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HomeMy WebLinkAboutRBPR-07-2013-17671.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17671 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure IMPROVEMENT Applicant - EnvironmentaUHEKBRY CAUDILL, 1638 RUFTY ST, CATAWBA NC 28609 H:7043026603 HOME:7043026603 Owner LATISA EASON, 1638 RUFTY ST, CATAWBA NC 28609 H:828-302-6603 HOME: 828-302-6603 NAME TO APPEAR ON PERMIT ", I i I I J_e� Latisa Eason SITE ADDRESS: 1638 RUFTY ST, CATAWBA NC 28609 PIN # 471003409638 NAME of SUBDIVISION: CALDWELLACRES Lot # 35 Section/Block PROPERTY SIZE: Square Feet Acres 0.74 DIRECTIONS: NC 10 to Murrarys Mill Rd, left on Sherrills Ford Rd, left on Mollys Backbone, right on Rowe St, 1 st left on Clipper Ct, 1 st right onSaunders Dr, 1 st left on Rufty St, brick ranch on left PRIMARY CONTACT: Applicant SEWER TYPE: S I GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 20x25 detached garage 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? APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF Single family dwelling, pool, storage building EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 50x60 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x25 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 F9 - ell applIcat it'll 07/15/2013 17:12 Page 1 of 4 saa CATAWBA COUNTY Case # RBPR-07-2013-17671 4 � Public Health Department Subdivision CALDWELLACRES Q .®. Environmental Health Division PIN# 471003409638 1$42, sM PO Boz 389, 100-A Southwest Blvd, Newton, NC 28658 NAME ON PERMIT: LATISA EASON, 1638 RUFTY ST, CATAWBA NC 28609 Site Address: 1638 RUFTY ST, CATAWBA NC 28609 Property Size: Square Feet Acres 0.74 Directions: NC 10 to Murrarys Mill Rd, left on Sherrills Ford Rd, left on Mollys Backbone, right on Rowe St, 1st left on Clipper Ct, 1st right onSaunders Dr, 1 st left on Rufty St, brick ranch on left MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/15/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - ehapplication 07/15/2013 17:12 Page 2 of THIS IS NOT A PERMIT Case # RBPR-07-2013-17671 CATAWBA COUNTY HEALTH DEPARTMENT M.. PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure IMPROVEMENT Applicant - EnvironmentaUF[eIiRRY CAUDILL, 1638 RUFTY ST, CATAWBA NC 28609 H:7043026603 HOME:7043026603 Owner LATISA EASON, 1638 RUFTY ST, CATAWBA NC 28609 H:828-302-6603 HOME:828-302-6603 NAME TO APPEAR ON PERMIT Latisa Eason SITE ADDRESS: 1638 RUFTY ST, CATAWBA NC 28609 NAME of SUBDIVISION: CALDWELL ACRES Lot # PROPERTY SIZE: Square Feet Acres 0.74 0 PIN # 471003409638 35 Section/Block DIRECTIONS: NC 10 to Murrarys Mill Rd, left on Sherrills Ford Rd, left on Mollys Backbone, right on Rowe St, 1 st left on Clipper Ct, 1 st right onSaunders Dr, 1 st left on Rufty St, brick ranch on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: N/A DESCRIBE WORK: 20x25 detached garage 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? APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF Single family dwelling, pool, storage building EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 50x60 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x25 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: Crl - �hapl,liealiorl 07/15/2013 15:18 Page 1 of 4 �agA CATAWBA COUNTY Case # RBPR-07-2013-17671 Public Health Department Subdivision CALDWELLACRES d 0 Environmental Health Division PIN# 471003409638 PO Box 389, 100-A Southwest Blvd, Newton; NC 28658 1842 sm NAME ON PERMIT: LATISA EASON, 1638 RUFTY ST, CATAWBA NC 28609 Site Address: 1638 RUFTY ST, CATAWBA NC 28609 Property Size: Square Feet Acres 0.74 Directions: NC 10 to Murrarys Mill Rd, left on Sherrills Ford Rd, left on Mollys Backbone, right on Rowe St, 1 st left on Clipper Ct, 1 st right onSaunders Dr, 1 st left on Rufty St, brick ranch on left 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 -iecessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and abelin f 1 property lines and corners and making the site acce ible so that a c plete site evaluation can be perform Date: Signature of Applicant or Agent yi .