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Home My WebLink AboutEHPR-3-11-10055 (2).TIF .yS� C THIS IS NOT A PERMIT Case # EHPR-3-11-10055 �� . ��_ � �� CATAWBA COUNTY HEALTH DEPARTMENT � c� "��'"� :;; `�' Plan Review Application for Environmental Services I842 5M Environmental Health Plan Review - OSWP EXS SYSTEM NAME TO APPEAR ON PERMIT NATHAN HARPER SITE ADDRESS: $9O9 OAKWOOD CIR Sherrills Ford, NC Pin#: 461904817624 NAME of SUBDIVISION:CRESCENT LAND AND TIMBER CORP Lot # 55 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.779 DIRECTIONS: SHERRILLS FORD RD/ TO MOLLYS BACKBONE TO AZALEA HOUSE ON RIGHT APPL[CANT OWNER CONTRACTOR NATHAN HARPER WILLIAM JABS 8909 OAKWOOD CIR 6061 BRIGHTON RD SHERRILLS FORD NC 28673- BRIGHTON MI 48116 (704)840-8400 PRIMARY CONTACT: APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 28 X 70 EXISTING FACILITY TYPE: Accessory Structure NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 4 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is "'`NOT''` available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: PVT ACCESSORY BUILDING 16 X 20 DESCRIPTION OF SINGLE FAMILY MODULAR EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EA NONE PROPOSED CONSTRUCTION ACCESSORY STRUCTURES DESCRIPTION: PVT ACCESSORY BLDG # OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: 16 X 20 ACC DWELLING? No PLUMBING? No NONE # OF STRUCTURE OCCUPANTS: 0 I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: � O�S Signature ofApplicant or Agent� � An Environmental Health Specialist will contact you within 2 rking days of applic ion date. If you need further information or assistance please call 828-4b6-7291 AREA1 **************�*******************************************�********************************�**�****�***�***��****�*�** Minimum Setbacks Front: 30 Side: 10 Rear: 30 Side St: Max Height: 03/25/11 16:57 ��A . CATAWBA COUNTY Case# EHPR-3-11-10055 Q . , Public Health Department � $ L Subdivision CRESCENT LAND AND TIA a Environmental Health Division - Plan Review Lot# � PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 55 �g 2 s� PIN# 461904817624 ApplicanUOwner NATHAN HARPER, 8909 OAKWOOD CIR, SHERRILLS FORD NC 28673 Site Address: 8909 OAKWOOD CIR, Sherrills Ford, NC Property Size: SF 0.779 ACRES Directions: SHERRILLS FORD RD/ TO MOLLYS BACKBONE TO AZALEA HOUSE ON RIGHT FEE NAME DATE AMOUNT BALANCE DUE Existing Tank Check Fee 03/25/201 1 $80.00 $0.00 TOTAL FEES $80.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/25/1 I 16:57 �� THIS IS NOT A PERMIT ; � CATAWBA COUNTY HEALTH DEPARTMENT �,.� t Application for Environmental Services Page 1 1 $4 2 � Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Egisting System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address �`1.0 �t mwc��cn C�ac��E Subdivision �e,e,e��r r,np . N � Lot # Acres n ,� Sectio lock/Phase Driving Directions to Property �1�/1yLL( f0� /(O ld �et� /s A�i�BtlN�" %o , z�-�2�A. O � W a NAME TO APPEAR ON PERNIIT? ❑ Owner Applicant ❑ Contractor O Applicant Contact Information U Name Iy�4Tl.� Q- � W Address gc �- 6 d C� ,� S,c��' �� /(/C' 2�67.3 CO �, Phone -�p _ g g�p Cell hone ? Owner Contact Information � Name � Address Q Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner [v�pplicant ❑ Contractor Z Description of Existing Structures on Site Mvd ;�,�E �- �,o � Q # of Bedrooms *�' � Structure Dimensions # of Occupants y F� Basement ❑ Yes [�No Basement Fixtures ❑ Yes [�"No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) � Describe � Proposed Future Structure Dimensions # of Bedrooms *�' if applicable ? Are there easements or right-of-ways recorded on this property ❑ Yes ❑ No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes ❑ No Check type available ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Existing water supply in use [�]'Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) �a THIS TS NOT A PERMIT � G Q �,, � CATAWBA COUNTY HEALTH DEPARTMENT `' '°° � Application for Environmental Services Page 2 1 842 ua Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms * j' Project Description Structure Dimensions # of Occupants ` Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No [�'Accessory Structure(s) Describe i �' X�� S e.o6 # of New Bedrooms *�' if applicable Structure Dimensions l�'X zo � # of Occupants o Accessory Dwelling ❑ Yes [�No Plumb ❑ Yes [�'No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedrooms * j' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) I # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify I If C hurch # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial �' Additional information may be required to ' determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. �If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. � CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) a I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental C Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand C that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain �U specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for m (5) five years from the date issued and is not transferable � = Signature of Owner or Agent �_ � Printed Name of Owner or Agent /�li9�T,U�1�/ +� s�2� Date ,�-2.� t I I ��$A C CATAWBA COUNTY PERMIT �, . Y �� ZONING AUTHORIZATION (R) � � Accessory Structure V � �:`' •�►� '``' ��j� �r P. O. Box 389 Phone: 828-465-8380 PERMIT NO: ZONR-3-11-16396 100A Southwest Blvd F°.X: 828-465-8484 APPLIED: 03/25/2011 r� Newton, North Carolina 28658 ISSUED: 03/25/201 I 18.L� !r SM www.catawbacountync.gov EXPIRES: 09/21/2011 • Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov/cap/ APPLICANT . OWNER CONTRACTOR � , NATHAN HARPER WILLIAM JABS 8909 OAKWOOD CIR 6061 BRIGHTON RD SHERRILLS FORD NC 28673- BRIGHTON MI 481 16 ��-:��.,��i;s �#��'� h � i � �, �� ****** NO CONTRACTORS ASSIGNED ****** PROP�RTV iD#: 461904817624 STREET ADDRESS: 8909 OAKWOOD CIR, Sherrills Ford, NC LOT# 55 PROJECT DESCRIPTION: PVT ACC�SSORY BUILDING l6 X 20 COMMENTS: PVT ACCESSORY BUILDING FLOOD ZONE? OWNER TYPE: Residential (Private) 100 YEAR FLOOD ZONE PLAIN? Yes LAND OWNER: FLOOD PLAIN, STRUCTURE? No � REQUIRED SETBACKS FRONT: 30.00 REAR: 30.00 CORNER: SIDE: 10.00 MAX HEIGHT: 45 1. Before an inspection can be made by the Building Inspection Offce, the applicant must pull a string to designate the side and rear •� properry lines where the structure is being placed or constructed. 2. Accessory structures shall only be located in side or rear yards. . • 3. Accessory structures shall not be attached in any way to the principle structure. ' '; 4. Accessory structures shall only be used for private residential purposes. 5. Manufactured homes shall not be used as accessory structures. 6. Accessory structures may not be used for living purposes. FEE DESCRIPTION D.ATE FEE AMOUNT � Residentia Zoning Fee 03/25/2011 $25.00 TOTAL FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zonin�Compiliance are true and correct and acknowledges that this nermit was issued on the basis of the information required herein. The applicant further acknowledges that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shal] be at the expense of the applicant.. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the property. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. **This Zoning Authorization (R) Permit shall expire six months from the date of issuance unless a buildin permit is s ured and remains activ n / � � / ��9✓�' ( �j� + ' /7 � j°"r?