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HomeMy WebLinkAboutEHPR-10-2022-42418.tif $A • THIS IS NOT PERMIT Case# EHPR-10-2022-42418 1 CATAWBA COUNTY HEALTH DEPARTMENT C�� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /84/ SI" Environmental Health Plan Review-Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION Applicant JARRETT FRAZIER, 1247 MCDOWELL CIR,CONOVER NC 28613 H:828-514-1927 HOME:828-514-1927 JFRAZIER a CAROLINACAT.COM NAME TO APPEAR ON PERMIT Jarrett Frazier SITE ADDRESS: 1247 MCDOWELL C1R,CONOVER NC 28613 PIN# 376009051693 NAME of SUBDIVISION: Witherspoon Estate Lot d 21-24 Section/Block A PROPERTY SIZE: Square Feet 25,700.40 Acres .590 DIRECTIONS: E NC 10 Hwy right McDowell Dir PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: Tank only caved in 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF residence EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 71 x 37 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION 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: el,applic at ai 10/03/2022 13:34 Page I of6 SyI • CATAWBA COUNTY Case# EHPR-10-2022-42418 f' t y Public Health Department Subdivision Witherspoon Estate d 1 "35 Environmental Health Division PIN# 376009051693 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 : • v, NAME ON PERMIT: (JARRETT FRAZIER), 1247 MCDOWELL CIR,CONOVER NC 28613 (Jarrett Frazier) Site Address: 1247 MCDOWELL CIR,CONOVER NC 28613 Property Size: Square Feet 25,700.40 Acres_ .590 Directions: E NC 10 Hwy right McDowell Dir 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: /0- 3— a d Signature of Applicant or Agent •IN 4116. If you need further information or assista I lease ca I 270 op AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair) Fee 10/03/2022 $150.00 TOTAL FEES S150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplicati,n 10/03/2022 13:34 Page 2 of6 catawba county pu_Dlic health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: ❑New Construction ❑Existing Facility ❑Improvement Permit!Authorization to Construct ❑New Septic Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well ❑Replacement Well ❑Well Abandonment ❑Well Repair Property Address I -7 IMCD 3,,,vt ff (or CONetH --' /JC- '2igizt 3 Acres Subdivision /�" ,4 Lot# Driving Directions to Property N�r l d +-Dx'Wd S Ccatu..� IA- �, �Q ".0 CItire Lc (24 / /i�ICtrt,..-(l V' Oil Pr �1Jv tiL tit �k�4 �o✓v.�� o 1�1e 4 ho kr P r Deed t �s 90e ,/ Describe work peed to Selo rt Tom,,Li vt S!u(14-d afr J 01t4 �?„A,�,,4,p,ect, Applicant Name �,,.,,#f F -�_-- ' teak h 1 Applicant Address f v7i-i-7 yt,t-c nta,.L t( Ci,— ( vi r ,✓ /QC aelpt Phone �So2$- 7 ( l4 0?'7 ' Email Tocrt,.z`,t,r Ci) Carol , Owner Name Day. F c& Owner Address 0141 Vb.<.t( Ctv- Cp✓l.tax.tr C a e/ 3 Phone -c-/t/ l C(a`.1 I Email j't,u2`> - G_E -0/ram CAL e Contractor Name Coo 1 Petc l ,p v e S Contractor Address/5)5- t/;e,Ftri 4,4 J4 t 15 Lc CO✓t"urty- N - caZ"t /3 a Phone .' a s 1e Re/a 4 I Email luipek. Name to Appear on Permit? El Owner 0 Applicant ❑Contractor Who will be the Primary Contact? ❑Owner ❑Applicant Contractor Proposed New Construction-Residential Primary R. idence 1 New Re- d-'ice Additi'Aka.esidence # . Bedrooms*t #of Occupa. " Project Des iption . •_; I _ Structure D I -nsio ,alsoW dimen 'ons of.•cks&pore'-s /a -b� � (Choose One) �\ ::sement \ Crawl Space IN lab I' :• ement,Will The Be ater Using Fixtur- :asement ❑ Yes El No Retaining Wall ' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe _ Structure(s)Dimensions Plumbing 13 Yes ❑No Describe Plumbing Needed Seek', S �,,,.(� r✓t S ei..t l (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 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes D No Retaining Wall>2' ❑ Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug El Unknown Well Repair Requested ❑Yes El 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 P0. Box 389, Newton, NC 28658 Phone: (828) 465-8270 I Fax: (828) 465-8276 EHAdmin@CatawbaCountyNC.gov Existing Structures on Site 7/ Describe gM le r---- `cu+��% 4. Structure Dimensions 7 #of Bedrooms * rJ l3 #of Occupants 3 Basement p 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? ** ❑ 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 ❑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 uestion. If the answer to any question is"yes",applicant must attach supporting documentation. Yes it No Does the site contain any jurisdictional wetlands? 1�Yes 0 No Does the site contain any existing wastewater systems? 0 Yes No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes No Is the site subject to approval by any other public agency? 0 Yes No Are there any easements or right of ways on this property? Describe f 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 0 Alternative ❑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 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. 