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HomeMy WebLinkAboutEHPR-4-11-10371 (2).TIF �� C O� THIS IS NOT A PERMIT Case # EHPR-4-i 1-10371 �" v �' � CATAWBA COUNTY HEALTH DEPARTMENT ,�: ''C Plan Review Application for Environmental Services 1842 SM Environmental I3ealth Plan Review - OSWP IMPROVEMENT NAME TO APPEAR ON PERMIT Brady Little SITE ADDRESS: E BANDYS CROSS RD Catawba, NC Pin#: 367904943842 NAME of SUBDIVISION: Lot # 3 Section/Block/Phase PROPERTY SIZE: Square Feet Acres L29 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 APPROX 200 YARDS APPLICANT OWNER CONTRACTOR Brady Little Brady Little 1598 Buffalo Shoals RD 1598 Buffalo Shoals RD Catawba NC 28609 Catawba NC 28609 (828)241-2004 (828)24 I-2004 PRIMARY CONTACT: Owner 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 CALCULATED DESIGN FLOW: Public water is *"NOT"" available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: SUBDIV[DING PROPERTY TO LATER BUILD HOME PROPOSED FUTURE ADDITIONS NONE OR IMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOS CONSTRUCTION PRIMARY RESIDENCE � NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 6 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 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: � ��2 -/� Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 wor, ing days of application date. If you need further information or assistance please call 828-466-7291 AREA 1 ****�*�*********�******�******************�**�***�******�**�****�*��*�****************�*�*�*************���*�*�***�*�* Minimum Setbacks Front: Side: Rear: Side St: Max Height: 04/12/11 10:I5 �qA CATAWBA COUNTY Case # EHPR-4-1 1-10371 y � G Public Flealth Department Q � Subdivision a Environmental Health Division - Plan Review � o� `�' PG Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot# 3 Ig 2 5� PIN# 367904943842 Applicant/Owner Brady Little, 1598 Buffalo Shoals RD, Catawba NC 28609 Site Address: E BANDYS CROSS RD, Catawba, NC Property Size: SF 129 ACRES Directions: NC 16 S PROM NEWTON TO BUFFALO SF[OALS RD, TURN LG['T ON E3UPFALO Sf-IOALS, TRAVEL APPROX 3 MILE, TURN RIGHT ON E[3ANDYS CROSS RD LOT ON RIGHT APPROX 200 YARDS FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 04/12/201 1 $150.00 TOTAL FEES $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/l2/11 10:1� � �� THIS IS NOT A PERMIT ��`a �,�' � CATAWBA COUNTY HEALTH DEPARTMENT , Q �g � Application for Environmental Services Page 1 1� � � 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 ( , O(/ . G- - � ��Q � Lot # 3 Acres /. � q Section/Block/Phase Driving Directions to Property rjP/� �/ t' �- /1/• G/� .�` T,�C�,r� ,�,i �= !.v �/V y O l3 U�"/=�'t v.� �� ��s i�.0 - 7 L C: �r d� i3 vfF�9� o��a,� � s� p iP � �"��4 v� L 3 1tii i' �� s - �TUr.E'!'�' �/� G�✓ �, ��tio ys� � >c �J � /'I3d f �i� r� i s �? �� ���,D �' o,� /r'�G-h�r � Q, NAME TO APPEAR ON PERNIIT? ,� Owner ❑ Applicant ❑ Contractor � Applicant Contact Information �V Name ��j�� j r��— W Address v L d s' /�/p �L .� G ��j� , G.� � O m y Phone 2�• Z 1� .- 2(>p � Cell Phone ��- z 3�- 2�� � � Owner Contact Information � Name � � s` /� v �/ L Z Address Q Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Z Description of Existing Structures on Site � # of Bedrooms *�' Structure Dimensions # of Occupants I� Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No � Planned Future Additions ar Improvements (Building Permit NOT requested at this time) OC Describe � Proposed Future Structure Dimensions # of Bedrooms * j� if applicable ? Are there easements or right-of-ways recorded on this properiy ❑ Yes � No Descr Is a public water supply available on or adjacent to the above property ** ❑ Yes [Y�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) � 4 G THIS IS NOT A PERMIT " � CATAWBA COUNTY HEALTH DEPARTMENT � � Application for Environmental Services Pa�e 2`� 18 su Proposed Facility Type ❑ Primary Residence � New Residence ❑ Addition to Residence # of New Bedrooms *�' 3 Project Description _� a USL Shucture Dimensions 3 d X (' � # of Occupants 6 Base ment � Yes ❑ No Basement Fixtures ❑ Yes � No ❑ Accessory Structure(s) Describe # of New Bedrooms *�' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbi ❑ Yes ❑ No Describ Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # B e d rooms *�' S tructure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employee p er Shift # o f S hifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employ 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 j' 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 confumed by rooms identified on house plans as a bedroom at the time of building pernut 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 � Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand 0 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 aze 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 = ~ G'��2�� Signature of Owner or Agent � Printed Name of Owner or Agent L/ L.�� Date �- �/' � LOT 1 1.12 9C. TO'l�L 0.25 AC. R/W o.e7 ac. yE'r -- CROSS RD. ANDYS // N SH" 1 g'�?"E N So 20�`J7��E E. e B R � �OY GIS R6CORDS -- __-- -_ � � j � 763-30' / 76.�8� SR. 1813 _ -_ _ _ . ��, / , / / - -'_'__ _ 86.Zp�g7"E 391.70� N �'.'03�GG ` i '�� L�-�- - - � _ _.-----'�' _ _ �� N 795.85' ._ 138.37" ��� �_ - -- -- _ , 195.8 � / o_ , __ ' ° ---- � � e 7 L7 1/2" REHN2 � / M/ G ta � \/ ' . . . _ � --- '. - _ - L 6 -. i/z' Reaaa 32.16' sEr � J�4" ROD . j � . Z � � SEi � CROSS RD \. i ' - ��---� 3/4'ftW L 3o.a3' S i'.ECORDS � �j� �, -� L3 � . ^ M LOT 3 1313 _ �� � \ oN� sro�r 30J5' m � � 1.29 A. TOTAL � v �� � eRicx � a� O 0.13 A. R W � /�� ry LOT 2 r.� %-� � ,� / o � 1.20 AC. TOTAL 1.16 C. NET � 'J J N � oEwer E. urnF w- 0.13 AC. R/W m 3 � N / 1 a ,� , �e iso3 Fc �o � ro y ^ N ',� � ��' 7» o; �e 33 x'7s r� O 1.07 AC. NET �� _ � v 7 9. 2 �� / i�� \ `� � I ' �� N N � 3' • � � �� �V <g � p ^ � � +'� ^� 24_83"� �� ��� �� � y � � � � / \. / WE1 1 Z � n / / 1.2" ftE.�iR ^ / � O � �r � j j j �' 5 � � J I/2' PIPE 7 S.00� N / ,/" ?IP_ � � � ` � `�S. Z � � J/4" R00 � 65.3 7 , COMPU7E0 POINT � 1 50.32' � iN oircH �a-� N 86 "23"W 5 25.84' �/z Reaw ��2" REeaR // . / ;1j 6J'• .� / �� 16.0' SET SET � i ' � 7�• 3) r / ��S• ' 3S '� aossie�e �- ,-' / N' 36 I N � 3-2 • ^'i / saRwc �\ , W � �� f awwr��.x o; 8 os �� SrO �cE 20 � t/z' R� scr � \, ,(� 1/2" RE3�1R 1/2" R:H4F7 _ ' \ t�M�c'RLY U J^2: SEi SE7� , �9 2'J86 FG ti;_ '.`� \ �� N c9 �5 �G 'H3 h 4, .� � /h� �p I,�T 4 27 SO 31 W , ,� Q`� ry ''� S ' m p . W 2.40 AC. TOTAL a` �-�� s `Y ry LOT 5 \ �� �y� M 3/^' P�P- � 2 4.67 AC. TOTAL � � �� A" � cti0 ry� 8 & r8 E � 0.08 AC. R/w �o N� r \ �g� �� euccr,ix� 4�59 AC. NET 'o n �� �� -d3, ,\ \ FOUND N ry \ BUGGY AXLc � \ SEE � � j FCUN� � INSET Fi�� � ti�. L4RRYk.ItiARWELL \ -.. , " - �H 1513 PC 892 '' 22. N , B3 0S. � 39 H " e i/2" REHnk 18 \ �: z' a�sa7 � 6 � o�, sEr N 7. 73 • O � � s� � � � 2 s 7g-- "'W ,s ' S4s � - sg / ' �S� w �& i/s• REaw ' .p � 2. \ 6 @ y , sEi ry �l 'y � 4" TPLL BENT � / n GTJ 7/2' REH<R -l I_- i/2 PIPE � I l a FOUND ,/ �_ 06 670 PC 229 h o V'j� \ OB 2098 PG 1909 � n � [DOIE L. Sc'�ER O� /_� \PB s9 0 �B ?G98 °G 7908 N � p� 143 , Z PB 49 PG 14J .� �� � o I O �� ^/ 1 7 O ryry � � /� � o RE2Ak p-- � z � � PLAT � � � 3 ��.35 OVERLAP AREA = % N 8p `�49 "�y � RE� 0.05 AC. OR 2222.33 sq. ft. / i/2' 29 1. Og. � RE2.7R SEE N Nor ra scaLE I� INSET �B' 8�z8 22"W J/4_ROD -_ . �• S 82'13'07., ;^� � 543. 72' E -� s' Fur sae ,� / 44N A. HUNSUCIIER V! D9 2785 PG 11N / �-DB 670 a a �' 229 � o / � `�' Q Q 4� +/2' FE84R � o / SET BY: 0.419D 4 C1ANK WT BOOK 49 ( __ / PAGE 143 MlNOR : E_ !ftON � � � , R£VIEW OFFlCER DE ,� R � gy q / S7ATE OF NOR7H CN2�L�NA. rGUND TQ " � UN�- COUNTY OF GiAW84 \ AW7CH DEED N 5!'32'36�E 600K 2G98 ��' 1 . REl^EW OFFICER OF GTAWH4 COUNiI', CERTIFY T�fAT iHE uaGE 1908 MAP OR PUT TO WHICH iH15 CERTiFlCATION IS AFFlXED MEE1S PLL STARITORY INSET B�� REOUIREMEN7S FOR RECOR�INC. NO7 TO SCAL� SEc NOTE: 5 REVIEIV OFFiCER �� . APPROVAL CERTIFICA7E I GfRI1FY IHAT THE SUBDMSION PUT SHOWN H4S BEEN FOUND TO COMPLY WR11 111E �� �� RECUUTiONS OF G7AWBA COUNN AND 5 MPR�YED FOR RECORDINC IN THE REGt51ER OF 3J7O. �EEDS OF fATAWH4 CWNTY WITHIN $IXi1" 61TS OF THE 61TE OF THIS APPRO�u- E}F. DAT 0 100 200 300 - SURVEY l Catawba County, North Carolina N This map product was prepared fi�an the Calawba Cotmty, NC, Ceographic lnfa•nintion System. Cataivbn County has iirade subslnnlia( efforts Io er�s:me Ihe accurucy of loca�ion and lnbeling informa�ion contnined on this map. Cntcrvvbn Counly promoles and recomnrends the independen! rerification of nny dam contnined on this n�ap prodrrct by the user. The Counry ofCatmvba, r1s einplo��ees, ngents and personnel disclarn:, and shaA nor be held linble for any and a1/ damnges, /oss or liabiliry, ivhelher direct, indrrect o�� conseqvential tivhrch m�ises or mcry arise fi�om lhis nrap prodr�c[ or the use thereof bv cmy person or entity. Legend Selected Parcel Number: 3679-04-94-3842 1 inch = 160 feet Prepared for: � � � � <;����� `��' ,�� 3348 a � ,_.. � �___ �° �6� � � 82.50 121 .�. " 208 $0._ � _ -- � � � �i ;1390 � 138.72 �20.0 _ _- - _ _., _.. - - � ' ��; . ' (199) CROSS R ^� '_,,,,;�° _ _ _ _ __ _ __ __ _- E __gANpYS --�_._� CALp�E��TOWNSHIP 395) �_ r.�..,_.,_ __ __ � — _ _ __ c ; � 4_., � - 175.0 2�1 � , - _.�__..� �a3o) o � � � �ti___. �. 0 1. �Q1_.A_._..__� � 6 BUFFA O M N � SHOALS Rp � 30�-$ � � ��"^ ; ry �SR 1003 � � � _ �� > o ° �. 194.85 ; ti ^ /� �3, ,/ % ��)�� 27.3g , ; <,_ � �'� ..,,., i �$56 10.Q�A ' � ;?s8 s' �° 3842 ; o� 9'�58�� '� �`� � ± �� 2S ��p' o� � " �� ,^ ; ,���� 34p����-....� f 1 � 3�� 9664 � `�' ,..,' A3 B ,�� � ��. 7p .' f �.� � p ' ,�� 0 � Plat 49-143 � ° A � -� $ o �� , i � 2.13A o I - � 0464 N , 323. 00 � 00 � o • 3 00.00 ` �� � <r, � 815 ��. �o � �cb� THIS IS NOT A LEGAL DOCUMENT Tuesday, April 12, 2011 09:45 AM � ��A �o� caTaw�a couNTY, Nc � ,..�, 100-A South West Blvd pLAN RECEIPT E--] Newton, NC 28658- U ����Q �' (828)465-8399 Tuesda A ril 12 2011 �► Y, p , 1g 42 sM www.catawbacountync.gov P�an �ase: EHPR-4-11-10371 �nvoice Number: INV-4-11-274039 Environmental Health Plan Review Invoice Date: 04/12/2011 Site Address: E BANDYS CROSS RD, Catawba, NC APPLICANT OWNER CONTRACTOR Brady Little Brady Little 1598 Buffalo Shoals RD 1598 Buffalo Shoals RD Catawba NC 28609 Catawba NC 28609 (828)2 (828)24 ]-2004 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 ��lan receipl 04/12/201 I 10:32 . 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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