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Home My WebLink AboutRBPR-07-2013-17640.TIFTHIS IS NOT A PERMIT Case # "PR -07-2013-17640 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEWAPPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New AUTH CONST -NEW WELL Contractor SHEPPARDS RUN LLC. 210 N MAIN ST 210. KERNERSVILLE NC 27284 13:3364230005 C.3368175202 Owner RONALD MORRISON, 5533 LONG WALK DR, KERNESVILL NC '7284 11:3364071877 HOME:3364071877 NAME TO APPEAR ON PERMIT Ronald Morrison SITE ADDRESS: 8480 MONBO RD, CATAWBA NC 28609 PIN # 471003438603 NAME of SUBDIVISION: MONBO POINTE Lot # 3 Section/Block PROPERTY SIZE: Square Feet Acres 0.56 DIRECTIONS: Hwy 10E/right on Murrays Mill/left on Sherrills Ford Rd/left on Hopewell Church Rd/right on Monbo/lot on left approx 1.5 mil PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 3 bedroom home w/septic sized for future 4th bedroom in the basement 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? No 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? APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF none EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 55'6"x59'0" # OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes Desired system types (Improvement Permit or AuthOdZatl)n to Construct). ACCEPTED: ALTERNATIVE: OTHER. INNOVATIVE' Other described. PLUMBING REQUIRED? Yes CONVENTIONAL. YES ANY APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO I9-rhapp] c: ii (17/09/2013 14 11 Page I of `en CATAWBA COUNTY Cate 1; RBPR-07-2013-17640 Public Health Department Subdivision MONBO POINTE Environmental I-lealth Division PING 471003438603 PO Bov 389. 100-A Southwest Blvd. Newton. NC 28658 NAME ON PERMIT: RONALD MORRISON, 5533 LONG WALK DR, KERNESVILL NC 27284 Site Address: 8480 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet Acres 056 Directions: Hvry 10E/right on Murrays Mill/left on Sherrills Ford Rd/left on Hopewell Church Rd/right on Monbo/lot on left approx 1.5 mil 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 accessibl sothatf a complete site evaluation can be performed Date: > I "3 Signature of Applicant or A,ent An Environmental Health Specialist will contact you within 2-orking days of application date. If you need further information or assistance please call 838-466-7291 AREA1 MINIMUM SETBACKS FRONT 20 SIDE. 0 REAR: 18 MAX HEIGHT: FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/09/2013 5300.00 Fee Well Permit & Inspection Fee 07/09/3013 $300.00 TOTAL FEES S600.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 19 - chdppinawm IM09/2013 14 11 Page 2 of 4 CAT A THIS IS NOT A PERMIT COUN-1Y CATAWBA COUNTY HEALTH DEPARTMENT a Application for Environmental Services Page I Improvement Permit[-] thorization to Construct XSeptic Repair ❑ Septic Malfunction El 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 8480 Mopibo Point Subdivision MoObo Point Catawba, NC 28609 Lot # 3 Acres .56 Sectio n/Blodc/Phase Parcel # 3710471000K Driving Directions to Property JAvj 1f JO c io F4l f ( —'t M,\\ psl AfP`^y' z t4d-ty d Tyra L44- r�k\-, Qc)• it� Aoa tnoX U NAME TO APPEAR ON PERMIT? X Owner ❑ Applicant X Contractor Applicant Contact Information Name Sheppards Run LLC Address 210 North Main Street, STE 210, Kernersville, NC 27284 Phone 336-423-0005 Owner Contact Information Name Ronald & Gina Morrison Address 5553 Long Walk Dr Kernersville, NC 27284 Phone 336-407-1877 Contractor Contact Information Name Sheppards Run LLC Address 210 North Main Street, STE 210, Kernersville, NC 27284 Phone 336-423-0005 Cell Phone 336-817-5202 I Cell Phone 336-407-1877 I Cell Phone 336-817-5202 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant 9 Contractor Description of Existing Structures on Site Steps to Lake # of Bedrooms *f � Structure Dimensions # of Occupants Basement L, Yes ❑ No Basement Fixtures ! Yes ❑ No 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 `•ves'', applicant must attach supporting documentation. ❑ Yes N No Does the site contain anyjurisdicnonal