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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 l�a�lccri ����►�`e-�� 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- 0 0 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 A _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 0 h �/ 1 O 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. f r r ^ ''� M1 •� t t � �-� "' -rrj �?1 shove/, .' `� tin '^O � � `}� � � � M r I"a \ ti .. � � -} }i2��,. � ti's � � , -� �/1 Cyt. �---.,S���ty1 ...__..v � - - '_ _)r''"'-,^--..Y.,� .-- _— qtr }--�-�.._._.._�.--...__...5j . �`� �� �r • C_ h c �� f �, 2 t � 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 AIF1MW11ON N BooK PME �pl,K. srE 13MR M RAND P r no mvN m= � �vL�ls spnlplgpg' 0753OW111 //N e� aouOr WOW aa'reook A Ay:'• wcw Ty'M w wr t:[HIS MAP IS NOT A CERTIFIED SURVEY AND HAS Y ; R�VIJFWED BY A LOCAL GOVERNM CNT ACtENCY FOR ` NOTES: LALY COMPLIANCE WITH ANY AP LICABLE D 1 { ; , I THE PURPOW Of DEVELOPMF _REGULATIONS. " THISI!� ADD AAA A s m. w H I '� OAK '� � 41.20.15'4 - V=' AA3/ELT PARCEL NO; 1 . 3760-737976. '�� i 2. IM ANIYEY MCLS � t i PERF RIED M1A10Kl7BE BENIMT OF I i 71RE -';ARGIL 71 S I I'! f 1RKwm ' m X0 EA EWES OR ' . EASE1B7asrmNor I I 466 976 Po JotSHD*W ! i w I' 1 PROPERTY- o . ADDRESS $ m ! CLAREAa TRACT A- I!: 2661a I' PB 87 PG BS a, J • lu 06 IAps 34 1 'I• ���,7i/E �!i 0.04 ACRES TO DEVDY E0USTQ3V - f- 1 59.91 --C � S 41 1•2•WLOVE RD. , 6Q1 180D i 1 SO- JVW PROP G78 RECORDS 1 Q,AV I IY411,4 I wrgl0 � . p1L CIIOPd � GIOr'6 rw'. I i l cl 416.49 70.08• 0-501" E 46.26'00' v IAAn, Y FM J W & "EDWINA S. WESSON LOriLlm 3791 LOW RaI .,..bon wur616jDom 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 ; % o" 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 *_T� ►,o -'S t"ov&—A -6 ce4e_r o� 1cA, se+ " m L,3- _ be w -a i i,4-ct i n eJ 1. we_(I ox 114 �e @ 65s loo` -mow+ 5e4c aceA — 25 %ow, 54',,c ,., res _ 51 w, Propel- -�y lines ;K 5e pin -c. m,, 54- be.C_Z lens- -: -S' S+r,Jure- s --too, we -it c,'ea � ID, 'OrRr-�y (Ines 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 r:\Tidcl....iA m,,At1V6SA pp, r' i f— CA DATE: yltilOB Form E