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Home My WebLink AboutEHPR-4-11-10372 (2).TIF �� O� � �' THIS IS NOT A PERMIT Case # EHPR-4-11-10372 v � �� CATAWBA COUNTY HEALTH DEPARTMENT ,.�, ''C Plan Review Application for Environmental Services I842 sM Environmental Health Plan Review - OSWP IMPROVEMENT NAME TO APPEAR ON PERMIT DEWEY LITTLE s�TE A��RESS: 4941 E BANDYS CROSS RD, Catawba, NC Pint�: 367902953018 NAME of SUBDIVISION: Lot # 4 Section/Block/Phase PROPERTY SIZE: Square Peet Aa 3.4 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 FCRST HOUSE ON RIGHT 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: Existing Structure DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is **NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: SUBDIVIDING PROPERTY PROPOSED FUTURE ADDITIONS NONE OR IMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION 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 transferabie. 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: Z�-� � L /� Signature of Applicant or Agent � An Environmental Health Specialist will contact you with n 2 working ays 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: FEE NAME DATE AMOUNT BALANCE DUE ]mprove P ermit Fee 04/12/2011 $150.00 TOTAL FEES �I50.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/12/II 10:16 � ��A G THIS IS NOT A PERMIT �,�' � CAT�IWBA COUNTY HEALTH DEPARTMENT t �� Application for Environmental Services Page 1 >82,� Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address `f ��/ �. l�/�/G',dyS �'C /� � S Subdivision C �g�'� �„��,; /V , L- Z�'�; GQ/' Lot # � Acres 3 0`f Section/Block/Phase Driving Directions to Property ��q � L L , yl,� G/�' �° /=� c� ,/l� ��/ 7 T� ��=��c v s h��-9cs �''� - Tc�� L�,�T oN /.3 v.� v S�o,9zs� � /�./� `��'fl �/� L 3 d�rL G�S � T�iP/� /i' �G- h�T l�>�✓ �� lj�'v��,�`S�X � /P% —� ST l��? G'S� O� �f'/G f�T a NAME TO APPEAR ON PERMIT? � Owner ❑ Applicant ❑ Contractor O Applicant Contact Information C� Name �� _ .L / TTL L' W Address y � C` uS S��9� S �� w .�.. -2 �� `� � Phone z . 2 y � _ � ,c Cell Phone �,� _ 2 � . �7 �i S � Owner Contact Information � Name �� jr-�/� � � � Address . , - Q Phone � cr. ,z 3�. ,� �� Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Z Description of E�sting Structures on Site v�� e �1-,2 ,A/ �v s� � # of Bedrooms *�' � Structure Dimensions 3� x� (� � of Occupants �., F� Basement ❑ Yes �, No Basement Fixtures ❑ Yes � No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) � Describe � Proposed Future Struc Dim ensions # of Bedrooms *�' if applicable ? Are there easements or right-of-ways recorded on this property ❑ Yes ��No Describe Is a public water supply a�ailable 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 E PROC �� THIS IS NOT A PERMIT � � CATAWBA COUNTY HEALTH DEPARTMEI�'T � �' � Application for Environmental Services Page 2 I8 w Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description Structure Dimensions # of Occupants 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 E mployees 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 Wel R epair 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 Consiruct. 