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Home My WebLink AboutRBPR-07-2012-16005.TIFA 'oma 1842 SM Applicant Owner THIS IS NOT A PERMIT Case # RBPR-07-2012-16005 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT AMY PROSSER, 5144 GATES DR, DENVER NC 28037-9630 H:704-912-7910 AMY PROSSER, 5144 GATES DR, DENVER NC 28037-9630 H:704-912-7910 NAME TO APPEAR ON PERMIT Amy Prosser SITE ADDRESS: 5144 GATES DR, DENVER NC 28037 PIN # 369603334014 NAME of SUBDIVISION: BURTON HILLS Lot # 3 Section/Block PROPERTY SIZE: Square Feet 19,602.00 Acres 0.45 DIRECTIONS: Hwy 16 towards Denver / Left Hwy 150 / Right Grassy Creek Rd / Right Gates Dr / 3rd house on right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private Well Public water is **NOT`* available for this property. DESCRIBE WORK: 24' Above Ground Pool with Deck (30 x 35 total area) APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 24 x 48 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPOSED FUTURE ADDITIONS 124 x 48 Carport / 12 x 12 Shed OR IMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 24' round Above ground pool with deck 30 x 35 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 J , % —_�) y— /_Z_ 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 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: FEENAME DATE FEE AMOUNT Improvement Permit Fee 07/18/2012 $150.00 TOTAL FEES $150.00 1.9 - ehapplicatUon 07/24/2012 10:16 Page I of 3 THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Pernut ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement WeH ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ /I PropertyAddress :5 / V V �4 �s �i i v C Subdivision gur?��' 0, ti ve l- AIC Q90-37 Lot # 3 Acres `'/S10 Section/Block/Phase Driving Directions to Property. .41.ee x 10 % d ra A'1C / 6 7_041 v oN�a #1"'y /sem <! ; �CCci ��;,� G, r� _) ', �.� Gle4 /9r� 14 r z9, 04 rrs �� i''P f 3itp LI alilc oma/ /lith T NAME TO APPEAR ON PERML ° .::: ,:, :„:, 'T? �] Owner ❑Applicant ❑Contractor Applicant Contact Information Name Address Phone I Cell Phone Owner Contact Information Name .Ani � Address S/ yy i,cii-es Oe. 00�„c•cr /vC a�D3 7 Phone 7p y_ ly/,2_ 7,�/p I Cell Phone < � Contractor Contact Information Name Address Phone I Cell Phone WHO WILL. BE THE PRIMARY CONT'AC'T? E[Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site �v u � c -r v R ou0 1-E � dM� ::1990 ® # of Bedrooms *t 3 Structure Dimensions -:) q 4 # of Occupants %L 1® Basement ❑ Yes No Basement Fixtures ❑ Yes W No Planned Future Additions or Improvements a .:...:, ., t . (Building g Permit NOT requested att time) e) Describe_ LG r d� o i 2U �- x' 5 � A % ? X t? ® Proposed Future Structure Dimensions ohlk 4ff / 12ici? # of Bedrooms *t if applicable Are there easements or right-of-ways recorded on this property Yes No �: ...., Describe Is a public water supply availadjacent to the above property ** Yes ❑ N able on or o Check type available ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line ,.,.:.„,:...L::..:,:,:::.,,.:.:,.:::,.,d i upply 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) B THIS IS NOT A PERMIT ' CA'TAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 rx sm Proposed Facility Type • ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No Accessory Structure(s) Describe 414 ' �m� �oaC # of New Bedrooms *t if applicable Structure Dimensions u x 3 S # of Occupants Accessory Dwelling ❑ Yes EpNo Plumbing ❑ Yes EJ No Describe Plumbing Needed Multi -Fancily Residence # Units #Bedrooms per Unit*t 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 Applicatio"-i r Wel* Const-ructiocn/Ab-andoncnent/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 he required to determine design flow frons 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. tIf 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 LU ADDITIONAL CHARGE (SEE FEE SCHEDULE) LU�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 �i specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site LU 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 _ ,4-. � 17 f --- Printed Name of Owner or Agent F\ -,,A Pin SS e- r- --- Date 7-.