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Home My WebLink AboutRBPR-07-2012-15954.TIFContractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2012-15954 CATAW13A COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT SCHUMACHER HOMES OF NC, INC, 109-H WILLIAMSON RD, MOORESVILLE NC 28117- C:704 -634-6283F:704-662-3299 TREESE a SCHUMACHERHOMES.COM MICHAEL STEWART, 3579 BUFFALO SHOALS RD, NEWTON NC 28658 C:828-525-0602 L_akQ NAME TO APPEAR ON PERMIT MICHAEL STEWART SITE ADDRESS: 1150 LOWRANCE RD, CATAWBA NC 28609 NAME of SUBDIVISION: PROPERTY SIZE: Square Feet Acres 5.09 PIN # 378004735413 Lot # Section/Block DIRECTIONS: HWY 16 TO BUFFALO SHOALS RD LEFT ON BUFFALO SHOALS RD 4 MILE TO CENTER METH CHURCH END TO SHERRILL FORD RD APPROX 1 MILE TO LOWRANCE RD RIGHT OF WALL BETWEEN 1142 & 1162 LOWRANCE RD PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well Public water is **NOT** available for this property. DESCRIBE WORK: 1 STORY DWELLING W/ ATTACHED GARAGE APPLICATION FOR: New Structure - — - ... - -- - -- — -- - - - - --- ---------- STRUCTURE --STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF mobile home has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 64 x 50 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED? Yes 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. I[ Date: -7— —'l -2— Signature of Applicant or Agent t_V&; Z�er u25 x An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/06/2012 $150.00 $150.00 45 1") - chapplicauon 07/06/2012 15:36 Page 1 of 3 THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT ..p Application for Environmental Services Page I Improvement PermitAuthorization to Construct [:1 Septic Repair ❑ Septic Malfunction ❑ Septic Expa >Ion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) Application is for New Construction Existing Facility Property Address 1150 Wrw,-2 Subdivision z „_6q Lot # Acres Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? Owner Ea Applicant ❑ Contractor Applicant Contact Information Name ✓ S �l�_u��t2�P� Address / t V ` I A)L ZO I Phone 704- 662 3Z7f) Cell Phone Owner Contact Information Name j�I�t1�Uvll I_ Address ' 1,0]n1 ✓'G� vtlt✓ vt1 VIGL 1�� 2�_ rn (`� Phone 2-9) Sj_- �� I Cell Phone Pj Z � — 3� Z.4 3() Contractor Contact Information Name Address Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No Planned Future Additions or hn rovements (Building Permit NOT requested at this time) Describe Proposed Future Structure Dimensions _L4" X Sef)" # of Bedrooms "I if applicable Are there easements or right-of-ways recorded on this property P, Yes ❑ No Describe D r'l 4p IkU,vj Is a public water supply available on or adjacent to the above property ** ❑ YesIxNo Check type available ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Existing water supply in use [Z Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Townslllp <Vater Line [I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) Q LaiW J CL U W m THIS IS NOT A PERMIT d C '_4 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 1842 w Proposed Facility Type ❑ Primary Residence X New Residence ❑ Addition to Residence # of New Bedrooms * j Project Description Xeui 54,1d4 b td (-f- ka ww Structure Dimensions �. /7L" X �(O" # of Occupants 3 Basement ❑ Yes rL<[, No Basement Fixtures ❑ Yes [f No ❑ Accessory Structure(s) Describe # of New Bedrooms *'I 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 *T 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. j 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) 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 *Ls not trans erabl Signature of Owner or Agent Printed Name of Owner or Agent hem t in L py Date 1— �--12- N 1 inch = 100 feet CP • 63 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: 3780-04-73-5413 Prepared for: W 333 �9 t PLAT 60-.100 0' 0 509A ,. N 5413. r' 9- do- CP 99 ! - 1 C} 567..27 567.3 4.66A THIS IS NOTLEGAL DOCUMENT Date: 7/6/2012 Time: 3:11:16 PM� -5.084 .J ALO �� LO CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3780-04-73-5413 Name: STEWART MICHAEL D Name2: Address: 3579 BUFFALO SHOALS RD Address2: City: NEWTON State: NC Zip: 28658-8248 Account: 197477 Calc Acreage: 5.09 Tax Map: LRK: 301674 Deed Book: 2609 Deed Page: 1645 Subdivision Name: Subdivision Block: Lots: 1 Plat Book: 60 Plat Page: 100 Building Number: 1150 Street Name: LOWRANCE RD Site Zip: 28609 Township: CATAWBA Fire Code: BANDYS City Code: COUNTY State Road: Total Bldgs Value: $500 Land Value: $29,800 Total Value: $30,300 