HomeMy WebLinkAboutRBPR-07-2012-16037.TIFBA THIS IS NOT A PERMIT Case # RBPR-07-2012-16037
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 5M Residential Building Plan Review - Building Addition
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IMPROVEMENT
Contractor DELLINGER, DWIGHT H, 4144 BUFFALO SHOALS RD, MAIDEN NC 28650
B:704 -472-1205F:828-428-8909
Owner DEVIN HOUSTON, 3794 LOVE RD, CLAREMONT NC 28610-9591
H:828-234-2069
NAME TO APPEAR ON PERMIT
Devin Houston
SITE ADDRESS: 3794 LOVE RD, CLAREMONT NC 28610
PIN # 376004737976
NAME of SUBDIVISION: Lot # Section/Block
PROPERTY SIZE: Square Feet Acres
DIRECTIONS: 10E/ LF BETHANY CHURCH RD/ LF LOVE RD/ ON LEFT BEFORE WOODLAND OAKS SUB
PRIMARY CONTACT:_Contractor
GALLONS PER DAY: 240
DESCRIBE WORK: 16 x 42 Office / Den / bathoom Addition
APPLICATION FOR:
STRUCTURE TYPE:
SEWER TYPE: Septic Tank
WATER SUPPLY: Private Well
Public water is **NOT** available for this property.
Existing Structure
PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF Single Family Dwelling
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 35 x 36
NUMBER OF EXISTING BEDROOMS: 2
PROPERTY EASEMENTS: none
# OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16 x x42
BASEMENT? No BASEMENT FIXTURES? No
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.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further informat' n or assts ce please call 828-466-7291
AREA 1
MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT:
FEENAME
Improvement Permit Fee
TOTAL FEES
DATE FEE AMOUNT
07/25/2012 $150.00
$150.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
F9 - ehapplication 07/25/2012 16:56 Pagel of 3
L
1842 sM
THIS IS NOT A PERMIT Case # RBPR-07-2012-16037
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Building Addition
IMPROVEMENT
Contractor DELLINGER, DWIGHT H, 4144 BUFFALO SHOALS RD, MAIDEN NC 28650
B:704 -472-1205F:828-428-8909
Owner DEVIN HOUSTON, 3794 LOVE RD, CLAREMONT NC 28610-9591
H:828-234-2069
NAME TO APPEAR ON PERMIT
Devin Houston
SITE ADDRESS: 3794 LOVE RD, CLAREMONT NC 28610 PIN # 376004737976
NAME of SUBDIVISION: Lot # Section/Block
PROPERTY SIZE: Square Feet Acres
DIRECTIONS: 10E/ LF BETHANY CHURCH RD/ LF LOVE RD/ ON LEFT BEFORE WOODLAND OAKS SUB
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: WATER SUPPLY: Private Well
Public water is **NOT** available for this property.
DESCRIBE WORK: 16 x42 Office/ Den/ bathoom Addition
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF Single Family Dwelling
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 35 x 36
NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 3
PROPERTY EASEMENTS: none
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16 x x42
BASEMENT? No BASEMENT FIXTURES? No
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.
Date: ¢7-9S— 12 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
MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT:
FEENAME
Improvement Permit Fee
TOTAL FEES
DATE FEE AMOUNT
07/25/2012 $150.00
$150.00
CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
C4 - Ohapplicaiion 07/25/2012 15:09 Page 1 of
IS NOT A PERMIT
CATAWBA COUNTY HEALTH DEPARTMENT
�5 �^ Application for Environmental Services Page 1
1, 442 w
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 3� �y ��� e �Subdivision
Lot # Acres
Section/Block/Phase
Wr ving Directions to Property ?
