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HomeMy WebLinkAboutEHPR-04-2023-44065.tif A •�6 THIS IS NOT A PERMIT Case# EHPR-04-2023-44065 Q °' `'(7� CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /841 5M Environmental Health Plan Review-OSWP IMPROVEMENT to-0-3 th -sead Applicant DALTON JORDAN, 1110 HARPER LEE DR,NEWTON NC 28658 C:8282347517 DMJ0I 129 caYAHOO.COM Owner SMYRE REVOCABLE LIVING TRUST, 1968 SMYRE FARM RD,NEWTON NC 28658 NAME TO APPEAR ON PERMIT Dalton Jordan SITE ADDRESS: 2225 SMYRE FARM RD,NEWTON NC 28658 PIN# 365913231448 NAME of SUBDIVISION: Lot 4 Section/Block PROPERTY SIZE: Square Feet 43,560.00 Acres 1.0 DIRECTIONS: S NC 16 Hwy right on Smyre Farm Rd property on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GAL PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 4/27/23 copy of surveyor map received with site plan same location PREVIOUS DESCRIPTION: 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? Yes Property Easements Description: proposed 45'ROW 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 57 x 65 #OF NEW BEDROOMS:: 3 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: ehapplication 04/27/2023 13:19 Page 1 of 3 �$• • CATAWBA COUNTY Case k EHPR-04-2023-44065 ��G2 Public Health Department Subdivision "3 Environmental Health Division PIN# 365913231448 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /842 NAME ON PERMIT: (DALTON JORDAN), 1 110 HARPER LEE DR,NEWTON NC 28658 ( Dalton Jordan) Site Address: 2225 SMYRE FARM RD,NEWTON NC 28658 Property Size: Square43,560.00 1.0 P Y Feet Acres Directions: S NC 16 Hwy right on Smyre Farm 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. `� i Date: t.,/1 1 /2 5 Signature of Applicant or Agent l If you need further information or assistance please all 82 465-827 AREA4 FEENAME DATE FEE AMOUNT Improvement Permit Fee 04/17/2023 $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) ehapplication 04/27/2023 13:09 Page 2 of 3 G) L of co L LY_ Gl W Z W i CL 00I- z z LO W Ld � � ¢ 00N n O o° � Qr) of O :1 D cu to CD CL 6 '�° o c z I mM � Wl Q I � a as I ( u O � I , Z I I I I I �; Ili a� I (D I ,, � o a 1 a a i :> 0- n I zW _j r I O oI�+x-� VWZl WZ ZJW Q) o 1 3� � X F Z(U �Q ro �p -0 ow u C z_ aa -c OZ - CL Of W�L�C(QN h CL 0v o C D C a v L� Q W 1 N Z� o-0 u o c c V) a °- ° U� c a� ll— LLJ ;Cl o I e CL 1- Cl VCLIWn W W u �n Cl) ofa E^ot2 c Z t1 ua woLo > > QQ Z a © (D E N (n Q 0 dO � C N do — ° v Ia L� N 1L p C Z Zc 0�2 o U) � L- � U - lam �)c c _ ] 3. 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I a C7 l a I la 0 t) I I I CD � ` I I aI jrj I Q) < E �' w I �„crilw j Q 0 I to 0 CO 0 C I c , I v c .c � a jI �INE DR LGO_UMB j (n� a I � c- 0-�Ut0 L w v a pQ � o') N cflO J 7 by L c [0 1 0 o 0 O C) © p CL a CZ < Q) c .n :;:i .- l +- o aW u -u T Q Z < (CN s ca cG- 6 � cn a •- a CL ° - c o o 0 0 M31AJS30 o n v � n o uj U) LijL- Z > z o v Li- l) -o �' nC LA 4- < D O (CL 5� .2�QLc�`a) D J¢IIIII1!I1 I t�.. to O Z rn t-Lli (D - rn , -+-� c rn C a U7 \ J k- CL t/) J� I U — - - t- LLJ am 0 ) aW J� Cr' CL n l ._ 7jr- s a eo 0t= cs .