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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 .. 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