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Home My WebLink AboutEHPR-08-2022-41891.tif • THIS IS NOT A PERMIT Case# El IPR-08-2022-4I891 CA'I'AWBA COUNTY IIEALTII DEPARTMENT t(...'_ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \84 94 Environmental Health Plan Review- OSWP IMPROVEMENT Applicant JOSEPI I WOOD,22771 I3IICKTOWN RD,RACINE()II 45771 C:7404166367 JOSE;PI I.S.WOOD II W W.GOV NAME TO APPEAR ON PERMIT Joseph Wood SITE ADDRESS: 409 IIOPEWELL CI IURCH RD,CATAWBA NC 28609 PIN# 471001059784 NAME of SUBDIVISION: THE SUMMIT AT LAKE NORMAN 3 I of 54 Section/Block PROPERTY SIZE: Square Feet_ 30.492.00 Acres 0.7 DIRECTIONS: Hwy 150, right on Sherrills Ford Rd,right on Mollys Backbone,left on Monbo Rd,right on Hopewell Ch Rd,lot on the left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP only to purchase property, 30x50 single family home with 14x40 upper deck and lower concrete pad. 25x30 garage 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: *OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 30x50 home with 14x40 upper deck,25x30 garage #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 08/12/2022 14:19 Page I o13 CATAWBA COUNTY Case# EHPR-08-2022-41891 Q iii•\1 Public Health Department f.,(......'j" �Z Subdivision THE SUMMIT AT LAKE NORMAL Q%....A..„; � Environmental Health DivisionPIN# 471001059784 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 8 NAME ON PERMIT: (JOSEPH WOOD),22771 BUCKTOWN RD,RACINE OH 45771 (Joseph Wood) Site Address: 409 HOPEWELL CHURCII RD,CATAWBA NC 28609 Property Size: Square Feet 30,492.00 Acres 0.7 Directions: Hwy 150,right on Sherrills Ford Rd,right on Mollys Backbone,left on Monbo Rd,right on Hopewell Ch Rd,lot 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 AREA3 ************************************************************************************************************ FEENAME • DATE FEE AMOUNT Improvement Permit Fee 08/08/2022 $150.00 TOTAL FEES S150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) chc ppli cau,,n 08/12/2022 14:19 Page 2 of 3 CND?-c -aoc)a- Lf i S9 t Catawba count RECEIVED Y public health AUG 5 2022 Application for Environmental Health Services THIS IS NOT A® PERMIT_ Application is for: New Construction 0Ezisting Facility Environmental Health -t Improvement Permit ❑Authorization to Construct New Septic ❑Septic Repair/Malfunction ❑Septic Relocation 0 Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well 0 Replacement Well ❑ Well Abandonment ❑Well Repair Property Address 409 Hopewell Church Road, Catawba NC 28609 _ Acres 7 Subdivision Summit Ridge Lot# 54 __--_.--............... Driving Directions to Property l77 N to exit 36 Mooresville. Left on Hwy 150. Rioht on Sherrills Ford Rd. Rirlht on Mollvs Backbone,Left on Monbo Rd__Rioht on Honwell Church Rd. lot on left. Describe work Pero Test for Septic System Applicant Name Joseph Wood _ , Applicant Address 22771 Bucktown Road, Racine OH 45771 Phone 740-'116-6367 Email joseph.s.wood@wv.gov Owner Name Owner Address —'— Phone ] Email Contractor Name _ W — Contractor Address Phone Email Name to Appear on Permit? ❑Owner E]Applicant 0 Contractor Who will be the Primary Contact? ID Owner (.Applicant ❑Contractor Proposed New Construction-Residential Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms*t 3 #of Occupants 6 Project Description Single Family dwelling Structure Dimensions,also specify dimensions of decks&porches 305(50 with 14 X40 upper deck and lower concrete i-!rd A 30 (Choose One) ®Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ®Yes No toteno$tr Retaining Wall>2' ❑ Yes 0 No Accessory Dwelling #of New Bedrooms•1- #of Occupants _µ Structure Dimensions (Choose One) ❑Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Accessory Structure(s)Describe ___.__.__ _ ,_,__ .._._..__ Structure(s)Dimensions Plumbing ❑Yes Cl No Describe Plumbing Needed (Choose One) ❑Basement 0 Crawl Space 0 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 Apartmentst Total#Bedrooms in Structure•t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement, Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' 0 Yea 0 No Weil Construction/Abandonment/Repair i Proposed Well Type 0 Individual Well ❑Semi-Public Well ®Community Well Abandonment Type 0 Drilled 0 Bored 0 Dug 0 Unknown Well Repair Requested ❑Yes 0 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes 0 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 N/A Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well ❑Shared Well—Number of Connections Q Community Well ❑County/City/Township Water Line Is a public water supply available?*' ❑ Yes g No Commercial ❑Proposed New Construction ❑Existing/Change of Use ❑Repair Food Service Specify Type N/A #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 D Yes ❑No Residential Kitchen ❑Yes ❑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. Tithe answer to any question is"yes",applicant must attach supporting documentation. O Yes 0 No Does the site contain any jurisdictional wetlands? O Yes Ixl No Does the site contain any existing wastewater systems? ❑Yes ®No Is any wastewater going to be generated on the site other than domestic sewage? CJ Yes Q No Is the site subject to approval by any other public agency? O Yes El 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 0 Alternative El Conventional 0 Innovative 0 Other 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 SCHEDi1LEI 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. 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 legs agen of e owner. Signature of Owner or Legal Agent J Date , a Printed Name of Owner or Legal Agent vse •- tAke . • Gcatawba county Geospatial Real Estate Search unMc. urita.MM. nformatiion Services ...? ,40 4:\ F t y 1011 $d Of / l l s'�' 914 951 / i I f iiii es t i , w i, -03 0 1 , w � s� � 0 1 to F� •391 0 r e-co Zl1 t}Q�v 41 .399 r + +' ; , #` 18.23 40 x ' .427 O. ` 1 ram` Vl 4 ' ' uPP ,. . m 102.85 1 ... rif x` ' ' 95.6d e 0 f 99.0 1� i. .0. 9a.$8 79` ,'y W1~1..L CN�RCH,,RD 4+6 r O110 r- N wl 1 in-80ft 5 Parcel: 471001059784, 409 HOPEWELL CHURCH RD CATAWBA, 28609 Owners: DAPRIX CHRISTOPHER, Owner Address: 1050 NE 23RD CT Values - Building(s): $0, Land: $24,000, Total: $24,000 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 08/05/2022 Catawba County Environmental Health e� 14�' e a4 9T19 4$73 N43 45 143.25 31 03 1�y ,9 • c• 079 w o+ w $ •391 •399 •409 .417 •427 95,60 _..-- 99.09 44.8B 76 ' }AOPEWEIL CH URCH RD — �— Parcel: 471001059784, 409 HOPEWELL 1 in=60ft CHURCH RD CATAWBA, 28609 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 08/08/2022 I'ag I nls Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 471001059784 Owner: DAPRIX CHRISTOPHER Parcel Address: 409 HOPEWELL CHURCH RD Owner2: City: CATAWBA, 28609 Address: 1050 NE 23RD CT LRK(REID): 801317 Address2: Deed Book/Page: 2752/0128 City: POMPANO BEACH Subdivision: THE SUMMIT AT LAKE NORMAN 3 State/Zip: FL 33064-5522 Lots/Block: 54/ Last Sale: $35,000 on 2006-05-22 School Information: Plat Book/Page: 48/134 School District: COUNTY Legal: LOT 54 54 P48-134 SUMMIT LK NORM Elementary School: CATAWBA Middle School: MILL CREEK PL 48-134 High School: BANDYS Calculated Acreage: .700 Tax Map: School Map Township: CATAWBA State Road #: 1834 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zaning1: R-30 Building(s) Value: $0 Zoning2: Land Value: $24,000 Zoning3: Assessed Total Value: $24.000 Zoning Overlay: CRC-O.WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permit Address Search for this parcel. Firm Panel #: 3710471000K If available, Building Permits for this parcel. 