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HomeMy WebLinkAboutRBPR-04-2023-44023.TIF 1 1 1 �BA10 THIS IS NOTA PERMIT Case# RBPR-04-2023-44023 CUT :All H CATAWBA COUNTY HEALTH DEPARTMENT U PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 su Residential Building Plan Review- Buildin A IMPROVEMENT-AUTH CONST BANDONMENT 7.1)1j)_ RA)t-Sfci •—..... Owner JEFFERY CORNETTE.3705 BUFFALO SHOALS RD,MAIDEN NC 28650 C:704-302-6498 TCORNET"I E28GMA1L.COM NAME TO APPEAR ON PERMIT Jeffery Corn ette SITE ADDRESS: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 PIN# 366704648018 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres- 1.09 DIRECTIONS: NC 16,Right on Buffalo Shoals Rd, Property on Right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: 7/21/23 revised to add well abandonment. Septic permits will be redrawn to move septic to rear yard Previous Description: Addition of 2 bedrooms, 1 full bath&common area; Currently has an Auth to construct permit for a septic malfunction EHPR 03-2022-40449 will be revoked 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF home, 3 storage bids EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 1560 sq ft NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 25x25 .�'�,� �.������ ��.�� ��.�•�.���.�-�`� ��•�, #OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOV ANY: YES Other described: - APPLICATION FOR WELL ABANDONMEN �ABANDONMENT TYPE: �Bored ----) el:application 072112023 12:19 Page 1 of 7 • CATAWBA COI N.n c•„�# Public Health Department Subdivision Environmental Ilcalth Division I'INiI RBPR-04-2023-44023,,, ) libtrait 366704648018 PO Box 389, 11x1-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JEFFERY CORNE I TE),3705 BUFFALO SI IOAIS RD.MAIDEN NC 28650 (Jeffery Cornette) Site Address: 3705 (BUFFALO SIIOAI.S RD,MAIDEN NC 28651) Property Size: Square Feet Acres 1.09 Directions: NC 16,Right on Buffalo Shoals Rd,Property on Right 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 Authonzation 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.)*—f 1 � Signature of Applicant or Agent ►�/ If you need further information or assist: c please call 828-465-8270 AREA5 FEENAME pATF., FEE AMOUNT Authorization to Construct Fee(New/Expansion) 04/12/2023 S300.00 Fee Improvement Permit Fee 04/12/2023 S150.00 Well Abandonment Fee 07/21/2023 S 100.00 TOTAL FEES S550.00 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) riiappiicauun 07/21/2023 12:19 Page 47 C‘ A C� CATAWBA COUNTY �'' �' 100A SOUTHWEST BLVD �` NEWTON,NORTH CAROLINA 28658 RECEIPT u PHONE:828.465.8399 L ' Friday, July 21, 2023 Ig 42 SM www.catawbacountync.gov PAYOR: Corvette,Jeffery PAYMENTS LL TRANSACTION NUMBER: TRC-69042095-21-07-2023 PAYMENT DATE: 07/21/2023 PAYMENT TYPE: Credit Card 308314351 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 07-23-425771 110-580200-663000 Well Abandonment Fee $100.00 TOTAL PAYMENTS: $100.00 RBPR-04-2023-44023 'W..�'."..�'.._...._._._.._._._...._..._..._..._..�.._.._.._..._.._.._...._...y....._.. ._- . CASE TYPE: Residential Building Plan Review WORK CLASS: Building Addition SITE ADDRESS: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Owner JEFFERY CORNETTE,3705 BUFFALO SHOALS RD,MAIDEN NC 28650 C:704-302-6498 TCORNETTE28@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 07/21/2023 12:18 Page I of I $A ••G THIS IS NOTA PERMIT Case# RBPR-04-2023-44023 ti a CATAWBA COUNTY HEALTI I DEPARTMENT C.) ill(7) bf PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM Residential Building Plan Review- Building Addition IMPROVEMENT-AUTH CONST- EXPANSION- SEPTIC_MALF TPu s 1.x, UNCTION Owner JEFFERY CORNETTE,3705 BUFFALO SI IOALS RD,MAIDEN NC 28650 C:704-302-6498 TCORNETTE28@GMAIL.COM GMAIL.COM NAME TO APPEAR ON PERMIT Jeffery Cornette SITE ADDRESS: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 PIN# 366704648018 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.09 DIRECTIONS: NC 16,Right on Buffalo Shoals Rd,Property on Right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: Addition of 2 bedrooms, 1 full bath&common area; Currently has an Auth to construct