�r `' j . ,, 5 APPLICANT NAME (PRINT�D) APPLI ANT SIGNATURE �- ZONING APPROVED BY ***** ZONING FEES ARE NON *****' COMPANY NAME � permit 03/25/2011 16:54 Page 1 of 1 Catawba County, North Carolina N 77us map product was prepared fi�om the Catawba Counry, NC, Geographrc Injormation Syslem. Cataivba Co:mry has made substanti�l ejforls m ensure !he accuracy ojlocation and labeling information . caTlained on this map. Catawba Countv p�romotes and recommends 1he indeperident verifrcarron ojany data contained an thrs nvap product by the user. The Count}� ojCa�awba, its employees, agenrs and personnel drsclaim, and shall not be held liabJe jor anv and al! damages, /oss or liabr/iry, whether drrect, indrrec� or consequentral whrch arrses or may arrseJran this map product or 1he arse tl:ereojby any person or eruity. Legend Selected Parcel Number: 4619-04-81-7624 1 inch = 60 feet Prepared for: , , ,,. `^'I � �V ! ,�-'' f �.�-4-''' ,,: .-.F 6 3 � so /� �,.,..• h,^ � � / �W~ "'",..---"' �,��-\ ,G , ; �,,�'— � __ � �—....�. � 3' �? � � � � � �. � ,� ` �� ' �� . � � 3 � �.2 �� t �r�0 � O�� N ,, � ; . �,.�...�� — �� ..�. �� : � ; __ �_ _ , f r �-.� �J , r�'" t3'► �� `, �� ~�� (,!" r � . �� '� g ` \ � ,;�. r ��° ^ � . _�-- l ,. ,\ _� . •}!�' ,_ _ , . V� f � � / / � - $ � / � , �� 56 �-- ', ; . . , - �_. � � +< < � o o , ,� -� 6 _ 8669 8g. � . �� j ____� . l� `� � �° �° _ ~__ ��'�� ; v y �, , u � � ° � � � � � � �� , , .. ,: _;/`' -- — t� 1 � �� / . . , :,�' : ......... �W... : ~:�;.�,� ' , . ----- �`� . . �� ::::::::::::::::::::::::::: � �� ,,...�.-�-� N � .. . ..... . ... . .. ,�``�: �'�---- C,s/ r �/ / : `��; --.� � J :::::::� :::::::::::::...... .. :::: � 3 �� . / ' . . . 5 . . .. �-- � � ��-� .- . �, .� . .:: � . � � . �: ,_ ._ —``"� � �� ::: �:::::::::��:::: ::::�:::::: :::�:::�:: :: :::::::�:: :::::::� � ..� ; ., � ... . ... ........ ...... ....... .......... . ... . ... .. .. .... ... .. N ' ,: - � , :�:. .�: � : �: 1.20. ,r .a: . ::: ::: : : :: :�:: , ; ��' � ��` : :�: = �::�:� ,%� � � .: u �. ..r � r � � ^�, � ::: Y ' : �:::::::: :::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::: � � - ' - �f . � .:7�:'.' ::�:::':�J .:::::::::::::::::::::::::::::::::::::::::::.::::::::"::"::::":'. �.,.�91 ___,�--- _�_ ::�::�.::. .:�: : . . :: . . :. ::: �:::�:::�: � � .. ..:. . .. . . . . : ...._.., �.- : AE . . . �---_-; ,--' ' i . � \ r :� : i . .. .. ... ... ............... .. . ,.... . . ... -.___..-� .:1:::::... , ''.:'.:: , ; / . ....::: ::.' i. ; ,/ .��:;. ...... .... ... ...... .............. ..::::::::::: ............ .... .. :. .. ...... .............. ...... .......... . .. ...... ..... ............... ... ...... ..... . ...... .. ........ ... ....... . :::f:::::::::: . :'.;:'tt::. ::� :::::::::::::::::::::::::::::::::::::::::::::::::::::::::':::::::'...... . ._ \ ' � /,, l/ �::: ::::: . .::::;:;,�:;�:: �% :::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::::::: :::. �� ,- ,\ ; �, :�,..:�.: �� ..... , . ... i �^: :�: f . ....... ..... . ......::. , . , ................................... : . ...... - _ , _ . ...... ........... ...... , ` .....:::� , .......... ...... ........................ ; �` , 4 / ; .......... ...... .........................::...: i f ,Y � : ............................................................. • ;�4 R , ;- � :.� �` : - N , , , �,, ,. f ,. , .� � �: .. ..... . . . ... .... ...... . .. . .. ..... . . . . . . . . .. ... .. .. ... . . .. . . ... ..... . .. . . . . .. .. . . . . . _ ... ... .. . . ... ...... ......... ... . . . . . . � : : :::: :: � .:: . : : :: : : :::::: :::: ::.::::: : : : : : : : :�:: :::, . .... . TIiIS IS NOT A LEGAL DOCUIIENT <��.1_ � �� Friday, March 25, 2011 05:O1 PM ......... ..... 4:' ::.f.:::: . ........ . .. 1 ......:l�:::::::::: . � ,/;� :� :r�: .