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. W CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WII.L INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) � I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental � Health employees to go on this properiy for evaluation purposes. I certify the above information to be conect 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 C.J specified conditions. Improvement Permits and Well Pernuts are transferrable, but may be revoked if this information, site W plans ar 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 t t� nsferable � � Signature of Owner or Agent � Printed Name of Owner or Agent ��/�/�,)` �- /TT�C" Date � / �1// , , �or i 1.12 dC, TOT�I. 0.25 3C. R/W _ _ �.a7 ac. *rET njDyS CROSS RD. N ag• 7 g'22"E N 86'20'S7..E E'. Br1- � 80' R/1� FR�y GIS RECORDS — _ �/ 7 63.30' i?6. i 8' SR- 1819 r __�--� \ / / / .�— — — �'-- __�_ — — � / � � -- � /�----- — — �— N 86'20"57'E 391 JO' N 37'03'00'E \ / � � -- ' 195.85' 73�.37' �� j" � `�_ � —� _ — 195.85' . — °_ ° — _ ' � 1 2 REflN7 / r.uG wu '°` V 32. 1 6' / SEr \ \ / . — ` _ _ " _ _' _ � � L6 / i/2' REBAR ' CROS'S � /� � _ ._ _ -�- - '�� —' LS 3/a aoo 3l .25' sEr v �,s RD - � � , 7 s/a• eoo 30.43' RECOn�s _ _ � �� L3 � / � � � LOT 3 1 �13 ' a� � 1.29 AC. TOTAL � � ONE STORy -�'O. , S r� � eRicK � N LOT 2 ,� 0.13 AC. R/W � � � � ry 1.18 AC. NET / 0 1.20 AC. TOTAL W ry 3 oEwrr �. urnF W- 0.13 AC. R/W 47 ; " ry � � � �p DB 1903 PG .70 � OJ d . ^ n/ .�;��,�--�� a o � Pe sa �c nz r.� 0 1.07 AC. NET �„�� n v � S.zG' � i / � M I % ,°� � N � ^°,. . / �i � � ^� � N M N ' f �V �' L 1 O O ^ �� 2a 33 �� ^/ '� � h � / � j � �we Z � � , � / � E 7._r �E3ae � �� ry n >' J/, � �'Cp. S�� J 1/z"PIPE � 1S.00' � � / i / '" ➢!PE \ ` 1 JS.Z 7� 3/4" ROD \ 165.,31 � COMPUIED POINT � 1 SO.,3z� \ IN DRCH � � �;o-c' N 86 '31'23"W 525.84" t/z' ataw '�_-- "/ 6 ._� t/2 aeaa� / � ! S•� 3 is.o' sEr 5 � � �/,/� ` \S �,�, ?3 I l 3S h POSSI9LE j � 3 /V ) � 24 • � � / svRitic aru�r �. um.F 8��6. ^�"t� sro 2��..w i�/ d7 965 PG 021 '�GF 1/2� REBPR SET � V ,(� i/2" REB4R ijY" RE � — '` K�M3E�L� M li`1� SET SET �e mes �� s±_ �� N 83'40"3 - ,s �,g3 y � S ; ehoa W I O A TO AL 27.50' W �, ,�7 . a: �n h�' Bs'� �4 (L LOT 5 • \ 2 ^� s/<' PiP� 8 .? S . F <' 4.67 AC. TOTAL � ^ � �\ \" �y� ry a8 � � 0.08 AC. R W I�� \ 2g\ ��\ euccr ,�r� 4.58 AC. NET ' o � �� 8 \ FOUND .� N N � 2 succr arL SEE � �/ FOLY.D 1 \SET A� I 1 � O'2 !Al2RY R. NARWELL ` �� 2 OB 7543 PG 892 I � 5 3 '9" N � ` I ' ��'S" iv � 83 r� R� i N � Vz' RES>R 6_ � o�, sEr B7 . 73 � p sEr � � � N 7 �o \ / s2 8=9,.W 3 ^� 6 ' � h , S 7- / �S� 78 1�2" RE8N7 � B� 7 y �/ 'O�. 2p.. ' � B SEf �T� � � � 4' vv1 BENT � N J/ '— 1/2 PIPE � 1/2" REB�W --'—'� � d FOUND , / �,_OB 670 PG 229 k o ^Y �DB 2098 PG 7908 � � EDOIE ! St!LEF � PB 49 � �B 2G98 PG 1908 N �� p� 1 aJ , z PB 49 PG 1aJ � p d , o 1 O / .N � � �w /'p h�ry/ � � 2 t� � o � Z ; 2 " PL�1' T Rt3n�� —_ 322 2 � � —_ GVERLAP ARE4 = � N 8C =9 "yy � REg� 0.05 AC. OR 2222.33 sG. ft. � �/z- 29 i . SEE RE �' R N � Nor ro scuE �� INSET ° B" 8 _��22"�y .7/+�rtoo S —_ 82' 7 3'0 7„ �� °` � � 5 43. 