HomeMy WebLinkAboutEHPR-6-11-11137 (2).TIF ti� C O� TH1S iS NOT A PERMiT Case # EHPR-6-11-11137
�,�. : - '� _
� CATAWBA COUNTY f�ALTH DEPARTMENT
� ` ''G` Plan Review Application for Environ�nental Services
c.� ; �a��
1842 s�� Environmental .Health Plan Review - OSWP
� � EXS SYSTE1Vl � �
� NAME TO APPEAR ON PER �
STEVEN MORGA� � � � �
s�TE a��RESS: 5225 CANTERBURY DR, Conover, NC Pin#: 373410453561
NAME of SUBDIVISION:CANTERI3URY PARK Lot;t 9 Section/Block/Phase �
PROPERTY SIZE: Square Feet Acres 0.449
DIRECTIONS: MCDONALD PKWY / SPRINGS RD/ CANTERBURY PARK / LAST HOUSE ON LEFT
APPLICANT ^ � OWNER �� CONTRACTOR
STEV�N MORGAN STGV�N MORGAN
�22� CANTERBURY DR 5225 CANTERBURY DR
CONOVER NC 28613 CONOVER NC 28613
828-851-120� 828-851-] 205
PRIMARY CONTACT: Ov,mer APPLICATION FOR: New Construction :. `
DIM EXISTING STRUCTURE: 35 X 50 EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: `'
NUMBER OF EXISTING OCCUPANTS: ; EXISTING WATER SUPPLY IN USE: Public Water
CALCULATED DESIGN FLOW: 360
Public water IS avai{able for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: PVT ABOVE GROUND POOL 24 FT ROUND IN REAR YARD AREA
DESCRIPTION OF SINGLE FAMTLY DWELLING
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EASEMENTS: NONE
�� PROPO CONSTRUCTION �
ACCE ST RUCTURES �� �
DESCRIPTION: PV`l� ABOVE GROUND POOL� M � � '�' �
# OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: 24 FT ROUND ACC DWELLING? No
PLUMBING? No 0 # 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 pro.perty 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 t�ansferable.
Note: You must obtain "Loning Approval prior to locating a home or structure on this property. ,,Any representation 6y you of house or
structure location should conform to applicable setbacks. �� .
� �;
Date:� (.�,j �,;Z (� % / Signature of Applicant or Agent �;'/ S " / ! !�'1 C_.--
An Gnvironmental Health Specialist will contact you within 2 working days of application date.
If you need further infonnation or assistance please call 828-466-7291
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06/03/ll 1 l :22
,aA � CATAWBA COUNTY Case #
� G PublicHealthDepartment , EHPR-6-11-11137
� � Environmental Health Division - Plan Review � Subdivision CnNTERBURY YARK
Q '- ���e ,
�.a '�" PO E3ox 389, 100-A Southwcst E31vd, Nc���ton, NC 28658 ' � Lot# 9
IH4� s^� PIN# 3734104�3561
"
Applicant/Owner STEVEN MORGAN, �22� CANTERBURY DR, CONOVER NC 28613
Site Address �225 CANTERF3URY DR, Conover, \C '
Property Size: SF 0.449 ACRES
Directions: MCDONALD PKWY / SPRINGS RD/ CANTERBURY PARK / LAST HOUSE ON LGFT .
FEE NAME DATE AMOUNT BALANCE DUE
Existing Tank Check Fee 06/03/2011 $80.00 �0.00
TOTAL FEES $80.00 50.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
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06/03/ll 11:22
`a ��A THIS IS NOT A PERMIT
��. a�� � CATAWBA COUNTY HE.ALT�H D�PARTMENT
���. �� � Application for Environmental Services Page 1
1 84 2 s+�
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 �-��� CL'+n-��r� IV(�; Subdivision �� n�-�r fj urc.t �Q. �`�'�,
���n /?r1P /' A/ .�•' - Cr�n � � Lot # Acres
SectionBlocic/Phase ��.
Driving Directions to Property �� � ��
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p a � � _-- u � 5 � On �f .
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a NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor
� Applicant Contact Information
U Name 5.
