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HomeMy WebLinkAboutEHPR-04-2023-43969.TIF 4'A• THIS IS NOTA PERMIT Case# EHPR-04-2023-43969 FT t '3 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /841 sM Environmental Health Plan Review-OSWP ,w �..��..�.....,V. M IMPROVEMENT . n . .....r�,�,.w:...�..�.... Applicant FRANK AND GLENDA SOPER,402 HAYWORTH DR,SIMPSONVILLE SC 29680 C:8643562114 Owner DAVID AND KAREN BOONE.208 DOWINGTON LANE.CAREY NC 27519 C:8283022379 NAME TO APPEAR ON PERMIT Frank and Glenda Soper SITE ADDRESS: 8482 FIELDSTONE DR,TERRELL NC 28682 PIN# 461601498753 NAME of SUBDIVISION: Lot N 1A Section/Block PROPERTY SIZE: Square Feet 28,314.00 Acres .650 DIRECTIONS: 150 to Kiser Island to Field Stone Drive to end of street,property on right at the end PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well 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? 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:: 60x66 #OF NEW BEDROOMS:: 4 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: YES INNOVATIVE: ANY: Other described: 25%reduction ehapplication 04/05/2023 16:11 Page 1 of 3 a,A CATAWBA COUNTY Case# EHPR-04-2023-43969 ,ni ,, Public Health Department Subdivision '4 Environmental Health Division• PIN 461601498753 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /84 w NAME ON PERMIT: (FRANK AND GLENDA SOPER),402 HAYWORTH DR,SIMPSONVILLE SC 29680 ( Frank and Glenda Soper) Site Address: 8482 FIELDSTONE DR,TERRELL NC 28682 Property Size: Square Feet 28,314.00 Acres .650 Directions: 150 to Kiser Island to Field Stone Drive to end of street,property on right at the end 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: 4-• ' Z 3 Signature of Applicant or Agent If you need further information or as ' inc asc c II 828-465-8270 AREA5 ...********************************************************************.************************************ FEENAME DATE FEE AMOUNT Improvement Permit Fee (14/05;2023 $150.00 • TOTAL FEES $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplication 04/05/2023 16:11 Page 2 of 3 • catawba county pl _�lic health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: 57,1 New Construction El Existing Facility • Improvement Permit El Authorization to Construct ® New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well ❑Replacement Well ❑ Well Abandonment ❑Well Repair Property Address &1t1ESZ 'ferrety ZSb$Z, Acres . to 3 Subdivision _ Lot# t p, Driving Directions to Property l 5t7 t, KC e- r tsla-A-Lb } tle, )Ia4 assD A 61_EeX -92-oPeir- / oN 2 c t4-c AT ¢.stD Describe work �l Q..z _* -}'c, P,l1ou {�utcs. � l.ak• ku bv0.1 tko e— Applicant Name i�tzia,ti-J,K— kts.t ((S.e44.1b4s Applicant Address 4,pz_ 1{AK t ttfe_. SurN.Pso yl., i t\e_ g C.- 2 ct L$Q Phone ° „.,14 - 3 5 ' Z l 4 Cell Phone 8/w.k--3Sb " Z11Lt. • Owner Name 9AV OD .Soto A117.) Jaoe•te. Owner Address 2.c Dom Lysi.CaTo LA►.le.., GA`Z-( � _. c S l C- 6crt�3Z Phone 1, 8 - 30Z- 13`[c( Cell Phone t-Si:B- 3QZ- 2.-3`19. Contractor Name p j 1€_ Yerr License# Contractor Address Phone Cell Phone Name to Appear on Permit? ❑Owner tgi Applicant ❑Contractor Who will be the Primary Contact? 0 Owner jig Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedroo is*t 4 #of Occupants 3 Project Description 1AQ.t, tAptr►'..c_ k-� [tgt�b.t.,g (A'Cb4,p4) 1Aot . rztag- (1,p Structure Dimensions,also specify dimensions of decks&porches T Basement ❑ Yes n No Basement Plumbing ❑Yes 0 No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement ❑Yes El No Basement Plumbing 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑ Yes ❑No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions Basement 0 Yes ❑ No Basement Plumbing 0 Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type ® Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type 0 Drilled 0 Bored El Dug ❑ Unknown Well Repair Requested 0 Yes ®No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?21 Yes El No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 ( Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Existing Structures on Site Describe if‘ o,d,e__ Structure Dimensions #of Bedrooms* #of Occupants Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑ Individual Well El 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 El Yes El No #of Children #of Employees per Shift #of Shifts Commercial Kitchen El Yes ❑ No Residential Kitchen El 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 II No Does the site contain any jurisdictional wetlands? ❑ Yes ■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? ❑Yes I No Is the site subject to approval by any other public agency? ❑Yes I 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 0 Alternative 0 Conventional 0 Innovative ®Other Z''lo Va.Weit',ort 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) 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. Signature of Owner or Legal Agent Date A -5 •ZO Z3 Printed Name of Owner or Legal Agent5 p¢Nr (4eatawba county Geospatial Real Estate Search µilfillG tivi#G. ,ci,ia. Information Services :, 8962 aso w :.:.: t w°`-, eto ato......,.. -M.....,..:. 4b, 3 60 a a tas a� 4 400 60p: i 1` '. . 6 .`' 1 S ,.h F� S � as, •8496 : w 7 ,�..79a no ' 7 ......._. 79o.'t90 f rss as 9667 4 aes <o. rea rax r/ (2s� s TO �.. .w, S0,`'`' �� 130 00 a -.00 '''''.--7,--../J8O •� 7ao7ati ... ram` �*8477 �� / w+NE 1 in=60ft 5 Parcel: 461601498753, 8482 FIELDSTONE DR TERRELL, 28682 Owners: BOONE LDAVID JON, BOONE KAREN MYERS Owner Address: 208 DOWINGTON LN Values - Building(s): $0, Land: $29,100, Total: $29,100 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 04/05/2023 i kjh 4s KISER ISL SR1841 I gi lishd liar .- �;i o is . iiire SIWg I °. !I \ rw" g ' N g It' :V iliogio/ , U o d or) \ i 1 i 1 14 i I i 4 rd 3F g5,1)0 J) . , t , ,i§r,1 1 ,1 11 l. €,_ i $gig2 �� a4 o P-Pi l • 3 ; I 000MHOS3A . 1 ti I i 4 t'hA ��,\ hm ry i li.1.1 \ /1/ i I °' 3r0jI2jZLN N / / / 11/ itj,isw A4� 1 Q x oO Lg162 y' 1 V S /I/ • C1 , I U V h orc/ c �? it Ck : ji HUI 0on 0 O�I 7_11 .2, . o h /Qr/!r 1111 S11 2F ai OP d 81 H611/�d NO O35vB NINON N S ` O 4� M ,W� JSf gQla in OLLN3DYN Ill ;:il,„.;'),-,i a o: C 1��g .J y A2 a 0 W VIZ lT4 ''�6i . a,c/ wr c�, V o r �N ..,.•. a h'g,'•F.„/ i q14 t '4,t'tt lft t 1SW 1. •*,1,_,,is. / F16- ,'i k 1 ! Ul ,..4,,, . w glH4Iii4 i� �WF + pOs. a., 2z0 - bb u N IC, X Pl3 ; sue$ X i j. > Y� i -!F Igo, g �. 20151 ' g .� 2a Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461601498753 Owner: BOONE DAVID JON Parcel Address: 8482 FIELDSTONE DR Owner2: BOONE KAREN MYERS City: TERRELL, 28682 Address: 208 DOWINGTON LN LRK(REID): 800904 Address2: Deed Book/Page: 3002/1820 City: CARY Subdivision: State/Zip: NC 27519-6382 Lots/Block: 1 A/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 37/141 Elementary School: SHERRILLS FORD Legal: LOT 1A FIELDSTONE PL 37-141 Middle School: MILL CREEK Calculated Acreage: .650 High School: BANDYS Tax Map: Township: MOUNTAIN CREEK School Map State Road #: 2701 TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $29,100 Zoning3: Assessed Total Value: $29,100 Zoning Overlay: CRC-O,WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD 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: 2008-03-18 Building Permit Address Search for this parcel. Firm Panel #: 3710461600L If available, Building Permits for this parcel. Septic 2010 Census Block: 5017 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P41/ Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report I his 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. ©2023, Catawba County Government, North Carolina.All rights reserved. K.-1.0'A CATAWBA COUNTY l , 100A SOUTHWEST BLVD NEWTON,NORTI I CAROLINA 28658 RECEIPT Ill �` PHONE:828.465.8399 Wednesday,April 5,2023 18 2 sM www.catawbacountync.gov PAYOR: Soper,Frank and Glenda PAYMENTS TRANSACTION NUMBER: TRC-61225419-05-04-2023 PAYMENT DATE: 04/05/2023 PAYMENT TYPE: Check 3289 SCDL 101250171 DOB 6/18/57 EXP 4/16/29 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 04-23-420884 110-580200-663000 Improvement Permit Fee S150.00 TOTAL PAYMENTS: $150.00 EHPR-04-2023-43969 .._._._._.._..._.._...�...�.._.._...._.._........._..._...._....�........_..._...._....,....._. CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 8482 FIELDSTONE DR,TERRELLNC 28682 Applicant FRANK AND GLENDA SOPER,402 HAYWORTlI DR,SIMPSONVILLE SC 29680 C:8643562114 **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner DAVID AND KAREN BOONE,208 DOWINGTON LANE.CAREY NC 27519 C:8283022379 receipt 04/05/2023 16:05 Page 1 of I