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Home My WebLink AboutEHPR-03-2023-43630.tif THIS IS NOTA PERMIT Case# EHPR-03-2023-43630 *1- 11 CATAWBA COUNTY HEALTH DEPARTMENT , PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \$ 2 sM Environmental Health Plan Review-OSWP IMPROVEMENT Contractor KEY BUILDERS,INC., 1459 N ASPEN ST,LINCOLNTON NC 28092 B:7047350040 C:7042309394 MANDI@KEYBUILDERSNC.COM Owner JASON SANDERS,5172 OLD SHELBY RD,HICKORY NC 28602 C:8282912196 SODHILL67@YAHOO.COM Paid By KEY BUILDERS (JULIE SMITH), 1459 N ASPEN ST,LINCOLNTON NC 28092 B:7047350040 NAME TO APPEAR ON PERMIT KEY BUILDERS, INC. SITE ADDRESS: 5396 STARTOWN RD,MAIDEN NC 28658 PIN# 363817022309 NAME of SUBDIVISION: DANE MILLS UNRECORDED Lot# PT 4 Section/Block B PROPERTY SIZE: Square Feet 122,839.20 Acres 2.82 DIRECTIONS: Hwy 10 W, left Startown Rd,on left past Tripletts Farm Rd PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: IP Only 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? Yes Property Easements Description: Electric Easement 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:: 100 x 100 including decks and porches #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: OTHER: INNOVATIVE: ANY: Other described: ehapplicatio❑ 03/07/2023 11:04 Page I of3 CATAWBA COUNTY Case# EHPR-03-2023 43630 • t iii C( Public Health Department Subdivision DANE MILLS UNRECORDED Environmental Health Division PINS! 363817022309 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 a, NAME ON PERMIT: KEY BUILDERS,INC. ( ), 1459 N ASPEN ST,LINCOLNTON NC 28092 KEY BUILDERS, INC. ( ) Site Address: 5396 STARTOWN RD,MAIDEN NC 28658 Property Size: Square Feet 122,839.20 Acres 2.82 Directions: Hwy 10 W,left Startown Rd,on left past Tripletts Farm Rd 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 AREA2 FEENAME DATE FEE AMOUNT Improvement Permit Fee 03/07/2023 S150.00 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) ehapplicat on 03/07/2023 11:04 Page 2 of 3 DocuSign Envelope ID:E72507A2-24E5-428B-8F87-10EA3F757CF7 catawba county public health Application for Environmental Health Services I Poi�( VUki c vch.., THIS IS NOT A PERMIT Application is for: ®New Construction ❑ Existing Facility ® Improvement Permit ❑Authorization to Construct ONew Septic ❑Septic Repair/Malfunction ['Septic Relocation ❑Septic Expansion ❑ Existing System Inspection or Reconnection ❑New Well ❑ Replacement Well ❑Well Abandonment ❑ Well Repair Property Address 5396 Startown Rd-Newton Acres 2.82 Subdivision N/A Lot# Driving Directions to Property Government Drive-TR onto Southwest Blvd-TR onto Hwy 10 West-TL onto Startown Lot is on left Describe work Single Family Residence Applicant Name Key Builders, Inc Applicant Address 1459 N Aspen Street Lincolnton NC 28092 Phone 704-735-0040 Email mandi@keybuildersnc.com Owner Name Jason Sanders Owner Address Phone 828-291-2196 Email southhi1167@yahoo.com Contractor Name Key Builders, Inc Contractor Address 1459 N Aspen Street Lincolnton NC 28092 Phone 704-735-0040 Email mandi@keybuildersnc.com Name to Appear on Permit? ❑Owner ®Applicant ®Contractor Who will be the Primary Contact? ❑Owner ®Applicant ®Contractor Proposed New Construction-Residential Primary Residence ® New Residence 0 Addition to Residence #of New Bedrooms*t 3 #of Occupants 6 Project Description Single Family Residence /Oof/PD j tl(! IvJin5 deLksiktc per jusAll IWA 3/7P.3 Structure Dimensions,also specify dimensions of decks&porches 80 xtoo house Decks&porches=8x20 front 12x20 back (Choose One) El Basement ®Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes 0 No Accessory Dwelling #of New Bedrooms st #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 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes El 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' 0 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 ❑ 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 ❑ 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?