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HomeMy WebLinkAboutEHPR-08-2023-45137.tif 1e,A.v-41111111111... THIS IS NOTA PERMIT Case# EHPR-08-2023-45137 �1 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /g su Environmental Health Plan Review-OSWP IMPROVEMENT Applicant ALICIA PIGOTT,6029 CROSSVINE LANE,CHARLOTTE NC 28215 C:9802816828 ALICIAPIGOTT@YAHOO.COM Owner HERBERT HEIRS,PO BOX 782,DREXEL NC 28619 NAME TO APPEAR ON PERMIT Alicia Pigott SITE ADDRESS: 3752 NC 18 HWY,VALE NC 28168 PIN# 265703445075 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 50,529.60 Acres 1.16 DIRECTIONS: US 321 S Bus/Southwest Blvd,right onto NC 10,right onto NC 18,property on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP only. 32x50 home, 24x24 attached garage,6x20 front porch on a slab. 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF shed EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 10x10 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32x50 home,6x20 front porch,24x24attahced carport #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: YES Other described: chapplicatwo 08/09/2023 15:35 Page 1 of3 9.i th CATAWBA COUNTY Case# EHPR-08-2023-45137 (........ • i.IV Public Health Department Subdivision Environmental Health Division PIN# 265703445075 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 mi NAME ON PERMIT: (ALICIA PIGOTT),6029 CROSSVINE LANE,CHARLOTTE NC 28215 (Alicia Pigott) Site Address: 3752 NC 18 HWY,VALE NC 28168 Property Size: Square Feet 50,529.60 Acres 1.16 Directions: US 321 S Bus/Southwest Blvd,right onto NC 10,right onto NC 18,property on the right 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 AREA1 M#R#*4trt#.#s+#•#t#t4i##sst#ti#i#st#ittstAftR#tt#tt*tR*.....4#*#4tt.tiiiYik#ss#wt#ii#tt#i*tskrsrs##s*rr+•af►t FEENAME DATE FEE AMOUNT Improvement Permit Fee 08/07/2023 $I50.00 TOTAL FEES S150.00 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) ehapplicatuun 08/09/2023 15:35 Page 2 of3 Catawba County Environmental Health (229) i ., • as' • 225_00 , •3752 • • Parcel: 265703445075, 3752 NC 18 HWY VALE, 1 in=60ft 28168 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 07/31/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 265703445075 Owner: TOWNSEND HERBERT H HEIRS Parcel Address: 3752 NC 18 HWY Owner2: City: VALE, 28168 Address: PO BOX 782 LRK(REID): 15912 Address2: Deed Book/Page: 0955/0428 City: DREXEL Subdivision: State/Zip: NC 28619-0782 Lots/Block: / School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: Elementary School: BANOAK Legal: Middle School: JACOBS FORK Calculated Acreage: 1.160 High School: FRED T FOARD Tax Map: 015 B 04006 Township: BANDYS School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: COOKSVILLE Zoning1: R-40 Building(s) Value: $0 Zoning2: Land Value: $11,600 Zoning3: Assessed Total Value: $11,600 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: PLATEAU 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: 2008-02-20 Building Permit Address Search for this parcel. Firm Panel #: 3710264600L If available, Building Permits for this parcel. Septic 2010 Census Block: 1023 links are not permits. 