HomeMy WebLinkAboutEHPR-08-2023-45238.tif .1`�BA • THIS IS NOT A PERMIT Case# EHPR-08-2023-45238
44 fi CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8 sM Environmental Health Plan Review-OSWP
IMPROVEMENT
•
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Applicant MONARCH BUILDING GROUP (KAYLA DALTON),522 N LAUREL ST,LINCOLNTON NC 28092
KAYLA@MONARCHBG.COM
Owner TRAVIS LAWING,80 PUTTERS VIEW LN,MAIDEN NC 28650
Paid By DEMENY BUILDERS (*KEVIN DEMENY),522 LAUREL ST,LINCLONTON NC 28092
B:9802411759 C:7044009056 DIETETICDEMENY@GMAIL.COM
NAME TO APPEAR ON PERMIT
Travis Lawing
SITE ADDRESS: 229 GOLF COURSE RD,MAIDEN NC 28650 PIN# 364609052631
NAME of SUBDIVISION: Lot# 4 Section/Block
PROPERTY SIZE: Square Feet 24,393.60 Acres 0.56
DIRECTIONS: Golf Course Rd Maiden on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
CRIBE WORK: 10/11/23 revise to 60 x 40 home. See new site plan
IP only for purchase of property
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
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: *OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 60 x 40
F NEW IRS"
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SO FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
chappli, 10/11/2023 14:49 Page 1 of3
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NAME ON PERMIT: I NAVIN I A111141.1.MI PI III RN 111.M I N.M lD N N( 2lMO
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Impvement Perim Fee BAILFEC A_.MOST
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TOTAL FEtS
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW IIAS COMMENCED
SYSTEM REDESIGN AND/OR RE TRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
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Y OCT 1 1 ''23
\pItli,,ttimn far Fn%it ruin+ntal Ilealih Services Environmental I III,IS NO I 1 mom' _ti Health
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Environmental Health
Catawba County Government Center,25 Government Drive I PO.Box 389,Newton,NC 28658
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OCT 1 1 2023
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Parcel: 364609052631, 229 GOLF COURSE RD MAIDEN, 28650
Owners: LAWING TRAVIS D. LAWING telINDY H
°valor AddrP.T.s: 80 PUTTERS VIEW LN
Values - Building( $0, Land: $36,300, Total: $36,300
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�,\ THIS IS NOT A PERMIT Case# EHPR-08-2023-45238
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
`:_.1 S" Environmental Health Plan Review-OSWP
IMPROVEMENT
Applicant MONARCH BUILDING GROUP (KAYLA DALTON),522 N LAUREL ST,LINCOLNTON NC 28092
KAYLA@MONARCHBG.COM
Owner TRAVIS LAWING,80 PUTTERS VIEW LN,MAIDEN NC 28650
Paid By DEMENY BUILDERS (*KEVIN DEMENY),522 LAUREL ST,LINCLONTON NC 28092
B:9802411759 C:7044009056 DIETETICDEMENY@GMAIL.COM
NAME TO APPEAR ON PERMIT
Travis Lawing
SITE ADDRESS: 229 GOLF COURSE RD,MAIDEN NC 28650 PIN# 364609052631
NAME of SUBDIVISION: Lot# 4 Section/Block
PROPERTY SIZE: Square Feet 24,393.60 Acres 0.56
DIRECTIONS: Golf Course Rd Maiden on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
DESCRIBE WORK: IP only for purchase of property
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
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 75 x 70
#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:
Other described:
ehapplication 08/17/2023 13:35 Page 1 of3
44, . CATAWBA COUNTY Case# EHPR-08-2023-45238
.t. Public Health Department Subdivision
Environmental Health Division PIN# 364609052631
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
:IV su
NAME ON PERMIT: (TRAVIS LAWING),80 PUTTERS VIEW LN,MAIDEN NC 28650
(Travis Lawing)
Site Address: 229 GOLF COURSE RD,MAIDEN NC 28650
Property Size: Square Feet 24,393.60 Acres 0.56
Directions: Golf Course Rd Maiden on left
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
Improvement Permit Fee 08/17/2023 $150.00
TOTAL FEES $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
eluapplicauon 08/172023 13:35 Page 2 of 3
catawba county
Application for Environmental health Services q53U
r/�-
____IY/2
n r ke, J4 TIIIS IS NOT A PERMIT
Application is for - New Construction 0 Es sikgs Facility
Improsemcnt Permit ❑Authorization to Construct
ens Septic 0 Septic Repair/Malfunction 0 Septic Relocation 0 Septic Expansion
Existing System Inspection or Reconnection
❑New Well 0 Replacement Well 0 Well Abandonment ❑Well Repair
Property Address-L2�....- 1 (p �S,_._a4A4�_ ,..N..G. -- _..---
Acres .50 Subdis ision __— iot#__..
