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Home My WebLink AboutRBPR-07-2013-17620.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17620 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT Applicant- Enrironment,,iMeh7tIPRUET"f, 301 10TH ST NW F-105, NC 28613- C:(828)244-0968 OTHER:(282)464-8870 Owner MICHAEL RIZZO, 2560 ARCHER DR, NEWTON NC 28658 H:828-228-0069 HOME: 828-228-0069 NAME TO APPEAR ON PERMIT Michael Rizzo SITE ADDRESS: 2560 ARCHER DR, NEWTON NC 28658 NAME of SUBDIVISION: PROPERTY SIZE: Square Peet Acres 9.67 PIN # 365809260863 Lot Section/Block DIRECTIONS: NC 16 S to Earnhardt Chevrolet, continue straight for .7 mile to St James Church Rd, left 2.4 miles to Bowhunter Dr, left on Bowhunter Dr, lot is 0 6 mi on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Existing MH on property to replace with NEW single family dwelling, 80x39 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: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60x30 NUMBER OF EXISTING BEDROOMS: PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x39 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED ALTERNATIVE' OTHER INNOVATIVE. Other described PLUMBING REQUIRED? Yes CONVENTIONAL: ANY YES r9 - ehappl::ai:on 07/03/2013 12 34 Page I of 4 a n CATANVBA COUNTI' Case # R13PR-07-2013-17620 Public Health Department Subdivision Environmental I leulth Division PIN# 365809260863 PO Bos 389. 100-A Southwest 131%'d, Nc�Nton. NC 28658 NAME ON PERMIT: MICHAEL RIZZO, 2560 ARCHER DR. NEWTON NC 28658 Site Address: 2560 ARCHER DR, NEIArTON NC 28658 Property Size: Square Feet Acres 967 Directions: NC 16 S to Earnhardt Chevrolet, continue straight for .7 mile to St James Church Rd, left 2.4 miles to Bowhunter Dr, left on Bowhunter Dr, lot is 0.6 mi on the right 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 law ules I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site ace ssib o that a comFapplication valuation c erformed Date. 7-3-13 Signature of Applicant or Agent N�,�i,✓u,� An Environmental Health Specialist will contact you wtthi _ wall —days o date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUMSETBACKS ERONI': 30 SIDE: 15 FEENAME Improvement Permit Fee TOTAL FEES REAR 30 MAX HEIGHT: DATE FEE AMOUNT 07/03/2013 $150.00 5150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Eo - chipphmab,m 117/03/2013 12 34 Page 2 of 4 CATA TB e THIS IS NOT A PERMIT COUNT)'L ,►' �' � 1 CATAWBA COUNTY HEALTH DEPARTMENT ted, Application for Environmental Services qDp I-] (0 Page 1 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) 2'_ AAnplication is for New Construction Er Existing Facility F1Property Address Z5A fZCoo_ 'b%\I v6 Subdivision N cw-',�j N C 21GT!Lot # Acres % O Section/Block/Phase Driving Directions to Property Ne- AS JC) CARNNAR1)7 N(VROe C -r, CcrTlivefe S7,ehla07 F. le- 0,-7rn1 /o S'T, JAm(S pool), LErT 'IM t6J}J0N7INC- DR LCF9 c.rJ f3cipg4rnre- bik 1,7 /S Or( htl ()N R -r NAME TO APPEAR ON PERMIT? [v] Owner ❑ Applicant ❑ Contractor Applicant Contact Iuformation Name` ytlki ?PW 617 — NtAPJCV-� (q-m67u1LCXS Address 301 l0,r(l -Sr /,J(W swTe F -/6S / CcN� NC- 796/ Phone 92e- `(6�(, 99%70 I Cell Phone 929- 2YV-0%( 5 Owner Contact Information Name rytt KE 91220 Address 25(oU AizGN(�/E 'Z),K- Phone dFe--?Z6-()O(oq Contractor Contact Information Name SCC- APP LI0k1,J Address Phone NC 2865' Cell Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site tY� H h0.S bz2r1 y -e nvc (31 # of Bedrooms *t '� Structure Dimensions # of Occupants _Z' Basement❑ Yes �No Basement Fixtures ❑ Yes Q l o The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes', applicant must attach supporting documentation. ❑ Yes Cd No Does the site contain any jurisdictional wetlands? Ld Yes ❑ No Does the site contain any existing wastewater systems? ❑ Yes 9_1J0 Is any wastewater going to be generated on the site other than domestic sewage? % Yes El<o Is the site subject to approval by any other public agency? Cayes ❑ No Are there an) easements or right of ways on this property? Describe Ni a It-( e F Wt.,,( Existing water supply in use Z Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted ❑ Alternative ❑ Conventional 0 Innovative ❑ Other 0 Any CATA g BA THIS IS NOT A PERMIT IT �D � U CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Prosed Facility Type Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *'3 Project Description N' w ST(C i< Li I LT Jq-h,6 Structure Dimensions 60-A .3 9 # of Occupants 2 Basement ❑ Yes 9"N -o Basement Fixtures ❑ Yes 0'!