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HomeMy WebLinkAboutEHPR-09-2022-42216.TIF .t1A• THIS IS NOT A PERMIT Case# EHPR-09-2022-42216 a CATAWBA COUNTY HE,AI;TH DEPARTMENT ••., PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 84 sw Environmental Health Plan Review-OSWP IMPROVEMENT Illt► l ,i bc&4d qfect-Spill tee Applicant JUSTIN MORRISON, 1379 HUFFMAN BRIDGE RD,MORGANTON NC 28655 C:8282I73862 JCMCUSTOMIIOMES@GMAIL.COM Contractor *JCM CUSTOM HOMES,LLC (JUSTIN MORRISON), 1998 KIRSTEN ST,NEWTON NC 28658 C:828-217-3862 OTHER:8284643325F:8289707475 JCMCUSTOMHOMES@GMAIL.COM Owner JOE AND KELLIE MORRISON, 1955 KIRSTEN ST,NEWTON NC 28658 C:8284467322 NAME TO APPEAR ON PERMIT Justin Morrison SITE ADDRESS: 1949 KIRSTEN ST,NEWTON NC 28658 PIN# 363817019478 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet 99.926.64 Acres 2.294 DIRECTIONS: business 321 south to Rorto es d,tum right got 1 mile,left on Sigmon Dairy Rd,one mile take right on Beverly St ,lot end of street on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 11/10/22 Revised Property address changed per 911 Addressing(see email attahced) Previous Description: IP only for property subdivision 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: single family home 75x65 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No 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: YES OTHER: INNOVATIVE: ANY: Other described: thappli .too 1I/1I2022 09:39 Page I of 3 44+e CATAWBA COUNTY Casey 1'(... EH PR-09-2022-42216 �. Public Health Department Subdivision . *4 Environmental Health Division PINY 363817019478 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (JUSTIN MORRISON), 1379 HUFFMAN BRIDGE RD,MORGANTON NC 28655 (Justin Morrison) Site Address: 1949 KIRSTEN ST,NEWTON NC 28658 Property Size: Square Feet99,926.64 Acres 2.294 Directions: business 321 south to Rorto Jones Rd,turn right got 1 mile,left on Sigmon Dairy Rd,one mile take right on Beverly St, lot end of street on left Completed applications are valid fore 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 '******}*************************$** ********4.$**$* * $****'.**************tot$****'$************+$*f***** FEENAME: DATE FEE AMOUNT Improvement Permit Fee 09/09/2022 $150.00 TOTAL FEES $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) chapphca0..11 I I/112022 09:39 Page 2 of 3 '411111111\11.... THIS IS NOTA PERMIT Case# EHPR-09-2022-42216 ' t( CATAWBA COUNTY HEALTH DEPARTMENT y PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 514 Environmental Health Plan Review-OSWP IMPROVEMENT Applicant JUSTIN MORRISON, 1379 HUFFMAN BRIDGE RD,MORGANTON NC 28655 C:8282173862 JCMCUSTOMHOMES@GMAIL.COM Contractor *JCM CUSTOM HOMES,LLC (JUSTIN MORRISON), 1998 KIRSTEN ST,NEWTON NC 28658 C:828-217-3862 OTHER:8284643325F:8289707475 JCMCUSTOMHOMESraGMAIL.COM Owner JOE AND KELLIE MORRISON, 1955 KIRSTEN ST,NEWTON NC 28658 C:8284467322 NAME TO APPEAR ON PERMIT Justin Morrison SITE ADDRESS: 1901 BEVERLY ST,NEWTON NC 28658 PIN # 363817019478 NAME or SUBDIVISION: DANE MILLS UNRECORDED 2 Lot# Section/Block PROPERTY SIZE: Square Feet 99,926.64 Acres 2.294 DIRECTIONS: business 321 south to Rorto Jones Rd,turn right got 1 mile,left on Sigmon Dairy Rd,one mile take right on Beverly St ,lot end of street on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: IP only for propety subdivision 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: single family home 75x65 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No 