permit for a septic malfunction EHPR 03-2022-40449 will be revoked 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF home, 3 storage bids EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 1560 sq ft NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 25x25 #OF NEW EDROOMS:: 2 ASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? e system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: e6appIic:rou 04/13/2023 16:47 Page 1 of6 II UPTHIS IS NOTA PERMIT Case# RBPR-04-2023-44023 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 SM Residential BuildingPlan Review- BuildingAddition IMPROVEMENT-AUTH CONST- EXPANSION - SEPTIC MALF UNCTION Owner JEFFERY CORNETTE,3705 BUFFALO SHOALS RD,MAIDEN NC 28650 C:704-302-6498 TCORNETTE28@GMAIL.COM NAME TO APPEAR ON PERMIT Jeffery Cornette SITE ADDRESS: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 PIN# 366704648018 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.09 DIRECTIONS: NC 16,Right on Buffalo Shoals Rd,Property on Right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: Addition of 2 bedrooms, 1 full bath &common area; Currently has an Auth to construct permit for a septic malfunction EHPR 03-2022-40449 will be revoked 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF home , 3 storage bids EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 1560 sq ft NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 25x25 #OF NEW BEDROOMS:: 2 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehat�plication 04/12/2023 11:12 Page 1 of 6 aj8: CATAWBA COUNTY Case# RBPR-04-2023-44023 ug, • ti j. L Public Health Department Subdivision r d Environmental Health Division PIN# 366704648018 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 su NAME ON PERMIT: (JEFFERY CORNETTE),3705 BUFFALO SHOALS RD,MAIDEN NC 28650 (Jeffery Cornette) Site Address: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Property Size: Square Feet Acres 1.09 Directions: NC 16,Right on Buffalo Shoals Rd,Property on Right 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 comers 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. , / 1-4 ,... Date: J' Signature of Applicant or Agent V ` '(:)01a_AIT If you need further information or assistance please call 828-465-8270 AREAS FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 04/12/2023 $300.00 Fee Improvement Permit Fee 04/12/2023 $150.00 TOTAL FEES S450.00 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) ehappl ication 04/12/2023 I I:12 Page 2 of 6 ,F% • CATAWBACOUNTY Case# RBPR-04-2023-44023 F. 111 x Public Health Department Subdivision t . " Environmental Health Division PIN# 366704648018 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 i842 SN NAME ON PERMIT: (JEFFERY CORNETTE),3705 BUFFALO SHOALS RD,MAIDEN NC 28650 (Jeffery Comette) Site Address: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Property Size: Square Feet Acres 1.09 Directions: NC 16,Right on Buffalo Shoals Rd, Property on Right Focus on Residential Water Conservation The average North Carolinian uses between 50 and 75 gallons of water each day. About 75 percent of this water is used indoors. Since your septic system has failed and is being repaired,we want to stress that water conservation is an important part of ensuring that the repaired system functions well and provides a maximum number of years of service. Depending on the available ar ea on your lot,another repair may not be possible. You should take every precaution to ensure that further repair of your septic system is not necessary. Water conserving devices and appliances are simply low volume fixtures that accomplish the same function as higher volume, conventional fixtures - only they use less water and energy. There are several technical and behavioral facets to a concerted residential wate r conservation program. Commode Modifications Displacement Devices (Bricks,Plastic Bottles ,or Plastic Bags) Displacement devices such as bricks, bottles or bags are very low cost modifications which prove quite effective in reducing the flush capacity of a water closet. Each of the devices will