-6 (n00vrn 6 THIS IS NOTA PERMIT Case# EHPR-04-2023-44065 CATAWBA COUNTY HEALTH DEPARTMENT i PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Environmental Health Plan Review-OSWP IMPROVEMENT Applicant DALTON JORDAN, 1110 HARPER LEE DR,NEWTON NC 28658 C:8282347517 DMJ01129 a YAHOO.COM Owner SMYRE REVOCABLE LIVING TRUST, 1968 SMYRE FARM RD,NEWTON NC 28658 NAME TO APPEAR ON PERMIT Dalton Jordan SITE ADDRESS: 2225 SMYRE FARM RD,NEWTON NC 28658 PIN# 365913231448 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 43,560.00 Acres 1.0 DIRECTIONS: S NC 16 Hwy right on Smyre Farm Rd property on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 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? Yes Property Easements Description: proposed 45'ROW 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 57 x 65 #OF NEW BEDROOMS:: 3 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: cicu1 pik ion 04/17/2023 16:10 Page 1 of 3 bpi • CATAWBA COUNTY Cd1e# EHPR-04-2023-44065 g(....._t 12 Public Health Department Subdivision 3 Environmental Health Division ♦ '�; 'C PIN# 365913231448 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 I, w NAME ON PERMIT: (DAL TON JORDAN), 1110 HARPER LEE DR,NEWTON NC 28658 ( Dalton Jordan) Site Address: 2225 SMYRE FARM RD,NEWTON NC 28658 Property Size: Square Feet 43,560.00 Acres 1.0 Directions: S NC 16 Hwy right on Smyre Farm 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 AREA4 ******************************************4***********$********$************************************** ***** FEENAME DATE FEE AMOUNT Improvement Permit Fee 04/17/2023 $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.ahpliiainai 04/17/2023 16:10 Page 2 of 3 catawba county public health yl'alr5 RECEIVED Application for Environmental Health Services p only THIS IS NOT A PERMIT I Application is for: En New Construction ❑Existing Facility A P R 1 4 2023 EImprovement Permit ❑ Authorization to Construct [New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection Environmental Health ❑ New Well ❑ Replacement Well ❑ Well Abandonment ❑Well Repair Property Address -a1.5 SCnyt� VTA,0. ems, Acres 1- Subdivision Lod( Driving Directions to Property Describe work ACIANEctraitt t c-t �Ve� lcStst'n --(>-\w\-1 \A V1\f`l Applicant Name \ -366,(\ Applicant Address ‘A% �(.46+ Lte, flC Alt t,Ae(\ NC- ". .YbSir Phone o.- 2,34.75i/ Email as Owner Name k } S ) Owner Address Iq(, S�yc� cam (Za NuS N(, "jsc6,645. Phone t',f 4,11-$1`b? (,e111'6ak•9 4 o))S t. Email Contractor Name f Il\j j60ir t\ Contractor Address Phone -70-1 - (i?7 • 01:18' Email Name to Appear on Permit? ❑Owner l Applicant ❑Contractor Who will be the Primary Contact? ❑Owner (Z Applicant ❑Contractor Proposed New Construction-Residential Primary Residence g New Residpnce ❑ Addition to Residence #of New Bedrooms *t 3 #of Occupants Project Description �1tX � } rj} � s`ue``to-' t 3� Ci.S b0.sh t cc:,.0 Wo-kO - Structure Dimensions,also specify dimensions oYdecks&porches _ �� �(�a v �/ (Choose One) ❑Basement Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes El No Retaining Wall>2' El Yes [r 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 ❑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 [a Individual Well ❑Semi-Public Well ❑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 ❑ Yes ❑ No Basement Plumbing ❑ Yes El No Existing Water Supply El Individual Well ❑ Shared Well-Number of Connections ❑ Community Well ❑ County/City/Township Water Line Is a public water supply available?** ❑ Yes ❑No Coimereial ❑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 VI() Does the site contain any jurisdictional wetlands? ❑Yes ko Does the site contain any existing wastewater systems? 