2010 Census Tract: 011802 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-III Protected Area Voter Precinct: P2/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. ElPR- oS 0003 i 3'1 , , . , . catawba county pttla tnl is henIealth - .1 ApphCnbnn (urhmuonmeii ❑ U1 Service, ' r-=-=--- � , IIIII`S�,IN,NO A I( R MII' —�- Application is for I,e1 Ntw m Conatr riot �(, Fvr m(,I. rdility _ Improvement.Pcr Permit 0 Authorization lm Cunsb nU Nei` Septic. ❑Septic Rep air'Alolf lion , El SepticRclor{orlon, 0 Septic Expansion ,❑Existing Si,stem Insptuwrr RanntCCtiun [ � \\clAb; ldnnmeot „ well Repait _❑New \Yell ❑Rcldacement\Yell �1__e4 S Jt .K � [�SAyi7 iIVG. � �P - P, ACres_LCi Subdn'rsmni . • - „ (� (� *" Driving Directions to P pcMy �,a \-_5 �tO I S3u;l' } !��✓, i._C•� �,,,,-- '7 t lC t 0, �';c{t crn'1� �e, 1�5\ tr-1a ikt r;s'1hh Dcseri e nark: t_ / - ` ...Applicant Name. vYlt r ." • <,. •., .- c - a �, (' Applicant Addrttss t C1 v'hln r`fwn eet Phone 9SO-- 2.k .44. . - Emaiii ev1-.^er7,5 -C-7.' C.isrh- P4.14n1On ter same E L^ µi! ;2 ::me _ _ -- - - Contractor Address - - - '— Phone Email _ - • \'amehi:Appearon Permit? - ElOwner 2 Applicant` ElContractor' ' '' - Who will he the Primary Contact" ❑Owner islApplicant 10,Contracior Propoced.New Construction-Residential. - - -- -- ' Prinitn:`Residence aNew^Residence ❑'Addition to Residence #ofNetblBedrooms it 2 _ Y o(Occupants ' a-- r' Project Description Ca.hSA'6Yrs. 14R'N1"e_, . 2069,S ) Ae„.y,1 Structure Dimensions,.also specify dimensions of decks&porches h.rn r.Rv `� t. _ N.-G_�-S} (Choose One) 0 Bnsemem Q Crawl Space ® Slab It Bmement,Will Them Be Water Using Fixtures In Basement ❑Yes p o a ' "Retaining:Wall>2' 0 Yes 3Kt"r4•No, T , �lon1F �S�oW,F Accesson'Dwelling #of New,Bedrooms•f e"s d of Occujia AL__ Shucttue:Dimensions - A (Chance One) 0 Basement, 0 Crawl Spaceac Slab If Basement,Will.There Bc,Water Using I'ixnares In Ba ement-❑Yes :Q No Retaining Wall>2' 0 Yes ts4 No - i Aces sonrStructure(s)Describe i�_GQSS_ -� . Stnsnnc(s)Dimcaiiuns " a4 44- .k 3j"}}. ) Plumbing 0 Yes DR No Describe'Plum ing Needed n pt " t, r 0 Basement ❑Crawl space_Et Slab 1f13asemen6 Will There lie Winer Using Fixtures In.Basement ❑Yes Retaining Wall>2' ❑ Yes„a No - No Multi-Family Residence 'W of Apartments #Bedrooms. er.Ararlmeurt ' Totntb 3edoomsm5uuctum ij' Pot Occupants' Structure Dimensions - (Choose(hie) ❑Basement ❑Crauol_Space ❑ Slab If Basement,Will there 13e Wuler Usins Fixtures In Basement Retaining Wall>2' 0'Yes ❑ Yes 0.No Well CoustructinnlAbandonment/Repir :- Proposed Well Type 0 Individual WellSemi-Public ° - a ❑ Well ❑CommunityVell "Abundonmem Type ❑ Drilled - ❑ Bored - Li Uu' /kQl Well Repair Requested ❑Yea b unknown , ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Tine fromWell-l lead to I t essureTank?❑Yes ❑No . •- Environmental'.Health - Catawba County Government Center,25 Government Drive I PO. Box 389, Newton,-NC 28658n .. Phone:(828)465-8270 1 fax:(828).465-8276 I ENAdmin@CataWbaCountyNC.gov r X ,z f ,Inne titruet5urec onppSite p �'{ _ =.3tmcirvc Dnnetrsions :" Describe 4„N,c, tSY�u''L4.—. G` C �1 ' 'u._...---"- t ? #of Bedrooms" P ..tie''' n':.J�>L #nfOocn tms,.,_l'✓ No / z*. Basement u Wet •t.sr No Bnsumuu Plunrbtng ./ ' ,T.r._. ,r t,Water Squib n.