`_�o ❑ Accessory Structure(s) Describe # of New Bedrooms * I if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*'l Total # Bedrooms *f 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 Application for Well Construction/Abandonment/Repair Proposed `,',yell Type F-1IndividualWell F-1Semi-PublicWell ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial 1 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. f 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. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 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 piovided herein is it 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. Signature of Owner or Agent Printed Name of Owner or Agent YF7 tJ 'N'A CTI Date 7-3—/3 Catawba County, North Carolina This map product nas prepared tram the Catawba County, NC, Geosparal Inforntat on System N Cataeba County has made substantml efforts to ensure the accuracy of location and lathe hng in fomran on contained on this map Catawba County promotes and recommends the independent aertficanon of any data contained on this map product by the user The County of Camp ba, tts emplo7ees, agents and personnel disclaun, and shall not be held Kahle for anp and all damages, loss or ImbiIov, Micther direct, indirect or consequential which arises or may anx fn nn this map produce or the use thereof by ane person or entity Selected Parcel Number: 3658-09-26-0863 1 inch= 60 feet Prepared for: Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial InfonnuUon SySte in N Catawba Count, has made substantial efforts to ensure the acauacy of location and labeling mfotmation contained on this map Catawba ComaN promotes and recommends the independent verification of am data contained on this map product by the user I he County of Catawba, its emplo,ces, agents and personnel disclaim, and shall not be held liable Ibr any and all damages, loss or habilim whether direct, indirect or consequential which arises or may arise trom this map product or the use thereof by any person or entity Selected Parcel Number: 3658-09-26-0863 1 inch = 150 feet Prepared for: s uny o +s au ' 2300 ss `,� r f _ 9 61A- , 2560.,-," �c .•--�` N`'�'j� try/ d c d 24 e 7369 THIS IS NOTA LEGAL DOCUMENT Date: 7/3/2(113 Time: \12:03:22 AlP ]" CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID '3658-09-26-0863 Name: RIZZO MICHAEL JOSEPH Name2. Address. 2560 ARCHER DR Address2 City NEWTON State: NC Zip' 28658-7426 Account: Calc Acreage: 9.67 Tax Map' LRK: 800393 Deed Book 2946 Deed Page' 1839 Subdivision Name Subdivision Block. Lots: Plat Book Plat Page: Building Number: 2560 Street Name ARCHER DR Site Zip: 28658 Township' NEWTON Fire Dist. BANDYS City/Tax. State Road: Total Bldgs Value. $36,900 Land Value: $50,800 Total Value: $87,700 Year Built' 2001 Year Remodeled Last Sale Date: 12/19/2008 Last Sale Amount $82,000 Neighborhood. 113 Watershed' Watershed Split: Voter Precinct: P20 E911 District COUNTY Zoning. R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-0 Zoning District: COUNTY Split Zoning Dist. N Split Zoning Dist(1) 0 Split Zoning Dist(2) 0 School District. COUNTY Elementary School: TUTTLE Middle School: MAIDEN High School. MAIDEN School Split. NO P&Z Case Number: Census Tract 2010. 011601 Census Block 2010: 1048 Small Area Plan: BALLS CREEK Agricultural District: Proximity Printed' Wednesday, July 03, 2013 12:02 PM /; 30 loc-� cz� ` **VOp. Permit and/or Cert. Op. Required_ (Must be completed prior to final) BYO 8 7 4 3 CATAWBA COUNTY HEALTH DEPARTMENT (704) 465-8270 Lot Eval, imlp`rotve. Permit Repair Permit—Cert. of. Comp. Permi?K. Oper. Permic^ � Owner/Agent 8"'r hC Phone t/ Z4j' ^(f" i C. Address ,''R Rl }� Wv„Y-S,G{�cy j (r_ Subdivision /k/ A -i R2M Section/Block�/Phase Lot# -s,^ Lot Size / q.,r_ Directions:_ 3Z4 S (/1,J2 A-�77i"�r,../ 'Yi r"W!