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HomeMy WebLinkAboutEHPR-04-2023-43996.TIF THIS IS NOT A PERMIT Case# EHPR-04-2023-43996 CATAWBA COUNTY HEALTH DEPAR"I MENT v O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig 2 sM Environmental Health Plan Review-OSWP IMPROVEMENT Applicant RANDY FRYE,4100 PAINT SIIOP RD,LINCOLNTON NC 28092-5815 C:8282615609 Contractor UNDERWOOD,RICHARD WAYNE (*RICHARD UNDERWOOD),510 MATHESON RD, TAYLORSVILLE NC 2868I- B:8283123536 C:828-312-3536 RICH UNDERWOOD OTHER:8286327623F:NA RICII2140@GMAIL.CO M NAME TO APPEAR ON PERMIT Randy Frye SITE ADDRESS: 3663 WILFONG RD,NEWTON NC 28658 PIN# 361702672075 NAMERandy William Frye 3 of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 46,870.56 Acres 1.076 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 for 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:: 72 x 32 with two 8x32 porches #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: cLal,li,—,,,•n 04/13/2023 15:47 Page 1 of3 CEHPRCATAWBA COUNTY Case II -04-2023-43996 .j. Public Health Department Subdivision Randy William Frye . Environmental Health Division PINtf 361702672075 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (RANDY FRYE),4100 PAINT SHOP RD,LINCOLNTON NC 28092-5815 ( Randy Frye) Site Address: 3663 WILFONG RD,NEWTON NC 28658 Property Size: Square Feet 46,870.56 Acres 1.076 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 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) el appli.atn.n 04/13/2023 15:47 Pagc 2 of 3 catawba county �� , public health k i l Application for Environmental Health Services /0-r 43 THIS IS NOT A PERMIT Application is for: ['New Construction ❑ Existing Facility Improvement Permit ❑Authorization to Construct EX New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection New Well n Renlacement Well ❑Well Abandonment ❑ Well Repair Property Address 3 Li t t 7�,��?d Acres `.D-j(o Subdivision J Lot# Driving Directions to Property J �� �,c� Describe work g vide- /G !,7 jc1 he,:,c'/S• ��'/ �,� /0-- ` Applicant Name /C/f f�/-�/[_L�Cci e/ - Applicant Address ,%Q r/I1c 0'h e , /D /'i•ik4/ 7 Phone '. Zbf-3/ 2.-3',5-�/ J Email Owner Name A ,"E I;- .r P)- Owner Address .5//ee �/7`" //a /7:-L /Ufa z_yr1 /�2 Phone e- — 61— --‘ ,1 Email Contractor Name /`A/,. 1/4" l�,�, Contractor Address , ,y ,'-y) t .€�,.`. (7(J ,�=- k y.5-4,2 le i /0 7� '/ Phone S�3—3)2 —j 3g Email Name to Appear on Permit? [Owner ❑Applicant contractor PP PP Who will be the Primary Contact? ❑Owner ❑Applicant KT Contractor Proposed New Construction-Residential Primary Residence [ New Residence ❑ Additiai r Residence #of New Bedrooms*t / #of Occupants Project Description 1 7 Z.x -3Z [y 1 /�e,/ e'� r 3� Structure Dimensions,also specify dimensions of decks&porches (Choose One) ❑Basement ['Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ElNo Retaining Wall>2' El Yes El No Accessory Dwelling #of New Bedrooms*t #of Occupants _ Structure Dimensions (Choose One) ❑Basement M Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes a 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' ❑ 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 0 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 ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑ Individual Well ❑ 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❑ Yes ❑ No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑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 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 allo Does the site contain any jurisdictional wetlands? ❑Yes No Does the site contain any existing wastewater systems? ❑Yes le No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes Of No Is the site subject to approval by any other public agency? ❑Yes Pi: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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative ❑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 stricture 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 property or legal agent of the owner. J/ Signature of Owner or Legal Agent1�� �J /C Y �1� Date `Y J/� 2 J Printed Name of Owner or Legal Agent / al LJ j7 OE?�I72xI �/��1 2 3 Catawba County Environmental Health 0 (162 'L, L° (113) J J (137) 'a (244 5 �. •3614 61 i r? A. •3394 ki. •3391 No) [ lc, co �$a.a1 4 21.03 65..: 21.03 ^, 2.86 •3401 ,is R ` 424) C, 1lo rss, rig •3409 4.9 r J 89.?0,011.13 * 92.75 •3415 0 2 [13 * J a lik `k t, , /1/ I I co Af 44. .7 4::' 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/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 80/194 Legal: LOT 2 PLAT 80-194 Elementary School: BLACKBURN Calculated Acreage: 5.120 Middle School: JACOBS FORK 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 ,1 A \C� CATAWBA COUNTY E`' \� 100A SOUTHWEST BLVD � 111 NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT V PHONE:828.465.8399 Monday,April 10,2023 /8 4 1 sM www.catawbacountync.gov Invoice Number: 04-23-421020 Invoice Date: 04/10/2023 EHPR-04-2023-43996 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 MATIIESON RD,TAYLORSVILLE NC 28681- B:8283I23536C:828-312-3536 RICH UNDERWOODF:NA RICH2I40QGMAIL.COM ACCOUNT:7324 PAYOR: Underwood, Richard Wayne FEES EHPR-04-2023-43996 FEE AMT DUE AMT Improvement Permit Fee 110-580200-663000 04/10/2023 $150.00 $150.00 FEES: $150.00 4,150.00 TOTAL FEES: $150.00 $150.00 • invoicereceipt 04/10/2023 13:53 Page 1 of 1