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Home My WebLink AboutRBPR-03-2022-40441.TIF $A �G THIS IS NOT A PERMIT Case# RBPR-03-2022-40441 CATAWBA COUNTY HEALTH DEPARTMENT O AC PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 2 sM Residential Building Plan Review-Swimming Pool EXSSYSTEM 4 1 Z Rev' scd Applicant *ANTIIONY&SYLVAN POOLS NORTH CAROLINA LLC (JASON swill),9201 C SOUTI IERN PINE BLVD,CHARLOTTE NC 28273 B:(704)525-1100 C:7047734426F:7047511781 TONYA.JUGENHEIMER,riANTIIONYSYLVAN.COM Contractor *ANTHONY&SYLVAN POOLS NORTH CAROLINA LLC (JASON SMITH).9201 C SOUTIIERN PINE BLVD,CHARLOTTE NC 28273 B:(704)525-1100 C:7047734426F:7047511781 TONYA.JUGENI IEIMER a ANTI IONYSYLVAN.COM Lien Agent NO LIEN AGENT REQUIRED, F:000000000 Owner WILLIAM POPE,7726 WOOD DUCK CT,DENVER NC 28037 C:407-467-0116 NAME TO APPEAR ON PERMIT William Pope SITE ADDRESS: 7286 WOOD DUCK CT,DENVER NC 28037 PIN # 460601276295 NAME of SUBDIVISION: PEBBLE BAY PH 3 REVISION Lot It. 105 Section/Block PROPERTY SIZE: Square Feet 69,260.40 Acres 1.59 DIRECTIONS: Slanting Bridge Rd,continue onto Campgroud Rd,right onto Catawb Burris Rd,continue onto Burris Rd,right onto Bankhead Rd,lefto onto Gold Finch Dr,right onto Bay Ridge Dr,left onto Wood Duch Court,home on the left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLO 600 WATER SUPPLY: Private Well D IBE WORK: /5/22 REVISED TO CHECK NEW LOCATION. SEE NEW SITE PLAN pvt inground pool 28 x 13 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: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF single family dwelling EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 56 x 55 NUMBER OF EXISTING BEDROOMS: 5 #OF OCCUPANTS: 10 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 13 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 05/10/2022 12:26 Page 1 of3 .t1W CATAWI3A COUNTY Case OrRBPR-03-2022-40441 Qk 2 i Public Health Department Subdivision PEBBLE BAY PH 3 REVISION „� ) ,"1F Environmental Health Division PIN# 460601276295 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 8 w NAME ON PERMIT: (WII,I,IAM POPE),7726 WOOD DUCK CT,DENVER NC 28037 (William Pope) Site Address: 7286 WOOD DUCK CT,DENVER NC 28037 Property Size: Square Feet 69,260.40 Acres 1.59 Directions: Slanting Bridge Rd,continue onto Campgroud Rd,right onto Catawb Burris Rd,continue onto Burris Rd,right onto Bankhead Rd,lefto onto Gold Finch Dr,right onto Bay Ridge Dr,left onto Wood Duch Court,home on the left 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: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA5 *******************************************rt**************************************************************** SETBACKS: must be 5ft from house unless connected with deck FEENAME DATE FEE AMOUNT Existing Tank Check Fee 03/18/2022 $80.00 Existing Tank Check Fee 05/05/2022 $80.00 TOTAL FEES S160.00 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) ehappli::r 1:,,, 05/10/2022 12:26 Page 2 of 3 ( ) catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: ❑ New Construction ®Existing Facility ❑ Improvement Permit ❑Authorization to Construct ['New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ® Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ❑ Well Abandonment ❑Well Repair Property Address 7286 Wood Duck Court Acres 1.59 Subdivision Pebble Bay Lot# 105 Driving Directions to Property l 51aM- r , \c '�� (";�}- rut. OrV t(7 (11r9 rUl INA RA C hF c r*) C ct Jc. [�1,trr;5 '�1 C'or,hnu;.. r��C� �i�:� ( �1- or\ o 'Ear,L L1 ��-� t-�r o.