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Home My WebLink AboutEHPR-4-11-10370 (2).TIF �� C O� THIS IS NOT A PERMIT Case # EHPR-4-11-10370 �' � �� CATAWBA COUNTY HEALTH DEPARTMENT � ,•��. `�'� � Plan Review Application for Environmental Services I842 sM Environmental Health Plan Review - OSWP IMPROVEME NAME TO APPEAR ON PERMIT DEWEY LITTLE s�TE a,o�RESS: E BANDYS CROSS RD, Catawba, NC P�n#: 367904943842 NAME of SUBDIVISION: Lot # 2 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.2 DIRECTIONS: NC 16 S FROM NEWTON TO BUFFALO SHOALS RD, TURN LEFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE, TURN RIGHT ON E BANDYS CROSS RD LOT ON RIGHT JUST BELOW FIRST HOUSE APPLICANT OWNER CONTRACTOR Brady Little DEWEY LITTLE 1598 Buffalo Shoals RD 4941 E BANDYS CROSS RD Catawba NC 28609 CATAWBA NC 28609 (828)241-2004 (828)241-2535 PRIMARY CONTACT: Applicant APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: N/A CALCU�ATED DESIGN FLOW: Public water is *"NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: SUBDIV[DING PROPERTY PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 5 PROJECT DESC: HOUSE WITH BASEMENT PROJECT DIMENSION: 30X60 BASEMENT? Yes BASEMENT FIXTURES? No 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 non-expiring 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 tocation should conform to app]icable setbacks. Date: �"�� / � Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 worki days of application date. If you need further information or assistance please call 828-466-7291 AREA 1 *****�***�****�*****************�*******�*********��***************�********�***�***********�**�**�*�**�*****�***�**** Minimum Setbaeks Front: Side: Rear: Side St: Max Height: 04/12/1 ( 10:14 �pp. CATAWBA COUNTY Case # EHPR-4-1 1-10370 q� G Public Health Department �' � ti Environmental Health Division - Plan Revie�v Subdivision � �`<' PO Box 389, 100-A Southwest E31vd, Newton, NC 28658 Lot# 2 t842 �" , , P�N# 367904943842 ApplicantlOwner Brady Little, 1598 Buffalo Shoals RD, Catawba NC 28609 Site Address: E BANDYS CROSS RD, Catawba, NC Property Size: SF 1_2 ACRES Directions: NC 16 S FROM NEWTON TO BUFPALO SHOALS RD, TURN LLFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE, TURN RIGHT ON E BANDYS CROSS RD LOT ON RIGI-IT JUST BELOW FIRST I-IOUSE FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 04/12/2011 $150.00 TOTAL FEES $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/12/11 10:14 L � �,.c ' S �� _� THIS IS NOT A PERMIT � � CATAWBA COUNTY HEALTH DEPARTMENT �,.�g ; Application for Environmental Services Page 1 I84? iM Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ E�sting System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address Subdivision �',q�'A L,,/�, �l! � . ,� s �'�d � Lot # ��. Acres _�, r _ � Section/B1ocWPhase Driving Directions to Property T��/� L �l/� L/.