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Home My WebLink AboutRBPR-04-2022-40762.TIF ; ix • THIS IS NOTA PERMIT Case# RBPR-04-2022-40762 a CATAWBA COUNTY HEALTH DEPARTMENT Art(r PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES / SM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST $1I117ZReUiscd Owner MIC11AEL DOUB JR,4420 W BANDYS CROSS RD,CLAREMONT NC 28610 C:828-514-9746 MIKEY,DOUB@GMAIL.COM NAME TO APPEAR ON PERMIT MICHAEL DOUB JR SITE ADDRESS: 1789 BALLS CREEK RD,CLAREMONTNC 28610 PIN# 377003106249 NAME of SUBDIVISION: Lot# C Section/Block PROPERTY SIZE: Square Feet Acres 10.31 DIRECTIONS: Right off of E NC 10 Hwy onto Balls Creek Rd.Driveway can be found right after 1777 Balls Creek Rd. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank LONS PER DA 600 WATER SUPPLY: Public Water DESCRIBE WORK• 8/19/22 Revise to 25 x 25 Garage with 1 bedroom apartment see new site plan 80 x 30, 3 bedroom house to be built in future Previous Description: New 3 bedroom 80x30 single family dwelling/no basement/no bonus room 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: *OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 25 x 25 Garage apt 1 bedroom future 80x30 house #OF NEW BEDR 5 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: ,, ..,.. 08/22/2022 08:33 Page I of 3 n 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 1789 Balls Creek Rd Claremont NC 28610 Acres 10.31 Subdivision Lot# Driving Directions to Property Drive way on Balls Creek goes back to acre lot for house Describe work Building garage with apartment to live in and then building 3 bed 2 bath house in the next 3-5 years Applicant Name Michael Doub Applicant Address 4420 W Bandys Cross Rd Claremont NC 28610 Phone 828-514-9746 Email mikey.dou b@gm ail corn Owner Name Michael Doub Owner Address 4420 W Bandys Cross Rd Claremont NC 28610 Phone 828-514-9746 Email mikey.doub@gmail,com Contractor Name Contractor Address Phone Email Name to Appear on Permit? ®Owner ❑Applicant ❑Contractor Who will be the Primary Contact? ®Owner ❑Applicant ❑Contractor Proposed New Construction- Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms*t 3 #of Occupants 6 Project Description Building garage with apartment to live in and then building 3 bed 2 bath house in the next 3-5 years Structure Dimensions,also specify dimensions of decks&porches house 80x30&garage with apartment 25x25 (Choose One) ❑Basement ®Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes WNo Retaining Wall>2' ❑ Yes ® No Accessory Dwelling #of New Bedrooms*f 1 #of Occupants 2 Structure Dimensions 25e25 (Choose One) ❑Basement ❑Crawl Space ® Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ® No Retaining Wall>2' ❑ Yes ® No Accessory Structure(s)Describe nla Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments n/a #Bedrooms per Apartment*1' Total# Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ 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 ❑ 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 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,Strueef'res on Site Describe None Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes El No Basement Plumbing LI Yes ❑ No Existing Water Supply ❑ Individual Well El Shared Well—Number of Connections ❑Community Well 0 County/City/Township Water Line Is a public water supply available?** 0 Yes ❑No Commercial ❑Proposed New Construction El Existing/Change of Use ❑ Repair Food Service Specify Type n/a #Seats Dining Area(Sq. Ft.) # Employees per Shift #of Shifts Church #of Seats n/a Daycare❑Yes ❑No #of Children #of Employees per Shift _ #of Shifts Commercial Kitchen El Yes El No Residential Kitchen ❑Yes El No Daycare#of Children n/a #of Employees per Shift #of Shifts Business/Other Specify Type n/a Structure Dimensions Retail Floor Space n/a #of Employees per Shift #of Shifts Other Information n/a 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 0 No Does the site contain any jurisdictional wetlands? ❑Yes 0 No Does the site contain any existing wastewater systems? ❑Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes 0 No Is the site subject to approval by any other public agency? 0 Yes 0 No Are there any easements or right of ways on this property? Describe Balls Creek Rd 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) 0 Accepted 0 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 TIIE 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/sprinkler systems.Catawba County Environmental I lealth is not responsible for damage to unmarked utilities. 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.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 Agent *Aid APVDate 8/15/2022 Printed Name of Owner or Legal Agent Michael Doub 10J.31 A Garag 125' LI- House \ 150' 130' 210' 4'A • CATAWBA COUNTY I00A SOUTHWEST BLVD 1111 NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE: 828.465.8399 Monday,August 22,2022 I8 4 2 SM www.catawbacountync.gov PAYOR: DOUB JR,MICHAEL PAYMENTS TRANSACTION NUMBER: TRC-45770379-22-08-2022 PAYMENT DATE: 08/22/2022 PAYMENT TYPE: Credit Card 294065588 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-22-410819 110-580200-663000 Authorization to Construct Fee(N $300.00 ew/Expansion)Fee TOTAL PAYMENTS: $300.00 RBPR-04-2022-40762 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 1789 BALLS CREEK RD,CLAREMONT NC 28610 Owner MICHAEI,DOUB JR,4420 W BANDYS CROSS RD,CLAREMONT NC 28610 C:828-514-9746 MIKEY.DOUB@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 08/22/2022 09:37 Page I of I