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HomeMy WebLinkAboutEHPR-04-2023-43995.TIF .�$A 6 THIS IS NOT A PERMIT Case# EHPR-04-2023-43995 , U CATAWBA COUNTY HLALTI I DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES I$ sM Environmental Health Plan Review- OSWP IMPROVEMENT Applicant RANDY FRYE,4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 C:8282615609 Contractor UNDERWOOD,RICHARD WAYNE (*RICHARD UNDERWOOD),510 MATHESON RD, TAYLORSVILLE NC 28681- B:8283123536 C:828-312-3536 RICH UNDERWOOD OTIIER:8286327623F:NA RICII2140rrGMAIL.CO M NAME TO APPEAR ON PERMIT Randy Frye SITE ADDRESS: 3647 WILFONG RD,NEWTON NC 28658 PIN# 361702672075 NAME of SUBDIVISION: Randy William Frye 1.497 Lot k Section/Block PROPERTY SIZE: Square Feet 87,120.00 Acres 2 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: ** NO STRUCTURE SELECTED** FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 72 x 32 two porches Sx32 #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: e6appGcauc,n 04/13/2023 15:3g Page 1 of3 13' e CATAWBA COUNTY Case# El1PR-04-2023-43995 ;Q(...., t a ,� Public Health Department Subdivision Randy William Frye d \�;i —3 Environmental Health Division PIN# 361702672075 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 8' w NAME ON PERMIT: (RANDY FRYE),4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 ( Randy Frye) Site Address: 3647 WILFONG RD,NEWTON NC 28658 Property Size: Square Feet 87,120.00 Acres 2 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 *********************************s************************************************************************** FEENAME DATE FEE AMOUNT Improvement Permit Fee 04/10/2023 $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) chapplicatnei 04/13/2023 15:38 Page 2 of 3 catawba county - public health Application for Environmental Health Services /c 7! THIS IS NOT A PERMIT Application is for: ❑New Construction ❑Existing Facility ©Improvement Permit ❑Authorization to Construct ZNew Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection 'few Well a Re lac ent Well ❑ Well Abandonment ❑ Well Repair Prope At dress .V`r Lhd, �d Acres Subdivision Lot# 2- Driving Directions to Property y Describe work pi kthie 2. Tjl7/0 bl5 f b"L///c�/ I et S t v i? Applicant Name A <<n.dClJ /.4/7/errLtddP Applicant Address 5 yD /y)e,, t-1 �>Sdrl ��1%'. 7 yL'-'ri/i t N. C 28 1 Phone Z?- ?,I 2--3 5� (e 3 , / Email ,Jai 21 qc ) 6/Yk /1. C, n Owner lame A7aivj L- ZG ���rJ / - e Owner Address I f/; ,,;t/� �/( 12 i2 �li rJ </�1' / � �Q Z Phone F2s--21/ - e7 p Email Contractor Name I 4410 ri,10j} 7,/,14,p���� Contractor Address 5`/,9 rI/u tit 1 S d � Phone Email Name to Appear on Permit? ❑Owner ❑Applicant [Contractor Who will be the Primary Contact? ❑ Owner ❑Applicant ritContractor Proposed New Construction-Residential Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms*t / #of Occupants / Project Description Structure Dimensions,also specify dimensions of decks&porches 12-X 3 Z f 2 j20 AC%S S` 3z (Choose One) ❑Basement At Crawl Space ❑ Slab If Basement,Will ere Be!Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes [St 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 In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes 0 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' ❑ 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 0 Individual Well ❑ Semi-Public Well El 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?❑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 0 Yes El No Basement Plumbing El Ycs ❑ No Existing Water Supply ❑ Individual Well ❑ Shared Well—Number of Connections El Community Well El County/City/Township Water Line Is a public water supply available?** ❑ Yes X 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 El Yes El No Residential Kitchen ❑ 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? 0 Yes IgNo Does the site contain any existing wastewater systems? ❑Yes D'No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes L 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 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 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 pro erty or legal agent of the owner. Signature of Owner or Legal AgenG�/C�-72-^ ug Date —/o Printed Name of Owner or Legal Agent!\/c. �h"Y -) 4�yL,k ed`f' I ��Z Catawba County Environmental Health 0 (162 s' t (113) J ta (137) -' (2.. 5 j ^�� •3614 51 / :.? A, S' •3394 67 •3391 (001) E ' �O,• * 52:3649 ,..N.- A)A', C_J 21.0365..: 21.03 h „� tr. 2.86 •3401 $ v 424) C:1 5 ?• l Afk OOD •3409 k. to r919 e®. * 0 92.75 •3415 2% Clj * Ikts, /: 45. \:.:4 QI 1 7 '... i..,1680 Parcel: 361702672075, NEWTON, 28658 1 in=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/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 80/194 Elementary School: BLACKBURN Legal: LOT 2 PLAT 80-194 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 Zoningl: 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 --Is A p CATAWBA COUNTY �' G IOOA SOUTHWEST BLVD �` _..�'� NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT U �;`, I PHONE:828.465.8399 Monday,April 10, 2023 /8 4 2 sM www.catawbacountync.gov Invoice Number: 04-23-421007 Invoice Date: 04/10/2023 EHPR-04-2023-43995 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 .. .—..W...W...._.. .._.. .�............._.. ._... EHPR-04-2023-43995 FEEAMT DUEAMT Improvement Permit Fee 110-580200-663000 04/10/2023 $150.00 $150.00 FEES: $150.00 S 150.OIt TOTAL FEES: $150.00 S150.00 invoicereceipt 04/10/2023 11:57 Page 1 of 1