displace about one or two quarts of water and the y will reduce the flush volume of a water closet accordingly. These devices are all placed in the lower right -hand corner of the water closet as far away from the flush mechanism as possible. If bricks are used, they must be wrapped in plastic to prevent t heir decomposition. If plastic bottles or bags are used, they must be weighted and filled with water before they are installed in the water closet. The average family of four could save about 10 gallons of water per day through the installation of these displacement devices. Dams These devices block off the lower portion of your water closet and prevent the water which is located behind the dams from ever l eavi ng the tank. Generally these devices are installed in pairs, one dam on each side of the flapper valve. When properly installed, the dams will reduce water consumption by about two gallons per flush. They are easy to install and they cost about$5 a pair. The average family of four could save about 25 gallons of water per day through the installation of toilet dams. chappiiaation 04/12/2023 11:12 Page 3 of6 CATAWBA COUNTY Case# RBPR-04-2023-44023 • Public Health Department Subdivision k Environmental Health Division Ira PIN# 366704648018 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JEFFERY CORNETTE),3705 BUFFALO SHOALS RD,MAIDEN NC 28650 (Jeffery Cornette) Site Address: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Property Size: Square Feet Acres 1.09 Directions: NC 16,Right on Buffalo Shoals Rd, Property on Right Low Volume Commodes The average commode requires about 5 gallons of water per flush. Today major plumbing applian manufacturers are marketing low volume commodes which use 3 gallons of water per flush. These lc volume commodes have been tested and theydo perform as well as the old standard high volum models. The cost for these new commodes ranges from $50 to over $100 per commode. These hi€ costs may generally prohibit replacing commodes just to save water, but if you are planning to remot the bathroom,these costs may not be prohibitive. Faucet Modifications Faucet Aerators Most faucets have faucet aerators attached. These faucet aerators will mix water and air and capacity at the faucet is about 4 gallons per minute. Low volume faucet aeratorswill mix water and air and reduce consumption to about 2 gallons p minute. These devices are simple to install. All that is required is to remove the old aerator and replace it wit new low volume aerator. The cost of these devices is about $2 and thatverage savings for a family o four will be around 15 gallons per day Line Inserts and Flow Restrictors These devices reduce the size of the cross sectional area of the supply line while maintaining the sa wate r pressure. This will reduce the flow of water through the pipe to about 3 gallons per minute. Thee devices maybe as simple as a washer or they may be more complex. Costs may range from 50 cents to several dollars and a family of four could save about 10 gallons p day by installing these devices in their lines. Shower Modifications Water Saving Showerheads All major plumbing suppliers now manufacture water saving showerheads. Most have a desig capacity of about 3 gallons per minute as compared to 6 gallons per minute for a c onventi of showerhead. There are two types of water saving showerheads currently available-a flow restrictin€ showerhead and an aerating showerhead. Both will give big savings in energy conservation. application 04/12/2023 11:12 Page 4 of 6 CATAWBA COUNTY Case# RBPR-04-2023-44023 Public Health Department Subdivision "4 Environmental Health Division PIN# 366704648018 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 1842 sa NAME ON PERMIT: (JEFFERY CORNETTE),3705 BUFFALO SHOALS RD,MAIDEN NC 28650 (Jeffery Cornette) Site Address: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Property Size: Square Feet Acres 1.09 Directions: NC 16,Right on Buffalo Shoals Rd,Property on Right Most showers are about 60 percent hot water. With the reduced flow through a water savin showerhead, less hot water