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 126 Watershed: WS -IV Protected Area Watershed Split: NO Voter Precinct: P21 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: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011501 Census Block 2010: 2013 Small Area Plan: SHERRILLS FORD Agricultural District: Proximity Printed: Friday, July 06, 2012 03:11 PM CATAWBA-COUNTY ,'HEOU DEPARTMENT Telephone: (828) 465-8270 TDD: (828) 465-8200 WLS #„2onV _ 00MQ- Improvement Permit AC__)�_ Repair Permit._ Operation Permit. System Type.4 Well Permit, < Replacement Well Owner/Agent /YjiC&EAZ 7>, ��}/�%' Phone Address ie,/ ��() ;—&Lr_f��:PSubdivision (J/3� Al. C :2 Sold / cif- Section/Block/Phase Lot# Lot Size =, //_ Directions: SNr=�Qil�..�C a l22 o-)� , e.0;y��i� AOIW ) Property Address Facility: House Mobile Home_ Business Multi -family Other: Pin Number q i Other . Zoning Approval # 211 A) --2 4, — /-)/1 # Bedrooms # Seats # Employees . Application Rate .3 GPD Flow 3_ Hot Tub or Spa yes no pecial Fixtures Basement yeto . 100% Repair Area es o Basement Plumbing yesM Water Supply nvate Well Public Semi -Public ####################################################################### ############################################## Type of System: Trench Bed — Pump Pump/Panel — Panel .--LPP — Other Septic Tank Size /B� Pump Tank Size ----^ Nitrification Field: Total Square Feet 72700 Depth of Stone Bed Size Trench Width --3 Total Length of All Trenches —//07y— Number of Trenches .} Trench Length %6p//DD/rOD//6p/-- / Feet on Center 9 MaicRum,Lrtlnch Deptl6-• (i/y— Distance of Nearest Well Sv'tl- *DO NOT INSTALL SEPTIC WHEN WET* 4�'LLS�► yr ci i REeOR REQUIRED AT COMPLETION* Topo46- >% Slope Texture Structure Clay Min. Soil Wetness Soil Depth -7^ I 1 Restric. Hoz. at ' t - Available space es o I l Overall Class Comments: t� e.�; cep ,13e`�v t i C� ��• � � 1=/ �L. T3 S'Tti3 C'allo2F1 F* � v I �v I I I I - Filter Required , Riser required when�- tank is more than 6 inches deep. **NO GUARANTEE OR WA S IMPLIED OR GIVEN S 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 any site by the Health Department. Permit Date % (y>(j EHS e- Owner/Agent �J _ Septic Tank Installed ByJj_;,i�� „ j2oAUA.aI Sr — Date/e -/Z-�/ EHS It Well Installed B�W�¢yc.—D hIF7 rWell Grout Approval Date —A2 -O t/Well Head Approval Date %b , (2_ b °if Date Sample Collected Date of Results Results • EHS White -Office Yellow -Owner/Agent Pink -Building Inspection Authorization to Construct `'' Owner CATAWBA COUNTY PERMIT ZONING AUTHORIZATION (R) New Dwelling j IVR PIN# PERMIT NO: ZONR-07-201;2-029334 1'. O. Box 339 Phone: 325-465-8380 APP1,II D: 07/06/2012 100 \ southwest Blvd FAX: 528-465-8484 ISSUI D: 07/06/2012 Newton, North Carolina 25658 FXPIRI-S: 03/21/2013 wAyw.r<ttaIWbacounhmc. (I OV MICHAI=.L STEWART, 3579 BUFFALO SHOALS RD, NEWTON NC 28658 C:828-525-0602 Contractor SCHUMACHER HOMES OF INC, INC, 109-1-1 WILLIAMSON RD, MOOR ESV ILLE NC 28117- C:704 -634-6283F:704-662-3299 TREESE n.SCI-IUMACI-IERI-IOMES.COM ACCOUNT: 5000309 PROPERTY ID#: 378001735413 CENSUS "TRACT: 011501 STREET ADDRESS: 1 150 LOWRANCE RD, CATA\V13A NC 28609 I'RO.IECT DESCRIPTION: 1 STORY DWELLING W/ ATTACHED GARAGE FLOOD ZONE? OWNER TYPE: VALUE 100 YEAR FLOOD ZONE PLAIN? LAND OWNER: FLOOD PLAIN. STRUCTURE? No REQUIRED SETBACK'S FRONT: 30 REAR: 30 SIDE: 15 MAX HEIGHT: 45 I. IkIbrc an inspcction can be made hV the 13uildin- Inspection Office, the applicant must pall a strillo to designate the side and rear property lines Where the structure is being placed or constructed. 2, Home shall be placed on the lot in harmony with the site -built structures, or have the front door face the road frontaoc. 1N VOICE#: 07-12-288083 FEE DESCRIPTION DATE FEE AMOUNT Residential 'tonin`„ Fee 07/06/2012 S25,00 TOTAL FEES 525,00 $183,357.54 The applicant herehv certifies that all information and attachments to this Certificate of Zoning Coil) pilialice are true and correct, and acknowled^�es that this permit was issued on the basis of the information required herein. The applicant llnthcr acknowledges that any construction. altcx•ation or addition which differs from this application shall be subject to removal or alteration so as to bring said slructUN into Conformalnce with the specifications and standards of the Catawba County Zoning Ordinance. Such Corrective action shall be al the API'l-ACANTNAME (PRINT LD) APPLICANT- SIGNATURE; ZONING AI'PROVI D BY COMPANY Nib,\,ll *****ZONING FEES ARE NON-REFUNDABLE ***** 07/06/2012 15:3.1 1S7SUFE) E3 V: P, -it QU-e:? Pagc I of I