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HomeMy WebLinkAboutRBPR-07-2012-15933.TIFElizabeth Wilson From: Megen McBride Sent: Tuesday, July 10, 2012 7:10 PM To: EH Administrative Assistants Cc: Julia English Subject: EHPR-07-2012-15933 Odessa Propst; 4301 Angel Hill Dr. Newton I have spoken to Mike regarding this application. We are going to classify this as "NO EH REVIEW REQUIRED" We are not going to issue a permit. We are not going to do soils work. Per Mike and Rick Frady, the applicants can have a building permit for the deck without EH approval. I have put notes into tracking explaining things. Could you please change the status to whatever it needs to be and file this application in "the file" with the other applications that fall in this category. Thanks, and call me with any questions. meg THIS IS NOT A PERMIT Case # RBPR-07-2012-15933 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Deck/Porch IMPROVEMENT Contractor SAME AS OWNER, , Owner ODESSA PROPST, 4301 ANGEL HILL DR, NEWTON NC 28658-8782 C:8282916641 NAME TO APPEAR ON PERMIT Odessa Propst SITE ADDRESS: 4301 ANGEL HILL DR, NEWTON NC 28658 PIN # 360802689428 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 10 towards Blackburn School/ Right at Whisnat Store (Dirt road) Left at Angle Hill/ house on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private Well Public water is **NOT"` available for this property. DESCRIBE WORK: 8 x 6 Uncovered Porch on Side of home APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF Modular EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60 x 30 NUMBER OF EXISTING BEDROOMS: 3 PROPERTY EASEMENTS: none NEW STRUCTURE DIM:: 8 x 6 deck BASEMENT? No Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT FIXTURES? No PLUMBING REQUIRED? 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 location should conform to applicable setbacks. \ Date: 7 /1 Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application dJ. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/02/2012 $150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) EQ - chapplication 07/02/2012 16:52 Page I of 3 Q Fes► W a Z 0 V W Oa c� C 0 V W Z O c� C OC 0 U_ Z THIS IS NOT A PERMIT a CATAWBA COUNTY HEALTH DEPARTMENT y Application for Environmental Services Page 1 Is42 sm 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 � �.,po1 �� Subdivision i , C 2 S- S S' Lot # Acres Driving Directions to Property NAME TO APPEAR ON PERMIT? �j Owner Applicant Contact Information Name Address Phone Owner Contact Information Narne r-, Address Phone Contractor Contact Information Name Address Phone Section/Block/Phase ❑ Applicant ❑ Contractor Cell Phone I Cell Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 'Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site cv�oz Qo r # of Bedrooms *''j -:? Structure Dimensions -30 X (o a # of Occupants 2 - Basement Basement ❑ Yes (�' No Basement Fixtures E] Yes � No Planned Future Additions or Improvements (Building Permit NOT requested at this time) Describe Proposed Future Structure Dimensions # of Bedrooms *-r if applicable Are there easements or right-of-ways recorded on this property ❑ Yes UNo Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes,E] 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) 0 F-► W CL Z 0 W W C13 THIS IS NOT A PERMIT d CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 r8 2 SM Proposed Facility Type ❑ Primary Residence ❑ New Residence _R Addition to Residence # of New Bedrooms * j Q Project Description I7 r' C K i Structure Dimensions)/ (c # of Occupants Basement El YesNo Basement Futures El Yes [O�No ❑ Accessory Structure(s) Describe # of New Bedrooms *`'j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*''j Total # Bedrooms *'j 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 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 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. i 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. Mote: 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) 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 that an Improvement Permit issued as a result of this information is valid for 5 years or may be non -expiring under certain specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable Signature of Owner or Agent AA) TA_/1_ Printed Name of Owner or Agent