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HomeMy WebLinkAboutEHPR-04-2023-44010.TIF • THIS IS NOT A PERMIT Case# ElIPR-04-2023-44010 CATAWBA COUNTY I IFAI11'IH [)I?PAR'l'MF':NT 1 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1: 2 ski Environmental Health Plan Review- Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION Applicant BILLY DARA,5056 CI.FARVItiW CI,CONOVER NC 28613 C:8286392605 Ill I,I,YDARA(a),YAI IOO.COM NAME TO APPEAR ON PERMIT Billy Dara SITE ADDRESS: 5056 CLEARVIEW Cf,CONOVER NC 28613 PIN# 374413139576 n:1M1:of SUBDIVISION: SPRINGHAVEN Lot if 12 Section/Block F PROPERTY SIZE: Square Feet 18,295.20 Acres 0.42 DIRECTIONS: Springs Rd, Houston Mill Rd, right Springhaven Dr,left Clearview Ct on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: water coming to top of ground over drainfield 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF residence EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 77 x 27 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? Yes 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: eI ipI hca(iou (4,11 2023 10.52 Page 1 of 6 ice• CATAWBA COUNTY Case# EHPR-04-2023-44010 !., tiik Public Health Department Subdivision SPRINGHAVEN Environmental Health Division PIN# 374413139576 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 1: 2 u, NAME ON PERMIT: (BILLY DARA),5056 CLEARVIEW CT,CONOVER NC 28613 (Billy Dara) Site Address: 5056 CLEARVIEW CT,CONOVER NC 28613 Property Size: Square Feet 18,295.20 Acres 0.42 Directions: Springs Rd,Houston Mill Rd,right Springhaven Dr,left Clearview Ct 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 a 828- 5-8 70 AREA3 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair)Fee 04/11/2023 $300.00 TOTAL FEES $300.00 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) ehapplicarion 04/11/2023 10:52 Page 2 of 6 catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: El New Construction El Existing Facility ❑improvement Permit ❑ uthorization to Construct £New Septic Septic Repair/Malfunction ❑ Septic Relocation El Septic Expansion ❑ Existing System Inspection or Reconnection El New Well ❑ Replacement Well , ❑ W Il Abandonment El Well Repair Property Ad ss • tv�— Acres Cris Subdivision_ Lot# Driving reftions to Property Describe work Applicant Name 6 i/I Z-.t✓ P��,4 Applicant Address `j D5", e_,/%/ /t// v(, (6 ,2 / Phone 2,�� 3 �) D 5-- t Email L/�!/d.%?/�(.?'0 q4 e), �2/7 • Owner Name l�j I i >g 2-/�' i Cam` Owner Address 5'p 11 .2u, v''/J C,' • Phone 2c 9 �,4Q5 Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? ['Owner El Applicant ❑Contractor Who will be the Primary Contact? ❑Owner ❑Applicant 0 Contractor Proposed New Construction-Residential Primary Residence El New Residence ❑ Addition to Residence #of New Bedrooms*fi #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches (Choose One) 0 Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes El No Accessory Dwelling #of New Bedrooms*1 #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space 0 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 0 Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type 0 Drilled El Bored ❑ Dug ❑ Unknown Well Repair Requested 0 Yes 0 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?El 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 Structure on Site /� � Describe (fVu1 A r �ytyle LS cr 6,pi 1-lc- -!