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Home My WebLink AboutRBPR-07-2012-16004.tif$AA THIS IS NOT A PERMIT Case # RBPR-07-2012-16004 /+fI \ CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 5M Residential Building Plan Review - Swimming Pool ►sem `1 � I�`l I°� IMPROVEMENT Contractor PLEASURE POOLS, 1952 BRIARWOOD DR, HICKORY NC 28601- B:294 -1800C:828-455-8984 JOHN BEAVERF:828-294-1611 Owner ROCKY REID, 3911 SULPHUR SPRINGS RD NE, HICKORY NC 28601-7755 H:704-798-9188 NAME TO APPEAR ON PERMIT Rocky Reid SITE ADDRESS: 3911 SULPHUR SPRINGS RD NE, HICKORY NC 28601 PIN # 372408879781 NAME of SUBDIVISION: Lot # TRACT 3 Section/Block PROPERTY SIZE: Square Feet 53,143.20 Acres 1.22 DIRECTIONS: Springs Rd to Suplhur Springs Rd on Left before Catawba SPrings Entrance PRIMARY CONTACT: QjaQtractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Wa Public water S vailable for this property. DESCRIBE WORK: In Ground Swimming Pool with concrete patio area APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF In Ground Swimming Pool with concrete slab patio EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60 x 65 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: L24 x 45 POOL W PATIO) 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: Signature of Applicant or Agent 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 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/18/2012 $150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/18/2012 16:55 Page I of 3 THIS IS NOT A PERMIT Case # RBPR-07-2012-16004 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT Contractor PLEASURE POOLS, 1952 BRIARWOOD DR, HICKORY NC 28601- B:294 -1800C:828-455-8984 JOHN BEAVERF:828-294-1611 Owner ROCKY REID, 3911 SULPHUR SPRINGS RD NE, HICKORY NC 28601-7755 H:704-798-9188 NAME TO APPEAR ON PERMIT Rocky Reid SITE ADDRESS: 3911 SULPHUR SPRINGS RD NE, HICKORY NC 28601 PIN # 372408879781 NAME of SUBDIVISION: Lot # TRACT 3 Section/Block PROPERTY SIZE: Square Feet 53,143.20 Acres 1.22 DIRECTIONS: Springs Rd to Suplhur Springs Rd on Left before Catawba SPrings Entrance PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Public Water Public water is **NOT** available for this property. DESCRIBE WORK: In Ground Swimming Pool with concrete patio area APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF In Ground Swimming Pool with concrete slab patio EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60 x 65 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 24 x 45 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. ny representation by you of house or structure location should conform to applicable setbacks. / Date: — % �' 1 Signature of Applicant or Agenti An Environmental Health Specialist will contact you with"rking days of application date. If you need further information or assistance all 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/18/2012 $150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) FQ - chapplratu,n 07/18/2012 09:47 Paget of 3 baa THIS IS NOT A PERMIT d CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 1842 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 3I I hALViFlv Subdivision ]�`Cko v- /� L 3 J Lot # Acres pp L SectionBlock/Phase Driving Directions to Property `ly 2on NAME TO APPEAR ON PERMIT? N Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name P -O JW Rk Address c�PJ/�LBrrir�s�rC CCb 9 Phone V oO Cell Phone Contractor Cogtact Information Name PA Sulr P&7, (c. LL Address / fsq 8", -kr Phone &9 S)'QV -- (91b c7 I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Description of Existing Structures on Site A Du iL � # of Bedrooms *t 3 Structure Dimensions 6 OX s' Basement ❑ Yes g No Basement Fixtures ❑ Yes] No kContractor # of Occupants 'I, 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 13;� No Describe Is a public water supply available on or adjacent to the above property ** ZI 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 4 County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) Q LLJW J a 0 V W m THIS IS NOT A PERMIT d CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 1842 un Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms * j Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No 'Accessory Structure(s) Describe mtvjre_i_ cka*_ # of New Bedrooms *`'j if applicable Structure Dimensions 2ZX Sl:5_ # of Occupants v AccessoryDwelling ❑ 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 t Additional information may be required to determine design flow from certain facilities. This value will be determined (luring 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. 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 infonnation 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 transf r ble Signature of Owner or Agent Printed Name of Owner or Age , A DQ AAA �peim e — Date 7 �- I �2-- c N A I ' 1 inch = 60 feet 11 0 V - 9TH 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 Fable 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: 3724-08-87-9781 Prepared for: 1 U J J W W 1 "Co 85r29J 150 AV 170.33 R-20 1 N THIS IS NOT A LEGAL DOCUMENT ,5bZ. d4 240.13 7 / / t t 9558 218.12 NE 174.2 0 f trr Date:;7/18/2012PTime: 9:30:58 AM R-20 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3724-08-87-9781 Name: REID ROCKYA Name2: REID ANNJI S Address:3911 SULPHUR SPRINGS RD NE Address2: City: HICKORY State: NC Zip: 28601-7755 Account: 159780584 Calc Acreage: 1.22 Tax Map: 1407 07010 LRK: 400005 Deed Book: 3129 Deed Page: 1492 Subdivision Name: Subdivision Block: Lots: TRACT 3 Plat Book: 32 Plat Page: 171 Building Number: 3911 Street Name: SULPHUR SPRINGS RD NE Site Zip: 28601 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: 1529 Total Bldgs Value: $195,000 Land Value: $22,000 Total Value: $217,000 Year Built: 1997 Year Remodeled: Last Sale Date: 9/12/2003 Last Sale Amount: $211,000 Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P29 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: SNOW CREEK Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010301 Census Block 2010: 1033 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Proximity Printed: Wednesday, July 18, 2012 09:30 AM 0 t, � CATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465-82?A TDD: (704) 465-8200 j�,'Je 12 Improve. Permit Authorization to Construct_ Repair Permit_Oper. Permit System Type ' � f/ 1 Owner/Agent , } - ''�v�!1_ls. Phone Address Subdivision,° Section/Block/Phase Lot#�_ Lot ize (Y Dir7ctions: ,,. Q ,, Facility: House �Mobil Home Business Other: Tax Map # .2'9)6 5-57 f Multi-family___Z Other Zoning Approval # /Z/ 07— % _/ 0 # Bedrooms 1�3 # Seats # Employees Application Rate o_i/ GPD Flow'_'5?,9 Q Hot Tub or Spa yes/no Special Fixtures 100% Repair Area (&/no Basement yes n Basement Plumbing yes/no Water Supply: Private Well Public aaaaa««aaaaaaaa«aaaaaaaaa«aa«aaaaa«aaaaa«a«aaaaaaaaaaaaaaaa«aaaaaaaaaaaaaa«aa««aaaaa«««aaaaaaaa Type of System: Trench f-�Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size y Pump Tank Size Square Feet 411Nitrification Field- Total S qu �� Depth of Stone �Oi Bed Size Trench Width Total Length of All Trenches_3et) Number of Trenches !0 t Individual Trench Length.5-0 /3 0 /'d /.fO 4A -et on Center Maximum Trench Depth�l� Distance of Nearest Well -*DO NOT INSTALL WHEN WET* ««««a«aa«a««aaaaaaa«aaaaaaaa;wa,raaaaaaaaaaaaaaaaaaa««aaaaaaaaa«aaaaaaaaaaaaaaaa«aaaaa«aaaaa«aa«a Topo Slope l Texture_ I t Structure Clay min. r✓ • L{, 1KZ Soil Wetness Soil Depth Restric. Hoz, at Available space/nol Z Overall Class S II Comments: r 1 I 1/0 I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** aaaaaa«aaaa«««aa««aaaa«aaaaaaaaa«a«aa«aaaaaaa«««aa««aaaaaaaaaaaaaaaaaaaa«a«aaaaa««aa«aaaaaa«aaa *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 ft date issued and is not transferable. Permit Date Owner/Agent lSanit rian Installed By i, 2r , ,� Date Sanitarian Sanitarian White - Office Blue - Building Inspection Operation Permit Yellow'- Owner/Agent Green - Building Inspection Authorization to Construct