Loading...
HomeMy WebLinkAboutEHPR-06-2023-44784.tif y,A THIS [S NOT A PERMIT Case# EIIPR-06-2023-44784 Ilk a CAl'AWBA COUNTY HEALTH DEPARTMENT min O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sra Environmental Health Plan Review-OSWP IMPROVEMENT-AUTH CONST- RELOCATION Applicant MLGANNA GENTLE BENNER,2914 SPENCER RD,CONOVER NC 28613 C:828-303-112I MEGGIEGBENNER(t GMAEL.COM NAME TO APPEAR ON PERMIT Meganna Gentle Benner SITE ADDRESS: 2914 SPENCER RD NE,CONOVER NC 28613 PIN # 372314428844 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 23,522.40 Acres 0.54 DIRECTIONS: McDonald Pkwy, left Spencer Rd(12th Ave Dr NE)on right just past 28th St PI NE. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: Replacement of septic tank, cracked. Relocation of drainfield, runs under driveway and garage 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? 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,garage EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 52 x 31 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: Other described: c6:;ppli::;;r.•n 06/28/2023 16:08 Pagc 1 of3 CATAWBA COUNTY Case EHPR-06-2023-44784 Public Health Department Subdivision ' Environmental Health Division PIN# 372314428844 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (MEGANNA GENTLE BENNER),2914 SPENCER RD,CONOVER NC 28613 (Meganna Gentle Benner) Site Address: 2914 SPENCER RD NE,CONOVER NC 28613 Property Size: Square Feet 23,522.40 Acres 0.54 Directions: McDonald Pkwy,left Spencer Rd(12th Ave Dr NE)on right just past 28th St PI NE. 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 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct(Relocation) 06/28/2023 $150.00 Improvement Permit Fee 06/28/2023 S150.00 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) chapplicatwn 06/28/2023 16:08 Page 2 of 3 DocuSign Envelope ID:84B527E8-EA35-487A-8A71-2BD7C68289A4 Catawba county Norpublic health Application for Environmental Health Services G THIS IS NOT A PERMIT ' Y 10 V $3L , _ _ Application is for: ❑ New Construction Existing Facility Improvement Permit Authorization to Construct ['New Septic [, Septic Repair/Malfunction XSeptic Relocation Septic Expansion 1 ❑ Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ❑Well Abandonment ❑ Well Repair N6 n c agLOi 3 Property Address + M __—_ Acres Subdivis on fl flp Lot# foy e Driving Directions to Property Describe work Sif 1 ' AN - — (t a - • PA ' Applicant Name jam, .t- CUL a-, I.It ' ' 1 Applicant Address ag114 < pi- Mc , ('',Dr1ov (v'G 4.0l3 Phone ,k - OS)qv' -rtfirt lniQ9ei.�,— _ Email .iixe l�A-� �h&i'Die A:CoM Owner Name 4 d e. ' I) 303_.i0-1 rnitteobP'Iw ITYYut.com Owner Address _ Phone Email `^Contractor Name 113 .__1) . _. _ Contractor Address ____ _ Phone Email Name to Appear on Permit? Qwner ❑ Applicant ❑Contractor Who will be the Primary Contact? 'Owner ❑Applicant ❑Contractor _ Proposed New Construction-Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*t it of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches __ (Choose One) ❑ Basement ❑Crawl Space ❑ Slab If Basement.Will There Bc Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Re Water Using Fixtures In Basement ❑Yes E No Retaining Wall>2' 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑ Yes ❑No Describe Plumbing Needed (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes El No Multi-Family Residence /I of Apartments #Bedrooms per Apartment*t _ ___Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) El Basement ❑Crawl Space 0 Slab If Basement, Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type D Individual Well ❑ Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested 0 Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well i-lead 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 4 Fax: (828)465-8276 I EHAdmin@ ata_wbaCountyNC.gov ♦' C�....nf....no nn CCfn Er... ..... - DocuSign Envelope ID:84B527E8-EA35-487A-8A71-2B07C68289A4 Describe ,-) Structure Dimensions 5-)1(629 ti of Bedroom * ..0 #of Occupants Basement Yes