72' � -� z Fl.ar aarr OAN A. HUNSUCKER � i� oe 2�s5 Pc �++-i / �—DB 670 a � PG 229 m °� °' o �0 � ^ e Q U i/2� RE84R Q � / SE7 BY: OAViD CIARK U7 600K 49 E_ :�40N �, / PAGE 1�3 MINOR : � REVIEW OFFlCER DE :/2" RE4AR � STATE OF NORTM CPROLIN4. FOUND TC ' �E LINE COUNN OF GTAwBA WTCH DEED N 51'32'3&"E BOOK ?C9B ��>>� 1 . REYIEW OFFlCER OF GTAW&1 COUN�1'. CERTiFY 7HA7 iHE par,£ 1908 MAP OR PLAT TO WH1CH 1HI5 CERTIFlGTION IS AFFlXED MEEfS ALL STAMORY INSEr �8�� REOUlREMENTS FOR RECOR�ING. NOT TO SCAL` SEE fJOiE: S REVIEIY OFFICER �T� . APPROVAL CF_RTIFICATE 1 CERi1FY �FNT THE SUBU��'6fON PUT SNOWN F4LS 6EEN FOUND TO COMPLY WITH iHE �'� � RECULAT70N5 OF GrAWB1 COUNTY ANO IS APPROVED FOR RECOROINC IN THE RECISIER OF j77Q; �EEDS OF CATAWBA COUN7Y wRNIN SIXiY WYS OF THE Q4TE OF TNIS MPRWi�L EFF. DAi 0 100 200 300 — SURVEY ( Catawba County, North Carolina N This �nap prodiict tivns preparedfi'om tlae Catmrba Coi�nty, NC, Ceographic lnformation System. Ca�awba County has �nade substantial effa�ts ro ensure the accw�acv of location and labelrng informa�ion contained on this map. Catcrivba Counry proniotes und recon:mends the independent verification of nny data con�ained on �hrs nrap prodnct by !he user. The Coi�nty of Calaivbn, its emplovees, agents and persomrel disclaim, and shall nol be held liable for• any and all dmnages, loss or liabrlity, ivhether direct, indrrect or consequen�ial tivhich arises or nzny arise fi this map prod��ct or �he use thei�eo by any person or entiry. Leg211d Selected Parcel Number: 3679-04-94-3842 1 inch = 160 feet Prepared for: � y �� -_ �� '� ,�� 3348 0 � `�_._s `�`� �6'�, � ti 82.50 121 $o.� -r>1390 � �ZO.00 2os � RD � �,� ��q �� t�99� 13a.�2 E � BANDYS CROSS �; ,.,._ , _ _. _. _ _ _ - �._ tr �._z_ _.1�-t __ __ _ � _ CALp�IVELL oO�NS �395� , � �J 175. 2`� �' ._..- _� . (430) o —� d- `� s �._.-, 0 1.Q_1.A_..__� � 6 BUFFALO N 30 -$ 'iO N � �, SHOALS RD � �-� � ;�� SR 1003 �' ' r'��1 �. , � , � o o l � 194.85 � �� (3 � ��' j l '�J�i 2 7.39 � ; � ;_ ; � "�� \''� �856 10.06A � � �s8 S� o o , , � o . 3842 , �758�J � �� `� 2 s� -��.. o� � 0o ry �. � �-, ^ ; �j�� 34 ��__�� ..� , �. ; � 9664 ! ,.��, �� A,� B ��, 1 !- '8� ; ��.7p t�,! nr DO � Plat 49-143 � - � A � �$ 0 1 �� 2.13A � '�-` � � 0464 N � , 323. 00 1 i o Mo . 3 00.00 � � � h� � 815 ��. �o � �cb• THIS IS NOT A LEGAL DOCUMENT Tuesday, April 12, 2011 09:45 AM � .�$ Cp� " ' ' " CATAWBA COUNTY, NC �,� �, '°°-A S°ut" west B'"d PLAN RECEIPT "° r� Newton, NC 28658- V i�i �'�' (828)465-8399 �� Tuesday, April 12, 2011 j$ 4'L sM www.catawbacountync.gov P�an �ase: EHPR-4-11-10372 �nvoice ►vumber: INV-4-11-274040 Environmental Health P1an Review Invoice Date: 04/12/2011 Site Address: 4941 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 (828)241-2004 ( 828)241-2535 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Tota{ Fees Due: $150.00 PAYMENTS PAYER: BRADY LITTLE Date Pay Type Check Number Amount Paid Change 04/12/2011 Check 58�6 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plan receipt 04/12/201 I 10:33 . 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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