�i� C10�-nc k Applicant Contact Information ``j�r\ O b the 1 'R `br \c t- o-k- `x}.;.i� h C r�- LTA,e o- 4j Name Anthony and Sylvan Pools - Leah Terrier t r61- Address 9201 Southern Pine Blvd C Charlotte NC 28273 glhtii QCet a( L.4 j€ ei Phone 704 773 4426 Cell Phone Owner Contact Information Name Bim Pope Address 77R6 Wood Duck Cnurt Phone 407 467 0116 Cell Phone Contractor Contact Information Name Same as Applicant Contact info Address Phone Cell Phone Name to Appear on Permit? ®Owner ❑ Applicant ❑Contractor Who will be the Primary Contact?❑ Owner ® Applicant ❑Contractor Existing Structures on Site? Ed Yes ❑ No If yes,describe House _ #of Bedrooms* 5 #of Occupants Structure Dimensions 4.426 sq ft `Sla) 5 3 Basement ®Yes El No Basement Plumbing ®Yes ❑ No Existing Water Supply? ❑ Individual Well ❑Community Well [3 County/City/Township Water Line Is a public water supply available? ** at Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ 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?❑ Yes ❑No catawbacountync.gov Environmental Health Cotowbu County Government Centel 25 Government Drive I PO Box 389 Newton NC 28658 ( 828.465,8270 MAKING. LIVING. BETTER. Proposed New Construction Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description In-ground pool 28x13 Structure Dimensions #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Accessory Structure(s)Describe for rea+:1s4-pool-- Structure Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed Accessory Dwelling ❑Yes ❑No #of New Bedrooms *t #of Occupants Proposed New Construction Commercial. Food Service Spe ' Type #Seats Floor Space-Entire Food Service Facility(Sq. Ft.) #Employees per Shift #of Shifts ming Area(Sq. Ft.) Business/Other Specify Type Structure Dimensions Retail Floor Space #of Emplo pe • #of Shifts If Church#of Seats ommercial Kitchen No If Daycare,#of Children If Multi-Family ence,#of Apartments #Bedrooms per Apartment*t Total#Bedrooms *t Other I ation 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 gi No Does the site contain any jurisdictional wetlands? gl Yes 0 No Does the site contain any existing wastewater systems? ❑Yes L 'No Is any wastewater going to be generated on the site other than domestic sewage? EYes 0 No Is the site subject to approval by any other public agency? ❑Yes I$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) ❑Accepted ❑ Alternative 0 Conventional 0 Innovative 0 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 SCHEDULE) 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 pro rty or legal agent of the owner. Signature of Owner or Legal Agent Date 5/4/22 Printed Name of Owner or Legal Agent Leah Tellier moo:o so 10Q.00 cc. 4-D 5 P r- I. o 4,44,4,` 7 115" (.ire ice. 05 ,_ ty' g� 105 00 200.80 WOOD DUCK CT �4'A • CATAWBA COUNTY Q" 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT V (� ,,C PHONE:828.465.8399 �Y Tuesday,May 10,2022 j 4 2 sM www.catawbacountync.gov Invoice Number: 05-22-406228 Invoice Date: 05/10/2022 RBPR-03-2022-40441 CASE TYPE: Residential Building Plan Review WORK CLASS: Swimming Pool SITE ADDRESS: 7286 WOOD DUCK CT,DENVER NC 28037 Applicant *ANTHONY&SYLVAN POOLS NORTH CAROLINA LLC,9201 C SOUTHERN PINE BLVD,CHARLOTTE NC 28273 B:(704)525-1100C:7047734426F:7047511781 TONYA.JUGENHEIMER rr ANTHONYSYLVAN.COM Lien Agent NO LIEN AGENT REQUIRED,, F:000000000 Owner WILLIAM POPE,7726 WOOD DUCK CT,DENVER NC 28037 C:407-467-01I6 Contractor *ANTHONY&SYLVAN POOLS NORTH CAROLINA LLC,9201 C SOUTHERN PINE BLVD,CHARLOTTE NC 28273 B:(704)525-1100C:7047734426F:7047511781 TONYA.JUGENHEIMER@ANTHONYSYLVAN.COM ACCOUNT:7151 PAYOR: `Anthony&Sylvan Pools North Carolina LLC FEES RBPR-03-2022-40441 FEE AMT DUE AMT Existing Tank Check Fee 110-580200-663000 05/10/2022 $80.00 $80.00 FEES: $80.00 $80.00 TOTAL FEES: $80.00 $80.00 invoicereceipt 05/10/2022 12:25 Page 1 of 1