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: YES OTHER: INNOVATIVE: ANY: Other described: clttpplr,anon 09/09/2022 08:35 Page 1 of 1 AP e CATAWBA COUNTY Case EH PR-09-2022-42216 Public Health Department Subdivision DANE MILLS UNRECORDED qt,i 100 Newton,NC 28658 Environmental 00 HealthASouth Divisionwest Blvd, PIN# 363817019478 v. NAME ON PERMIT: (JUSTIN MORRISON), 1379 I IUFFMAN BRIDGE RD,MORGANTON NC 28655 (Justin Morrison) Site Address: 1901 BEVERLY ST.NEWTON NC 28658 Property Size: Square Feet 99,926.64 Acres 2.294 Directions: business 321 south to Rorto Jones Rd,turn right got 1 mile,left on Sigmon Dairy Rd,one mile take right on Beverly St, lot end of street on left Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan a 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 s ssible so that a mplete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: 5 r q( 9_7,1Signature of Applicant or Age If you need further information or istanc please ca 28-4 5-8270 AREA1 FEENAME DATFd FEE AMOUNT Improvement Permit Fee 09/09/2022 SI50.00 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) chnppiicatwn 09/09/2022 08:35 Page 2 of 3 . a catawba county public health Application for Environmental Health Services THIS I ,.NOT A PERMIT zni Application is for: New Construction 0 Existing Facility provement Permit 0 Authorization to Construct laill4ew Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑Septic Expansion ❑ Existing System Inspection or Reconnection ❑New Well 0 Replacement Well 0 Well Abandonment ❑Well Repair Propert Address_ 1 i O k eL hi C,lt n i (\C. -gTtiSC Acres_ _ _ Subdivision Lot# Drvvi g Di ections to Property u ) 6 3a J & t 4c., br( clJekS 0 f i6 } b )g((In birro C r, a ni 6 l ou y . E. uc ro I-Qu Describe work Dr-IG -PO iV IA) tit Applicant Name v5-1-1 I,) f 1 Dr r Is D,J Applicant Address f c� ';i e 14.44. N- yi cz h/ j►-/ j6 ri(, a tj J �e S Phone 9.- ,c-- 2,17- g- tJ Email f G Lu.S 3" 6r`I6 1t�1, w'l Owner Name D- tL I & Kb rr i 5("Ay J Owner Address L et S S R,f-S{-6,J 5 4.-y^-g 4- /VC>ih e u ,4j ,9___S-f,- (}- Phone ' (1Jk .)-JILl(. - 932,D, Email Contractor Name [', Cg L l So_is v norr LS6A) Contractor Address 13 71 l- g Qy,,9Gu MP V C 455 Phone S' a l 7 Email V Name to Appear on Permit? ❑Owner [[>t Ap licant DiContractor Who will be the Primary Contact? ❑Owner pplicant ❑Contractor Proposed New Constructs n ritislilentia0 Primary Residence LES-N-ew Residi�ce El Addition to Residence #of New Bedrooms *t 3 #of Occupants 3 Project Description , 4e tc :t L ' Structure Dimensions,also spJify imension5 of decks&porches ! 5 XCo (Choose One) 0 Basement 6-awl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 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 0 No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe • C " 6 Structure(s)Dimensions Po 470 Plumbing ❑Yes ❑No Describe Plumbing Need IT W! 20 I 1 A. } aro-ed'141=.J:7I (Choose One) 0 Basement ❑Crawl Space D Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well 0 Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ 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 ❑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 ❑ 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? es ❑No Commercial ❑ Proposed New Construction El 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 ❑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. If the answer to any question is"yes",applicant must attach supporting documentation. ❑ Yes IErqo Does the site contain any