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HomeMy WebLinkAboutRBPR-10-2022-42467.tif yg,A •� THIS IS NOT A PERMIT Case# RBPR-10-2022-42467 CATAWBA COUNTY HEALTH DEPARTMENT �111 le) 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 84Z sM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL Applicant THOMAS JONES, 1313 OLD MILL RD,LINCOLNTON NC 28092 C:7813644042 TJONESI17161@COMCAST.NET Contractor *FOURTEES INC (TOM LAWLEY),PO BOX 2429, DENVER NC 28037- B:(704)361-3130 C:7043611987 BUILDTHELAKE@GMA1L.COM Owner THOMAS JONES, 1313 OLD MILL RD,LINCOLNTON NC 28092 C:7813644042 TJONES I17161«COMCAST.NET NAME TO APPEAR ON PERMIT Thomas Jones SITE ADDRESS: 1291 LIVE OAK LN,CATAWBA NC 28609 PIN# 470002862501 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 10 DIRECTIONS: Private road with gate off of Monbo Rd after going thru gate take 2nd left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New Single family dwelling 3 bedroom w/attached garage on crawlspace. House 76'x30', garage 27'x25', front porch 8'x53, deckl 10'x20'deck2 8'x30' 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 vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 76'x30' #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO chappliuvion 10/07/2022 11:41 Page 1 of3 4(C • CATAWBA COUNTY Case q R[3PR-10-2022-42467 Public Health Department Subdivision Environmental Health Division I'IN# 470002862501 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (THOMAS JONES), 1313 OLD MILL RD,LINCOLNTON NC 28092 (Thomas Jones) Site Address: 1291 LIVE OAK LN,CATAWBA NC 28609 Property Size: Square Feet Acres 10 Directions: Private road with gate off of Monbo Rd after going thru gate take 2nd 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 *************************s********************************************************************************** FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 10/07/2022 $150.00 Fee Improvement Permit Fee 10/07/2022 $150.00 Well Permit&Inspection Fee 10/07/2022 $300.00 TOTAL FEES S600.00 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) ehapplicauon 1(1/07/2022 11:41 Page 2 of 3 c atawb a county public health Application for Environmental Health Services THIS IS NOT A PERMIT ,��,// Application is for: RI New Construction El Existing Facility c improvement Permit 2 Authorization to Construct [INew Septic ❑ Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion ❑Existing System Inspection or Reconnection [t New Well ❑Replacement Well ❑Well Abandonment 0 Well Repair Property ddress ( q 1 L(VE CA< LAt E j CAT4W. 4) N C a 8'604 Acres Subdivision Lot# 2 Driving Directions to Property Q2 tU TE Po AA Le)1T11- 64 7E. OFF of ,McA)Z0 #,j R T-a 6n/4- APr. -41cF AA LEFT. Describe work W 'TO 1,N5 (.. it) ) SI/72C -fr c' L- Applicant Name —Mc MAS ` augs p Applicant Address l3(3 OLD No_ g.L i ccit J rX �L.d V 901 Phone "7g ,3(.4 -4 04a Emil'-raw !t i 7(Q/ [C.��( //, tic T Owner Name 540 E. Owner Address Phone Email Contractor Name -rGU e YES /A)C, Contractor Address f 0,jZX 354? M cP-fs 0(1_11 NC a g'117 Phone 704 —3W-,z i3O J I Email Name to Appear on Permit? ner gifApplicant ❑Contractor Who will be the Primary Contact? Mt Owner le Applicant ❑Contractor Proposed New Construction-Residential Primary Residence 121 New Residence ❑ Addition to ResidenceJ #of New Bedrooms*t 3 #of Occupants A 1 l Project Description CGNeS'rEocT 3&Eofea4 i*t- #kM IJI AT1:A-ct1 L 640)6 j /co A M04)7" l 1Fcla Xi( Structure Dimensions,also specify dimensions of decks&porches #ct)SE. 76X30.1 6--I a7kA,s f pcec g XS3 .ski icx c (Choose One) ❑Basement Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes ] No Retaining Wall>2' ❑ Yes iyi1No Accessory Dwelling #of New Bedrooms*t it of Occupants Structure Dimensions (Choose One) 0 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' 0 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 E4 Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?E4 Yes ❑No Environmental Health Catawba County Government Center, 25 Government Drive I P0. Box 389, Newton, NC 28658 Phone: (828) 465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures o Site Describe Ni ' Structure Dimensions #of Bedrooms* #of Occupants Basement 0 Yes 0 No Basement Plumbing ❑Yes 0 No Existing Water Supply ❑Individual Well 0 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 ❑Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare 0 Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen 0 Yes 0 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 stall) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. I('the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes Hi No Does the site contain any jurisdictional wetlands? ❑Yes No Does the site contain any existing wastewater systems? ❑ es LI No Is any wastewater going to be generated on the site other than domestic sewage? 613 Yes 1 No Is the site subject to approval by any other public agency?di — , ' Yes No Are there any easements or right of ways on this property? Describe .Uzi"GtZ4L (1t'S OtO&4.r45 .6 If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of yolir preference) i, Accepted 0 Alternative ()llr 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. RF..TRIP 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 or legal agent of the owner. l Signature of Owner or Legal Agent Date 14/El lc Printed Name of Owner or Legal Agent -7-4140.414.s no ES 1 rswox w=1111rA -ate 0 ..i j w CC 'U r f- W co r I i / I I iI ''"' I ' •.71 I li kliiiiiim, _a" t.7 K illi'_ r „i j�n .� 0 r\.,", 7- , I I I I I I 1 1 Cn L -\ /--____ L. __. ___4" iH v 1acs) Ii O L 4 I _ . • tu."Tenal86Z I suwql!^"trP • S6I01,911111£ f: a ••-I 111,46Z 3S'NAMDIAMIOAD "iS masvxd 14 for9Z 83A03 1 0 f-I-1 Isitrl)IVO 3Al1 SINVML41 NVII i 1 F••d c n S3NOr 3ns'81101 SNIPM NO11011(10a1 ouruNpaqs 11151) hk ; 1311 661 illtliff3 "i °1 !iii 22 Pit 2 ill 1 1 1 le 1 2'- . . Ca I 141 Z 111 :i , . .. . , U) flir A —1 0 JO i. ',.. 1.... ,,!. . „,,,, -i, l'.":'' . ... .--- ..11, 1' _,... : __. 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C •1Z76 • • 11 0 ■ A$- 1��� Parcel: 470002862501, 1291 LIVE OAK LN 1 in=200ft 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 10/07/2022 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 470002862501 Owner: JONES THOMAS GEORGE Parcel Address: 1291 LIVE OAK LN Owner2: WENSTOM-JONES SUSAN C City: CATAWBA, 28609 Address: 1313 OLD MILL RD LRK(REID): 302521 Address2: Deed Book/Page: 3728/0465 City: LINCOLNTON Subdivision: State/Zip: NC 28092-7566 Lots/Block: 2/ Last Sale: $250,000 on 2022-03-03 School Information: School District: COUNTY Plat Book/Page: 81/121 Legal: LOT 2 PLAT 81-121 Elementary School: CATAWBA Middle School: MILL CREEK Calculated Acreage: 10.000 High School: BANDYS Tax Map: Township: CATAWBA School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $44,200 Zoning3: Assessed Total Value: $44,200 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic 2010 Census Block: 1045 links are not permits. 2010 Census Tract: 011503 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. IP OK: n7fi� Building Details l.a WaterShed: WS-IV Critical Area 2j be3 a ,--) Voter Precinct: P21/ Voting Map 3l Gcl � G�y Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report Oe'A^1 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.