� �' �jjp� , ��ry� � v�/-�l� d 5/5 Q��s` /'�D �- TU�E'N �- � FT �N ,�v�'i�� r� S/�o��s' p /r'/� - T/��' �� L '� /2j � L L= S -- �L� �% /� / � %' T aN � , � / �N��`S X � /� - 13� � � � � s T h�o vs� D,v /�/��r � � NAME TO APPEAR ON PERNIIT? ❑ Owner ❑ Applicant ❑ Contractor O Applicant Contact Information U Name eC„1 e � ; f W Address c•� / G=�-S i /�- I� % S G� v S S �cJ >� 1,� J m � Phone �1 � �-�� ►—�, S' �3 � Cell Phone �� 3 r � 7� y S = Owner Contact Information � Name ��f��` � �,�-�� Z Address � O Phone Cell Phone � L� � 2s �� y��'� j � Contractor Contact Information W Name y Address � = Phone Cell Phone F� Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Z Description of Existing Structures on Site Q # of Bedrooms *�' Structure Dimensions # of Occupants 1► Base ment ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No C Planned Future Additions or Improvements (Building Permit NOT requested at this time) CC Describe � Proposed Future Structure Dimensions # of Bedrooms * j' if applicable ? Are there easements or right-of-ways recorded on this properiy ❑ Yes � No Describ 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 (S EE C EVALUATION PROCEDUES) �a G THIS IS NOT A PERMIT � • ` �' �� CATAWBA COUNTY HEALTH DEPARTMENT � °� �` Application for Environmental Services Page 2 I8 `� 2 '" , , Proposed Facility Type ❑ Primary Residence � New Residence ❑ Addition to Residence # of New Bedrooms * j � Project Description � �s � Structure Dimensions 3 o X G i7 # of Occupants ,S Basement �, Yes ❑ No Basement Fixtures ❑ Yes �No ❑ Accessory Structure(s) Describe # of New Bedrooms *�' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedrooms *-� Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # 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 If Church # 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 V 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 erable � = Signature of Owner or Agent �./`�`-' � � Printed Name of Owner or Agent � � � �� , �i � �G L Date �- l Z/�i / rpr � 1 .12 ? C. TOT�1L 0.25 3L'. R/W --- o.e7 ac. yET S CROSS RD. E_ gANDY � /,: N 88' 1 8'22 "E N 86'20'S7"E e0 ' ft pizox CI5 Racoxns _^-- 1 63.3G' ?6. 18' SR. 1813 _� -�� V � / � � _�----� �� N' 31'03'GG""E , �---'�- ---- - N 86'20'57'E 391 JO' / 1 95.85' i 38.87" \ � / _ _ __ _ _ — 195.8 J �� _ p _ ' - - ` �/ rteear, ��n1PC waL— — � —" V \ � ,. . - � - - � ' - - - - - - _ - � 6 i/z' Reeu+ 32. 16' sEr 5 , � j� -- y '� — — — 3/a• Roo ser � CP.O cosn � \� / /' , L3 -:- — — �� / J�4' R00 L5 ^ .43 3125' LOT 3 �� axe sroer 30J5' � `� � 1.29 AC. TOTr1L / ry� aRicK � N LOT 2 ,� 0.13 AC. R/lY � J � /� o, `� 1.16 A C. NET � 0 1.20 AC. OTAL ^ N �. �� , oe ieos�x �o � 0.13 AC. R W 4� � � N .� �' 3 �; P9 33 PG m � 1.07 A. NET ��' o � v 1925 i j� � � �,� ry�0 ,� 3 i /i � � � ,� � ;� N / � L10 O � \ �y_83� � �. !� � � / � / � � �, � weu. Z �n � � / / / ;j 7.2' �E54R � � �� N ) j ! 60Q. S` 1/2" PIPE � � =/ i5.00' � / / FIPE \ ` � 95.2 �� 1 3/4' R00 / , . , • \ " \� 1 65.31 ' 150.32' coM oo , J � / ��_ 6J __ ';o.o' N 86'31 �23""W 525.84' t/z' a[aa4 �. `� � � � � 33 16.0� 5 � 1 2 RE84R � SEI �/ � �S � .J h POSSIBLE / , � w N )� ' w �� SPRING � aww� �. ur�_ 36e ��°' / `°a,uESr 2z 4 � �B 965 PG 021 ��GE 1/2� RE84ft , / SET � �\ V : r�, 1/2" REfl4R i/2' Reaw �--_ K..u�E,zir u u;� i � � o- S� 5� N 8 3'40' - �B 2'J86 PG S'2 =s .e �c +s�; � ,<v h o LOT 4 37 W e ''� \ S v 2.40 AC. TOTAL Z�'S0' � e-� e �� ry "J� 3—` ss �� „ 2 ry 4.67 AC. TOTAL � '` _ � �� i ry 0 ry ea. � 0.08 AC. R/w �o ro� r �-� 4.59 AC. NET o n n 2�P\ $ BUGGY AXLF � -a \ \ FouNO � N ^, \ \ \ Bu6GY AXLE Z SEE � : oum� INSET "4' '� �� s,. iaaRr rr. rwzwcu DB 1543 PG 892 � 8 3� �� N \ �1 "�S' w 8 I/2" REBAR i/2' RE9M' � � 6 3 0�. 