Orhing Directions to Property
Describe worn In [old$ (ATIOV1
Applicant Name r ,L.1/1
Applicant Address
Phone $L9 S—1,Z,O3 T Email •
Owner Name -"WON t got Latiwil
Owner Address 80 Puk,I/s V DA Mai C eti,. Air, t6( 0
Phone Email
Contractor Name U/1 �111I h CJ't -4
Contractor Address�N Law PA °cal'. IAYIL0(11fOVlt 1U(„ 18O Z
Phone qg 0— 1,t.(L— 05c1 I Email Ar1r1P�C.f&W10No4'r M Lt9• t-ow+
Name to Appear on Permit" N.1 Ossncr 0 Applicant 0 Contractor
Who will be the Primary Contact" 0 Owner ❑Applicant i?Contractor
Proposed New Construction-Residential
Primary Residence og New Residence 0 Addition to Residence #of New ll•drooms't 0 of Occupant*
Protect Description k c '._.i.-i fi 1PIQJ'1 (1A� (SQLN �I� 76J lb s j b plan _
Stnicture Dimensions,also aped!\dunaisions of decks&porches_
(Choose One) 0 Basement atCranl Space 0 Slab If Basement.Will there Ile Water Using Fixtures In Basement 0 Yes Est No
Retaitung Wall>2' ❑ Yrs 0 No 1,1 if lait II kb)
Accessory.Dwelling I or Nes%Bedrooms't I of Occupants Structure Dinmtsions
(Choose One) 0 Basement ❑Crassl Space 0 Slab If Basement,Will There Ile Water Using Fixtures In Basement 0 Yes 0 No
Retairung Wall>2' 0 Yes 0 No
Accessory Structurr(s)Describe ,,.- St ucture s)l)itnmtstons
l'lwnbing 0 Yes 0 No lkscribe Pbunbing Needed -_------_._
(Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Ik Water Using Fixtures In Basement ❑Yes 0 Nn
Retaining Wall>2' 0 Yes 0 No
Multi-Family Residence M of Atwnment., tIllcdrooms per Apartn nt•t Total l Bedrooms in Structure't I of Occupants
Structure Dimensions
(Chuusc One) 0 Basement 0 Crawl Space 0 Slab it Baseman.Will'them Be Water tiring Fixtures In Basement 0 Yrs 0 No
Retaining Wall>2' 0 Yes 0 No
Well Cons!ruct ion/Abandon men l/R cps ir
Proposal Well type ❑ Individual Well ❑Semi-Public Well 0 Community Well
Abandonment Tspe ❑ l)nlled 0 Bored 0 Dug 0 Unknown
Well Repair Requested ❑Yes 0 No Describe
Will Certified Well Contractor Install Water lain or Flcctncal Line from Well I lead to I'rs:ssuue Tank''0 Yes 0 No
Environmental Health
Catawba County Government Center,25 Government Drive PO.Box 389,Newton,NC 28658
1
Existing Structures on Site
I/vs.Jibe Structure lhmcnsioas
a of iic,ln.vrts• •
nil kiUlmrtl: ____ _-
Basement ❑Yes ❑ No tta,emunt Plumbing n Yes El No
Existing Water Supply
0 Individual Well ❑Shared Well--Number of Connections El Community Well 0 County/City/Township Water Line
Is a public w:tt.r xtpph :rs:oll.rhlc'' ••J��( Yes ❑No
Commercial ❑Proposed New Construction 0 Existing/Change of Use ❑Repair
Food Seri ice Speed's Is pc
e Scats- Dining Area(Sq.Ft.)
N Employees per Shift N of Shifts
i Church N of Scats Daycare 0 Yes ❑No N of Children N of Employees per Shill N of Shifts
Commercial Kitchen 0 Yes 0 No Residential Kitchen 0 Yes ❑No
Da,care N of Children N of Employees per Shift N of Shifts
Bushiest/Other Specify'1 ype Structure Dimensions
Retail Floor Space N of Employees per Shift------._... N of Shifts
Other Information
Calculated Design Flow,Commercial t ("this salue is ill be determined by Ell 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 in any question is-yes-,applicant roust attach supporting documentation.
❑ Yes 1P No Does the site contain any jurisdictional wetlands?