Uj
Q. NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor
O Applicant Contact Information
V I Name
W Address
00
{. Phone Cell Phone
Owner_C.ontact nformation
A�cld►ess � 7 9- cnVp �I o.9� Lail�ii. ✓1 0-
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Rhone', I Cell Phone g,) S— 0-Z
CContractor Contact Information-, t
V _
W
Arddress',��
P11o»� �j�S1- �dR-`�'90� Ce11 Phone
Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant [Contractor
—Description_ofExist_ing-Structures on Site
Q *of -Bedrooms -*t (Structure. Di pensions rX ,3�� (#f Oc_cu_ pants 3
I� Basement ❑ Yes [j No Basement Fixtures ❑ Yes /] No
Planned Future Additions or Improvements (Building Permit NOT requested at this time)
OC Describe
LL. Proposed Future Structure Dimensions # of Bedrooms *'I if applicable
? Are there easements or right-of-ways recorded on this property ❑ Yes J5�No
Describe
Is a public water supply available on or adjacent to the above property ** ❑ Yes Rj No
Check type available ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line
Existing water supply in use [A 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)
.HIS IS NOT A PERMIT
CATAWBA COUNTY HEALTH DEPARTMENT
i° Application for Environmental Services Page 2
11
Proposed Facility Type
❑ Primary Residence ❑ New Residence A Addition to Residence # of New Bedrooms
C�_roject Description j11/1
'Structure Dimensions_% // 'X 41, # of Occupants D
Basement ❑ Yes`ryj No Basement Fixtures ElYes _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
Total # Bedrooms *f
❑ 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 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.
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_ s
'tinted Name of Owner -or Agent ,J)
��/..� -
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
j� 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 Lability, whether direct, indirect
or consequential which arises or may arise from this map product or the use thereof by any person or entity.
1 inch = 40 feet
Q0
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_AT 67-65
79
�s
Selected Parcel Number: 3760-04-73-7976
Prepared for:
THIS IS NOT A LEGAL DOCUMENT .0% *\/ Date: 7/25/2012
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Time: 3:01:59 PM�
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3760-04-73-7976
Name:
HOUSTON DEVIN SCOTT
Name2:
HOUSTON KRISTIN H
Addres's:
3794 LOVE RD
Address2:
City:
CLAREMONT
State:
NC
Zip:
28610-9591
Account:
159747881
Calc Acreage:
0.77
Tax Map:
LRK:
302104
Deed Book:
2941
Deed Page:
1589
Subdivision Name:
J W + EDWINA S WESSON
Subdivision Block:
Lots:
A
Plat Book:
67
Plat Page:
65
Building Number:
3794
Street Name:
LOVE RD
Site Zip:
28610
Township:
CATAWBA
Fire Code:
BANDYS
City Code:
COUNTY
State Road:
1809
Total Bldgs Value:
$83,300
Land Value:
$12,100
Total Value:
$95,400
Year Built:
1949
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood:
122
Watershed:
WS-IV Protected Area
Watershed Split:
NO
Voter Precinct:
P5
E911 District:
COUNTY
Zoning:
R-30
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay: DWMH-O,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: 011402
Census Block 2010:
Small Area Plan:
BALLS CREEK
Agricultural District:
Printed: Wednesday,
July 25, 2012 03:02 PM
3136-0752
i-it.EO Catawba county
on Jul 17, 2012 at 04:28:00 pm
E=16e Tax som (TF)
INST. # 12567
DONNA MCKS WENCER,
ttvgta#er at Deena
Ex03136 P9075.2-0754
Excise Tax $ -0- ( Recording Time, Book and Page
Parcel Identifier No. _3160 0473 7976
Mail after recording to:VKennedy & Wulfhorst, P.A. — 3758 Hwy 16 North, Denver, NC 28037
This instrument was prepared by: D. Todd Wulfhorst - Kennedy & Wulfhorst, P.A. — 3758 Hwy 16 North, Denver, NC 28037
Brief Description for the index 1 0.91 Ac
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this Ie day of July, 2012, by and between
GRANTOR GRANTEE
J.W. WESSON AND WIFE, DEVIN SCOTT HOUSTON AND WIF"
EDWINA S. WESSON KRISTIN H. HOUSTON ;
AND air
DEVIN SCOTT HOUSTON AND WIFE, 3794 Love Rd
KRISTIN H. HOUSTON Claremont NC 218610
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in
the Town of , Catawba Township, Catawba County, North Carolina and more particularly described as follows:
Beginning at a corner in the center line of Love Road (SR 1809), said corner being located North 44 deg
34 min 12 see East 124.48 feet from an existing PK nail in the center line of said road which marks the
old southeastern corner of J.W. Wesson and northeastern corner of Sylvia R. Sanders (Deed Book 1814,
Page 1218), and runs thence from said beginning corner a new line North 48 deg 28 min 31 sec West
268.49 feet to a new iron pin, a new corner; runs thence a new line North 41 deg 20 min 15 sec East
138.67 feet to a new iron pin, a new corner, runs thence three (3) new lines as follows: (1) South 53 deg.