<1 I Y--- Structure Dimensions #of Bedrooms * #of Occupants_ it; Basement EL/Yes ❑ No Basement Plumbing ( Yes ❑ No Existing Water Supply ❑ Individual Well 0 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 Shill #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 a answer to any question is"yes",applicant must attach supporting documentation. ❑ Yes /No Does the site contain any jurisdictional wetlands? 0 Yes iu o Does the site contain any existing wastcwatcr systems? 0 Yes to Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes o Is the site subject to approval by any other public agency? 0 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,augcring,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 a f the owner. Signature of Owner or Legal Agent Date / _ 3 Printed Name of Owner or Legal Agent • , Catawba County Environmental Health NJ ei 1. ',3> iso 09 a I • •50 ceSs N 0 . IS ' o • 4 .. •5056\s> ' 49,3 1��0 to • C<h ': 45 32 0A .. n tx 7.24 •5048 l 55,23 L.,--.1 I: 41 43 .09 54,8` Parcel: 374413139576, 5056 CLEARVIEW CT 1in=50ft CONOVER, 28613 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 04/11/2023 4/11/23,10:41 AM Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374413139576 Owner: DARA BILLY L Parcel Address: 5056 CLEARVIEW CT Owner2: City: CONOVER, 28613 Address: 5056 CLEARVIEW CT LRK(REID): 52850 Address2: Deed Book/Page: 3299/0208 City: CONOVER Subdivision: SPRINGHAVEN State/Zip: NC 28613-8415 Lots/Block: 12/ F Last Valid Sale: $33,000 on 1981-02-01 School Information: School District: COUNTY Plat Book/Page: 17/22 Legal: LOT 12 PLAT 17-22 Elementary School: LYLE CREEK Middle School: RIVER BEND Calculated Acreage: .420 High School: BUNKER HILL Tax Map: 1516 04013 Township: CLINES School Map State Road #: 2265 TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoning1: R-20 Building(s)Value: $154,000 Zoning2: Land Value: $13,600 Zoning3: Assessed Total Value: $167,600 Zoning Overlay: Year Built/Remodeled: 1980/ Small Area: ST STEPHENS/OXFORD 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 #: 3710374400J If available, Building Permits for this parcel. Septic links 2010 Census Block: 1006 are not permits. 2010 Census Tract: 010202 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: Voter Precinct: P33/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. ©2023,Catawba County Government, North Carolina.All rights reserved. gis.catawbacountync.gov/nomap/parcel_report.php?key=374413139576&type=u 1/1 CATAWBA COUNTY HEALTH DEPARTMENT • NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT # C - 2633 DATE : /0/4/ OWNER ! ` ,Z641,..{/ ADDRESS �� �V �_.� BUILDING CONTRACTOR S BDI S , r r % P�,� LOCATION. ( jU &,,,,,41,e4 „r /,14z.e..4Atz� LOT # /� J LOT SIZE BLOCK OR SECTION Q917,— In HOUSE (p) MOBILE HOME ( ) BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /O.