is consumed. As less hot water is consumed, less energy is required to hea that which is he ing used. At$0.05 per kilowatt hour, it costs about one penny to heat one gallon of water. The average family four could save about $12 per month in their water and energy bill simply by installing low volurr. showerheads. The costs ofthese showerheads range from about $5 to over $20 for the deluxe models. Common Sense Water use, like any other commodity, requires us to exercise common sense. Wasteful consumption any resource is not recommended. Water is a very valuable natural resource. In the years to come, 1 value of our water resources willincrease many fold. Common sense water management includes such things as repairing leaky faucets; washing full loa of clothes or dishes; disposing of cigarette butts and paper products into waste baskets instead commodes; and pooling or ponding of wrier in the kitchen sink to wash vegetables and other foo products. Your county extension agents can show you how to install the several items mentioned here, at otherwise provide you with information on how to save water in the home. Call on them. Tips for Maintaining Your Septic System • Do not put too much water into the septic system; typical water use is aboul0 gallons per day for each person in the family. • Do not add materials (chemicals, sanitary napkins, applicators, and so on) other than domest wastewater. • Do not use a garbage disposal. • Do not pour grease or cooking oils down the sink drain. • Make a diagram showing the l oc ati mi of your tank drainfield andrepair area. • Install a watertight concrete riser over the septic tank tsimplify access. • Periodically have the solids pumped out of theseptic tank. • Maintain adequate vegetative cover over the drainfield. • Keep surface waters away from the tank and drainfield. • Keep automobiles and heavy equipment ofithe system. • Do not plan any building additions, pools, driveways, or other construction work near if septic system or therepair area. ehapplication 04/12/2023 11:12 Page 5 of 6 'IR elV - bLi .-a03 cA o 3 . (3 Catawba county RECEIVED public health Application for Environmental Health Services MAR 2 7 2023 THIS IS NOT A PERMIT Application is for:--New Construction [Existing Facility RSeptImprovement Permit uthorization to Construct nvironmental Health []New Septic ic Repair/Malfunction El Septic Relocation Septic Expansion ❑ Existing System Inspection or Reconnection El New Well ❑Replacement Well ❑Well Abandonment ❑Well Repair Property Address 3)0S ScRCtswto SlAedl4 Read hla:MA 4/G SO Acres I ,04k Subdivision �(0 Lot# 3667og64 goo, Driving Directions to Property �O `•C. c;`; 1., fir : l DesuAe work ��1 rc..,� GY\ �or,7c pn 10 Applicant Name S�rkt r "�civs (otnd re _ Cc cn:4 a �p�;�, (hcAt{�,�.I.y Applicant Address 370 S �.�iralo Suomi. t„,,el PA/^`44u\ i{I( ag6 S(7 EWPX-03- .401.149 Phone 7 oy..sea` 6 figs? I Email `1C Cot rl r,ale&OVA.COM W a be Owner Name 0 A /ovate' Owner Address 't it Phone c• " Email '' 'I Contractor Name Contractor Address _ Phone Email Name to Appear on Permit? El Owner giApplicant El Contractor Who will be the Primary Contact? ❑Owner isi Applicant El Contractor Proposed New Construction-Residential Primary Residence El New Residence K] Addition to Residence #of New Bedrooms*t #of Occupants Li Project Description Add t., 'a. 01111 cd f.n..dl Gr`e(/\ Structure Dimensions,also specif)!dimensions of decks&porches ' c d-S'' (Choose One) 0 Basement ViCrawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes gi No Accessory Dwellipg #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 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 ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space El Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 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 El 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 0 Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled El Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes 0 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 'l/ , `` Describe' `L I 3 5 di . tins Structure Dimensions I S FjC7 #of Bedrooms * �j #of Occupants y 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 El 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 IA No Does the site contain any jurisdictional wetlands? tl..Yes SI No Does the site contain any existing wastewater systems? ❑Yes fp No Is any wastewater going to be generated on the site other than domestic sewage? 