2010 Census Block: 1011 Septic links are not permits. 2010 Census Tract: 011503 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P21/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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 he 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 8/8/2022 EXPIRED CATAWBA COUNTY HEALTH DEPARTMENT N° �6, td Telephone: (828)465-82702 r eP TOD: (828)465 8_00 Imp. Print_ t - Auth. to Const. Rpr. Print. Opr. Print. Sys. Type. / Well Print. Well Rpr. Print. Owner/Agent Jf3/2.i.De wATr'/L ce" GCS , Phone 3- 6'9e)5 Address IrtppEGtieLG C..#4ke..4F 126 AD Subdivision F 34hnwr,T ___ C Section/Block/Phase Lou S-s/ Lot Size Directions: • L ,e Vo �5'L9iU ,Qp - D . '- "r/EG(. C-A A PASS I E�fJT2A/VC.Fs'' AD • Cam*g (e-r)11/1.43 il it_D 7� -s�l��IT"' K 1�a-E- ON C3 • Facility: House ci Mobile Home Business Multi-family . Other: Tax Map or Pin Number Other . Zoning Approval it iy Bedrooms INCA N Seats // Employees . Application Rate_ 3 GPO Flow AMU 3gt, Hot Tub or Spa yesr Special Fixtures Basemen *O',�o . 100% Repair Areal 4 es� Basement PlumbingS/no Water Supply: Private Well Public L/Semi-Public Type of System: Trench , - Bed — Pump A Pump/Panel Vir Panel LPP — Other�i� c 370V syS. Septic Tank Size - - Pump Tank Size Nitrification Field: Total Square Feet -_— Depth of Stone Bed Size Trench Width Total Length of All Trenches Number of Trenches Trench Length -f/ /—/•- -/ --/ - Feet on Center Maximum Trench Depth Distance of Nearest Well -- *DO NOT INSTALL SEPTIC WHEN WOtt* .fy *WELL RECORD REQUIRED AT COMPLETION* **************** * *** ******************************* *�yyy'w y( *********s**►*********.*************************su*i0,**********■ Topo 7 % Slope_j - _ • - Texture C4*4i+- . Structure -5-Aba ,,S��-I�, P Clay Min. /;i o,.oP� � A Soil Wetness Q Soil Depth y,� '� t�i �� Restric. Hoz. at4a: y Pi Available space o P � 'per Overall Class • r., Comments: TCrfiN thl .1) I t • :� t Howse '0 tr..; I - 0 s,rc , , -- - - - - - - - -_I • I i • w. • Filter RequirediC`rr Riser required when )+ tank is more than 6 inches deep. **NO GUARANTEE OR WARRAN AS TO EEMERFORMANC OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** }•OPEw EU. C14,AD. *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct Is valid for(5) five years from date Issued and is not transferable, Weil Permit valid for 5 years provided site conditions do not change. Well location,installation, and protection must meet state and local regulations,and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation Is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. , Permit Date O ,,_ /�j�j 5+ EHS8e-4-/o7-, �1NVi'Lr ptic Tank Installed By Date EHS ell Installed By Well Grout Approval Date Well Head Approval Date Sample Collected Date of Results Results _ EHS White-Office Blue-Building Inspection Operation Permit Yellow-Owner/Agent Green-Building Inspection Authorization to Construct •gA •G CATAW SO BA COUN VD 100Ad NEWTON,NORTH CAROLINA 28658 RECEIPT ,`$ t ►.S PHONE:828.465.8399 Friday, August 12, 2022 18 '2. 5M www.catawbacountync.gov PAYOR: Wood,Joseph PAYMENTS TRANSACTION NUMBER: TRC-45 168987-12-08-2022 PAYMENT DATE: 08/12/2022 PAYMENT TYPE: Credit Card 293701655 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-22-410514 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-08-2022-41891 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 409 HOPEWELL CHURCH RD,CATAWBA NC 28609 Applicant JOSEPH WOOD,22771 BUCKTOWN RD,RACINE OH 45771 C:7404I66367 JOSEPH.S.WOOD@WW_GOV **NO PEOPLESOFT ACCOUNT ASSIGNED" receipt 08I112022 12:46 Page I of I