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HomeMy WebLinkAboutEHPR-04-2023-43994.TIF y'A THIS IS NOT A PERMIT Case# EHPR-04-2023-43994 Q" „ O CATAWBA COUNTY HEALTIH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 ski Environmental Health Plan Review-OSWP IMPROVEMENT Applicant RANDY FRYE,4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 C:8282615609 Contractor UNDERWOOD,RICHARD WAYNE (*RICIIARD UNDERWOOD),510 MATHESON RD, TAYLORSVILLE NC 28681- B:8283123536 C:828-312-3536 RICH UNDERWOOD OTHER:8286327623F:NA RICH2140«GMAIL.CO M NAME TO APPEAR ON PERMIT Randy Frye SITE ADDRESS: 3631 WILFONG RD,NEWTON NC 28658 PIN # 361702672075 NAME of SUBDIVISION: Randy William Frye Lot!I1 Section/Block PROPERTY SIZE: Square Feet 111,165.12 Acres 2.552 DIRECTIONS: Hwy 10 W,left Hickory Lincolnton Hwy left Blackburn Bridge Rd left Wilfong Rd,property on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: IP only 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: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32 x 72,8x32 porch front and back #OF NEW BEDROOMS:: 1 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: chapplicati,m 04/13/2023 15:35 Pane 1 of3 4.1r • CATAWBA COUNTY Case# EHPR-04-2023-43994 Public Health Department F,(......`t' �. Subdivision Randy William Frye d - "'1 Environmental Health Division �:;_•,1 ^c PIN# 361702672075 / PO Box 389,100-A Southwest Blvd,Newton,NC 28658 8 s+ NAME ON PERMIT: (RANDY FRYE),4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 (Randy Frye) Site Address: 3631 WILFONG RD,NEWTON NC 28658 Property Size: Square Feet 111,165.12 Acres 2.552 Directions: Hwy 10 W,left Hickory Lincolnton Hwy left Blackburn Bridge Rd left Wilfong Rd,property on 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 AREA2 t.s*rta«s♦**st+rts+ss*s+rs*.+.s«*s+*****t*rs*a*r.r*.rw»r+** *►+s*r****a*r+as..rr*tr+**r►r+rrr*tr*t......rr*+ FEENAME DATE FEE AMOUNT Improvement Permit Fee 04/10/2023 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) chapplic:awn 04/13/2023 15:35 Page 2 of3 • Catawba county 113991/ public health • Application for Environmental Health Services -14rf/ 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 Replaceme 5Acres Well ❑Well Abandonment ❑ Well Repair Proper�Address- i,.55.) Subdivision Lot# ' Driving Directions to Property /J Describe work f)i vide /Qj t.d 7-;i it 3 ,1/TS ,,Bs// ev r 1-e1-"42 Applicant Name PaA,.4citl£ c/, , bctA Applicant Address bj of ,�;(o _ I Phone 8Z9 — Z6/�•.S 6Dg I Email Zed 92_ Owner Name R ,t/dv A- e e,e/2C�b�°TA ,e;ve Owner Address x /e9 J Ac p /& . �t,'r! 7n- ' -� • Phone k7 S• — 2_6� S eDj I Email • Contractor Name rec,4 A re„0 /,1d&r e % tl 10,�, ate r rich 1,1 o o it . ien`l Contractor Address .5/O/))cs t:A•erS 4yl f1,- • .??r 6P1 Phone $2 '-3/Z -3s-16 I Email Name to Appear on Permit? . 0 Owner 0 Applicant Contractor Who will be the Primary Contact? ❑Owner 0 Applicant al Contractor - Proposed New Construction-Residential • Primary Residence El New Residence ❑ Addition to Residence #of New Bedrooms #of Occupants Project Description 7 Z 5LJ /2h 7AQr1/,J J .. (.74'4,Ste' - Structure Dimensions,also specify dimensiod's of decks&porches 32_N( 7 2. `-'r r/ 8 X 32 , -'n7 /3:-L (Choose One) ❑Basement 54 Crawl Space ❑ Slab If Basement,Will There Be Water,Using•Fixtures'In'Basement ❑Yes ❑ 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 ln.Basement ❑Yes ❑ No Retaining Wall>2' D Yes (] No Accessory Structure(s)Describe Structure(s).Dimensions Plumbing ❑Yes El 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' El Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑Basement El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Well Construction/Abandonment/Repair • Proposed Well Type ❑ Individual Well 0 Semi-Public Well ❑Community Well Abandonment Type •13 Drilled El Bored ❑ Dug ❑ Unknown Well Repair Requested El.Yes ❑No Describe Will Certified Well Contractor fitstall Water Line or Electrical Line from Well Head to Pressure Tank?