W Address
m � ,0� �u l'
� Phone – • � - Cell Phone �
� Owner Contact Information lo?OS'
� Name � j � , �
Z Address � g � "
� Phone — Cell hone
� Contractor Contact Information
W Name
� Address
�
Z Phone - Cell Phone
�
Z WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Appli,�ant ❑ Contractor
Description of Existing Structures on Site �
Q # of Bedrooms *�' , Structure Dimensions S�'�j # of Occupants �_
I� 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 * j' 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 ** es ❑ No
Check t�pe�available ❑ Community Well ❑ Semi-Public Well 1 County/City/Township Water Line
Existin ater 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�A THIS IS NOT A PERMIT
� t� CATAWBA COUNTY I�EALTH DEPARTIVIENT
`' �� �
Application for Environmental Services Page 2
1 84 2 s�e
Pro osed Facility Type
t[�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
I ❑ Food Service Specify Type
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# E mploy ees p er 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 Daycare Specify Occupancy
I 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
Ca lcu la te d Design F low, Commercia l �' A d di tiona l in forma tion may be require d 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. j�If
structure is plumbed but no bedrooms, calculated design flow is required.
**
If No, a well ermit must be issued with the Authorization to Construct.
P
i . . .
Note: You must obtain Zoning approval pr�or to locating a home or structure on this property. Any representation by you of
house or structure location should conform to applicable setbacks.
0 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 Im rovement Permit issued as a result f this information is valid for 5 ears or ma be non ex irin under certain
� P o Y Y P g
V specified conditions. [mprovement 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
/'
j Signature of Owner or Agent ���;,,� S ��� c_....
� Printed Name of Owner or Agent ,�i ��5 � 5. J')')2r� �,�
Date (�2� 0 � �oZfl��
Catawba County, l�Torth Carolina
N This nrnp prodi�ct was prepared j�om the Cntmvba Connty, NC, Geographic /nfa•mnlion System.
Catawba County has made substantin! eJforts m ensure lhe accurncy of locatian and labeling injormatron
contained on this map. Catawba Counry promotes and recommends the rndependenl verrfrcntron ojany
data contained on �his map product by the user. The Cotmty of Catawba, its employees, ngents and
personne/ disclarm, and shall not be held liable jor any and a11 damages, loss or /iability, whether drrect, mdirect
or conseguentral which nrises or ma�+ arise fi�ona this mnp prodncr or lhe use thereof by any person or entiry. Legend
Selected Parcel Number: 3734-10-45-3561
1 inch = 40 feet Prepared for:
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ti� THIS IS N07' A LEGAL DOCUMENT Friday, June 03, 2011 11:00 AM
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�` Permit a�d/o� Cert. 0�. Rec�u�,red„�,,,��, (M�as� be comnleted priox ta final )
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(?Q4 ) 465-827+Op
�,ot �va1.�,Tmprove �'ermit�„Repair P�rmit Cer�. of Comp. Permit Oper. Permit
Qwrier/Agent {�L�, �(. Phone _
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Address Subdivision Q
. ectio�►/Block/Phase t#
Lot Size Di ect�s: `.�o
Z ; O ,
Facilityo Hot�se Mobile Home Business . Other: Tax Map # 5� '/��
Multi-faanily,__. Otlzer . Zoning Approval #� 3�O ��
B�droom�� S�ats Emplayees� . Applica�tion Rate,Q l� GPD Flow v� i)
i3ot Tub o� Spa yes/�o Special Fix�ures . 100� Repair Area �/no REPAIR NOTICE:
�a�em�nt yes/� d Basem�nt Plumbing yes/� . REPAT�2S HUST BE 6�TTfiIN 30 DAYS OR
Wat.�r Su�p�ya Pri.va�� Public,� . DAYS FROM DATE OF PFRt�T.
o ��tr� + �we*�► + e*,►�t**e►t►�s+�aw,��e�rw**w*�*�r*•w��ve , �n , rwrtwr►w+►ww* , tAwww ** w* ,►ww*w*w,a**e+ �� exwa � ►+ � *w � wr►w � w»•
� of �yst.�ms Trench X Bed Pump Fump/Panel Panel LPP Other
Tank Size: Se�t�c Taunk It�� Pump Tank
Nitr3.�icatian Fielda Total Square Feet �� Depth of Stone 1 L/�t '�' Bed Size
Trench Width � ` Total Length of Al1 Trenches � �� Number of Trenches �
,� r �
Individual Trench Len,gthl�/lC Feet on Center � _ Maximum Trench Aepth 3�
Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months)
riR. RA tR AAA 7 t11A A l4kAtR7t#***AR*lYitAfA�*RR'R 1 MAA*AtlRtRtRit t RAR* #1!1 ► tRAif!!it** � ►ftAAA7RA*AY►*1RA � ltR*tRft*A***** � ft.1t**11 � tylRR
Topo � b Slape ( 5ketah a� lot Evaluation �ite - System Design - Final
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l�v��l�b�e �1�ace ��/ne � Q �
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Comments: I � ���u�' �
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+Rtr AA��tK�ew�AeAitA�A**rtw1e+A�tA+►aw�ennA+R+R�ew�+►aw»M►�t+rn*ww*ww�*wwwwx ww »w wa � w K w.+a � *r � wnwnw � wnweetr+ea** � +at►
F��mi� Aat� f�~ f� � (�m�rov�m�r�� P � v�aa� ��� �Q mor�ths )
QWa1��lA�g� t . . T--� Sa�itari w� �--
__. � San1�.a�i
In��all�d By " Dat�.- - ..