• �. . CATAWBA COUN7Y NC - Parcel Report Information Regarding Selected Parcel(s) ParcellD: 4619-04-81-7624 Name: JABS WILLIAM R Name2: Address: 6061 BRIGHTON RD � Address2: � . City: BRIGHTON � State: ' MI . Zip: � 48116-7721 Account: 35564220 . . Calc Acreage: 0.78 � . Tax Map: 004 X 25055 LRK: 3757 Deed Book: 2112 Deed Page: 0691 . � Subdivision Name: CRESCENT LAND AND TIMBER CORP Subdivision Block: � ' Lots: 55 Plat Book: 16 . Plat Page: 6 Building Number: 8909 Street Name: OAKWOOD C1R Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: �SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $153,800 Land Value: $236,300 Total Value: , $390,100 Year Built: 1998 Year Remodeled: Last Sale Date: . Last Sale Amount: Neighborhood.: 129 Watershed: � WS-IV Critical Area Watershed Split: NO . Voter Precinct: P39 � E911 District: COUNTY �. Zoning: R-30 Zoning2: Zoning3: • Zoning Split: N . . Zoning Overlay: CRC-O,WP-O,FPM-O � Zoning District: COUNTY � Split Zoning Dist: N SplitZoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CATAWBA Middle School: MILL CREEK High School: �BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 2012 Small Area Plan: SHERRILLS FORD Agricuitural District: • Printed: Friday, March 25, 2011 05:01 PM ,�•�. �' � \ r\ r�ATAWBA COUIVI�T'� HEALTH DEPARTMENT � h Telephone: (704) 465-82 TDD: (704) 465-8200 �Y'� 2 U 7 2 � Improve. Permit�thorization to Construct[�i�epair Permit_Oper. Permit�System Type� Owner/Agent l•f//GL,/�¢i'Y'! Ti4�l�.S Phone Address Subdivision ��,� / i � �� / r ,� , on/Block/Phase �.. Lot#�,� � � --�, .-- Lot Size Directions: a ��',�r��,�� t lce� B�� ri'�"� /yiti��/��Ar�� T G � Fscility: House Mo ile Home_1�Business . Other: Tax Map # — '- Multi-family Other . Zoning Approval # # Bedrooms�_ # Seats # Emplo�rees . Application Rate� GPD Flow .'3� Hot Tub or Spa yes�pecial Fixtu . 100� Repair Area es no Basement yea� Basem Plumbing yes n �Patar Supply: Private Well Public tww�►r►rwtwwrr�,ww�ra+rwt�wrtrrtttrawrwwwwrw*w�wrww �rpe of Syetem: Trench__��ed Pump Pump/Panel Panel LPP Other Tank �ise: Septic Tank Size f Dl� �5�-- Pump Tank Size Nitrification 81e1d: Total Square Feet �i��j Depth of Stone�y Bed Size TrenCh Width ,3 � Total Length of All Trenches 3 B'd' Number of Trenches �� .r- � Individual Trench Length /DOy /ov /� �"J / Feet on Center Maximum Trench Depth Dietance of Nearest Well ,SD �,f-+ �DO NOT IN3TALL WHBN WST« �wrwr�+rrw�r+4wtww�riwwrwwww+,�rsr+rrrrrrtrw.ew tw+►r►wwtwt+r►rwr�• Topo .� � Slope � Texture G�,�.�� Structure .SR„C3 � � �.�j-rK E Clay Min. f1 / � �~ Soil Wetness " � 9oi1 Depth y��t +, " � ��! Reatric. Hoz. at �� Available ace no� ' t � � Ov�rall Clas� ' � � Comments: �� i � i ' 1 i /�� _� ' ' � �� '3Te. F�t.� �!f c s � � �! � � -/ . / v � , x � � 1 � -' ` � / � � �-�,,� ( i , � . . /S' `0 .c�_� ° 7�.��.� _ 0 * /� ti � � '� _ e � **NO GUAR.ANTEE OR WAR �� ORMP,N OR LENGTH OF TIME THIS SYSTEM WILL FIJNCTION** �� ,►*� ' *Improv�at Permit hao no �xpiration dat• and ia tranafarabla, but may b• revoked if site plaru or int�nded uae changas for the propoaed facility. Aa Authorizatioa to Construct ie vslid for (5) fivs y�ar• from dats issued and is not transfsrabla. Permit Date � Owner/Agent Sanitarian �, Inetalled - Date y - (� ` /�� sanitarian T� White - O�ce Blue - Building Inspection Operation Permit �Yellow - Owner/Agent Green - Building Inspection Authorizstion to Coastiuct .��A � CATAWBA COUNTY Nc � � '°°-A S°Ut" West B'"d pLAN RECEIPT r] Newton, NC 28658- U�� ' (828)465-8399 Friday, March 25, 2011 �► j$ 4'L sM www.catawbacountync.gov P�an �ase: EHPR-3-11-10055 �nvoice Number: INV-3-11-273441 Environmental Health Plan Review Invoice Date: 03/25/2011 Site Address: 8909 OAKWOOD CIR, Sherrills Ford, NC APPLICANT OWNER CONTRACTOR NATHAN HARPER WILLIAM JABS 8909 OAKWOOD CIR 6061 BRIGHTON RD SHERRILLS FORD NC 28673- BRIGHTON MI 48116 (704)840-8400 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS PAYER: NATHAN HARPER Date Pay Type Check Number Amount Paid Change 03/25/2011 Cash -1 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 pian rcccipt 03/25/201 l 16:57