5E7 � 87 73• O � s�r � 2 '� S . �/ 7g•5 �o � 2 s'" �� W 3 k� S 7� / ��s � �g 1/2' REB�R � �O :�,, 2• � � �8 5Er ry 1' 7N1 BENi � iTGT)/ �� 1/2 PIPE � `� i/2' REH4R �/ � ^ FOU40 / ��--�� DB 6]0 PG 2?9 k a ^� \ 09 2C99 PG 7908 � � EOD:E L SEZER 47 / \pB 49 0 �B 2098 ?G 190d N � PG 11J PB 49 °G 143 O� p O �o /.�" � � � �h/ � / = � � � � o 4 ?aR � �` _ � P�T / —' —3" 3 �' GVERLAP AREA = � N`p �� 9 �y REanrs O.QS AC. OR 2222.33 sq. ft. t/Y 29 7. SEE RE' N 80' �8 Noi ro ScuE /S' IN$E( �B ��822"�y 3/4=R�D -� ;;� � S 82' 13'07'•E 5 43. 7 z' Fur aw :/„ / z - - -. pAfJ A. HUNSUCKER V/ �6 27&5 PG 11H �DB 670 � � PG 229 � � / v o 0 `�' Q 4 4 V 1/2" RE84R a 0� / SE( BY: CAVID CL4RK ur eooK +e MINOR : � PAGE 143 '_ :kON � I / REVI�lY OFFlCER DE t \ I/2" RE344 � \ STATE OF NORTH CPROIJNA. FGJND TO " '71E L1NE� COUNTY OF CA7AWfl4 MAiCH DFFD N 5"32'36"E BOCK 2G98 ��>>� 1 REl^EW OFFICER OF GTAWH4 COUNlY. CEFTIFY 1MA7 iHE °AGE 1908 MAP O!t PUT 70 WHICH iH15 CERT)FlG4P.ON IS AFFl%EO MEE7S At1 S7AM0l7Y INSET BH REqU1REMENTS FOR RECORO�NG. NGT TO SCA�� ScE NO�E: 5 RENEW OFFlCER �� . APPROVAL CENTIFICATE I CEftTiFY INAT THE SUdUlV15lON PtAT SHOWN NAS BEEN FOUNO TO COMPLY WITH THE ��' �-� RECULAl70NS OF G1TAW81 COUNN ANO IS iWPROYED FOR RECORDINC IN IHE REGfSTER OF 3770. O 100 200 300 OEEDS OF CATAW84 COUMI' wRHM SIXII' lHYS OF THE WTE OF THIS APPROVAL EFF. DAT SURVEY l � � • Catawba County, North Carolina N This mnp p��odnct �vns prepnred,fi�an rhe Cnrcnrba ComNy, NC, Geogrnphic b fornmlion Svstem. Cnlai+�ba Coi�nq� l�as n�nde subs�anrial ejforts ro ens�u•e the acctn�acv of loca�ion and h�beling infm��nation cm�taiiaed on this nrup. Catmv6a Co�mry pr�omoles ancl recomutend.s Ihe independent ve�•rficu�ion ojnni� da�u conrnined on Ihis mnp prodacr by rhe user. The CounN ojCalmvbn, i1s enrployees, agents und personnel disclnini, nnd shall no� be held liable fa� nny and uA dmm�ges, loss or lrnbilitv, ivhether du�ec�, indirect a� conseguenrial tir lrich ni•ises or mm� urise fi om d�is map prodr�ct o�• the ase �hereo by nny person or entrn�. L@9eild Selected Parcel Number: 3679-04-94-3842 1 inch = 160 feet Prepared for: � ti _.� `�'�~'�� ,�� 3348 0 � �.. � �_ `�.`� �6� � r� 82.50 121 $o.s� �-��1390 � �20.00 2os _.._ ____.__ RD ^ ;� q �� (199) 138.72 _ __ _ - - - - J � CROSS _��\�� _ - - ELL TOWNSHIP E BAN�YS � _ CALpw (395) 21� �`-�w��t - � __ _ ._ 0 175.00 _ (430) a �`-� r �.._.. d . � r r . 0 1.Q1_A_ _�-.. ,_ 6 BUFFA�O N 30 $ N � SHOALS RD � � <'��_��ry ''` 1003 � ` i _ � �� 1 > o ° �� 194. 85 , � o� � � � �� ;, �j �J� 2 �.39 � ' / r / � �� "'� `��'�� OH56 10.06A � � � �° 3842 ' � � �.. � r � 9758,.