❑ Yes llf No Does the site contain any existing wastewater systems?
❑ Yes No Is any wastewater going to be generated tin the site other than domestic sewage?
❑ Yes ;No Is the site subject in approval by any other public agency?
❑ Yes No Are there am easements or right of ways on this property? Describe
If applying for an Improseusent Permit or Authorization to Construct,Please indicate Desired System Type(s):
systems can he ranked in order of your preference)
❑Accepted 0 Alternative 0 Comentiunal 0 Innovative 0 Diller - /a Am
*Am room that will he intended for sleeping at the time of construction or for Future consideration should be noted as a bedroom and counted
on all applications 7 he number of bedrooms will he cotdirnted by rooms identified on floor plans as a bedroom at the time of building permit
issuance. This may prevent the need for septic system extender in the Inhere
t If structure is plumbed but Iws no bedrooms,calculated design flow w Ill be determined by El I Stall
•• If No,a well permit must be issued with the Au4wriiutism to Construct
jtETRIPTOTHE PROPERTYAND/QR SYSTLMLREDESK N WILL-INCUR AN ADDITIONAL,( ItA)tGE:(SEE FEE SCNEDULEI
Environmental Health sotl/stte etalu:tuons require dig.gmg,angering,ansUnt probing into the ground Property owner/applicant is tesponsthle
for marking all undcre,rourd utilities,including but riot limited to undetgroundl!looser,cable,telephone,gas,water Imes,and irrigation
systems/sprinkler st sterns Catawba Cowty Environmental I Icaith is not responsible for damage to unmarked utilities,
Completed applications we valid for a period of 2 ycal s Improvement Permmts are yaltd•with complete site plan'60 months(5 y ears):
with Complete plat without expiration An Authorization to Construct is ill rent:un valid as long us the Intprusement Permit is valid Art
Authorisation to Construct,issued for sepmc repair is valid for 1,(t months(5 ycarst Permits may be res Act'II'the mfonuation on this
appla:alxun/site plan changes nr it Ow intended use ha the pnoptwed facility changes. Permits may be revoked if site conditions ate uttered such
that ties'elfect and toraldions or utst,Jlauun requirements
I lase read this application and certify Flat the Information pros tiled herein Is talc,complete and correct Authorized county and state
officials are granted right of entry to conduct ns:cess:18y Inspections to determine compliance with applicable laws and rules.
emdersiand that I am solely responsible fit the proper identification and labeling of all property lines and cornets and making the site
accessible so that a complete site csalu:d►rm can be performed
Die mderragncd is the owner oldie pnols.:rts or legal a i.ent tit the owner
i Sngnauuc of Ow ter or Legal Agent C `' Date Q,Vi 1 i
i GWent.s4 Nome.of/h•rsrw no 1 creel A o..,,
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Parcel: 364609052631, 229 GOLF COURSE RD MAIDEN, 28650
Owners: LAWING TRAVIS D, CAWING MINDY H
Owner Address: 80 PUTTERS VIEW LN
Values- Building(s): $0, Land: $36,300, Total: $36,300
rh,s rna{>frupod product was prepared twin the Catawba County,NC Gousfmtial 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 maplreporl product by the user.The County of Catawba.its employees,agents,and
personnel.disclaim,end shall not be held liable for any and all damages.loss or liability,whether direct,indirect or consequential which arises or may
$A • CATAWBA COUNTY
7" 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
(.) PHONE:828.465.8399
V \ J7 Thursday,August 17,2023
\J8 'Z SM www.catawbacountync.gov
PAYOR: Demeny Builders
Demeny Builders(Demeny,*Kevin)
PAYMENTS
TRANSACTION NUMBER: TRC-71054533-17-08-2023
PAYMENT DATE: 08/17/2023
PAYMENT TYPE: Credit Card
309567054
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-23-427019 110.580200-663000 Improvement Permit Fee $150.00
TOTAL PAYMENTS: $150.00
EHPR-08-2023-45238
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 229 GOLF COURSE RD,MAIDEN NC 28650
Applicant MONARCH BUILDING GROUP,522 N LAUREL ST,LINCOLNTON NC 28092
KAYLA@MONARCHBG.COM
Owner TRAVIS LAWING,80 PUTTERS VIEW LN,MAIDEN NC 28650
Paid By DEMENY BUILDERS,522 LAUREL ST,LINCLONTON NC 28092
B:9802411759C:7044009056 DIETETICDEMENY@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/17/2023 13:34 Page 1 of 1