1l,Yes No Is the site subject to approval by any other public agency? i Yes VI 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 ❑ Innovative ❑Other y(J 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,augering,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 prope or legal agent of the owner. !c� Signature of Owner or Legal Agent ! /4r/> Date :z / aQ3 Printed Name of Owner or Legal Agent LAR7c—ray 1114044 CaOe � r 157-67 129.28 .� 1r�.0a 111‘\ 'Tr 11011111 s •3705 ‘A.-% •3715 NO°. 1�0° 0"ixo gt0 , A -81.129560,35.! Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 366704648018 Owner: CORNETTE JEFFERY THOMAS JR Parcel Address: 3705 BUFFALO SHOALS RD Owner2: CORNETTE BRITTNEY DIANE JONES City: MAIDEN, 28650 Address: 3705 BUFFALO SHOALS RD LRK(REID): 7828 Address2: Deed Book/Page: 3544/0160 City: MAIDEN Subdivision: State/Zip: NC 28650-9127 Lots/Block: / Last Valid Sale: $105,000 on 2019-12-13 School Information: School District: COUNTY Plat Book/Page: Elementary School: TUTTLE Legal: Middle School: MAIDEN Calculated Acreage: 1.090 High School: MAIDEN Tax Map: 008 K 02019 Township: CALDWELL School Map State Road #: 1003 TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $165,200 Zoning2: Land Value: $16,400 Zoning3: Assessed Total Value: $181,600 Zoning Overlay: Year Built/Remodeled: 1972/ Small Area: BALLS CREEK 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 #: 3710366600J If available, Building Permits for this parcel. Septic 2010 Census Block: 4001 links are not permits. 2010 Census Tract: 011602 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. l(P1 Gc_, sc ey-pc-r\r->., 41 Pdfivl. Building Details WaterShed: \AOrlc '5 Crrer,-111 b loom \\ofrv= Voter Precinct: P91 Voting Map l�eC,RX_ o is y C1 � �^t Parcel Report Data Descriptions qso. cc 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. r �C/� ' CATAWBA COUNTY HEALTH DEPARTMENT yd......., Telephone: (828)465-8270 TDD: (828)465-8200 WLS #, 2 V/`C/ T- 1P Rpr. P mt. Opr. Prmt. Sys. Type Well Prmt. Replacement Well '\ Well Rpr. Prmt. Owner/Agent G.-}/ Ja—e.`j Phone Address , ,7e/5 _&A e i "--7t ',-/c .e.. Subdivision ___ A M"/ Section/Block/Phase Lot// Lot Size /�? Dt cnons: oee //v D ''7S 1.,- 1 r"ut'.f` , 7�Y if j►-� �jD Property Address`3 5 ,.„� n'ecs 65/ t c " Facility: House p( Mobile Home Business Multi-family . Other: Pin Number„36 '7 -Q y_ 6y dal ' Other . Zoning Approval# N Bedrooms 11 Seats #Employees . Application Rate GPD Flow Hot Tub or Spa s no Special Fixtures Basement yes/no . 100% Repair Area yes/no Basement Plumbing yes/no Water Supply: Private Well Public Semi-Public Type of System: Trench Bed Pump Pump/Panel Panel LPP Other Septic Tank Size Pump Tank Size Nitrification Field: Total Square Feet Depth of Stone Bed Size Trench Width Total Length of All Trenches Number of Trenches Trench Length_/_/ /_/ / Feet on Center Maximum Trench Depth I Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* Cl *WELL RECORD REQUIRED AT COMPLETION* ************************************************* ****************************** ************************************* Topo % Slope Texture i Structure Clay Min. Soil Wetness ,, Soil Depth �— !A, I i Restric. Hoz. at " Available space yes/no tN Overall Class S PS U lD r D ui '. Comments: 140\ = Q11--777)--------5 -------- 2.6 Filter Required 41444(v t (, Riser required when 5 G tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *************************************************************************************************************************** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for(5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations,and must be inspected and approved by a representative of the Catawba County Health Department before any port': of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible s 6, o contamination. No volume of water is guaranteed at any site by the Health Department. Permit Date /2— I EHS /0 _-, S Owner/Agent Septic Ta nsta led Date EHS Well Installed B - Wel r Approval Date/a-Z-Z1--J Well Head Approval Date l/--/--/Date Sample Collected Date of Results Results EHS , ra White-Office Blue-Building Inspection Operation Permit Yellow-Owner/Agent Green-Bu dingLection Au lion to Construct • a CATAWBA COUNTY Case# AUTH-05-2022.170833 "t. Public Health Department Subdivision . 