�"/ — /), 301 m T I Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Ueospatial 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 i 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: 3696-03-33-4014 1 inch = 40 feet iF i' 1/ /02 �S) THIS IS NOT A LEGAL DOCUMENT 0 -m Prepared for: 40 14 3 0-6) 94//�10 1 Date: 7/24/2012 Time: 10:18:14 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3696-03-33-4014 Name: PROSSER JAY Name2: PROSSER AMY Address: 5144 GATES DR Address2: City: DENVER State: NC Zip: 28037-9630 Account: 159780648 Calc Acreage: 0.45 Tax Map: 016DX 01041 LRK: 17503 Deed Book: 3130 Deed Page: 0406 Subdivision Name: BURTON HILLS Subdivision Block: Lots: 3 Plat Book: 24 Plat Page: 130 Building Number: 5144 Street Name: GATES DR Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $60,200 Land Value: $9,400 Total Value: $69,600 Year Built: 1990 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS -IV Protected Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP -O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011504 Census Block 2010: 4061 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, July 24, 2012 10:18 AM CATAWBA COUNTYHEALTH (704) 465-8270 Lot Eval.__L,,,(mprove. Permit impair Permit Cert. of N° 02735 DEPARTMENT Comp. t`ermit_lt— per. Permit Owner/Agent fjAr b ionl7'- f/e cLCI-f1/9, Phone Address P 6 /7,12. Subdivision &rrAiu X)uS / iA/60LItr7"DA/ /1/. C, . Section/Block Lot# Lot Size �O� Doi Directions:PYA egzfz r4!�f " Facility: House Mobile HomeJ./$usiness . Other: Zoning Approval Epno # 143651 Multi -family Other 100% Repair Area yes/no Bedrooms �3 Seats Employees GPD Flow 3C6 Application Rate Hot Tub or Spa est Special Fixtures REPAIR NOTICE: REPAIRS MUST BE WITHIN Basement yesUn Basement Plumbing ye no 30 DAYS OR DAYS FROM DATE OF Water Supply: Private L, ---public PERMIT. Type of System: Trench c/Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank /60 6dz:,--� Pump Tank Nitrification Field: Total Square Feet 96ek� Depth of Stone Ia Bed Size Trench Width 3 1 Total Length of All Trenches 38ho""-Number of Trenches Individual Trench LengthJo�GqA/%� /_ Feet on Center % Maximum Trench Deptha' Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) Topo 5� % Slope Sketch o cc�t�E.aaluation Site - System Design $incl Texture.S� e,44— Structure ( Structure A cccey Clay Min. PI Soil Wetness " Soil Depth 4k2" Restric. Hoz. at " Available space no Overall Class PS Comments: **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date ,f3 l /9 % i (Improveme,it Permit void after 60 months) r I Owner/Agent 9 1 1 Sanitarian_-. IFF' mss- yes®/.!/ .natnm'/.90 C�nitarian /= _� 1- 4- 'L ***Op. Permit and/or Cert. Op. Required (Must be completed prior to final) 0�t CATAWBA COUNTY "iEALTH 13EPARTMENT 7761 (704) 46k-270 Lot Eval. Improve. Permit Re air Permit X Cert. of Comp. Permit Oper. Permit Owner/Agent iNE_ (�A�-8 1, () �� JW Phone Address (t .Gt.0 J �L v� Subdivision ��.f& X11 • e ion/Blo�.k/P� � Lot#_,� Lot Size Directions:_T�, �- rA, U 12- o -Y Facility: House Mobile Home Business Other: Tax,Hap # Multi -family_ Other Zoning Approval # Bedrooms 3 Seats Employees Application Rate GPD Flow Hot Tub or Spa yes/no Special Fixtures 100% Repair Area yes/no REPAIR NOTICE: B sement Plumbing yes/ Basement yes /0 REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private Public DAYS FROM DATE OF PERMIT. Type of System: Trench Bed4Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank_E-xt S�I' s Pump Tank /,p Nitrification Field: Total Square Feet 5-0/ Depth of Stone � r' Bed Size- 40A / Trench Width (0 Total Length of All Trenches/' 7�� Number of Trenches Individual Trench Length 1J—/_/_/_ Feet on Center Maximum Trench Depth It Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) ***************************************************************************************** Topo o Slope ( Sketch of lot Eval ion Site - System Design - Final Texture I a�DO NOT I S t _ INSTALL Structure I� w Q W J WHEN WET I � � Clay Min. I I Soil Wetness Soil Depth I (]--+�� Restric. Hoz. at Available space yes/no -r I � r'� iso i �� l vh-,r Overall Class S PS U I ! 1 Comments: I �P t � I Septic Tank Contractors MUST contact the I Sanitarian BEFORE I Lleks L,,, , changing permit. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date {� U �—Q—S- (Improvem t Permit void after 60 months) Owner/Acct Sanitarian�,Q(,�..l�%t�ij-=-- Installed $�r'c —%Date do -q-; Sanitarian ( ote any c ngesrinformation in red or by sketch`s back) i *******IF A PERMIT -HAS TO -'BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPER•T-Y; THERE* "' * * * * * * IS AN ADDITIONAL $25 CHARGE. un.:._ na:..., ni.._ n_-- v_n_... n.. -.._r♦ ___. nia- r___ r n