wetlands? ❑ Yes M No Does the site contain anv existing wastewater systems? ❑)'es joNo Is any wastewater going to be generated on the site other than domestic sewage? Yes No Is the site subject to approval by any other public agency.' ❑ Yes IoNo Are there anv easements or right of ways on this property? Describe Existing water supply in use U 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) ❑ Accepted 0 Alternative B Conventional ❑ Innovative ❑ Other ❑ Any CATA /p THIS IS NOT A PERMIT COUNrm L� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type 15 ❑E Primary Residence ❑New Residence ❑Addition to Residence # of New Bedrooms *' r� Project Description Morrison Home V,i 01�P Cj \ r kL \iV�. SyStt' iYl Sr 7 l� �'� T�� t L4 -(�COy- Structure Dimensions 55'6" x 59'0" # of Occupants 2 �t,c-tLtrQ V�t�YCG M IV) Basement Q Yes ❑ No Basement Fixtures Yes ❑ No 1 7 LSCrrtey\t ❑ 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*-[' 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 # of Employees per Shift ❑ Other Facility Type Specify # of Shifts If Church # of Seats Kitchen ❑ Yes ❑ No Application for Well Construction/Abandonment/Repair Retail Floor Space If Daycare Specify Occupancy Proposed Well Type W Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial f Additional information may be required to determine design flow from certain facilities. This value will he determined during consultation with on-site staff. *Amy room that will be intended for sleeping at the time of consnvction or tier future consideration should be noted as a bedroom and counted on all applications The number of bedrooms will be confirmed by roonms 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 m may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five vears fromthe date issued and is not transferable: Imprmenment Permits and Well Permits are transferrable Pei nuts 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 comers 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 MI!!i iii fl 6r7 ttiJiu� . r7ornr� �dw�/ CATAWBA COUNTY FQ. ( Public Health Department 2 2 Environmental Health Division PO Box 389, 100-A Southwest Blvd, Nanton, NC 28658 t w Owner Site Address: Property Size: Directions: Ronald Morrison 8480 MONBO RD, Catawba. NC Case # INIPV-2-12-25107 Subdivision MONBO POINTE Lot # 3 PIN# 471003438603 SF 0.56 ACRES H WY 10 E TO MURRAYS MILL RD TURN RIGHT. GO APPROX 2 MI AND TURN LEFT ON SHERRILLS FORD RD. THEN APPROX 4 MI TURN LEFT ON I IOPEWELL CHURCH RD THEN TURN RIGHT ON MON130 RD LOT ON LEFT APPROX 1.5 1,41. Improvement Permit Facility: Primary Residence Permit Category: New Septic WATER SUPPLY: Private Well Bedrooms Basement? Yes Basement Plumbing? Yes — -------------------------_ ------- --------------- --------------------- ----------- ------------------------- INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 50% REDUC FION Type: HIE - PPBPS GRAVITY DOSED SYSTEM PUMP *MAY BE* REQUIRED Permit Conditions: All parts of septic system must be minimum: 50' from lake, 100' from any well, 10' from property lines. 5' from foundation on lower end of home to be daylighted. Lines to be installed on contour. Any grading, driving, tilling, or other construction activities ilia}' result in revocation of permit. System was shot in on 12/13/11. Location of system and home verified with Don Wiswall, contractor, and Mr. Morrison,owner, on 12/20/12. Repair area is off site, lot 3A. ---------------------------------------------------------- REPAIR SYSTEM SPECIFICATIONS --------------------------------------------------------- Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA - ANY SYSTEM WITH LPP DISTRIBUTION PUMP REOUIRED ***** OPERATOR REOUIRED Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspensio Nrevocahon of existing permits The issuance of this permit by the Health Department does not guarantee the issuance of other permits It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Lava and Rides for Sovaee Trealmew and Dimosal