� � � , ^�' 25 ��'�� `� � /> �� ,;�`�'� i �� 3 9p 0 p �," � ! � 3�� 9664 � oo ;;� �`� B n � ��' �a� ," � �� / ^" V� , o 0 � Plat 49-143 1 � o A ' $ ; ' r j � 2.13A N � `" `� 0464 N ,� 323.00 1 00 � � 3 00.00 ' ^ � h � 815 ��. �o � �cb� THIS IS NOT A LEGAL DOCUMENT Tuesday, April 12, 2011 09:45 AM � � �p� CATAWBA COUNTY, NC 100-A South West Blvd pLAN RECEIPT � ;,:,: � � �-] , , , Newton, NC 28658- V � 828 4 Tuesda A rif 12 2011 ,' � '`'�' ( ) 65-8399 Y� p � 1g 42 sM www.catawbacountync.gov P�an �ase: EHPR-4-11-10370 �nvoice ►vumber: INV-4-11-274037 Environmental Health Plan Review Invoice Date: 04/12/2011 Site Address: E BANDYS CROSS RD, Catawba, NC APPLICANT OWNER CONTRACTOR Brady Little DEWEY LITTLE 1598 Buffalo Shoals RD 4941 E BANDYS CROSS RD Catawba NC 28609 CATAWBA NC 28609 (8 28)241-2 004 ( 828)241-2535 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS PAYER: BRADY LITTLE Date Pay Type Check Number Amount Paid ChangE 04/12/2011 Check 5846 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plaii reccipt 04/12/201 I 10:31 . 3�7 ��3�� -PQ �a ` . � � �1 � l� � � - ^� �� z � �� 3 � � � J � � m � y � � oa � �°� � � y f z E-, z � �' � ��f� aa q H Qi ��tl�� ; a ° mnuo� ° v,:^.nv�i ° oa a a a ' a Z' 2 �� q� �� ( � � � a o m �e�amRe�,.Nm � a � Z �@�� i � � � `� �' _ _ _ < ,� p � � �i� �{ � � � ��ga � 8 �� o m ��Yo ♦ f q� � a �� b U �ia o q � ` � �� b h J W W W W W W W W W W W 3 W � w � Q ] C� � � � ; ��g b � (/� '��'� � Y • m � rvn �naNhhNnr ° a=�o!� �� Q v , Q pM`�a �i' ° w gp ��' �w gf�� 'i �� R W o nnn C� O "..� U 2 p $ � ° n � 3 @ � U �� d � � Z m nnmmmmmmmm�^� ¢ �p (� . g aM1 � �' �� 3 ��t ��Ilh � y� � zz2zzzzh�xzhz � ln � J � g �� °�� J � � a' �. � `' "$� ; a �' �� o_�n ` m -� i� E • ��" �� H� p�� 3 p � > ��7•�'°"�a___� ° � � w - J .,a€ a$ '� @ O Z � ��i �ii ° � � �� 6 s " W o d o ~ �� R 20 � � ' m g U oW � ;�� '^ "'� �� $ � k$ ' o q � �„� � � z � � S 8 � N �4 � 5 uze.u�mwmaawaw � II . �& �� Y � � �� Q i e � .! + x €� � � i i F •��' 1 i' �8 � k �` �n s i � / 9 �_ I " ,I � ga / ;j �� WI �� e �� , w I' n q � e 8 �. sS. r B � Z � v �. ��^, k W ' �& ��o ' " � �& � � Iry�� 9 N ��h q � z � � �� .�. � � .,.� � �� o soc � � er .rr� e ��._ � N � at a t �� s �t� v � ' ^tse, e S � � � `��' �� N� �� alle �a m o� g �� .r � I °� � �� Z�� N �i n a i« � � '�^ � a � ^" C (r �' � i� �� I t � S.: d .� � � �� N m �/ r � R � � � W � � 1 � � a �°h b I I $ •'s'�vz3, � m" 2 � ' seo `r &� '�� ti� 5 5 � �. �8 � 1 �: 8-�80 N .l m �_I' N �.Y � E� i I .la l�p � tl� '6R t � a 3$ � I I I� �Afi d' F �� aa EY � �^ 7 �~ � °� � � ��Y� L � a ;� o � rv " I ,'� �ae •�' ;; S .,:« � ° z � Lr'f n"' � • ° � � �j F i n �� t9z "1,D0 y � n �~/ �� S V c r 0 y �? .\ro`r� E ry , .aa�ce� ° r.ri S [ y ? 3 y / � � l , �� ttl C � �+ .0 �q M1 e I an I . � J � � � 4 �M1 ?�ry S O O e i { J o r �� W ° n� ` Sr pp �( m a i ^ � I� � '' �p /�� o Z /^ �g 1 ` < N '� :�i �� p^ N �� `r " o ' ° ey p ' .� �e � u� s �G�2� �'a_ k � ry"�.�� " � } � � I «� \ �+A' o � � T =�� N � ' �� >^o/ �y � � � � � � ��, ��1 �;,, �� ' jN� b M1 `'� C � m y 8 � C � � C° �= n m \ Y� � / � r i 4 \ar r ° g �8 �= I �e Q X�ff ° o i� ` l��. b / �� N �,< � I X�� 4 �i �� °m o ��? � � I � o °n �g � �' � �Yy Fa n' h Q g I �`` �7 � u � �si< Z C o� `\�\\ � / �� \ M a U N S:o' y�` nO ap�, '� / \sF�at $ � � ��' ryP Qy4 C �O @2 � g y � � � Z ` � Y O� s � � � $ c� \�� ,i 8 S O' w� \ ' ?� � `t '' �$� W � �� b qq @��ka� � ,�� E� � �o � � 8Y_� ^ c @ q O � �� F$ � { �R��s�� q ?. � � 4 � Q � + q q � g p � W � z � { q. 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