Date 17-- �- -- J �. A I inch = 60 feet Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Selected Parcel Number: 3608-02-68-9428 CO- 3�- - R-20 � 231 0 Prepared for: J UP •a �� a 1 THIS IS NOT A LEGAL DOCUMENT Date:�7/2/2012; / Time: 4:44:22 PM O r 04 0 4 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3608-02-68-9428 Name: PROPST ODESSA S COVIN Name2: ' Address: ' 4301 ANGEL HILL DR Address2: City: NEWTON State: NC Zip: 28658-8782 Account: 175139 Calc Acreage: 0.46 Tax Map: 002AJ 03011 LRK: 1955 Deed Book: Deed Page: 1621 3 2 7 0339 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 4301 Street Name: ANGEL HILL DR Site Zip: 28658 Township: JACOBS FORK Fire Code: PROPST City Code: COUNTY State Road: 1140 Total Bldgs Value: $58,300 Land Value: $6,800 Total Value: $65,100 Year Built: 1989 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 89 Watershed: WS -III Protected Area Watershed Split: NO Voter Precinct: P3 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP -O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BLACKBURN Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 4000 Small Area Plan: MOUNTAIN VIEW Agricultural District: Proximity Printed: Monday, July 02, 2012 04:44 PM I g `� DSI - J� o p r�DEPARTmENr 847 Lot Evaluation Imrovemen Permit pair Permit Comletion Permit 1 Owner/Agent Q �,�� Phone S�bd Address ivision Section/Block Lot # /g Lot Size /(/�� Directions: ez 4"A Facility: House Mobio HorneyBusiness - Zon'g--Approval yes/no # Multi -family Other 100% Repair Area yes/no Bedrocros Baths Seats Employees GPD Flow?�QApplication Rate b Garbage Disposal Special FixtVes REPAIR INCE: REPAIRS MUST BE WITHIN 30 Basement yes0- Baserrelumbing yes/no DAYS OR DAYS FROM DATE OF PERMIT. Water Supply: Private blic Type of System: Trench d System Other (Specify) Tank Size:' Septic Tank �% Pum Tank Nitrification Field- Total Square FeetDepth of Stone �c�' Bed Size �l Trench Width j� Total Length of All Trenches O v N,�nber of Trenches 4(1 Individual Trench Lengtiod IAL/ / Feet on Center Maximum Trench Depth ;74( Distance to Nearest Well q%el.j 1'1 of Lot, Evaluation Site - System Design - Final ^ �t***********•k**�t�t***�t�t*it*#�t�t****!t*#*#�t-�t***�t•,t*fit*Ott**�t**�t�t**�t#*�t�r.�t*�h�t�t•k*�tsf*�It#::xxx � t**yh***fit Permit Dates e2��CJ (Lot EWaluation'and Improvement ern it vod afn 36 mon 4s) Owner/Agent J ��j' Sanitariak Installed By Date (T^/if - nSanitarian (Note any changes/information in re6 or by ske)(ch n bi Topo S PS PS.0 Depth $�S Restrictive Hoz. S � Spade III Loams: dy Cla • SSilt, Clay, Silty Clay .6-.40.0 IVa Clays: Sandy, WHITE - OFFICE COPY YELLOW - OWNER/AGENT COPY ick) , •.� S PS U Soil S LSDU Silty, Clay .4-.2 d too CATAWBA COUNTY HEALTH DEPARTMENTr vv kvt Telephone (828) 465-8270 TDD (828) 465-8200 WLS # ©01— 00 % 9S_ IP AC Rpr Prmt. O r Prmt. Sys Type Well Print. EReplacement Well Well Rpr Prmt. Owner gent , ft1n U ch �j�gj�,�� Phone Address V301 a4rf) _ �� GJ��� yl Subdivision �(JJ Section/Block/Phase Lot/ Lot Size Directions 10 nt J A ip,��.,../ Property Address Facility- House P-' Mobile Home Business Multi -family Other- Pin Number„ Other Zoning Approval # # Bedrooms –3 # Seats # Employees Application Rate GPD Flow Hot Tub or Spa yes/no Special Fixtures Basement yes/no 100% Repair ea yes/no Basement Plumbing yes/no Water Supply Private Well 41 Public Semi -Public Type of System. Trench ed Pump Pu anel P el LPP Other. Septic Tank Size mp Ta Siz rification ar �y� �pth of Stone Bed Size Tre Total Length of All Trenches Num�er of Trenches Trench Length !//_/_/_ Feet on Center Maximum Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % lope Text e S cture / lay Mi Soil the / l� at Av.aifable §paceyes c Overall Clas SP U Comments I go Filter Required a 3 Riser required when tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ++++++++++++++++++++++++++++++++++++++*++++++++++++++++++++++++++++++*+*+**+++******+++*+*+*+++++++++*++*+*+++***++++++++++ *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at ani site by thA Health Department. Permit Date EHS/Lr�� G� Owner/Agent iffm v)t•n 'Dmpt Septic:.FInstalled B} Date EHS Well Installed By `) ._�P .� Well Grout Approval Datec Well Head Approval Date Date Sample Collected Date of Results Results - EHS White Office Yellow Owner/Agent Pink Building Inspection Authorization to Construct