jurisdictional wetlands? ❑ Yes I NNo Does the site contain any existing wastewater systems? ❑ Yes El No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes L9-li Is the site subject to approval by any other public agency? ❑ Yes !21(o 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 erence) ❑Accepted 0 Alternative onventional 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) Environmental Health soiUsite 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 prop rty or g t of the owner. q Signature of Owner or Legal Agent Date I�t Printed Name of Owner or Legal A },} G rrfso ic i 2 L. -1 liN 41 _§1— (( AI1 1 tEl n1 gb. btl4 1 #[ t g 8 st g On illi I IlliiHi MI ttoclit 1 kiii ‘1.111 1 # i ;r- in ! Mill 1pp 1 ,i_ifil I I e o fed b rifiiiiiiiti €iI!lli ei BriliigiliiitiiiiijiliCi - �{' t ��������tirl ii b � a � iirilL� 11/111111611 fll %Pi"i r; n IIbe H. 111141r A g RP I"idl`� fill 1 ink1 4 AT ! l 1 il illiiiii ' t li a . e'-t ! - § I N , 11 , .--'1!""-lc 4 1� t p fil E r 4 4 El 11 r - 9 l $ I i 1 . - .. big 4 k .' n . � , 4 i I i - n� b i t 1 E '`tvon 3'��� �F��, '1 EE I f$,A t II il _I! I 1 —,�- 4 IA I , if � -cli 1'il 1 an iii i hi i ie 10 t 1 it 4; it: ;1 4iL 1 ill .99�. a IQ-. n : ;i q !; zailre§ /1111/ ' p � I J ! F 111 /ill 1 gil i il igi 1:ii!I 151 11 1 ;ii "' 99YI.VV.I AEG 7YJ�0o aaao Ol�!}pfYO ti 1/ i ; p E � � E X H agaa 11 �� � d 0 0 LL 1A ; 11105151iilkatt Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 363817019478 Owner: MORRISON JOE D Parcel Address: 1955 KIRSTEN ST Owner2: MORRISON KELLIE L City: NEWTON, 28658 Address: 1955 KIRSTEN ST LRK(REID): 36474 Address2: Deed Book/Page: 2271/1547 City: NEWTON Subdivision: DANE MILLS UNRECORDED State/Zip: NC 28658-7621 Lots/Block: 7/A School Information: Last Sale: $22,000 on 1994-02-01 School District: COUNTY Plat Book/Page: Elementary School: STARTOWN Legal: LOT 7 BLK A UNREC PL Middle School: MAIDEN Calculated Acreage: 4.610 High School: MAIDEN Tax Map: 069N 01007 Township: NEWTON School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MAIDEN RURAL Zoningl: R-20 Building(s) Value: $125,600 Zoning2: Land Value: $29,800 Zoning3: Assessed Total Value: $155,400 Zoning Overlay: Year Built/Remodeled: 1985/ Small Area: STARTOWN 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 #: 3710363800J If available, Building Permits for this parcel. Septic 2010 Census Block: 2028 links are not permits. 2010 Census Tract: 011702 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: Voter Precinct: P34/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 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. ttimj CATAWBA COUNTY _ � I00A SOUTHWEST BLVD • NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT �. PHONE:828.465.8399 Friday,September 9,2022 1$4 2 SM www.catawbacountync.gov Invoice Number: 09-22-4 1 1 904 Invoice Date: 09/09/2022, EH P R-09-2022-42216 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1901 BEVERLY ST,NEWTON NC 28658 Applicant JUSTIN MORRISON, 1379 HUFFMAN BRIDGE RD,MORGANTON NC 28655 C:8282173862 JCMCUSTOMHOMES@GMAIL.COM Owner JOE AND KELLIE MORRISON, 1955 KIRSTEN ST,NEWTON NC 28658 C:8284467322 Contractor "JCM CUSTOM HOMES,LLC, 1998 KIRSTEN ST,NEWTON NC 28658 C:828-217-3862F:8289707475 JCMCUSTOMHOMES@GMAIL.COM ACCOUNT:6725 I'AYOR: `JCM CUSTOM HOMES. LLC FEES EHPR-09-2022-42216 FEE AMT DUE AMT Improvement Permit lee 110-580200463000 09/09/2022 $150.00 S150.00 FEES: $150.00 S 150.00 TOTAL FEES: $150.00 $150.00 invoicereceip 09/09/2022 08:33 Page 1 of 1