7 Environmental Health Division PIN# 366704648018 vNitzviii. PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 3705 BUFFALO SHOALS RD, MAIDEN NC 28650 Name on Permit JEFFERY CORNETTE Property Size: Acres 1.09 Directions: 16 S, right Buffalo Shoals Rd, 1.8 miles on right just past Laney Rd Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? NO Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soli LTAR: 0.3 g.p.dift2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Pump Tank 1,000 gal Grease Trap_gal Dosing Volume 137 gal Pump Specs: 23.3 GPM @ 13 TDH Pressure Head 2 ft Draw Down 6 5 in Drainfleid: Total Area: 900 sq ft Total Trench Length: 300 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in Minimum Soil Cover: 12 in Minimum Trench Separation: 7 ft on center Number of Drain Lines: 4 Trench Width: 3 ft Distribution: Pressure Manifold Pre Treatment: NONE Pump Required Additional Specifications: 'Do not cut,drive,fill, or grade over septic or repair areas. 'Septic system must be 10 ft from property lines,50 ft from wells,5 ft from building foundations and appurtenances,and out of right-of-ways and easements. 'Install a 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface)and 1,000 gallon pump tank with risers. 'Existing septic tank should be pumped out, crushed, and filled in with soil. 'Trench depth must be installed between 30 inches(due to fill at pit 1) and 34 inches deep. 'Install 300 linear feet of 25%reduction system,proposed 4 lines total to be used and fed by pressure manifold with 3 sch 4014"taps. *Laid out 4 lines in the field on 15 ft centers with inferred lines in between, 'Full layout: line 1 36 ft(green flags), line 2 42 ft(inferred), line 3 58 ft(red), line 4 98 ft(inferred), line 5 102 ft(g reen), and line 6 48 ft(white). 'Tap 1 will feed lines 2 and 3 via connected via stepdown. Tap 2 will feed line 4, and tap 3 will feed line 5. 'Lines laid out in the field and are longer than the lengths listed above. 'Trees may need to be removed. *Final grade of septic area must shed surface water off and away from system, *All gutter drains must be routed away from the septic system. o, 05/06/2022 16 48 ;��• CATAWBACOUNTY Case 44, • .t.�1 Public Health Department Subdivision AUTH-OS 2022-170833 Environmental Health Division PIN# 366704648018 ‘taiiirPO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 3705 BUFFALO SHOALS RD,MAIDEN NC 28650 Name on Permit: JEFFERY CORNETTE Property Size: Acres 1.09 Directions: 16 S, right Buffalo Shoals Rd, 1.8 miles on right just past Laney Rd See also attached site plan. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved,and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions ««< PROPOSED REPAIR Repair System Required? Not Required Soil LIAR: dltt2 9•P• Proposed System: System Classification: The issuance of this permit by the Health Department does not guarantee the issuance of other permits. it is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements arc met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewage Treatment and Disposal Systems'(I5A NCAC I 8A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. S',0 "--f7—"-..... 05/06/2022 Authonzed Stale Agent Permit issuance Date 5/6/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair wit/rout approval of the Health Department. ei i,1C 1111 It 05/06n022 16:48 Ac melee Et1A 03-2022— elope? Catawba County Environmental Health os-20t- I70833 t \ its 0 o Iii V. .saw V ■ 04Ip stQ Q o , 4 k'4s,",, ,u Igl‘ v c 7. /4. 