- NEW WELL 5101)3 Applicant *NEST HOMES LLC (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 H:9803374813B:704208425I C:7044339947 HIOME:9803374813 OTHER:9805001226 JDUBOIS@NESTH OMES.COM Contractor *NEST 1 EOMES LI,C (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 11:9803374813B:7042084251 C:7044339947 HOME:9803374813 OTHER:9805001226 JDUBOISdNESTII OMES.COM Owner WIND AND WATER DEVELOPMENT (SCOTT OLDENBURG),l'O BOX 365,TERRELL NC 28682 C:7042011095 SQUIRES80?YAIIO0.COM NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 4496 KISER ISLAND RD,TERRELI,NC 28682 PIN# 461602577965 NAME of SUBDIVISION: l,ot It 2 Section/Block PROPERTY SIZE: Square Feet Acres 0.54 DIRECTIONS: S on NC 16,E on Hwy 150,approx 7 miles,Right on Kiser Island Rd, Kiser Island Rd to parcel on Left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS P R DAY: 360 WATER SUPPLY: Private Well CRIBE WORK: 5/17/22 IP/AC must be reissued to relocate septic.Areas designated are compromised. 3/14/2022 NEW SITE PLAN RECEIVED. New 69x46 SFD 3 bedrooms, with Finished 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: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 69x46 SFD,3 BDRS,Fin Basement #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ebappliuni,ii 05/17/2023 15:03 Page I of3 ,t le CATAWBA[0UNT1' ('ace It RBPR-01-2022-39866 grr-.lito� Public Ikalth Departmcra Subdivision,� s Environmental Health Division rlNq 461602577965 / PO Box NO.100-A Sourhwen Blvd.Nemem.NC 2865E f;LY w NAME ON PERMIT: •NEST HOMES LLC (ERIC WOOD),Pt)BOX 3965.MOORl SVILLE NC 211 117 `Neat Homes LLC (Eric Wood) Site Address: 4496 KISE:R ISLAND RD,TERRELL NC 28682 Property Size: Square Feet_ Acres 0,54 Directions; S on NC 16.E on Hwy 160,epprox 7 miles,Right on Kiser Island Rd,Kiser Island Rd to parcel on Left Completed applications ere valid for a period of 2 years.Improvement Permits art valid.with complete sfte plane 60 months(5 years);with complete plat without espirahan. An Authorization to Construct wtll remain valid as long as the Improvement Permit Is valid.An Authorization to Construct issued for septic repel'Is valid for 60 moths(S years).Permits may be revoked if tht information on thie application/site plan cisangos or if the Intended use for the proposed facility changes Permits may be revoked if pile conditions are tiered such that they meet permit conditions or installation requirements I have read This application and certify that the information provided herein is Sue,complete and correct Authorized county and state officials are granted right of entry to mnducl necessary inspections to determine compliance with applicable laws and rules. 1 understand that lam 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 ba performed. The undersigned is the owner of the property or legal agent of the owner. Date: _ 5 t�_�L3 Signature of Applicant to Agent —_ I you need further information or osislenec cos ca Cr-- AREA5 fEENAM1 DATE FEE AMOUNT Authorization to Construct Fee{New/Expansion) 01/25/2022 S 150.00 half Well Permit&Inspection Fee 01/25/2022 5300.00 Improvement Permit Fee 05)17/2023 5150.00 TOTAL.FEES S600-00 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) as!I74n2s 1S03 hit2or3 �4'A • CATAWBA COUNTY .{. I00A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT "4.4 ►,g PHONE:828.465.8399 U %Or `C Wednesday,May 17,2023 1 g 41, sM www.catawbacountync.gov Invoice Number: 05-23-422867 Invoice Date: 05/17/2023 RBPR-01-2022-39866 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4496 KISER ISLAND RD,TERRELL NC 28682 Owner WIND AND WATER DEVELOPMENT,PO BOX 365,TERRELL NC 28682 C:7042011095 SQUIRES8@YAHOO.COM Contractor *NEST HOMES LLC,PO BOX 3965,MOORESVILLE NC 28117 H:9803374813B:7042084251C:7044339947 JDUBOIS@NESTHOMES.COM ACCOUNT:7545 PAYOR: 'Nest Homes LLC FEES RBPR-01-2022-39866 FEE AMT DUE AMT Authorization to Construct Fee(New/Expan 110-580200-663000 05/17/2023 $150.00 $150.00 sion)Fee Improvement Permit Fee 110-580200-663000 05/17/2023 $150.00 $150.00 FEES: $300.00 S300.00 TOTAL FEES: $300.00 $300.00 invoicereceipt 05/17/2023 16:53 Page 1 of 1 e ti ROY COOPER•Governor 's�,. NC DEPARTMENT OF KODY H. KINSLEY• Secretary Ai HEALTH AND Q HELEN WOLSTENHOLME • Interim Deputy Secretaryfor Health ,�; HUMAN SERVICES p y MARK T. BENTON •Assistant Secretary for Public Health Division of Public Health Onsite Water Protection Branch May 9, 2022 Wind and Water Development LLC. PO Box 3965 Mooresville, SC 28117 Re: Approval No. JMB2629 Private Well Located Less than 50' from Surface Water [Rule 15A NCAC 2C .0107(a)(2)(Q)] Property location: 4496 Kiser Island Terrell, NC 28682 To Whom It May Concern: On May 4, 2022, the On-site Water Protection Branch received your request for a variance from the Well Construction standards, Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for a variance concerns a proposed water supply well on the referenced property that will serve a single-family dwelling and part of a lake on the property will be within fifty feet of the well. The home is on a lot with very difficult topography. Specifically, the variance request grants you permission to construct a water supply well at a distance closer than the fifty-foot setback to a surface water body. Achieving the fifty-foot setback would be difficult given the challenges of the property. Based upon information provided by the Catawba County Health Department, and the property owner, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh, NC 27609 MAILING ADDRESS:1642 Mail Service Center, Raleigh, NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER 1) The new water supply well shall be constructed of either PVC, steel, or galvanized metal casing. 2) The well shall be located as far as possible from the structure where, depending upon where well rig can actually set up, will possibly encroach upon the 50foot setback, but not be closer than 25feet. 3) A preconstruction meeting shall be required with the Catawba County Health Department staff to ensure that the maximum possible distances are achieved. 4) The well will be required to have casing installed to a minimum of 50 feet below land surface or to bedrock, whichever is greater. 5) The well shall be at least one hundred feet from any part of the septic system including repair area. 6) Grout will be required the entire length of the casing from land surface into bedrock. 7) A drill bit with a diameter of a least one third greater than the diameter of the casing must be used to drill the cased portion of the well. 8) Grout must be either pumped into place with the use of a tremmie pipe or pressure method. 9) If a full-length grout is not possible due to site conditions, then a packer-liner must be installed in the well. The liner must extend at least five feet beyond the end of the casing and grouted entirely with a neat cement grout. 10)The well must be constructed outside of any road right of way. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b)to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at(828) 713-3335. Sincerely, t. ,,, John M. Brooks R.E.H.S, MS 2