✓ �-iE' +�CiMiO .K�-T /Jr✓/' �-y STJ'Yv(^I Facility: House_ Mobile Home Business Other: Tax Map # YJ AV Multi -family Other Zoning Approval # ;2-! 9 So '77,3 <y Bedrooms � Seats Employees Application Rater !y GPD Flow Hot Tub or Spa ye'$pecial Fixtures 100% Repair Area yes/no REPAIR NOTICE: Basement yes/ asement Plumbing yes/no REPAIRS MUST BE WITHIN 30 DAYS OR Water Suppl Private Public DAYS FROM DATE OF PERMIT. rwrwwarraa+wrr+war raaaw+w+wwrrwaa waawrwrar+awwrwaaa rwa+rwrraaarw rwwwr+ar raw+awwwwwa+wrarwrawwrr Type of System: Trench Bed_Pump_Pump/Panel_Panel—LPP Other Tank Size: Septic Tank(i(Li' ,f 1 Pump Tank Nitrification Field: Total Square Feet Depthhyof � +.. Bed Size //�� Trench Widths Total Length of Al "T enchee ,..S�tone �'-4 C -.i _ 2 of Trenches �* Individual Trench Length (p, �[�j(�fL.( _J_ Feet 9 Lot /NNumber on Center -/ Maximum Trench Depth _r Distance of Nearest Well C Evaluation: App no (Void After 24 months) +w:rawararwwwarwrwawwwwwarsawawerrarrwrrw++rawrrrrr rwaawaar+ raaaaawaawaaaarraw+warraw«rwrr«aar Topo $ Slope Sketch of lot Eva7.uation Site - R.et[am Design - Final Texture 5 i:jjj�i.� > DO NOT INSTALL Structure %�14+"�l j I ( WHEN WET Clay Min. Soil Wetness Soil Depth „7frr<^'w 1 ,n Rest ric. Hoz. at^--�� {iuj Available spac yes o� Overall Clam I'� Jjo i /� __.�. r Comments: Septic Tank Contractors MUST contact theIS Sanitarian BEFORE f Q changing permit. �. **NO GUARANTEE OR WARRANTY IS IMPLlEL OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** rwrwrarwwaawwwawwwawraw*aawrrwwaaawarw+aaaarwwrrwraaaaawrrrar ww+rwwarrwrawrrrr a rrwwarwrwwr ar Permit Date (Improvement Perm 1 v d ter��) Owner/Agent _ qtO., /J Sanitarian sn//s Installed By, .�.,,..� Date /,3 -s $' S'a'AtKae.an i ^' (Note any changes/information in'rtd or by sketch on bab ) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN****was ADDITIONAL $25 CHARGE. J CATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465-8270 TDD: (704) 465-8200 IV N �`+n 1 Improve. Permiitt KAuuthori/zation to Construct Repair Permit_Oper. Permit System Type Owner/Agent Tie. POwA nl Phone L zD "z- Address .'1ZSt '�)nS Subdivision 1 �) _ _ SectionZBlcck/Phase Lot# $-l1' Lot Size/Ur Directiol],S: .5% G ! Ctl7 &T-A j/funI! /'bio /1r_' Facility: House_ Mobile Home Business_ Other: Tax Map # �(. Multi-family_ Other . Zoning Approval # 77 9'1,61'7%9 # Bedrooms 7_ # Seats # Employees Application Rate GPD Flow JJ�6 Hot Tub or Spa yes/.9 Special Fixtures 100% Repair Area yes/no Basement yes/ Basement Plumbing yes/no Water Supply: Private Well C Public raaarrarar♦aaararrrawaaarrrrwawwuraraaaaraaarrar♦aaararaaaaraaaaaw rrrararrrrrawrrrraa♦arrarrrr Type of System: Trench x Bed PumpPump/Panel Panel LPP Other Tank Size: Septic Tank Size l!%C)!i qig Pump Tank Size Nitrification Field: Total Square Feet '�'/Z) Depth of Stone C Bed Size Trench Width 13�1 Total Length of All Trenches Number of Trenches 3 / Individual Trench Length/QU/j�/ /C'_/ Feet on Center_ Maximum Trench Depth 271 Distance of Nearest Well 1d6 *DO NOT INSTALL WHEN WET* arras sarrrraaaararrarraaraaraaaaaaraaaarrrrrraaaar rararaaaaaaawaararrarraaaaarrrrawrraawrrarrrr Topo - % Slope Texture P Structure /?4e'lr Clay Min. Soil Wetness��" Soil Depth 7�f1Y Restric. Hoz. at Available space /nol Overall Class U Comments: 1 �qr2 \ i i Q i i i **NO GUARANTEE OR WARRANTY IS IMPL ED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ♦♦aaaaaaaaaariaaaaaaaaaraarraarrwaaiaaaraaaaaaaaaaaaa aaarrarraaaa waaaaraaaaaaaaarraaaaaaaaaraaa *Improvement Permit has no expiration date and is transferable, but may be revoked if site plane or intended use changes for the proposed facility. An AuthorizationZjruct is valid for (5) five years fro date issued and is not transferable. Permit Date 1 ' Owner/Agent n�n� �In M�`ll��`�_ Sanitarian Installed B Date%r-(r/ S niter' White - Office Blue - Building inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct