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Home My WebLink AboutRBPR-07-2013-17720.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17720 CATAWBA COUNTY HEALTH DEPARTMENT �� •'`Y0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES {' Residential Building Plan Review - Building New _ • -* • T IMPROVEMENT - AUTH CONST .--d : 0 Applicant DUSTIN LAWING, 75 PUTTERS VIEW, MAIDEN NC 28650 C:828-217-3525 Owner DUSTIN LAWING, 75 PUTTERS VIEW, MAIDEN NC 28650 C:828-217-3525 NAME TO APPEAR ON PERMIT Dustin Lawing SITE ADDRESS: 75 PUTTERS VIEW LN LN, MAIDEN NC 28650 PIN # 364609164607 NAME of SUBDIVISION: PUTTERS VIEW Lot # 4 Section/Block PROPERTY SIZE: Square Feet Acres 2.04 DIRECTIONS: HYW 321 SOUTH TO MAIDEN, LEFT AT LIGHT, 200 FT TURN RIGHT AT LIGHT ON TO SOUTH MAIN AVE, 2 MILES ON LEFT SIDE PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: 2 story dwelling w/ attached garage & bonus above garage & finished basement area 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: # OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 100 x 110 # OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE Other described: PLUMBING REQUIRED? CONVENTIONAL: ANY: YES 1=9 - chapplication 07/24/2013 10:11 Page I of4 A CATAWBA COUNTY Case # RBPR-07-2013-17720 QG Public Health D,epartmznt Subdivision " 1 PUTTERS VIEW Environmental Health Division PIN# 364609164607 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 SM NAME ON PERMIT: DUSTIN LAWING, 75 PUTTERS VIEW, MAIDEN NC 28650 Site Address: 75 PUTTERS VIEW LN LN, MAIDEN NC 28650 Property Size: Square f=eet Acres 2.04 Directions: HYW 321 SOUTH TO MAIDEN, LEFT AT LIGHT, 200 FT TURN RIGHT AT LIGHT ON TO SOUTH MAIN AVE, 2 MILES 01 LEFT SIDE 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 a cess ble so that a complete sit valuation can be performed. xDate: %- � q-1 3 Signature of Applicant orAgent �' nl't4 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 MINIMUM SETBACKS FRONT: 40 SIDE: 12 REAR: 30 MAX HEIGHT: rear 20% of depth FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/24/2013 $300.00 Fee Improvement Permit Fee 07/24/2013 $150.00 TOTAL FEES $450.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - chapphcaiion 07/24/2013 10 11 Page 2 of 4 CATAWBA, THIS IS NOT A PERMIT COU--- NTY CATAWBA COUNTY HEALTH DEPARTMENT North Carollnn Application for Environmental Services Page I Improvement Permit V Authorization to Construct V 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 75- ru V , r"/ l ✓ Subdivision /11q,'d,,I NC J :,o Lot# Acres Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name iDUSJ�A 1;0s Address 75 PuNilt{v `� �l'1c,dA/C, -2&G-o Phone I Cell Phone 0 - 3FZ-r Owner Contact Information Name Address Phone I Cell Phone Contractor Contact Information Name Address Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? Q Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *t '1— Structure Dimensions # of Occupants Basement �es ❑ 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 ii question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes � Nt Docs the site contain any jurisdictional wetlands'? ❑ YesPN .o Does the site contain any existing wastewater systems? El Yes o Is any wastewater going to be generated on the site other than domestic sewage? t2ryes ❑ N Is the site subject to approval by any other public agency? ❑ Yes EYNo Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public W 11 �ounty/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 0 Alternative 0 Conventional 0 Innovative 0 Other 0 Any CATAWBA THIS IS NOT A PERMIT cot.ih�-ry - CATAWBA COUNTY HEALTH DEPARTMENT y-`_ Nonh Cnro'� Application for Environmental Services V sed Facility Type rimary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *f Project Description Structure Dimensions 100 t( 10 # of Occupants Basement 0Ycs ❑ No Basement Fixtures [Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions �Wh # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed y per ❑Multi-Famil Residence # Units #Bedrooms er Unit*T Total # Bedrooms *t 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 p yp Business ness Retail Floor Space # of Employees per Shift # of Shifts ❑., Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy pp. A Itcation 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 Page 2 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 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. 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 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. Signature of Owner or Agent / / Date �� ci-13 Printed Name of Owner or Agent Do, 4 ; n r N I inch = 60 feet 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 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: 3646-09-16-4607 Prepared for: '.04A 75 r' -607 f 4 Asa-o� 3 THIS IS NOT A LEGAL DOCUMV c Date: 7/24/2013 Time: 9:36:13 AM Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. N Catawba Countv 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: 3646-09-16-4607 1 inch = 100 feet Prepared for: 12.37A 5928 2265.74 /I 925.00 _ — . '� 5 — — — --——----_.__ — Plat 70-35 �� / � -—-——--————--——---—-——--— 2.04A 76- 'O�y 'Wr "---� 4607 /� , ` / 394.62 THIS IS NOT A LEGAL DOCUMENT Date: 7/24/20 Time: 9:33:30 AM / CATAWBA COUNTY NC - Parcel Report Information Regarding $elected Parcel(s) Parcel ID.- 3646-09-16-4607 Name: LAWING DUSTIN J Name2: LAWING KRYSTAL LEIGH Address: 3080 JACK WHITENER RD Address2: City: NEWTON State: NC Zip: 28658-9375 Account: Calc Acreage: 2.04 Tax Map: LRK: 904235 Deed Book: 3152 Deed Page: 1060 Subdivision Name: PUTTERS VIEW Subdivision Block: Lots: 4 Plat Book: 70 Plat Page: 35 Building Number: 75 Street Name: PUTTERS VIEW LN Site Zip: 28650 Township: NEWTON Fire Dist: MAIDEN RURAL City/Tax: State Road: Total Bldgs Value: Land Value: $37,100 Total Value: $37,100 Year Built: Year Remodeled: Last Sale Date: 10/16/2012 Last Sale Amount: $49,000 Neighborhood: 113 Watershed: Watershed Split: NO Voter Precinct: P20 E911 District: MAIDEN Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: MAIDEN Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011702 Census Block 2010: 5032 Small Area Plan: Agricultural District: Printed: Wednesday, July 24, 2013 09:33 AM