`',n E vironmental Health Specialist will contact you within 2 rking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/15/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F.Q - chappliralion 07/15/2013 15:18 Page 2 of �� THIS IS NOT A PERMIT e-6 ff -[I 1•i�t `'l l� .�`7► CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement PermitAuthorization to Construct ❑ Septic Repair F1Septic Malfunction F1Septic Expansi n New Well Permit ❑ Replacement Woll ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ t , Application is for New Construction ❑ Existing Facility X, Property Address 16135 t1 u �' ,, S-tv,2,t ' Subdivision � �n 4 e i�e 5 C! C1146 NCCA Lot# 3 Acres Section/131gek/Phase 14 -- K. Driving Directions to Property (1)1"-4 LL) �'., Le-4�J P •f;.f 671 d d . 4 o -y\ Al mlvo t �Cn r,� � � enoma. -'L - t -IN P u�4 � .! - Gel CIS "(,k ©N I.e 4, NAME TO APPEAR ON PERMIT? caner ❑ Applicant (1 Contractor Applicant Contact Information Name ..�:e �4�Jh/ Ov, ill:(!.t Address iiAk KGt-� Phone i � � Cell Phone 07r14 Owner Contact Information Name L iq-n -vA Address d�kKKJQ— Phone Cell Phone % py -46 -7-7 � �1 -)e G � Contractor Contact Information Name Address ' Phone ( Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Struclures on Slte_H " r'�t�rt; nyP (.c,)A i � t # of Bedrooms *t Structure Dimensions 5P X w,-3 .eof Occupants Basement ❑ Yes [5j�No Basement Fixtures ❑ Yes 3,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 "yes'. applicant must attach supporting documentation. ❑ Yes Z No Docs the site contain any jurisdictional wetlands? ,AZ Yes O No Does the site contain any existing wastewater systems? ❑ Yes p'No Is any wastewater going to be generated on the site other than doinestic sewage'? ,,Yes 2'No is the site subject to approval by any other public agency? ❑ Yes I�No Are there any �emcnts or right of ways on this property? Describe Existing water supply in use t�' lndlvidutal Well Community Well u Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes [;Flo If ap 1 ' for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): ,t✓° st ns can a ranked in order of your preference) N� Ac 13Alternative 13Conventional ElInnovative I]Other �,AnyI-Q C,+ (-J,� VU q ac� 4�) f J S2� nA .� 7/l Zis£L953t70L d�40J SDINOlAJD3�i 9N -mi 19 knv Z9 Ol £lOZ-G! -Inr CATA �A THIS IS NOT A PERMIT ct�t .r yV ,[� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms Mt Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No Page 2 Accessory Structure(s) Describe (e,A A[, 0)•C.. 1 \ # of New Bedrooms *t if applicable J Structure Dimensions # of OccupantsAccessory Dwelling ❑ Yes o Plumbing [I Yes �No Describe Plumbing Needed U Multi -Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms wt Structure Dimensions H Food Service Specify Type # Scats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining; Area (Sq. Ft.) U Business Specific Type of Business Retail Floor Space _ # of Employees per Shift # of Shifts U 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 t 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 tiiture 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. t 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 applicatlon, site plans or Intended use changes fbr the proposed facility. I have read this application and certify that the intbrmation 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. 