❑ 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 El Yes El No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑ Individual Well El Shared Well—Number of Connections El Community Well El County/City/Township Water Line Is a public water supply available?** El Yes ❑No Commercial El Proposed New Construction ❑ Existing/Change of Use El Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑ Yes El No #of Children #of Employees per Shift #of Shifts Commercial Kitchen El Yes El No Residential Kitchen El Yes El 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 No Does the site contain any jurisdictional wetlands? ❑Yes 6 No Does the site contain any existing wastewater systems? ❑Yes n No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes CfNo Is the site subject to approval by any other public agency? ❑ Yes ONo 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) 0 Accepted 0 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,angering,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 tuunarked 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. t 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 y or legal agent of the owner. Signature of Owner or Legal Agent/ sit (2,17 Date f / ' - 2 Printed Name of Owner or Legal Agent I c ce' ' l,(1. Lfj dencicid / — Catawba County Environmental Health 0 (162 (113) ,Lgti 91 (, J (137) .01 (2., '�`� ••3614 fol i :.? A, R re121. •3394 p •3391 (401) [ $ �s2.�1 O '/ 1�v 21.03 65.A' 21.03 ", 2.86 •3401 $ �; 424) p 4. 2 i 4 OD •'3409 N. 0 �y h J ee. iAi * 92.75 ( 15 a (240J CL a * ‘%, \il P. Q66• 7 1.162.0 Parcel: 361702672075, NEWTON, 28658 1in=150ft 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 04/10/2023 4/10/23,2:03 PM Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 361702672075 Owner: FRYE RANDY WILLIAM Parcel Address: Owner2: City: NEWTON, 28658 Address: 4100 PAINT SHOP RD LRK(REID): 701335 Address2: Deed Book/Page: 3601/0106 City: LINCOLNTON Subdivision: State/Zip: NC 28092-5815 Lots/Block: 2/ Last Valid Sale: School Information: School District: COUNTY Plat Book/Page: 80/194 Legal: LOT 2 PLAT 80-194 Elementary School: BLACKBURN Middle School: JACOBS FORK Calculated Acreage: 5.120 High School: FRED T FOARD Tax Map: Township: JACOBS FORK State Road #: 2020 TaxNalue Information: Tax Rates Zoning Information: City Tax District:All in County Zoning District: COUNTY County Fire District: PROPST Zoning1: R-40 Building(s)Value: $0 Zoning2: Land Value: $38,000 Zoning3: Assessed Total Value: $38,000 Zoning Overlay: ED-O Year Built/Remodeled: / Small Area: STARTOWN Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic links 2010 Census Block: 2099 are not permits. 2010 Census Tract: 011702 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: Voter Precinct: P3 Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2023, Catawba County Government, North Carolina.All rights reserved. gis.catawbacountync.gov/nomap/parcel_report.php?key=361702672075&type=u 1/1 • • �$A ♦ CATAWBA COUNTY I00A SOUTHWEST BLVD r (4ft..t ::•111154NEWTON,NORTHCAROLINA28658INVOICE/RECEIPT PHONE:828.465.8399 Monday,April 10, 2023 1 g 4 2 sn+ www.catawbacountync.gov Invoice Number: 04-23-421006 Invoice Date: 04/10/2023 EHPR-04-2023-43994 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: WILFONG RD,NEWTON NC 28658 Applicant RANDY FRYE,4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 C:8282615609 Contractor UNDERWOOD,RICHARD WAYNE,510 MATHESON RD,TAYLORSVILLE NC 28681- B:8283123536C:828-312-3536 RICH UNDERWOODF:NA RICH2140aGMAIL.COM ACCOUNT:7324 PAYOR: Underwood, Richard Wayne FEES _.._.._ EHPR-04-2023-43994 FEE AMT I)UE AMT Improvement Permit Fee 110-580200-663000 04/10/2023 $150.00 $150.00 FEES: $150.00 $150.00 TOTAL FEES: $150.00 $150.00 invoicereceipt 04/10/2023 I I:46 Page 1 of 1