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 DocuSign Envelope ID:E72507A2-24E5-428B-8F87-10EA3F757CF7 E.,A I,IIIIg U4-1U1C3 Ull 01LC Describe Structure Dimensions #of Bedrooms* #of Occupants Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply 0 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 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. If the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes 0 No Does the site contain any jurisdictional wetlands? ❑Yes 0 No Does the site contain any existing wastewater systems? ❑Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? Oyes 0 No Is the site subject to approval by any other public agency? Yes 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) ❑ Accepted ❑ Alternative 0 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 or legal agent of the owner. " "'" 3/3/2023 Signature of Owner or Legal Agent"`5"`.6 Date Printed Name of Owner or Legal Agent Jason sanders A I I I I I I I I I r ' r 1 , 1 Irn I 11N Ir IN 1 IWI Iw1 1ZI I JI I Zr I JI I W 1 I ! W 1 0 1 1 I la I Id I Id C� TTI N /_..._ , 1 1 1 II i ! I J I 1 1 1 I l l I j 1 4 1 r 1 I l r 11 1 11 r 1. 1 I I- ry Q rr 1 i1l ifI lw N V 1 ► 11 r z I� l(� I I rl Ir J 1 I �d .1_ ,_ I I I it I I/ /_oil u] ✓_ .. ! 1 1 I Z '= 1 1 1 1 1 11 1 I O 1 ! 1 QQ 1 O ! I 1 I W 1 1 ! ! 1 I ; d r rrr I r � , 1 1 r I 5, I ! W ? N V f 11 b co 1 I !y , � W O 1 116 I WC� Q � 1 I I (n 1 1 I ! Il 1 I= 12 ct X 1 1 1 1 I i_ ---_ ( Q 00 .— 1 1 1 ! I IZD I i- CO I 1 1 jl 1 11 1 I 1 w ("V 1 "7a-._.. ! 1 I < . I 1 I1 + I 1 1 11 i I I I ► I r- , iu ill I D I 1 IM I 11 � i 11(p r t 1 1 1 I I t 11 1 1 I r O Q 1 1 t lf) 1) 1 1 . 1 1 - t N w 11 1 I I I D > 1 1 , I I I t a 1•'i't I ! l I r I I l 1r I II rI II , 1 ► W r C Oa NM0121VJS I Q N c N 1 I I 1 1 1 Catawba County Environmental Health 2;7'2'.'") ~` "1 (4� 0 '....: 0 0 CV 311.79 a 0 4 0 41'3 r Q Li") •5396 0 Ei of 2309 �i • II. . 493.52 0 El .. 5 .• •541 0 0116cv 2 J_"'-1 Parcel: 363817022309, 5396 STARTOWN RD 1 in=80ft 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 2023 Catawba County NC 03/07/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 363817022309 Owner: CHAPMAN MICHAEL MITCHUM HEIRS Parcel Address: 5396 STARTOWN RD Owner2: City: NEWTON, 28658 Address: 711 WALSENBURG DR LRK(REID): 36491 Address2: Deed Book/Page: 1838/1184 City: DURHAM Subdivision: DANE MILLS UNRECORDED State/Zip: NC 27712-1325 Lots/Block: PT 4/ B School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: Legal: LOT PT 4 PT 4B UNREC STARTOWN Elementary School: STARTOWN Middle School: MAIDEN Calculated Acreage: 2.820 Tax Map: 069N 01025 High School: MAIDEN School Map Township: NEWTON State Road #: 1005 TaxNalue Information: Tax Rates Zoning Information: City Tax District: MAIDEN Zoning District: MAIDEN County Fire District: All in City Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $23,900 Zoning3: Assessed Total Value: $23,900 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic 2010 Census Block: 2028 links are not permits. 2010 Census Tract: 011702 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: Voter Precinct: P34/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability, whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. �$A CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT v 4:j) k, PHONE:828.465.8399 Tuesday,March 7,2023 1 g 4 2 sM www.catawbacountync.gov PAYOR: Key builders Key builders(Smith,Julie) PAYMENTS TRANSACTION NUMBER: TRC-59111003-07-03-2023 PAYMENT DATE: 03/07/2023 PAYMENT TYPE: Credit Card 302079902 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-23-419316 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-03-2023-43630 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 5396 STARTOWN RD,MAIDEN NC 28658 Owner JASON SANDERS,5172 OLD SHELBY RD,HICKORY NC 28602 C:8282912196 SODHILL67@YAHOO.COM Paid By KEY BUILDERS, 1459 N ASPEN ST,LINCOLNTON NC 28092 B:7047350040 **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor KEY BUILDERS,INC., 1459 N ASPEN ST,LINCOLNTON NC 28092 B:7047350040C:7042309394 MANDI@KEYBUILDERSNC.COM receipt 03/07/2023 11:04 Page 1 of 1