HomeMy WebLinkAboutRBPR-04-2023-44042.TIF �gA
THIS IS NOT A PN:NMI'I' Case# RBPR-04-2023-44042
CATAWBA COUNTY HEALTH I DEPARI'MENI'
in O �C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
in
2 sM Residential BuildingPlan Review- BuildingAlteration
IMPROVEMENT- AUTH_CONST
(03
Applicant SAME AS CONTRACTOR,,
Contractor *HONEYCUTTCONSTRUCTION OF MAIDEN (IIUG11 I IONEYCUTT),4502 Bt1RTON DR.MAIDEN
NC 28650
C:828-234-0200 HMIAM122( IIOTMAIL.COM
Owner JAMIE LAITY,4199 FISHERMANS IN,MAIDEN NC 28650
C:4044068248 LAITY.DVM/rrGMAII,.COM
NAME TO APPEAR ON PERMIT
*Honeycutt Construction Of Maiden (Hugh Honeycutt)
SITE ADDRESS: 4195 FISIIERMANS 1,N,MAIDEN NC 28650 PIN# 367703408744
NAME of SUBDIVISION: lot N TR 2 Section/Block
PROPERTY SIZE: Square Feet Acres 3.16
DIRECTIONS: Hwy 16S turn RT,Buffalo Shoals turn L to S.Olivers,Turn L Burton Dr.,Turn R Fishermans Ln...house at end of RD
PR A • Contractor SEWER TYPE: Septic Tank
ALLONS PER DAY: 240 WATER SUPPLY: Community Well
SC IBE WORK: 6/19/2023 Revise to new septic for accessory dwelling not expansion of existing.
previous description: Converting existing structure to 1-bedroom 30X25 Accessory dwelling on slab**sharing
well with 4199****structure has been up prior to 1998... no permits on file**
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: ACCESSORY DWELLING
FACILITY TYPE: Accessory Dwelling OTHER DESCRIPTION:
DESCRIPTION OF 3 bedroom Residence
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 82x68
NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 30x25
#OF NEW BEDROOMS:: 1
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
chnpplicalit,a (16/19/2(123 15:09 Page 1 of3
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c'ATA►��n,►cotUNT► Cave aK{3Pft-0 t-2D23 4{04
f Public Ilcnith Department Subdivision
I:nsirrnuncntallic.rlthl)niau+n VINO 367703408744
PO Brix 31i9,100•A Nulllh ',s (lil,(I,Newton,NC 28658
E ON PERMIT: "HONEY( FIT
("\ISI'RUCT1ONOPMAIDEN (Iitf(ilI11UNI Y('UIIT),4502Il(IRION I)R.MAIDEN NC286:
"Honeycutt Construction O1 Mai(
ddross: 4195 FISI IERMANS EN.MAIDEN NC 28650
rty Size: Squaw Feet
Acres 3.16
Hwy 16S turn RT,Buffalo Shoals turn L to S.Olivers,Turn L Burton Or.,Turn R Fishermans Ln.. house at end of RD
ens:
led applications are valid for a period or 2 years Improvement Permits are valid witt,complete site plan=60 months(5 years),with complete plat
d expiration An Authorization to Construct mil remain valid as long as the Improvement Permit is valid An Authorization to Construct issued for
pair is va)'d for 60 months(5 years) Perntris may be revoked if the information on this application/site plan changes or if the intended use for the
d facility changes Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
cad this application and certify that the rnlormation provided herein is true,complete and correct Authorized county and state officials are
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
.ible for the proper identification and labeling of all properly tines and corners and making the site accessible so that a complete site evaluation
per,ormed
lersigned is the owner of the property or legal agent of the owner
Date: v 2-3 Signatureol'ApplicanlorAgent
lfyou need rut-titer information or assistance phase call 828-465-827
AREA5
Ilk$: AD will be max 1,110 sqft heated
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 04/1,1/2(123 $300.00
Fee
Improvement Permit Fee 04/1,1/2023 $150.00
TOTAL FEES 5450.00
FEES ARE NON-ItI?I+IJNI)At3I,t;,
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)
u/ . , `. '
Ur,'l7Ion t`u,
ti ROY COOPER • Governor
NC DEPARTMENT OF KODY H. KINSLEY • Secretary
titv. ' '�� . HEALTH AND
HUMAN SERVICES HELEN WOLSTENHOLME • Interim Deputy Secretary for Health
MARK T. BENTON •Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
June 15, 2023
Jamie Laily
4199 Fisherman's Lane
Maiden, NC 28650
Re: Approval No.JMB3057
Private Well Located Less Than 100' to a Septic System [Rule 15A NCAC 2C
.0107(a)(2(C)]
Property location:
4195 Fisherman's Lane
Maiden, NC 28650
Dear Ms. Laily:
On June 12 the On-site Water Protection Branch received your request for a variance
from the Well Construction standards, Title 15A North Carolina Administrative Code
Subchapter 2C .0100. The request for a variance concerns a water supply well on the
referenced property proposed to serve more than one connection.
Specifically, the variance request grants you permission to use an existing water supply
well at a distance closer than the one-hundred-foot setback to a septic system. Achieving
the one-hundred setback would be difficult given the challenges of the property.
Based upon information provided by the Catawba County Health Department, and the
property owner, it is my finding that based upon current conditions as the site exist
today (as well as the current proposal for use of the structure) you meet the conditions
necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2).
On that basis and if the following conditions are met, the requested variance is
approved:
1) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited
to being properly grouted, terminated at least 12" above land surface, properly
sealed, having a thread-less sample tap etc.
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH
LOCATION:5605 Six Forks Road,Raleigh, NC 27609
MAILING ADDRESS:1642 Mail Service Center,Raleigh,NC 27699-1642
www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972
AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER
2) The well shall be sampled for the same parameters as required for a newly
constructed well. If samples indicate contaminants, further repairs/treatment may be
required.
3) No potential sources of groundwater contamination shall be stored near the wellhead.
The granting of this variance is for the well location only. It in no way relieves the owner
or agent from other requirements of the North Carolina Well Construction Standards
including, but not limited to the requirements in 15A NCAC 2C .0113(b) to repair or to
abandon any well which acts as a source or channel for the migration of contamination.
This approval does not imply sufficient water quality. Further, the approval does not
relieve your responsibility to comply with any other applicable Federal, State, or local
laws or regulations.
If you have any questions regarding this variance, please contact me at (828) 713-3335.
Sincerely,
John M. Brooks R.E.H.S, MS
2