ElNo Basement Plumbing Yes ❑ No 1�,,,�(OI jt,''w( hie 56(n ("alit:,cosi)3 Existing Water Supply r Individual Well ❑ Shared Well—Number of Connections ❑ Community Well County/City/Township Water Line Is a public water supply available? ** 2/Yes El No Commercial ❑ 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 1' (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. IL the answer to any question is"yes",applicant must attach supporting documentation. ❑yes II o Does the site contain any jurisdictional wetlands? Yes o Does the site contain any existing wastewater systems? ❑ Yes ���,No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes M(No Is the site subject to approval by any other public agency? ❑ Yes 60 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) I0 Accepted ❑ Alternative 0 Conventional 0 Innovative 0 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 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 arc granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. 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. DocuSigned by: The undersigned is the owner of the property or legal agent of the owner. iltiif1iAAA.41 atat, l —DocuSigned by: ADArDA68AD8C40A Signature of Owner or Legal Agent jo.Y U ti-WLL4"f. j7t,ladn, r Date _ Jun 27, 2023 8:35 AM PDT '8887808CD3CR40F Printed Name of Owner or Legal Agentlarret Edward Benner Meganna Gentle Benner DocuSign Envelope ID:84B527E8-EA35-487A-8A71-2BD7C68289A4 catawba county (Geospatial Real Estate Search ING RAR .LIVING. UTTER. information Services <0 4:4... co RR��F 1.2s / gut. / 1:27' v ack&ii, /,_, r�• r7 V 72s 20.46 AA lin=40ft W+Q�E YY5 Parcel: 372314428844, 2914 SPENCER RD NE CONOVER, 28613 Owners: GENTLE MEGANNA, Owner Address: 2914 SPENCER RD NE Values- Building(s): $220,500, Land: $13,300, Total: $233,800 . S t C.. \/ ` +e P1cii 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 far any and all damages,loss or Ilabaity,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 06/20/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372314428844 Owner: GENTLE MEGANNA Parcel Address: 2914 SPENCER RD NE Owner2: City: CONOVER, 28613 Address: 2914 SPENCER RD NE LRK(REID): 55839 Address2: Deed Book/Page: 3512/1341 City: CONOVER Subdivision: State/Zip: NC 28613-8630 Lots/Block: / School Information: Last Valid Sale: $170,000 on 2019-06-25 School District: COUNTY Plat Book/Page: Elementary School: ST STEPHENS Legal: Middle School: ARNDT Calculated Acreage: .540 High School: ST STEPHENS Tax Map: 164H 02014 Township: HICKORY School Map State Road #: 1441 TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: HICKORY County Fire District: ST STEPHENS Zoning1: R-1 Building(s) Value: $220,500 Zoning2: Land Value: $13,300 Zoning3: Assessed Total Value: $233,800 Zoning Overlay: Year Built/Remodeled: 1950/2016 Small Area: 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 #: 3710372300J If available, Building Permits for this parcel. Septic 2010 Census Block: 2064 links are not permits. 2010 Census Tract: 010304 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: Voter Precinct: P28/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report I ' ; (-\)e_rf,\'.k 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. BA �G C TA o BA COUNTY NEWTON,NORTH CAROLINA 28658 RECEIPT T°PA er PHONE:828.465.8399 Y ��►� Wednesday,June 28,2023 8 4 2 sM www.catawbacountync.gov PAYOR: Benner,Meganna Gentle PAYMENTS TRANSACTION NUMBER: TRC-6735966 1-28-06-2023 PAYMENT DATE: 06/28/2023 PAYMENT TYPE: Credit Card 307346168 — INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-424743 110-580200-663000 Authorization to Construct(Reloca $150.00 tion) 06-23-424743 I10-580200.663000 Improvement Permit Fee S150.00 TOTAL PAYMENTS: S300.00 EHPR-06-2023-44784 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2914 SPENCER RD NE,CONOVER NC 28613 Applicant MEGANNA GENTLE BENNER,2914 SPENCER RD,CONOVER NC 28613 C:828-303-1121 MEGGIEGBENNER@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 06/28/2023 16:07 Page 1 of 1