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 r le al the owner. C Signature of Owner or Legal Agent Date CO' 7_ a Printed Name of Owner or Legal Ag nt c&N F:re.‘. 't-4" Catawba County Environmental Health • i cV •1140 32.6 11110401.....1 oJ cD 100 198 • .) 113 co lip tr-- 87.d 1 r 0500274 I i II •1247 68 co140 rli a •1217\\\ C--..._ / c'D a /^ Parcel: 376009051693, 1247 MCDOWELL CIR 1in=50ft CONOVER, 28613 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 10/03/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376009051693 Owner: FRAZIER JARRETT E Parcel Address: 1247 MCDOWELL CIR Owner2: FRAZIER LEANNA W City: CONOVER, 28613 Address: 1247 MCDOWELL CIRCLE LRK(REID): 34874 Address2: Deed Book/Page: 3233/1965 City: CONOVER Subdivision: WITHERSPOON ESTATE State/Zip: NC 28613-8382 Lots/Block: 21-24/ A School Information: Last Sale: $142,500 on 2014-03-21 School District: COUNTY Plat Book/Page: 13/28 Elementary School: CATAWBA Legal: LOTS 21-24 BLOCK A WITHE PLAT 13-28 Middle School: RIVER BEND Calculated Acreage: .590 High School: BUNKER HILL Tax Map: 062N 03001G Township: NEWTON School Map State Road #: 1980 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoningl: R-20 Building(s) Value: $142,500 Zoning2: Land Value: $15,100 Zoning3: Assessed Total Value: $157,600 Zoning Overlay: WP-O Year Built/Remodeled: 1970/2013 Small Area: BALLS CREEK 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 #: 3710376000J If available, Building Permits for this parcel. Septic 2010 Census Block: 3002 links are not permits. 2010 Census Tract: 011300 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Protected Area Voter Precinct: P22/ 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. (.its' . $ CATAWBA COUNTY HEALTH DEPARTMENT LO:kel . `! Telephone: (828)465-8270 TDD: (828)465-8200 WLS # 5_002"I5/" Improvement Permit AC Repair Permit._y Operation0Permit. (/'"- System Type A14"Well Permit. Replacement Well Owner/Agent Da,v4Lp `1y,/Ey ` Phone Address /a.t17 fen CDoG.iv•CCr CinC-• Subdivision 141/7-14.r12_4000WV E, -717FS CAAlotier1,; Af. (:, A6,6,43 Section/Block/Phase Lot# al -ati.. Lot Size O,s-7,fr, Directions: J 0 0,455 Frn yrN y,Jt , ,Q f3 IX-Co ,re-.4.)", [&. C.o/1c Ta ��,C3 PO Lc-y n Al t) C...azi14-2 _ Property Address i j 9 7 n'► ,/)a ircC, c.itL , Facility: House)C Mobile Home Business Multi-family Other: Pin Number 324.0 07 OS 1.6 7 3 Other . Zoning Approval If A//i9 #Bedrooms .„'3 #Seats #Employees . Application Rate .3 GPD Flow 3( Hot Tub or Spa yes�gSpecial Fixtures Basement4Z/no . 100% Repair Area yeslno Basement Plumbing o Water Supply: Private Well Public k Semi-Public Type of System: Trench - Bed x Pump — Pump/Panel —Panel — LPP Other ` Septic Tank Size eips7> - Pump Tank Size �_�- Nitrification Field: Total Square Feet Z o0 Depth of Stone 1. " Bed Size 60 Ix/Q ' Trench Width _Total Length of All Trenches - - Number of Trenches Trench Length — /---- / ---/-- /•- Eeet on Center Maximum Trench Depth , 'yt. Distance of Nearest Well A- O *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope ril%Texture__ Q Pot �' C/2C Stru re Clay in • Soil We e s ilD th / Re 'c:'Ho•. at - (Av b e c y /no • Overal lass S U Commen : Dew Mivtns�- . . . _ C �oo� r P"r-Or 1 C, / "Tire id/ . r PISGOir/NF&Z" OLD / 7'A nt /s FA) -, - — e=4,- , _.`6 v. .. sopyc ,,,, - _ A s,cc✓r-c , Filter Required — —9a' D ' J 4` Riser required when tank is more than 6 inches deep. v) " **NO GUARANTEE OR WARRANTY IS/I• • 'I •• * ' • • E PERFOR ANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *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. Well 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 S EHS ('-S" —:a C Owner/Agent i r Septic Tank Installed By C J' Date if- g-OS EHS Well Installed By Well Grout Approval Date _Well Head Approval Date Date Sample Collected_ . Date of Results Results EHS White-Office Yellow-Owner/Agent Pink-Building Inspection Authorization to Construct �$A CATAWBA COUNTY 100A SOUTHWEST BLVD ` 2 NEWTON,NORTH CAROLINA 28658 RECEIPT -44 PHONE:828.465.8399 Monday,October 3,2022 /842 5M www.catawbacountync.gov PAYOR: Frazier,Jarrett PAYMENTS TRANSACTION NUMBER: TRC-48396804-03-10-2022 PAYMENT DATE: 10/03/2022 PAYMENT TYPE: Credit Card 295831806 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 10-22-413007 110-580200-663000 Authorization to Construct(Repair) $150.00 Fee TOTAL PAYMENTS: $150.00 EH PR-10-2022-42418 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1247 MCDOWELL CIR,CONOVER NC 28613 Applicant JARRETT FRAZIER, 1247 MCDOWELL CIR,CONOVER NC 28613 H:828-514-1927 JFRAZIERaCAROLINACAT.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 10/03/2022 13.34 Page 1 of 1