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Home My WebLink AboutEHPR-05-2023-44315.tif A �' Tins IS NOT A PERMIT Case# El IPR-05-2023-44315 t MIA a CAI'AWBA COUNTY I IEAITI-I DEPARTMENT ® PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1841 sM Environmental Health Plan Review-Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION Applicant *FOOTHILLS SEPTIC&GRADING LI,C (BRANDON JANYSSEK),2819 SIGMON DAIRY RD, NEWTON NC 28658 C:8283085994 FOOTIIILLSSEPTICGRADING( GMAIL.COM Owner BRADLEY I IOUK,5177 OXFORD SCHOOL RI),CLAREMONT NC 28610 NAME TO APPEAR ON PERMIT Bradley Houk SITE ADDRESS: 5177 OXFORD SCHOOL RD,CLAREMONh NC 28610 PIN# 376302799684 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet 86,684.40 Acres 1.99 DIRECTIONS: N NC 16 Hwy,right Oxford School Rd,on right past Deal Rd PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: failing drainlines SITE INFORMATION Do any of the following apply to the property for which this application is applied? lithe 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: 82 x 46 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 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: YES Other described: 05/10/2023 09:35 Page I oft, CATAWBACOUNTY cases EHPR-05-2023-44315 Public Health Department Subdivision "I Environmental Health Division PIN# 376302799684 • 11� PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Hq2 ,M NAME ON PERMIT: (BRADLEY HOUK),5177 OXFORD SCHOOL RD,CLAREMONT NC 28610 (Bradley Houk) Site Address: 5177 OXFORD SCHOOL RD,CLAREMONT NC 28610 Property Size: Square Feet 86,684.40 Acres 1.99 Directions: N NC 16 Hwy,right Oxford School Rd,on right past Deal Rd 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 AREA3 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair)Fee 05/10/2023 S300.00 TOTAL FEES S300.00 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) :1,::; 05/10/2023 09:35 Page 2 of6 ., catawba county public health Application for Environmental Health Services LI il J�s �jJG� THIS IS NOT A PERMIT Application is for: ❑New Construction ❑ Existing Facility ❑Improvement Permit ❑Authorization to Construct [1]New Septic Ieptic Repair/Malfunction ❑Septic Relocation El Septic Expansion ❑ Existing System Inspection or Reconnection El New Well ❑ Replacement Well ❑Well Abandonment ❑Well Repair may-- J Property A},dress S199 Oxal Scv.ac,\ a, VAS ,pr-c1— /SIC aRlt 1 0 Acres 1."1q Subdivision Lot# Driving Directions to Property Describe work ^ 1-"es r ee,L `t? recS Applicant Name Applicant Address Phone ' Email Owner Name LY Owner Address Phone Email Contractor Name Fc I4/L 4- arcut^5 (Lc_ Contractor Address 1ca, ,S': , ,es . ,,,,� Nr,�'�S�' t Phone AT-.30 - 594 f " „ 1 Email -ck,iL l 11SPrfi(qQ(4(2„Q 4 f. er-.,-, Name to Appear on Permit? 0'Jwner 0 Applicant ❑Contractor e/ (/ Who will be the Primary Contact? ❑Owner 0 Applicant IA-Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants Project Description _ Structure Dimensions,also specify dimensions of decks&porches (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Baseme.0 0 Yes 0 No Retaining Wall>2' 0 Yes ❑ No Accessory Dwelling #of New Bedrooms*f #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes 0 No Describe Plumbing Needed (Choose One) 0 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*f #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Stab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type 0 Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested 0 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 E EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe ; J _ ) Structure Dimension. #of Bedrooms * 3 #of Occupants p) Basement ( 'Yes ❑ No Basement Plumbing [shies ❑ No Existing Water Supply ❑Individual Well El 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 El 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 j (This value will be determined by Eli 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 Ergo Does the site contain any jurisdictional wetlands? E'es 0 No Does the site contain any existing wastewater systems? ❑Yes Kt-go Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes El-No Is the site subject to approval by any other public agency? ❑ Yes B'1`lo 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 lny *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 Improvemen.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 the effect ermit 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 Agenf Date 5- 1 4 I 2.3 Printed Name of Owner or Legal Agent d Of vA t,c=1 Q„,p_4,0 gt/91-17)10 0 Catawba County Environmental Health 253,76 164.97 i oxFOR 0 SC ^. SCHOOL RD 148.61 148,66 (250} N •5211 F �` 1_�-�� 11 •5199 ��—'�--2 r?8'1 ---1__ I_ •51771 --1 r i /" Ni 3.81 ,i i` /ls`' 374 •5149 218.5g 0 45 c 264.44 I / / •5151 Parcel: 376302799684, 5177 OXFORD SCHOOL 1 in=100ft RD CLAREMONT, 28610 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 05/10/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376302799684 Owner: HOUK BRADLEY RYAN Parcel Address: 5177 OXFORD SCHOOL RD Owner2: HOUK JENNY I City: CLAREMONT, 28610 Address: 5177 OXFORD SCHOOL RD LRK(REID): 403094 Address2: Deed Book/Page: 2466/0859 City: CLAREMONT Subdivision: State/Zip: NC 28610-9473 Lots/Block: 1/ School Information: Last Valid Sale: Plat Book/Page: 53/103 School District: COUNTY Legal: LOT 1 LOT 1 PL 53-103 PL 53-103 Elementary School: OXFORD Middle School: RIVER BEND Calculated Acreage: 1.990 High School: BUNKER HILL Tax Map: Township: CLINES School Map State Road #: 1006 Tax/Value Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-30 Building(s) Value: $280,500 Zoning2: Land Value: $18,100 Zoning3: Assessed Total Value: $298,600 Zoning Overlay: WP-O Year Built/Remodeled: 1988/ 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 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710376300J If available, Building Permits for this parcel. Septic 2010 Census Block: 3023 links are not permits. 2010 Census Tract: 010101 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. I�I pet � (/ ,141 Building Details i WaterShed: WS-IV Protected Area Voter Precinct: P27/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report f 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. . 't ''-'7 7'N OS. ..) .' 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Ean/ 2� ;iiiit a Ct; E 3 it $ CATAWBA COUNTY ,y 100A SOUTHWEST BLVD l �I NEWTON,NORTH CAROLINA 28658 RECEIPT ® PHONE:PHONE:828.465.8399 Wednesday, May 10, 2023 g 4 2 srn www.catawbacountync.gov PAYOR: *Foothills Septic&Grading LLC *Foothills Septic&Grading LLC(Janyssek,Brandon) PAYMENTS TRANSACTION NUMBER: TRC-6372673I-10-05-2023 PAYMENT DATE: 05/10/2023 PAYMENT TYPE: Credit Card 305050616 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 05-23-422401 110-580200-663000 Authorization to Construct(Repair) $300.00 Fee TOTAL PAYMENTS: $300.00 EHPR-05-2023-443 15 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 5177 OXFORD SCHOOL RD,CLAREMONT NC 28610 Applicant *FOOTHILLS SEPTIC&GRADING LLC,2819 SIGMON DAIRY RD,NEWTON NC 28658 C:8283085994 FOOTHILLSSEPTICGRADING@GMAIL.COM GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner BRADLEY HOUK,5177 OXFORD SCHOOL RD,CLAREMONT NC 28610 receipt 05/10/2023 09:35 Page I of I