36 min. 46 sec. East 147.10 feet to a 5/8 rebar set and (2) South 41 deg. 02 min. 17 sec. East 101.77 feet to
a 1/2 inch rebar in the northern edge of the right of way of Love Road and (3) South 48 deg. 28 min. 31
sec. East 30.09 feet to the centerline of Love Road; and runs thence with the center line of Love Road
along an arc having a chord bearing of South 45 deg 26 min 06 sec West, a chord distance of 79.03 feet,
an arc distance of 79.03 feet and a radius of 4,556.42 feet to a corner in said center line; thence
continuing with the center line of Love Road, South 44 deg 34 min 12 sec West 59.91 feet to the point and
place of beginning, and containing 0.91 Ac. more or less.
This is a composite description combining the original 0.87 Ac. tract as shown on Plat recorded Plat
Book 67 page 65 with an additional 0.04 Ac. as shown on attached survey, all as one tract.
The above description taken from a plat drawn by J. Mike Honeycutt, Registered Surveyor, dated April
1, 2008, entitled "J.W. & Edwina S. Wesson," and recorded in Plat Book 67, Page 65 Catawba County
Public Registry., and a plat also drawn by J. Mike Honeycutt, R.S. dated June 11, 2012 showing the
additional 0.04 Ac, being added to the original conveyed property, said plat being attached hereto and
incorporated herein by reference.
The property does not include the primary residence of the grantor.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2941, Page 1589.
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3136-0753
"1°M NONe1pJn HONEYCUTT LAND SURVEYING, P.A. I,I W. ,
SCPLSPL 30 i 22 SOON uA14 STREET-WTZ 102A rueu /c - 7870
P.O. BOX 1103 N—fon, N.C. 28638 Phones 828-464-0702 NC PLS 1399
I CD11F1. Tmr im UAP EAS cum woo uE SWERNSION iROu AN •AC1LLY. AAi1fY uWOE
r 1� UWER uY UVEIMSM !DEED nESOWT N REQOROED N 800rf 2viL PAOf (38V,'AV,q:.P{AT C .
500K 67 PIY.t 6Jk )1N7 RB BG1RpWRIEES N07 SIR VEM ARE•9pfiOm il4 0)iAMN,PRQu
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NOTES: LALY
COMPLIANCE WITH ANY AP LICABLE D 1
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I THE PURPOW Of DEVELOPMF _REGULATIONS. "
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CATAMBA 15P., G7AE9A CO. NC PAIL: J760 04 73 7976 .
�00 Be FROM E N AM M A SPE641 It= NAZMD AWA OAT;: 9-11-2012 ,
A FOMW Or 8R I1KMTr M N A 1>004L n= NAZAM AMG ORAPHC WALE: 1'- 40' 1 ' 1
-EIA EDN PANEL / 3710376000.1 Dam 976 141 • E1051W0 1RQM (T1Y NOTID) ' JOB * 12MM21060
O7E1C6'1E OAIE: 96-07 O sm SET (TYPE 11Di1D)
PIAT BOOK 07 PAGE 63 x 07rr To POR • h7LE: L- I - * W ;
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CATAWBA COUNTY
Public Hea1)h Department
Case #
WLS2008-00291
r r:
Subdivision
t
EAvironmenta] Health Division
J W & EDWINA S. WESSON
PO Box 389 100-A Southwest Blvd, t4ewton. NC 28658
SecUBUPh/Lot #
A
(828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200
PIN#
911376004744160-A
EXISTING SEPTIC SYSTEM INSPECTION REPORT
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Site/System Diagram
Type of Facility: House X Mobile Home # Bedrooms 9
Business Specify
Other Specify
Proposed Additions / Accessory Structures: 2 gr �NnvSe
Approved ✓ Not Approved Reason
Evidence of system malfunction: YES / NO ✓ System Type/Description
Authorized State Agent: ��e..•+rfi�i.a�
NOT FOR LOAN APPROVAL
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DATE: yltilOB
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