(No � y changes/in�ormat�ion i.n � d,, or by skeGeh on bac )
* *"* * "� *1'� A �'FRMQT �a TO BE R�I?F.SIGt� ANUlOR �F�� MADE TU '1'I�' PROPE�RTY, TE�,'RE" * "' *"* *"
I� AN �►I)AIT�Q� S 2 5 G'�tA�tGE . ,.
CATAWBA COUNTY NC - Parcel Report • �
Information Regarding Selected Parcel(s) • , •
Parcel I D: 3734-10-45-3561
Name: MORGAN STEVEN M
Name2: MORGAN LISA
Address: 5225 CANTERBURY DR
Address2:
City: CONOVER
State: NC
Zip: 28613-7756
Account: 190820
Calc Acreage: 0.45
Tax Map: 1509 01012
LRK: 52448
Deed Book: 2540
Deed Page: 0692
Subdivision Name: CANTERBURY PARK
Subdivision Block: A
Lots: 9
Plat Book: 37
Plat Page: 4
Building Number: 5225
Street Name: CANTERBURY DR
Site Zip: 28613
Township: CLINES
Fire Code: ST. STEPHENS
City Code: COUNTY
State Road:
Total Bldgs Value: $79,500
Land Value: $15,500
Total Value: $95,000
Year Built: 1993
Year Remodeled:
Last Sale Date: 12/18/2003
Last Sale Amount: $96,500
Neighborhood: 58
Watershed:
Watershed Split:
Voter Precinct: P33
E911 District: COUNTY
Zoning: R-20
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay:
Zoning District: COUNTY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: LYLE CREEK
Middle School: RIVER BEND
High School: BUNKER HILL
School Split: NO
P&Z Case Number:
Census Tract 2010: 010301
Census Block 2010: 1059
Small Area Plan: ST STEPHENS/OXFORD
Agricultural District: PROXIMITY
Printed: Friday, June 03, 2011 11:00 AM
.�g' '�'�� CATAWBA CO,UNTY, NC
� ,� ] 00-A South West Blvd �� /� �/ R C� C1� �
� � Newton, NC 28658- /"'•� I 11 L L
U ,�� '� (828)465-8399 Friday, June 3, 2011
j842 sM www.catawbacountync.gov
P�an case: EHPR-6-1 1-1 1 1 37 �nvoice ►vumber: INV-6-11-276013
Environmental Health Plan Review Invo+ce Date: 06/03/2011
Site Address: 5225 CANTERBURY DR, Conover, NC
APPLICANT OWNER CONTRACTOR
STEVEN MORGAN STEVEN MORGAN
5225 CANTERBURY DR 5225 CANTERBURY DR
CONOVER NC 28613 CONOVER NC 28613
828-851-1205 828-851-1205
Fee Name Fee Amount
Existing Tank Check Fee Fixed $80.00
Total Fees Due: $80.00
PAYMENTS
PAYER: LISA MORGAN
Date Pay Type Check Number Amount Paid Ch
06/03/2011 Check 1115 $80.00 $0.00
Total Paid: $80.00
Total Due: $O.OQ
plan rec�ipt 06/03/2011 11:19
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C� '=;' ���� �4' P. O. Box 389 Phone: 828-465-8380 PERMIT NO: ZONR-6-11-18585 -
v- IOOA South���est f31vd FAX: 828-465-8484 APPLIED: 06/03/2011
^ Newton, North Carolina 28C58 ISSUED: OG/03/201 l � "
1 $ L� l� SM �vww.cata�vbacountync.gov FXPIRES: 11/30/2011
Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov/cap/
APPLICANT OWNER CONTRACTOR
STEVEN MORGnN STEVEN MORGAN
5225 CANTERBURY DR 5225 CANTERBURY DR
CONOVER NC 28613 CONOVER NC 28613 = - -
P. 828-851-1205 P. 828-851-1205 ****** NO CO\TRACTOKS ASSIGNED ******
�ROpr-.RTV.1��: 373410453561
STREET ADDRESS: �225 CnNTERBURY DR, Conover, NC LOT# 9
PROJECT DLSCR.IPTION: PVT A130VE GROLTND POOL 24 F"I' ROUND IN RGAR YARD �A
COMMENTS: PvT aBOVr-_ GKO��iD ►�ooi�
�LOOD ZONE? OWNER TYPE: Residential (Private)
100 YEAR FLOOD 70NE PLnIN? No LAND OWNER:
FLOOD PLAIN, STRUCTURE? No
RGQUIRED SETBACKS PRONT: 30.00 REnR: 10.00 CORNER: SIDE: 10.00 MAX HEIGHT: 45.;�{:.=�;
FEE DESCItIPTTON DATG FEE AMOUNT
Residentia Zonin� Fee 06/03/2011 $2�.00
TOTAL FEES - �25.00
The aaplicant herebvi certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and
acknowledQes that this uermit was issued on the basis of the information reauired herein. The applicant further acknowledges that any construction,
alteration or addition which differs from this application shall be subject to rcmoval or alteration so as to bring said structure into conformance �vith the
specifications and standards of the Cata�vba County Zoning Ordinance. Such corrective action shall be at the expcnse 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 cxpire siximonths from the date of issuance unless a i permit is secured and remains activ
' G ` _ � c ,` c �- , 7 .�. '� .� —�----`�
rU'PLICAN�(' NAME (PRINT� APPLICf1NT SIGNATUI2E ZONiNG APPROVED I3Y
"**** ZONING FEES ARE NON-REFUNDABLE *****
COMPANY NAME
I
pern:it 06/03/201 1 1 1:20 Page 1 of 1
, � j�� /� - 6231
. . � .. . ,
''�***Op. Permit and/or Cert. Op. Required °(Must be comnleted prior to final)
CATAWBA CC�L�I�TY Y-IIEl�LTff� DEPARTM I3°�
� (704) 465-827�0°
� Lot Eva1.�Improve. Permit�Repair Permit Cert. of Comp. Permit Oper. Permit
Owner/Agent ✓� dC Phone
Address Subdivision �
_ ecti� Block/Phase t#
Lot Size Di ect�s:
Z ; _ O .-
Facility: House Mobile Home Business . Other: Tax Map # 5 � "/- �
Multi-family� Other . Zoning Approval #� 3�O
Bedrooms � Seats Employees . Application RateQ�l� GPD Flow v(t�
Hot Tub or Spa yes/l�o Special Fixtures . 100� Repair Area �/no REPAIIt NOTZCE:
Basement yesl�o Basement Plumbing yes/� • REPAIRS l4UST BE WITIiIld 30 DAYS OR
Water Supply: Private Public� . D1�YS FROli DATE OF PERI�QT.
tA#*it *� t A t tA*#7t*R*tR*Atk*1tfRf'**Ak�Ritt}�ARk�rtt!****t**ARk *R � R*A**AYt*Rk*it* � 7RtR11k1tf**** � kkit*kltAttl!!*Ai1t
Type of System: Trench X Bed Pump Pump/Panel Panel LPP Other
Tank Size: Septic Tank ( �� Pun►p Tank
Nitrification Field: Total Square Feet �a Depth of Stone ���� � Bed Size
Trench Width �v ` Total Length of All Trenches � �� Number of Trenches �
r ��
Individual Trench Length��/l O/�Q� /_/_ Feet on Center � _ Maximum Trench Depth ��
Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 manths)
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Topo Z °s Slope � Sketch of lot Evaluation Site - System Design - Einal
� Texture - ll.v ' � _..._ ,--- ,•� �o � ------ -
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Structure . ( (
Clay Min. ( � �
Soil Wetness`� " (
Soil Depth, ti g _" � I
Restric. Hoz. at " � (
Available space �no) -
Overall Class S� U � ( o
Comments: � G �..�-g.C.t� t��
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Septic Tank Contractors _ �po 1
MUST contact the � — --- — �— "'" :--�
Sanitarian BEFORE I �� U�� �
changing permit. �
**NO GUARANTEE OR WA�ARANTY IS Il�'LIED OR GIVEN TNROUGH THE ISSUANCE OF THIS PERMIT**
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Permit Date ��� �l' 3 (Improvement P i�voi ter 60 months)
Owner/Age t *--�"� Sanitari 8 �"
Installed By Date� � � Sanitari .�
(13o e y changesllnformation in r d,,or by sketch on bac }�
" * * * * " * IF A PERI�QT H,AS TO BE RIDESI�l�D AND /OR RETRIP� HADE TO THE PROPERTY. TE�tE" * * "` * * ° ° ,
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