-V-0 GALS) WATER SUPPLY : NO. BEDROOMS 3 NO FIXTURES INDIVIDUAL PUBLIC i./r GARBAGE DISPOSAL UNIT:YES (7—N0 (Jr) IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES (Y) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: /Q SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES SEPTIC T K INS ALL 2) LENGTH AND WIDTli OF LINES r ZSV X _77/ PERMIT EE $ � a) BED SYSTEM (X) CERTIFICATE OF COMPL T ON BY: b) TRENCH SYSTEM ( ) v('r , ' 3) DEPTH OF STONE IN LINES it) REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILDIN (HOUSE) SEWER LINE : YES (u NO ( ) 2) NITRIFI t1�TION LINES : DATE INSTALLED: 9 0/'�,l/ P YES (1-1 NO ( ) / / SEPTIC TANK AYOUT i‘ *A H z U 0 �� H 0 �` a a 4911:1 ----L-7 i 1 HEALTH DEPARTMENT COPY \ r .�, CATAWBA COUNTY HEALTH DEPARTMENT 41) IMPROVEMENT PERMIT FOR SEPTIC TANKS Permit No. 1582 NAME OF 0 R DATE ���/� C/ ADDRESS OF OWNER j PHONE NAME OF CONTRACTOR4,.,.g5tea �_ �j ADDRESS ,2'Iri -'r-4.4f7;d,i LOCATION „Q„Aj 0,„/ e'11 `—_ 0 SUBDIVISIO A 7,Q,f,0�,,t, LOT NO. / Z_--- SECTIO OR BLOCK J LOT SIZE FHA, VA LOAN HOUSE (6 MOBILE HOME ( ) BUSINESS ( ) OTHER ( ) SEPTIC TANK LAYOUT NO. BEDROOMS (3) NO. FIXTURES ( ) / f3 g GARBAGE DISPOSAL UNIT: YES ( ) NO () J f�/;,,, PLUK9ING UNDER BASEMENT FLOOR: YES ( NO ( ! `` SIZE OF TANK i/O-6)-F) LIQUID GALLONS \ \ k `��� NITRIFICATION FIELD: .Q. � 1. Number of lines ' 2. Length and width of lines• � a. Bed System 1T )(, 22-r ft. \I....‘ s b. Trench system ft. 3. Total Depth of stone inches GROUNDWATER INTERCEPTOR DRAIN: (IF REQUIRED) / WATER SUPPLY: PRIVATE ( ) PUBLIC (,� 4.y 1------i- OWNER NOTIFIED TO CHECK ZONING: Y S ( ) NO ( i OWNER AGREES WITH LAYOUT: YES ) NO ( ) OWNER ES W SPECIAL INSTRU TIONS: YES ( ) NO ( ) 7n.Gt u./1 1f2-6. .V4------- OWN OR CONT CTOR SIGNATURE PERMIT FEE $ 3_0 , 8 b �/ PERMIT VOID AFTER 36 MONTHS IMPROVEMENT PERMIT ISSUED/3Y SEPTIC TANK CONTRACTOR MUST FOLLOW ALL � � DETAILS OF THIS PERMIT (LAYOUT) SANITARIAN r WEALTH DEPARTMENT COPY SOIL CLASSIFICATION: SUITABLE ( ) PROVISION SUITABLE (4 UNSUITABLE ( ) SITE FACTORS: 1. SLOPE (%) - - U 7. SOIL PERMEABILITY S - PS - U 2> SOIL TEXTURE (12-48 PS - U UNDER 60 MIN. - OVER 60 MIN. SANDY, LOAMY, CLAYEY ai _....-------7 8. OTHER S - PS - U 3. SOIL STRUCTURE (12-48 IN.) S - PS - U (SPECIFY) I4. SOIL DEPTH (IN.) S - PS - U 9. SOIL SERIES: 5. RESTRICTIVE HORIZONS (IN.) S - PS - U A. CECIL ( ) B. HIWASSEE ( ) (IMPERVIOUS STRATA, ROCK) C. MADISON ( ) D. APPLING ( ) 6. SOIL DRAINAGE - GROUNDWATER S -.PS - U E. PACOLET ( ) F. FLOOD PLAIN ( ) (EXTERNAL - INTERNAL) G. 2-1 CLAY SOIL H. OTHER-SPECIFY 14, C CATAWBA COUNTY 100A SOUTHWEST BLVD aNEWTON,NORTH CAROLINA 28658 RECEIPT U /� :) PHONE:828.465.8399 Tuesday, April 11, 2023 1 8 4 sM www.catawbacountync.gov PAYOR: Dara,Billy PAYMENTS TRANSACTION NUMBER: TRC-6 1 628640-1 1-04-2023 PAYMENT DATE: 04/11/2023 PAYMENT TYPE: Credit Card 303600245 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 04-23-421058 110-580200-663000 Authorization to Construct(Repair) $300.00 Fee TOTAL PAYMENTS: • $300.00 EHPR-04-2023-44010 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 5056 CLEARVIEW CT.CONOVER NC 28613 Applicant BILLY DARA,5056 CI.EARVIEW CT,CONOVER NC 28613 C:8286392605 BILLYDARA@YAHOO.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 04/11/2023 10:51 Page 1 of 1