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HomeMy WebLinkAboutRBPR-07-2022-41597.TIF •41111ill • THIS IS NOT A PERMIT Case# RB PR-07-2022-4 I 597 44. 1a y CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES I allu S" Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL Owner JOANN ELLIS, 1586 NATHANIEL ST,NEWTON NC 28601 NAME TO APPEAR ON PERMIT Joann Ellis SITE ADDRESS: 1586 NATHANIAL ST,NEWTON NC 28658 PIN# 364915549613 NAME of SUBDIVISION: RAYNEBOW ACRES Lot# 10 Section/Block PROPERTY SIZE: Square Feet Acres 0.63 DIRECTIONS: HWY 16 to Smyre Farm Rd to St James Ch Rd to Nathaniel St PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 2 bedroom Single Family dwelling 40x38 including deck and porch with crawlspace. ***Newton Zoning attached 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 None EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 40x38 #OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? No 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?: NO ehapplication 07/11/2022 13:27 Page 1 of 3 CATAWBA COUNTY Case# R RPR-07-2.022-41597 •Cr,.....A ,)1 Public Health Department Subdivision RAYNEBOW ACRES • 7 . - Environmental Health Division PIN# 364915549613 _ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JOANN ELLIS), 1586 NATHANIEL ST,NEWTON NC 28601 (Joann Ellis) Site Address: 1586 NATHANIAL ST,NEWTON NC 2865E Property Size: square Feet Acres 0.63 Directions: HWY 16 to Smyre Farm Rd to St James Ch Rd to Nathaniel St 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 AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 07/08/2022 $150.00 Fee Improvement Permit Fee 07/08/2022 $150.00 Well Permit&Inspection Fee 07/08/2022 $300.00 TOTAL FETES $600.00 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) ehapphcaiioo 07/112022 13:27 Page 2 of 3 , iii sq. -7 a catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT ��{{ Application is for: �I New Construction ElExisting Facility Improvement Permit Authorization to Construct — - ------\°11\v\c,A New Septic ElSeptic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion 4(C. ' El Existing System Inspection or Reconnection �[' New Well ❑ Replacement Well ❑ ell Abandonment ❑Wellair Re P P Property Address /5t4ia-, AIR2, e l ,Sit- Acres r .3 Subdivision Lot# /4 Driving Directions to Property lip,/ ./ to fm , j« o5/7 s (VI k.iC/ 4-c ,,Q..Ji,on icil SV `Describe work (\cA.-, -ljvA e. f Applicant Name ,fp a n in . J 6.L/S f Applicant Address Qly 67p1 f BPS' Phone 7a y - 717 -/y50 Etnail_jou.-nn a // S l ff c fla g, Cry^-i. Owner Name A At.C 1✓lS AJidicet /1C. .IS-/ S Owner Address /S 'rev AIXaef,e/S-k yr,,..-,1.w' /I P_ .is- s'a Phone 70'( -23? -I'ilfo Email, _, //i s G t .V.4/rd., .. ('crn-, Contractor Name Contractor Address Phone Email Name to Appear on Permit? Er er [✓]Applicant ❑Contractor 1 Who will be the Primary Contact? ❑ er ❑Applicant ❑Contractor '( Proposed New Construction-Residential Primary Residence it New Residence ❑ Addition to Residence #of New Bedrooms•t- p°2 #of Occupants / Project Description ; L styy V"A'N-'- Structure Dimensions,also specify dimensiohs of decks&porches N 6 )( 3 Jl7P/,,.4/ et,:ck- G'L (Choose One) ❑ Basement Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures Basement 0 Yes 0 No Retaining Wall>2' ❑ Yes [A/No Accessory Dwelling #of New Bedrooms st #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 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement 0 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 #Bedrooms per Apartmentst Total#Bedrooms in Structure st #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' 0 Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type Tg.Individual Well 0 Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled D Bored 0 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 A Existing Structures on Site i Describe Structure Dimensions _ #of Bedrooms* 46 #of Occupants /J q Basement ❑ Yes ❑ No Basement Plumbing El Yes El No //fir e Existing Water Supply TI iliPdividual Well 0 Shared Well—Number of Connections El Community Well ❑ County/City/Township Water Line Is a public water supply available?** ❑ Yes '..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❑Yes ❑ No #of Children #of Employees per Shift #of Shifts Commercial Kitchen 0 Yes 0 No Residential Kitchen ❑ Yes 0 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. Ifjhe answer to any question is"yes",applicant must attach supporting documentation. Cl Yes 0 No Does the site contain any jurisdictional wetlands? ❑Yes Er Does the site contain any existing wastewater systems'? ❑ Yes if No Is any wastewater going to be generated on the site other than domestic sewage? )141.Yes CNo Is the site subject to approval by any other public agency? ❑Yes WI 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) 0 Accepted ❑ Alternative 0 Conventional 0 Innovative 0 Other `I`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 nine 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,angering,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 Agent—"« Date r���1/2 Z Printed Name of Owner or Legal A ent J�, A -t at . E L-1 /S • Catawba County Environmental Health ,40 49.76 79,62 5024 5 4-10 Q.28 9 10 34.,, �7,15 w �1586 111 87,23 .65 63,17 24.01 95.65 160.' 47.02 136.38 Parcel: 364915549613, 1586 NATHANIAL ST 1in=50ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 06/27/2022 • • tt 1 1 III / 1 _. Mct( r .ti otti° r~- t i E Sk 't e1i \ o A I AMMO Amer ir , ""' If2 r E �4L 22 5F' 'Sv Q �e t`as y 6/30/22, 1:12 PM Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 364915549613 Owner: ELLIS JOANN M Parcel Address: 1586 NATHANIAL ST Owner2: City: NEWTON, 28658 Address: 1585 NATHANIAL ST LRK(REID): 901155 Address2: Deed Book/Page: 3530/1133 City: NEWTON Subdivision: RAYNEBOW ACRES State/Zip: NC 28658-8907 Lots/Block: 10/ School Information: Last Sale: $18,000 on 2019-10-03 School District: COUNTY Plat Book/Page: 40/148 Elementary School: TUTTLE Legal: LOT 10 PL 40-148 Middle School: MAIDEN Calculated Acreage: .630 High School: MAIDEN Tax Map: Township: NEWTON School Map State Road #: 2777 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: NEWTON County Fire District: NEWTON RURAL Zoning1: R-20 Building(s) Value: $0 Zoning2: Land Value: $17,800 Zoning3: Assessed Total Value: $17,800 Zoning Overlay: Year Built/Remodeled: / Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710364900J If available, Building Permits for this parcel. Septic 2010 Census Block: 1018 links are not permits. 2010 Census Tract: 011601 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details If pik NetdSvAt? } WaterShed: 15300 Voter Precinct: P32/Voting Map a a� Parcel Report Data Descriptions t of pd List all Owners Deed History Report Assessment Report (J t4J LAJe l 1 4,36 This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability, whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2022, Catawba County Government, North Carolina.All rights reserved. gis.catawbacountync.gov/nomap/parcel_report.php?key=364915549613&type=u 1/1