HomeMy WebLinkAboutRBPR-07-2013-17605.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17605
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMEN'T'AL SERVICES
Residential Building Plan Review - Swimming Pool
IMPROVEMENT
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Applicant - EnvironmentaN iial%fTIC POOLS, 21450 COUNTRY CLUB DR, CORNELIUS NC 28031
B:7047268219 SWIMARTIS'I'ICPO0LSrrYAH00 CONI
OH'ner RAY SHORT, 7271 LONG ISLAND RD, CATAWBANC 28609
H:704-726-8219 HOME.704-726-8219
NAME TO APPEAR ON PERMIT
Ray Short
SITE ADDRESS: 7271 LONG ISLAND RD, CAFAWBA NC 28609 PIN # 470003245556
NAME of SUBDIVISION: Lot 4 Section/Block
PROPEKIN SIZE: Square Peet 1,755,468.00 Acres 403
DIRECTIONS: Sherrills Ford Rd to Long Island Rd, 2nd drive ( Red Metal Gate) before Brown Chapel Rd
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 600 WATER SUPPLY : Private Well
DESCRIBE WORK: 20x36 inground pool
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is "YES", then supporting documentation is required'
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: ACCESSORY STRUCTURE
FACILITY TYPE: Accessory Structure OTHER DESCRIPTION:
DESCRIPTION OF Single Family Dwelling
EXISTING STRUCTURES
ON SITE (IF ANY
DIM EXISTING STRUCTURE: 60x120
NUMBER OF EXISTING BEDROOMS: 5 # OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 20x36
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED. ALTERNATIVE CONVENTIONAL.
OTHER INNOVATIVE: ANY: YES
Other described'
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable, Improvement Permits and Well
Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules I understand that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed.
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
AREA1
1'> - chupplLrp um 07/012013 12 00 Page 1 of 4
CATAWBA COUNTY Case a RBPR-07-2013-17605
C' Public Health Department Suhdicnsion
Environmental l-Icalth Divcion PINK 470003245556
PO Box 389. 100-A Southwest Blvd, Ncmon. NC 28658
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NAME ON PERMIT: RAY SHORT, 7271 LONG ISLAND RD, CATAWBA NC 28609
Site Address: 7271 LONG ISLAND RD, CATAWBA NC 28609
Property Size: Syuare Feet 1,755,468.00 A11.Ls 40.3
Directions: Sherrills Ford Rd to Long Island Rd, 2nd drive ( Red Metal Gate) before Brown Chapel Rd
MINIMUM SETBACKS FRONT: SIDE REAR: MAX HEIGHT:
FEENAME DATE FEE AMOUNT
Improvement Permit (Existing) Fee 07/01/2013 $90.00
TOTAL FEES 590.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
19 - c hepPh'soon 07/01/2013 12 00 Page 2 of 4
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Catawba County, North Carolina
This map product was prepared from the Caton ba County, NC, Geospatial Information Svslem
N Catawba Count}' has made substantial efforts to ensure the accuracv of location and labeling information
contained on this map Catawba Comte promotes and recommends the independent verification of any
data contained on this map product by the user The County of Caton ba, its employees, agents and
personnel disclaim, and shall not be held liable for ane and all damages, loss or liability, whether direct, indirect
or consequential which arises or may arse from this map product or the use thereof by any person or entity
Selected Parcel Number: 4700-03-24-5556
1 inch = 60 feet
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THIS IS NOT A LEGAL DOCUMENT''„ Date:6/28/\2013 '1 �r'fTime:2:36:18 PM{`
CATAWBA COUNTY NC - Parcel Report
Information Regarding
Selected Parcel(s)
Parcel ID:
4700-03-24-5556
Name:
SHORT VIRGLE RAY JR
Name2:
WALKER TRACEY 0
Address:
PO BOX 3792
Address2
City:
MOORESVILLE
State:
NC
Zip:
28117-0392
Account:
Calc Acreage:
40.3
Tax Map:
LRK:
300916
Deed Book
3065
Deed Page'
1693
Subdivision Name'
Subdivision Block:
Lots.
Plat Book:
Plat Page'
Building Number.
7271
Street Name:
LONG ISLAND RD
Site Zip:
28609
Township'
CATAWBA
Fire Dist:
SHERRILLS FORD/BANDYS
Cityll-ax:
State Road.
1833
Total Bldgs Value.
$2,141,000
Land Value:
$219,500
Total Value.
$2,360,500
Year Built:
2007
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood:
128
Watershed:
WS -IV Protected Area
Watershed Split:
NO
Voter Precinct:
P21
E911 District:
COUNTY
Zoning:
R-40
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay: WP -0
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(l)
' 0
Split Zoning Dist(2).
0
School District:
COUNTY
Elementary School.
CATAWBA
Middle School:
MILL CREEK
High School:
BANDYS
School Split:
NO
P&Z Case Number:
Census Tract 2010: 011503
Census Block 2010:1021
Small Area Plan.
SHERRILLS FORD
Agricultural District:
Printed. Friday, June
28, 2013 02:36 PM
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CATAWBA COUNTY Case k OP -7-10-9297
Public Health Dcpnrtmen-
Environmental Health Division Subdivision
>:c PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lor 0
PIN# 470003245556
Applicant/Owner MTD ATLANTIC CUSTOM BUILDERS KI -5)00q. 00)tP7
Site Address: 7271 LONG ISLAND RD, CATAWBA. NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type IIIB - SYSTEM w/SINGLE EFFLUENT PUMP
(In accordance with Table Va)
Description: 25% REDUCTION
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics:
Subsurface system operator required? Yes_ No_ —
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Gunter Grading #1082
SYSTEM INSTALLER
Megen McBride - #2246
AUTIIORIZED STATE AGENT
07/16/2010
INSTALLATION DATE
07/26/2010
DATE OF OPERATION PERMIT ISSUANCE
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Form F
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SNA CATAWBA COUNTY
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Public Health Dcpartmeat
CS, Fstwronmenlal Health Division
$,0 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
Applicant/Owner
Site Address:
Property Size:
Directions:
System Type:
Description.
MID -ATLANTIC CUSTOM BUILDERS INC
7271 LONG ISLAND RD, CATAWBA, NC
SF ACRES
Case # OP -7-10-9296
Subdivision
Lot #
PIN# 470003245556
1NLS)t)o4 ADKB7
Catawba County Health Department Operation Permit
ING - OTHER NON -CONY TRENCH SYSTEMS
(In accordance with Table Va)
25% REDUCTION
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
PERMIT CONDITIONS'
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics.
Subsurface system operator required? Yes_ No_X_
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Gunter Grading #1082
SYSTEM INSTALLER
Megen McBride - 42246
AUTHORIZED STATE AGENT
07/26/10 16.10
06/04/2010
INSTALLATION DATE
07/26/2010
DATE OF OPERATION PERIMIT ISSUANCE
Form F
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