Loading...
HomeMy WebLinkAboutRBPR-06-2022-41364.TIF BA ��� THIS IS NOT A PERMIT Case# RI3PR-06-2022-41364 d � CATAWBA COUNTY HEALTH DEPARTMENT c� 91 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \g 2 sM Residential Building Plan Review-Building New IMPROVEMENT-AUTH CONST- NEW WELL Re., .,4 3 ?03 Contractor *IIELMSMAN HOMES LLC (TIMOTHY CARR),236 RACEWAY DR SUITE 7,MOORESVILLE NC 28117 B:7044028594 C:7043636038 OTHER:980500125I TCARR rr IIELMSMANHOMES.COM Owner *HELMSMAN HOMES LLC (ALLEN VANNOPPEN),PO BOX 3965,MOORESVILLE NC 28117-3965 B:8284433366 C:704-402-8594 AVANNOPPEN@NESTHOMES.COM NAME TO APPEAR ON PERMIT *HELMSMAN HOMES LLC (Allen VanNoppen) SITE ADDRESS: 3542 MT PLEASANT RD,SI IERRILLS FORD NC 28673 PIN# 460701175286 NAME of SUBDIVISION: Lot N B Section/Block PROPERTY SIZE: Square Feet Acres 4.46 DIRECTIONS: Hwy 150 to Mt Pleasant Rd after crossing Lt Mt Rd and Lake Norman, Right into property, Property adjoins Dockside Storage PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank ALLONS PER DAY: WATER SUPPLY: Private Well DESCRIBE WORK: 3/20/23 REVISE TO 4 BEDROOM 35 X 50 HOME WITH 15X15 REAR DECK PREVIOUS DESCRIPTION: New 50x34 SFD with 3 Bedrooms, No Basement SITE INFORMATION Do any of the following apply to the property for which this application is applied? lithe 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: 8 PROPOSED CONSTRUCTION EW STRUCTURE DIM:. 35 X 50 WITH 15X15 REAR DECK #OF NEW BEDROOMS:: ) 4 ASERIENr! / No BASEMENT FIXTURES? No 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 ellappinati"° 03120/2023 11:12 Page 1 of3 "pr. e CATAWBA COUNTYk( Case!! RF3PR 46 2022 41364 .t.Illk Public Health Department Subdivision *!i .1 Environmental Health Division PIN1J 460701175286 it PO Box 389,100-A Southwest Blvd,Newton,NC 28658 O. w NAME ON PERMIT: "HELMSMAN HOMES LLC (ALLEN VANNOPPEN),PO BOX 3965,MOORESVILLE NC 28117-3965 `HELMSMAN HOMES LLC (All Site Address: 3542 MT PLEASANT RD,SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 4.46 Directions: Hwy 150 to Mt Pleasant Rd after crossing Lt Mt Rd and Lake Norman,Right into property.Property adjoins Dockside Storage 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 it 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 les. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site a essible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: 3 Za Z� Signature of Applicant or Agent a: ;, — _ If you need further information or assistan. .• all 828-465-8270 AREA3 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 06/14/2022 $150.00 Fee Improvement Permit Fee 06/14/2022 $150.00 Well Permit&Inspection Fee 06/14/2022 $300.00 Authorization to Construct Fee(New/Expansion) 03/20/2023 $150.00 Fee TOTAL FEES S750.00 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) deppii,:,n..0 03/20/2023 I I:I I Page 2 or 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 3542 Mt Pleasant Road Acres 4.459 Subdivision Lot# 460701175286 Driving Directions to Property From Catawba City Hat-Head south on 1st St NW toward W Central Ave Turn right onto 1st Ave SW Turn left onto 2nd St SW Continue onto Rosenwald School St,Slight right onto Lowrance Rd,Turn left onto Sherrills Ford Rd,Turn right onto Mt Pleasant Rd Describe work new well and septic system Applicant Name John Morrow Applicant Address 116 Gasoline Alley, STE 105,Mooresville,NC 28117 Phone 704-993-7168 Email mcollins@helmsmanhomes.com Owner Name Helmsman Homes, LLC Owner Address same as above Phone Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? 0 Owner ❑Applicant ❑Contractor Who will be the Primary Contact? ❑Owner 0 Applicant ❑Contractor Proposed New Construction-Residential Primary Residence 0 New Residence ❑ Addition to Residence #of New Bedrooms*t 4 #of Occupants 8 Project Description new single family,4 bed,2.5 bath,2 car Structure Dimensions,also specify dimensions of decks&porches 15 x 15 (Choose One) ❑Basement ®Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 13 No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*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 Accessory Structure(s)Describe 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 ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t 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 0 Drilled 0 Bored 0 Dug El 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 Structures on Site Describe Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes ❑ No Basement Plumbing El 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 E 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 El 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 3 No Does the site contain any jurisdictional wetlands? ❑Yes ®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 CI No Is the site subject to approval by any other public agency? ❑Yes M 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 ❑ Innovative 0 Other El 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. j 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/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. 1 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. 1 The undersigned is the owner of the property or legal agent of the owner. Signature of Owner or Legal Agent 42.Br.U- _ Date 3-20-23 Printed Name of Owner or Legal Agent John Morrow LII E BEARING I DISTANCE L'! / N30° 07' 41" E 125.01' 1:2 i N 30° 04' 04" E 113.99' t3 ; N 34° 28' 38" E 110.27' ,,, ' L4 /' N 37° 06' 58" E 141.15' L5,/ S 47° 12' 55"W 92.7-" - ' lf6 (S73° 31' 21"W 162 9' �, \ s' , '` 1\ s ?s\ -26.9' ± .� Q r �` d, ✓O v y`. i'' ff, <' 30 \ ; Q- > qPr --/. `, , eau, , �' / , / , ct77C 4. i ii '.8 ,,,,,,/ ,,,„' , / o? /,,,--' „/ ,: off` ,,/ / . ` � ' ,----/ * , ' /// , , cibI iOa,Yea'r Flood Lim ,::: s'',_. 6niX W scale 100' j M / ..„--- „----- _.,---- -- m Field Located 76_ ` ---- --- '° g b` Contour, _ m_ ,_ _ obo i __ ------' 1c � ' -- �^ i ,,' CO , , 3542 Mt Pleasant Road Septic Site Plan 3.16.23 Catawba County Parcel ID: 460701175286 Base site plan from Jordan Grant and Associates. Proposed septic system and well must be permitted by the CCHD. i-b 1111 :I! ii e i j 1 < q F: fiRli Ili i ki IWT 1 g 1 4 dog - ii igit f . •i k 1 1 ,. .tig!!!! IIAIJi , i1 11 LU li PIE ! ' i R 0 kigh " 1g i Pt1 q 4'E !Int . 5g lw PI lq m: 0 (i) ;4111 -, !p P N 4/ ' g 114B • '4 16 i- 1 ig wva< n1.4 Ev; In!,r,t04, ip .d is iwsl 0 B PlOrg hhi h 210 /Oh Ill -RUE ggy$49 il Pla isitilipargi Ariglp 2m 0 _33.1 i 1 tit- q g§ 12 §Ltg .424X il 1 p1;11 Oh,- e i wg 0 1 g,511: 116 06100 21 ... 2- 09.itYai i0 R' wi1 0,3 m l. xikolill. ..., ,sw hiWg 96,1,1. . q! a sp 24 pip Ong p ,,,; wi.m2lil DR ; Nz Olga -m2vaq, fot!giu ..12 .,11 44 31012i §14 ; 21 1! 024 sPil 1111m 054 li. lo214 !il alY q APHOP Olvieq PA 1 "°- 1 2 RI q84 °8' i g 84 eniLl lil 8 dg RI" 4451/ 8§ I@ Vell 4 h/4111111i 011Pix Pli k .4.' i'fi 4M410 dll n dx Wiilli Agil llvgd Rg6EE4 5iigiXA!ig § ?, 2 -445,/50. „, p13111! z il Pliri6 at , 0 el • 4 • , • fl :: • i o I 1 i < >" g ' Ul CC • lil r g p Wig,t;i..:: 11 !:-! 4 Ili 0 VP'"'0;• 41Ni!h ili i; a , g ' Os ---,---, ..... .,,. fa ..„.1 &LID .. %.IL., :I o A o 4 ' 11)-1P: 1. . i w • . t Z . .. R. II o R! h o '" CC,? s.,:. Nom 1 7..0 11.111. 0; 1 kf) mom Z c‘n L71- -- OsS,9,ki _ — i= . '',..Q 1II 4'e-1.1t U •f I%li' L"J-u-1 'isslI''R AS, AI,• .C6C1 g -kVA 2;, - P2 1 TF=9A.is Y I q EuCCE) ! n, t y. 3 .g ..k k, oll .51.1. OM A