Snslems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Jason Boyd 02/16/2012 AUTHORIZED STATE AGEN r APPROVAL DATE Permit Expiration Date 02/14/2017 Aro grading or conslruclion activity is allowed in areas designated for s)weni and repair without approval of the Health Department. ISA Permit # CATAWBA COUNTY Public Health Department Name .r. Environmental Health Division Address PO Box 389, 100A Southwest Blvd, Newton NC 28658 PING 184), y, (828) 465-8270 Fax (828) 465-8276 TDD(829)465-8200 Site Plan IMmprovement Permit �� `o 11 loo \ qy � �2sA co E H P R- 11-1 1-13259(offs itc lot) Ronald Morrison 8480 Monbo Rd Catawba NC 471003438603 0 �oT3 9 �s i -20' { Ip F'y/3a S�T�A�k 40, Scale /c, ,r'I 1 3-, Pyr (�) 70 �v�o"r In 61 14 e,- t - w, Mr• Morr�eo-,� Mr. W IS X11 Ova I2 �20 11 rm c) v c-4%, Site Plan Improvement Permit 1 -?3.6b' 0 F P -3f T E )Q = P 01: K L. OT- d o s' L ', < L >�L'r sky<a e 95 1/ L yes i o �< c<n� 7 S L P P Scale S() • a -)' yaBA CATAPVBA COUNTY Permit # Name EHPR- 11-1 1-13259(offsitelot) Ronald Morrison Public Health Department d y ��C Environmental Health Division Address 8480 Monbo Rd Catawba NC U • PC Bos 389, 100A Southwest Blvd, Newton NC 28658 PIN# 471003438603 _ 1842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Improvement Permit 1 -?3.6b' 0 F P -3f T E )Q = P 01: K L. OT- d o s' L ', < L >�L'r sky<a e 95 1/ L yes i o �< c<n� 7 S L P P Scale S() • a -)' Department of Environment, Health, and Natural Resources Sheet Division of Environmental Health Property ID' On-site Wastewater Section Lot #. SOILISITE EVALUATION File #. for ON-SITE WASTEWATER SYSTEM AppID EHPR 11-11-13259 Owner. Ronald Morrison Applicant' Address 8480 Monbo Rd Catawba NC Date Evaluated' 12/12/2011 Proposed Facility. 4 BR Home Design Flow (.1949) 125 and Property Size' 1 Location of Site Property Recorded Water Supply. private well [ J Spring I ] Other Evaluation Method. backhoe pits by Don Whiswall [ ] Cut Type of Wastewater X Sewage [ I Industrial Process [ ) Mixed P R o SOIL MORPHOLOGY b F .1941 PROFILE FACTORS 1 .1940 .I.1942 L Landscape Horizon .1941 I •.1941 Soil .1943 .1956 1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% .-(IN)' Texture Mineralogy Color Depth (IN) Class Honz & LTAR 1 LL3% 0-48" SCL w/sap I I SS SP SEXP FR I I � 48" PS 35 2 LL 3% I 0-24" SCL SS SP SEXP FR 24-48" SCL sap I 48" III PS 35 3 LL 6-8% 10-20" SCL I 20" US 35 20"+ I rock 4 LL 6-8% 10-24" I SCL 24-48" I SC I SS SP SEXP FR I 48" ' 3 5 I same as 4 6 LL 6% 1 same as 4 and 5 I I I Description Initial System Repair System I Other Factors ( 1946). (Available Space (.1945) PS PS I Soil Evaluation By: Jason Boyd System Type(s) IIIE IVA off site Others Present Megan McBride Site LTAR 3 .3 Site Classificafion ( 1948) PS Site Evaluation By Others Present. COMMENTS: Landscape Position Group Texture R -Ridge I S -Sand SS -Shoulder Slope LS -Loamy Sand LS -Linear Slope SS -Slightly Sticky FS -Foot Slope II SL -Sandy Loam NS -Nose Slope L -Loam HS -Head Slope NP-Non-Plashc CC -Concave Slope III SI -Silt CV -Convex Slope SICL-Silty Clay T -Terrace Loam FP -Flood Plain CL -Clay Loam SCL-Sandy Clay Loam IV SC -Sandy Clay SIC -Silty Clay C -Clay Consistence Consistence Moist Wet VFR-Very Fnable NS -Non -Sticky FR -Friable SS -Slightly Sticky FI -Firm S -Sticky VFI-Very Firm VS -Very Sticky EFI-Extremely Firm NP-Non-Plashc 0.6-0.3 SP -Slightly Plastic P -Plastic VP -Very Plastic U r\, a. b1<. �. ✓Sq_ t vvk- \v a S� tbce k Sheet: FILE #: .1955 LTAR Structure 1 2 - 0 8 SG -Single Grain M -Massive CR -Crumb 0.8 - 0 6 GR -Granular SBK-Subangular Blocky ABK-Angular Blocky 0.6-0.3 PL -Platy PR -Prismatic 0.4 - 0.1 Mineralogy SEXP-Slightly Expansive EXP -Expansive Sketch of Soil Evaluation Locations iv. i1 a NOTES PROPERLY LPY BE SJBJECT TO RECORDED OR UNRECORDED RIGHTS OF WAYS OR EASE4ENTS NOT OBSERVED ERNER TO GERI ALL SEID RS AND ZONING CCUUTIDNS PRIOR TO ANY PLANNING OR DORGAN ALL REAS S... 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N5 RLNA MADE BY PHIILIP A HARRIS, PIS -4164 AND kEFLF.CiS GROUND MEEKS FOUND AT THE TIME OF SAID SURVCY R • A PORTION OF THIS PROPERTY DOCS LIE WITHIN A SPECIAL FLOOD HAZARD ARFA AS OEIFRMBED BY THE ELDERAL EMERGENCY MANAGEMETH ACEIICY, \� 0\ MOVIEVER THE STRUCTURE DOES BUT HE WITH H / C\i'D THE FORT" OF THE PROPERTY THAT IS SHAWU Ip BE II! q SPECIAL FLOOD HAZARD AREA EX p5 REB AR FIRM INFORMATION, TRAP=184 ZB' \ COMrr PANEL N: 371047I000N �\ CrrFC.T DATE 3/19/2008 / 2 ONr X H AL OFF _ 161 n LOT #2 LOT • ELIVATIDNS DASID ON TOC Or VIAme EIIVA11pN OF /5536' ON 10/27/11 0 4Jn PM SUNTRUST BANK / 0.56 AC. +— 3019-1691 WOOD srtPs PB: 59-04 / I 9R EX d< REI AS MA�B� \' /A'E �o 0� / r U Lme Table Line p DIYeClionLength \ 'n Lt SBO' 21' 22"E 13.95 / \ IJ1 12 S71' 37' 56"E 47.56 P L3 S03' 34' 27"E 16.17 L4 5Ei2' 42' 2]"E 119.80 ( 'WT L5 S&5' 27' 51 "E 24 24 Copyright 2013 CES Engineers Gloup LLP �1 ST uII PROPOSED ITo W P11C I� i �0 v EX N5 DEBAR EY p5 LOF #4 FRANCIS J. CIPRIANO 2697-1259 PB 59-04 CP \ / Curve Tublo VEX X5 RE64R I Cufve# jdnAlus Chora F3 eu ring Chord C1 23.35 5000 N57' 30' 16"W 2314 CP 'I CERTIA THIS FLAT WAS DRAWN IRmn AN ACTUAL =URVEY Alm IS .CRREGT AlIC IFIE iD THE WEST of DWLEDC/E�'� 4164 PROFESSIHINAL LAND IIIRVII.R LICENSE NO LAKE NORMAN 1 CP' P \ PHOP EP13 FDL Laws DUNE POO WER PROJECT BOUNDARY LEGEND WDNIIOARY HIIE OVERHEAD UTnm£S AS 1ENCE TTI 1 R0 CP - COMPUTED POINT COUNTERED) RAW - RIGHT-OF-WAY VICINITY MAP SITE Nm To MALE Catawba County, North Carolina This map product was prepared brain tic Cutts ba Courcy, NC, Gco, patud Information System N Catawba County has made substantial efforts to ensure the accurac}of location and labeling mfonnation contained on this map Cataoba County promotes and recommends the independent verification urany data contained on this map product by the mer The County of Catm0a, its employees, agents and personnel disc lain, and shall not be held huble for any and all dumaget, loss or Iinto Ir%, whether direct, induect or consequential sloth ruses or map arise Got this map product or tha use thereorby any person or entity Selected Parcel Number: 4710-03-43-8603 1 inch = 40 feel .56 :92 8474 7-601 THIS IS NOT A LEGAL DOCUINIE 1 l ,It"i CO Prepared for: N 848 03'�� N �V ki F] .;_L•"r �� Date:/7//9/2001133 334,. .�� Time; 1:41:23 PNI im AI Catawba County, North Carolina This map p,odmt o'as prepared from the Catmeba County, NC, 6euspanal Information System N Catao'ba Counts has made subs eantmI eIh ills to eruure the accuracy of location and Is beng information Lomamed on Ihu map C'am"ba Cu Lint) promotes and iecoinmends the independent s'enfcauon of am, data contained no this map produce h} the use, The Colmpof Cdao'ba, its employees, agents and personnel disc lar and shall not be held liable for am and all damages, loss or habdu}, o litthe, direct, Indirect or consequential Much arises or may arise Fora this map product or the use thereof by am' person or entire Selected Parcel Number: 4710-03-43-5158 I inch = 40 feet Prepared for: THIS IS NOT A LEGAL DOCUMENT IL A— I \ / I CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4710-03-43-8603 Namg MORRISON RONALD J Name2: MORRISON GINA C Address: 5533 LONG WALK DR Address2 City: KERNERSVILLE State. NC Zip: 27284-8389 Account: Calc Acreage. 056 Tax Map: LRK: 301607 Deed Book 2996 Deed Page: 0866 Subdivision Name: MONBO POINTE Subdivision Block Lots 3 Plat Book 59 Plat Page 4 Building Number: 8480 Street Name MONBO RD Site Zip: 28609 Township CATAWBA Fire Dist SHERRILLS FORD Cdy(fax State Road: 1885 Total Bldgs Value $36,300 Land Value. $241,900 Total Value: $278,200 Year Built' Year Remodeled: Last Sale Date: 10/8/2009 Last Sale Amount $192,500 Neighborhood 130 Watershed: WS -IV Critical Area Watershed Split: NO Voter Precinct: P21 E911 District: COUNTY Zoning, R-30 Zoning2 Zoning3 Zoning Split N Zoning Overlay CRC-O,WP-O,FPM-O Zoning District COUNTY Split Zoning Dist N Split ZoningDist(1) 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: 1012 Small Area Plan' SHERRILLS FORD Agricultural District: Printed Tuesday, July 09, 2013 01'41 PM