-- ^'^" �ounl lCitylfonnishrp 1Vater Line ❑t.Onionurity Well ❑ (y. ,". � is ❑ induidunl Well' pSin"ninliw moodier yams t nIll- Kr'iaW jaW. 11'a)1 t Y'1 a isapubbc emttsWrP4 fi}yul•dlef ( . Vea No - _ __ ` 1`ti9otr'/tinghgo of I I. (- Iit:pfliC ` % Cunnnc .inl d Pnpc�sed Ice Cnnsti m iron I'1 R 4 . FondSur'ice 1 Il.)...« ,l �n • Dmmp Aron(S9 • e `` : #Sum`,s-s ,,,^""-e Sof Shills - �_ ;, a ,G purpioyres Per' -� " x{ . 1,.. No # trchildmu Nor •EmployccS Pot Shift�_ #of 7. +}" R63 " Church #of Scats Daj cats❑ ❑ /t ConuuetnaI)`•Wien ❑1`cs ❑No gestdFutiul Kttchut ❑1 es ❑No /t/ c'*" $ofpmpW)ccs Per$htli • #ul Sfiips - <� I) ,cam#ofchildren _ l iyi Suucmrc Nimensions - _ z^+', ' tinsfnc,-k)thtr Spccifi•l'ypc 1 i, sg 7.7 Retail floor Space „_._' of Tiny)es, per Shill #ofShi(ts VLIk'n VI i« r Oihcr tnfgrmufion `' ` .�C : . f• - _ _ - - t t 0- tea, Calculated Design Floe•,Commercial t (This value ry'ill be deteniuned by'EH staff) �" 4 7ttc Applicant shall notify the local health depamnent upon submittal of this apphcauon if ary of the following apply to the property in , is s question. If the answer to any question is""yes applicant-must(math ung documentation. i l; 4 0 Yes allo Does the site contain am jurisdictional wetlands. ` ltlg rEn 0 Yes 2 No Does me site comair Inv existing wastewater systems? t?" •:g . C'Yes Cg No is any wastenatercoine to be eenerhted on the site other than domestic sewage'. . a ' I t v„ 0 Yes' ,3'No Is the site subject to approval by'any oilier public agency? . 0 Yes 6 No Are them anyeasements or right of ways on this property? ..Describe _ 1i If applying fur an Improvement Permit or Authorization to`Construht,Please Indicate Desired System T)-pe(s):ti (systems can be.ranked in Order of your preference) i .0 Accepted-, ❑Alternative ❑Conventional 0 Innovative ❑Other, `Any room that will be intended for sleeping at the time of construction or for future constdentiori should be noted as a bedroom and counted on all applications.The nianberof bedrooms.will be confirmed by rooms identified on (lour plan as.a bedroom at the tine or building permit .issuance. This may prevent the need for septic system expansion m the future. t . r. Ifstructme is plumbed but has no bedrooms,calculated design flowis•ilbbe determined'by EH Staff "ft No,:a well pawn must.be issued with the Authonzauon to Construct. - " RETRIP TOTIJE PROPERTY AND/OR S1'S7 @M REDESIGN WILL AN b' R ADDITIONAL I'IONAL CHARGE(SEE FEE SCHEDULE) Environmental.Health soilisite evaluations require digging,angering,and/or probing,into the ground?Property owner/applicant is responsible. - , formarkuig all underground utilities,including but not limited to.underground power,cable,telephone,gas,water lines,m id iaigation systenufsprinklersysteins.Catawba County Environmental Health is notresponsible for damage to unmarked utilities. Completed applications are.valid fora period oft years.Improvement Permits ate valid:with complete site plan-=60 months(5 years); ti with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improveuient'Pentiii iis valid,tin- `Aniftorvation to Construct,issued for septic'repair is valid for 60 months(5 years).Pei nuts Uhl).be revoked if the information on this application/site plan changesor if the unended use for the proposed facility.Changes. Permits may be revoked i[site conditions areialtered such that thew effect permit conditions or msWllauon requirements i • 1 haverearead this granted and certify that the information provided herein is true,complete and correct. Authorized County and state understand are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that la solely responsible for the proper identification and labeling of all property lines and comets and rnakin L accessible so that a complete sue,evaluation can be performed. g the site he undersigned is the owner of the property orlegal agent of the-owner,5ignature of Owner or Le '` ` '�� rgal Agent— b " _c. t rinted Name of Owner or legal.Au ``^`-��- Date • / +"j'*7 t , ... ., ` l. • • • . ♦ , , . +`rt rt rrt Ka .:,..• lfgi Y9 'PY'w.�a v^' •a 1 ff T . 4[ .. ' -.z83'�..' .i'� k "•E�M 1 .t• 2 ',...1 ,i• yet ��CQ!� y *f"•> 1 a441 • kS S' 5: • Catawba County EriVir9nm�ntnl H��@fth; „ e _ ! bra Czt '^�, :e x N Y t 'a rare ,.'4}. '. : •t• ia7 hci id • ' ,4R • • 1l Pyti_ t' f1 VA .� >" .Laya -il 0732 b V (0 l • 1 `'} cF fly.. @ (fin Gl l �r r.a �r'�4 tip; �6 n,c • ° s ,d 4'k i F F: [ fir* ; 5 z p t 1.rr ) s #} yy,H;dsn 5'Tv x t x i E - kt • a dr43 #stit`rit!... .i d^ ` ` it ' , i,41 4 � t b'�.�`.+�g3f2 "y;"'r 'X ✓ ?.i' Y S�ira,'� `� ' Y r-w %��: ,n"-. 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I r, el 2 ' ' .rntio„. -2%. , " *3752 'Nu 149c t 'gip VYo kbGgLJ r8 '`j p+A,a _,vim . / 4.4)h---4‘aa' -, .20 - c ' -- r`C v , ''Gfa Parcel; 28570311(15075,'3752NC 18HWYVALE,, 9tn-eOtt 28t88 Idsmaphaprttpr+JJl,trtWMMpr p ropfromtanC.QhsivbaCounty,.NC spattal11Nin otlonSgtviaea, Catawba Countp has ngi634bstantinlkihpds at s�tttcrrn flip apcuurrl, of roe*llon twi robat intone Uo n rnnte:10d on this mda Or dab on lblk inirotl.Cotpwba County prorntod OMiatiotrlaranda i dntrinendWtlt v ' don or any aisla 000 o nod ort'fhic mapin poa product by th9 Uaott:rho s oU y of C*tUwun..11$ ttuncoyobs,tiottip�and p 40,0rh , t tty,614 wiali rm.be!bald ri rbiri tor ally and aftttortagPs,lass or�li>141y,wt;othor attet,indttentut gonia4UunU1%vA 54 . h 51-1ut>ry p, U ali°t # (i.7#i Opti tough iron It or,byR To-typos-on or amity, , f: Copy/tub( 23 Crawr irbritounly tic' }� (pry t fi 6 3 4 I OTFM (i� tiy r4mfr' 3_ p t}? vd # j j AtT b-^a "� it r d ante 48 ,3 .4 -!i$ t i * p A' 4 c A 6b 2 a 4 t `r ii I ' e a i x " 'tr Ir ,, . -,. , lqt ` ,- t' sl r4 s `°lie€{t t/" x � r ti f 'f r l'4 iu,{a f > I 3t 4 r r „i;- 47- �iiiikr,$It 1 L #33 �` a ,,t a ti 3 r Iv°;t E i k+`3 C l"MxM. ! x u'� 'r �n. tr .. 'iv ? a k .,.�„� `u hx.K r F' .�� } h �' ,s "t lf' . � , r`+Ii �t �$A • CATAWBA COUNTY 100A SOUTHWEST BLVD 0NEWTON,NORTH CAROLINA 28658 RECEIPT —44 sillPHONE:828.465.8399 7 Wednesday,August 9,2023 www.catawbacountync.gov PAYOR: Pigott,Alicia PAYMENTS TRANSACTION NUMBER: TRC-70470321-09-08-2023 PAYMENT DATE: 08/09/2023 PAYMENT TYPE: Credit Card 309201646 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-23-426671 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-08-2023-45137 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3752 NC 18 HWY,VALE NC 28168 Applicant ALICIA PIGOTT,6029 CROSSVINE LANE,CHARLOTTE NC 28215 C:9802816828 ALICIAPIGOTT@YAHOO.COM **NO PEOPLESOFTACCOUNTASSIGNED** Owner HERBERT HEIRS,PO BOX 782,DREXEL NC 28619 receipt 08/09/2023 15:34 Page 1 of 1