8 .., . m t \ <-....- 4461"Ps4"16' • Parcel:366704648018, 3705 BUFFALO SHOALS 1 in=40ft RD MAIDEN, 28650 This mapheport product was papered from the Cattalos Counntcyy,'NC c ospat sl Information Sambas. Catawba County has mode substantial efforts to ensure the accuracy of location and{ab.pr�p HantNbn oonfalwd on this map or data on this report Catawba County promotes end recommends the I dapettdentved L.lbtt of any ds oo+tdlrtsd an dbdeins.end WWI not ba held ION for this nispltepott product by the user.The County of Catawba.Its employees,agents.and Hula thisth a mapheport product or M»use thereof by any person g ar Mab�My.whether dtfeat;Indt of a oorwequetttlol whkh erlsas ar may Copyright 2021 Catawba County NC 05105/2022 L!oYN? 6 SYSTEM Lint# rege2t Eloyolon lamb MALAWI Matto owl lionsiuku Lms.LTAR 100 SCH 401/2 7.11 120.00 300 0.40 2 N SCH 40 It2 7.11 120.00 294 0.41 3 102 SCH 40 IA 7.11 120.00 306 0.39 WW1 fest s 300 gsV nit■ 21.33 D. Flow 300 Ihny Rum 10.6$ soil LTAR 0.3 (MAY Mat N%) 0.315 LTAR wM NNOV.+O% 0d LTAR wlrt NNOY. 0.42 • DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheer_L of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 4: ON-SITE WATER PROTECTION BRANCH 1/„„(j COUNTY: Catawba_ SOIL/SITE EVALUATION I for ON-SITE WASTEWATER SYSTEM (Complete all fields la NI) OWNER: J` '1 4e.%a- C _ APPLICATION DATE ADDRESS: DATE EVALUATED: y/j},=7 PROPOSED FACILITY: 3dr PRO SED D IGN FLOW(.1949): 34. PROPERTY SIZE: LOCATION OF SITE: 3�S 3,4 41. �i l4 PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public aWeII 0 Spring 0 Other - 4 EVALUATION METHOD: 0 Auper Boring rkPit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed 9 . i s • • R, SOIL MORPHOLOGY ,:.,OTHER %p , • F (.1941) PRQFII,E FACTORS ) 19M i L . . . ., . �HQRIZON 4,. it PROfLE , _ 1942 x I% (IN.) '1141 .1941 SOIL .1943 1956 .1944 CLASS t c ST�,UCTUREI CONSISIENCFJ: yYETNF4S! Soil. :9A1RO itsTA, &LIAR `A4 TEXTURE 'MAY' ;GOLOR• • 4 OP,TF. .GTASS ..f;`HORUZ:. , J r'^/- c 7 iv- N4' A' lS-1� "661� fc.L fit .c I D. 3. . 1 a .sp - q' L ;-or se y . Ye-Si "if trig- G4‘... r.C.t elf It 44,, o-/S sv6r st t- FIG .t(,8 is"- S'L iv.- i fF !f Cfs /S-3 L sgl e- fe .s - I p 3 2 ` 3L 3'Z whit cy SC ,e/ r 3 4 1 j DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.I945) 'Fs:l I S �y EVALUATED BY: fix System Type(s) ZJ" OTHER(S)PRESENT: She LTAR 0, -3 COMMENTS: 2014 r . iloyI9 10.4 Catawba County Environmental Health -**--...4'\ * \ .4 '' .. wal k---Pc>ii is r 0 1111/ 11111,Illvillrhl, \ \ A . , \_, a ) ,, 4).' ----. . „op" roP / .if ,,,,... 65 Parcel: 366704648018, 3705 BUFFALO SHOALS 1In=40ft RD MAIDEN, 28650 This map/report product was prepared from the Catawba County NC information Services. Catawba County has made substantial efforts to ensure the accuracy of location and Isbell rrgg Mwormatlon contained on this map or data on this report.Catawba County promotes and recommends the Independent verification of any data cnrrtsined on this me product by the uaar.The County of Catawba,its employees,regards.and personnel.di and shall not be product C�Babes use t any and damagereof by any patina or s or liability,whether direct,indirect or cansequenbat which arises or may arise from Copyright 2021 Caserta County NC 05/0512022 G!o yy9 20 CALCULATIONS Location Project Number Lot No: No. of Bedrooms 3 Design Flow 360"/d,, LTAR 0.3°"/edly EZ-lay?(YES OR NO) YES Supply Une Length 100 ft. Supply Line Volume 17.4 gal. FRICTION FACTOR INTERPOLATER Required Feet of Une 300 ft. 2"SCH 40 PVC Amount of Line from Layout 300 ft. GPM f 20 0.84 Gallons per Minute 21.33°"/,yi :-;'; i.��4u'y:a ;• ,, i Required Septic Tank Capacity 1000 gal. '•:. `a .Pr,;' ` ��!,, ; Minimum Standard Tank Size 1000 30 1.78 Lateral Line Volume 195.9 gal. �1k Dosing Volume 137.13 gal. 40 3.03 Note: Dosing volume based on 70% of the tetra,line volume. 50 4.58 60 = L:', i,ai Tank Draw Down 6.5 Generic Draw Down or 21 piper in. Pump Run Time 6.43 minutes Elevation Head 8 ft. Pressure Head 2 ft Friction Factor 1.27 ft/100 ft.(From the interpolator.) Friction Head 1.27 ft. Total Dynamic Head(+15%) 12.96 ft.