1 understand that I am solely responsible for the proper Identification and labeling of all property lines and corners and malting the site accessible so that a complete site evaluati6n�an be performed. S ignature of Owner or Agen ,%��J[i� Date / —0 Printed Name of Owner or�- edit 0 �A v b/Z Z8£L958bOL d6O:) SDINOdi:)]0] 3FJnz)f Wd Z5 Ol £tOZ-SI-inr Geospatial Information Services Real Estate Search 0v C I M N w +E 1 ln=200ft S Parcel: 471003409638, 1638 RUFTY ST CATAWBA, 28609 Owners: CAUDILL JEFFERY, EASON LATISA Owner Address: PO BOX 505 Values - Bullding(s): $208,600, Land: $21,900, Total: $230,500 This map/report product was prepared from the Catawba County, NO Gaospatial Information Services. Catawba County has Made substantial efforts to ensure the accuracy of location end labeling Informetlon contained on this map or data on this report. Catawba County promotes and recommends the Independent Wflcatlon of anydate contained on this map/report product by the user. The County of Catawba, ita employees, agents, and personnel, disclaim and shell not b a hold liable for any and all damages, loss or liability, whether direct. Indirect or consequential which arises or may &rise from thla map;repart product or the use thereof by any person or entity. Copyright 2012 Catawba County NO 07/15/2013 b/E ZSEL958VOL dbO:) SDIN06i:)3�E 38ninwv Z5 0! ELOZ-G!-in( Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information 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 liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Selected Parcel Number: 4710-03-40-9638 1 inch = 60 feet Prepared for: &97 w _ ��,•- o 0 7�22. . ce 0 36 0 o\ 8-832340-,&6-6- P). Cd I 35 �+ \� 1638 o s-� o 9 6-3,/8 o 19-2 'rte � 651 b I 1.45A 1643 ,•� �`'� 7 /I PQ THIS IS NOT A LEGAL DOCUMENT N N Date: 7/15/20130 Time: 11:58:54 AM V, i rc57� _ CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4710-03-40-9638 Name: CAUDILL JEFFERY Name2: EASON LATISH Address: PO BOX 505 Address2: City: SHERRILLS FORD State: NC Zip: 28673-505 Account: Calc Acreage: 0.74 Tax Map: 01 4A 03004 LRK: 15271 Deed Book: 2840 Deed Page: 1684 Subdivision Name: CALDWELLACRES Subdivision Block: Lots: 35 Plat Book: 14 Plat Page: 83 Building Number: 1638 Street Name: RUFTY ST Site Zip: 28609 Township: CATAWBA Fire Dist: SHERRILLS FORD City/Tax: State Road: Total Bldgs Value: $208,600 Land Value: $21,900 Total Value: $230,500 Year Built: 1996 Year Remodeled: Last Sale Date: 6/1/2007 Last Sale Amount: $279,000 Neighborhood: 129 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 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(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: 1015 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, July 15, 2013 11:58 AM $bC CATAWBA COUNTY HEALTH DEPART_ ME T ' � Telephone: (704) 465-8270 TDD: (704) 465-8200 NO 0802 Improve. Permit ,/Authorization to Constructt/)tepair Permit_Oper. Permit Y_System Type C /9 Owner/Agent _ ,p, Phone y % w Address y Subdivision C14,tl>wE&,- /94R_GZS - /,('., section/Block/Phase Lot# 3S Lot Size DiYections: Sett, P=1�� /1]� _O-Y7T LIMA _ S. Q 1 004iTri ,< GOL0.t c /41P S TOUP Facility: House_ Mobile Home Business Other: Tax Map # 1S/4W Multi -family Other Zoning Approval # Z9r,r) # Bedrooms # Seats # Employees Application Rate ,cj GPD Flow Hot Tub or Spa ye no Special Fixtures 100% Repair Area (3�no Basement yes4 . Basement Plumbing ye no Water Supply: Private Well c-,-" Public Type of System: Trench L --"-Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size /0015-- Pump Tank Size Nitrification Field: Total Square Feet 9-0-8' Depth of Stone %/,.r- Bed Size Trench Width �3 r Total Length of All Trenches '8 9 Number of Trenches Individual Trench Length S,'/`� Feet on Center Maximum Trench Depth a Vir Distance of Nearest Well *D NOT INSTALL WHEN WET* +++++++++++++++++wwrrr+++++++++++rr+++++ +++++++++++++++++++++++++++++++++++rw++wrw++++++++++ Topo S_ °s Slope Textur-'? • M'qu-y Structure Z&OC C.1 Clay Min. Soil Wetness 05, \ \ Soil Depth \'00 Restric . Hoz. a I '00� CC - Available \ \ \ Available s ac es nol c \ \ Overall Class PS I +� 1%e, _2 Comments: !� \ 4 �� 9 / 13.a \� I I , **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR N- H OF T\ETH'.,IS SYSTEM WILL FUNCTION** wrw *Improvement Permit has no expiration date and is transferable, but may be revoke plans or intended use changes for the proposed facility. An Authorization to Cons valid for (5)years from date issued and is not transferable.� Permit Date Owner/Agent Sanitarian Installed N Date •1 - 7-97 Sanitaf a _145Z�_ White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct