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Home My WebLink AboutRBPR-07-2012-16025.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2012-16025 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Deck/Porch IMPROVEMENT Contractor SAME AS OWNER, , Owner GEORGE MARTIN, 3204 N OLIVERS CROSS RD, NEWTON NC 28658-8291 H:828-428-3116 NAME TO APPEAR ON PERMIT George Martin SITE ADDRESS: 3204 N OLIVERS CROSS RD, NEWTON NC 28658 PIN # 366803209949 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 3.85 DIRECTIONS: Hwy 116 tp Providence Church Rd / Left N Olivers go Across Creek / House on Left off road PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private Well Public water is **NOT** available for this property. DESCRIBE WORK: Adding 14 x 18 Covered roof over existing deck (adding new footing) with Electrical for Fans APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 40 x 85 NUMBER OF EXISTING BEDROOMS: 3 PROPERTY EASEMENTS: None NEW STRUCTURE DIM:: 14 x 18 BASEMENT? No # 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. Signature of Applicant or Agent, �j� An Environmental Health Specialist will contact you within 2 orking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 80 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAM E Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/24/2012 $150.00 $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) C') - chappliCal loll 07/24/2012 11:42 Page 1 of 3 W J 0 W m H Z U H Z Z cc 0 W. Z A THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT ¢ Application for Environmental Services Page 1 I$4SM 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 �a, Property Address �� j �- �Q�1C� Subdivision \). ;�� \ �� I C Lot # Acres 9- Section/Block/Pha Driving Directions to Property 1 c�Ci� NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address -zS� 6, Phone _,�� Owner Contact Information Name Address Phone Contractor Contact Information Name��\�� Address Phone _ �iL1 Cell Phone Cell Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant `J�Contractor Description of Existing Structures on Site # of Bedrooms * j Structure Dimensions of Occupants Basement N 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 *t if applicable Are there easements or right-of-ways recorded on this property ❑ Yes 'KNo Describe 2— Is a public water supply available on or adjacent to the above property ** aYes ❑ No Check type available ❑ Community Well ❑ Semi -Public Well County/City/Township Water Line Existing water supply in use alridividual Well ❑ Community Well ❑ Semi -Public Well 1 1 ❑ County/City/Township Water Line I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) iii Q UjW Ca C V W m h L� THIS IS NOT A PERMIT G C CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Ig42 SM Proposed Facility Type ❑ Primary Residence ❑ New Res dence Addition to Residence # of New Bedrooms * Project Descriptions Structure Dimensions l 42 � � � # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units Total # Bedrooms * i ❑ Food Service Specify Type #Bedrooms per Unit*t Structure Dimensions # 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 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 is not transferable Signature of Owner or Agent Printed Name of Owner or Agent Date Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. N Catawba Countv 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: 3668-03-20-9949 1 inch = 60 feet Prepared for: THIS IS NOT A LEGAL DOCUMENT Date: 7/24/2012 Time: 11:26:12 AM Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospaual Information System. N • 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: 3668-03-20-9949 1 inch = 100 feet Prepared for: 3.93A 7113 lbi I 6� 9 00 445 '20 9° s l�soo 4go2s i 3.78A 1856 THIS IS NOT A LEGAL DOCUMENT Date: 4/20125` I Time: 11:26:31 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3668-03-20-9949 Name: MARTIN CLIFFORD GEORGE LFI Name2: ' MARTIN BRENDA F LFI Address: 3204 N OLIVERS CROSS RD Address2: City: NEWTON State: NC Zip: 28658-8291 Account: 159781375 Calc Acreage: 3.85 Tax Map: 004 K 07022 LRK: 3680 Deed Book: 3133 Deed Page: 0817 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 3204 Street Name: N OLIVERS CROSS RD Site Zip: 28658 Township: CALDWELL Fire Code: BANDYS City Code: COUNTY State Road: 1858 Total Bldgs Value: $164,000 Land Value: $34,400 Total Value: $198,400 Year Built: 1995 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 122 Watershed: WS-II Protected Area Watershed Split: NO Voter Precinct: P1 E911 District: COUNTY Zoning: R-40 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: TUTTLE Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011601 Census Block 2010: 2006 Small Area Plan: BALLS CREEK Agricultural District: Proximity Printed: Tuesday, July 24, 2012 11:26 AM **{Pp. Permit and/or Cert. Op. Required (Must be completed prior to final) q C A T A W B A C O U N T Y M E A L T M- n E P A R T M E N T�4 (704) 465-8270 Lot Eval. AImprove. PermitRepair Permit Cert. of Comp. Permit Oper. Permit 04mer/Agent l., ll (W 6, A&P4" Phone `lZF - 93 1 16 Address ..33Q0 9r`!Sw.ers., Om,�Y4 4Z.4- Subdivision pet'j--a— Section/Block/Phase Lot# Lot Size 9, Z t:tc- Directions: 16s(i2� trysroU- 0.,\11L kd 60 10 . 0 1 K", -YS LuF rr,, Le � F & (le -s Facility: House )C Mobile Home Business Other: Tax,1,1ap # L/K- �)- Z Z Multi -family- Other Zoning Approval # s2-94/0Z3q 3 Bedrooms ,? Seats Employees Application Rate ozl GPD Flow ,I d Hot Tub or Spa yes/& Special Fixtures 100% Repair Area yes/no REPAIR NOTICE: Basement 0/no Basement Plumbing yes/t& REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private Public DAYS FROM DATE OF PERMIT. ****************************************************************************************** Type of System: Trench k Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank /000 sarl Pump Tank Nitrification Field: Total Square Feet GIO U Depth of Stone 17- Bed Size Trench Width 1?4 Total Length of All Trenches R06 Number of Trenches .3 Individual Trench Length /00//00/Q/_/_ Feet on Center 9 Maximum Trench Depth ! Distance of Nearest Well ,So Lot E luation: Approved os/no (Void After 24 months) Topo .3 1-/ o Slope Sketch of lot Evc_luation Site - System Design - Fizal Texture Cl^ye V DO NOT Structure L3L0CtC ;L Clay Min. / : ! Soil Wetness P -S " Soil Depth > IYY Restric. Hoz. at Available space (Q7no Overall Class S jou Comments: INSTALL WHEN WET I i rl� 1 A0 Septic Tank Contractors MUST contact the Sanitarian BEFORE changing permit. ' 0 rUt^rJ j(r **NO GUARANTEE OR WARRANTY IS IMPLIED uh HE ISSUANCE OF THIS PERMIT** Permit Date (Improvement Permit void fter 60 months) Owner/Agen Sanitarian Date '-1'7-75 San' arian/l Installed By r, j e any changes/information in red or by sketch on bcYck) *******IF A PERMIT TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE******** IS AN ADDITIONAL $25 CHARGE. White - Office Blue - Bldg Insp. Comp. _ . Yellow - Owner/Agent Green - Bldg. Insp. I.P.