0 Yes ®'No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes 0 No Is the site subject to approval by any other public agency? Er Yes ❑No Are there any easements or right of ways on this property? Describe IJi1\' L CA L16' (S t oX Way If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (sy,stems can be ranked in order of your preference) 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 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 SCHEDULEI 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 theyeffect 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. Signature of Owner or Legal Agent l _�'i/V�` Date LI 114 !a� Printed Name of Owner or Legal Agent 00.-A -36C6 'n CATAWBA Sample Architectural • Drawing North Caro;;;; "• Building Services Below is a sample architectural drawing of a residence. . . bs,s.o0 cslel (3 „nisCI .--. .- 4 .1 OM Sf x f f pnplisp.AleD ' P ...3 ; 0. •>I .m5:I .i1 a 1 g'fl r mo. A 1;-- WI qt I I 1 / ... ,.• .7-1 C.da :.--- eps-is0 - i „ trsfInro3 Solo.; • V 1 =m. / . • e I4.----.------------------ .57 i ..............^." 1 _1"--.71'._ WI euno8 f--- •fS x f t r Catawba County Environmental Health SMYREp ARM RO •2225 < �� ) 1 155' fia .1. A 09 Parcel: 365913231448, 2225 SMYRE FARM RD 1 in=80ft NEWTON, 28658 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 04/14/2023 Catawba County Environmental Health 47 qs f 8 4 • ash' • as no 8938 16429 111.51 7983 7837 Bp 47 41 1 6026 SMYRE FARM RD a • •2225 •2173 r1 ■ Cl 4�6447 ,F I E7 1448 •19,72 4163 •4 .11 Parcel: 365913231448, 2225 SMYRE FARM RD 1in=150ft NEWTON, 28658 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 04/17/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 365913231448 Owner: SMYRE REVOCABLE LIVING TRUST Parcel Address: 2225 SMYRE FARM RD Owner2: SMYRE ROBERT M TRUSTEE City: NEWTON, 28658 Address: 1968 SMYRE FARM RD LRK(REID): 28656 Address2: Deed Book/Page: 2784/0611 City: NEWTON Subdivision: State/Zip: NC 28658-8665 Lots/Block: / Last Valid Sale: School Information: School District: COUNTY Plat Book/Page: Elementary School: TUTTLE Legal: Middle School: MAIDEN Calculated Acreage: 11.940 Tax Map: 040N 02004 High School: MAIDEN Township: NEWTON School Map State Road #: 1884 TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoning1: R-40 Building(s) Value: $0 Zoning2: Land Value: $103,100 Zoning3: Assessed Total Value: $7,700 Zoning Overlay: DWMH-O Deferred Value: $95,400 Small Area: BALLS CREEK Use Land Value: $7,700 Split Zoning Districts: / Year Built/Remodeled: / Zoning Agency Phone Numbers Tax Revaluation 2023: Info, COMPER Online Appeals 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 #: 3710365900J If available, Building Permits for this parcel. Septic 2010 Census Block: 1004 links are not permits. 2010 Census Tract: 011601 Septic Final Permits prior to 08/2018, contact Agricultural District: DISTRICT Environmental Health. Building Details WaterShed: Voter Precinct: P32/ 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. CAI AWBA COUNTY , 11 I00A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT k) ° �. PHONE:828.465.8399 Monday,April 17,2023 Ig 42 SM www.catawbacountync.gov PAYOR: Jordan,Dalton PAYMENTS TRANSACTION NUMBER: TRC-62092790-17-04-2023 PAYMENT DATE: 04/17/2023 PAYMENT TYPE: Credit Card 303916164 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 04-23-421340 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EH PR-04-2023-44065 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2225 SMYRE FARM RD,NEWTON NC 28658 Applicant DALTON JORDAN, 1110 11ARPER LEE DR,NEWTON NC 28658 C:8282347517 DMJ0I129@YAII00.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner SMYRE REVOCABLE LIVING TRUST, 1968 SMYRE FARM RD,NEWTON NC 28658 receipt 04/17/2023 16:09 Page 1 of 1