Loading...
HomeMy WebLinkAboutRBPR-07-2013-17748.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17748 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT q�l done f3 &, kded Ineolreeft./ Contractor BIOTEC INDUSTRIES 3561 PLATEAU DR, NEWTON NC 28658 044620075 C:8284550625 J Owner SC-e-T-1'-D1'L"CTf%HAM, 3865 GRANITE ST, TERRELL NC 28682 NAME TO APPEAR ON PERMIT Scott Dillingham SITE ADDRESS: 3865 GRANITE ST, TERRELL NC 28682 NAME of SUBDIVISION: SOMERSET ON LAKE NORMAN PH 2 Lot # PROPERTY SIZE: Square Feet 30,492.00 Acres 0.7 DIRECTIONS: 3865 GRANITE ST PRIMARY CONTACT: Contractor SEWER TYPE: GALLONS PER DAY: 480 WATER SUPPLY: DESCRIBE WORK: pvt inground pool 16 x 23 w/ concrete pad of 2' to 4' around pool 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? 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: 631=.11140130" New Structure ACCESSORY STRUCTURE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF SINGLE FAMILY DWELLING 0 0 PIN # 461714447175 22 Section/Block Septic Tank Private Well EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 80 X 55 NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 X 32 W/ 2' TO 4' CONCRETE AROUND Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: 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 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: 1-9 - ehapplication 08/02/2013 10:52 Page 1 of 4 IgA iquuoid irars` u-�� �"� 1842 SM THIS IS NOT A PERMIT Case # RBPR-07-2013-17748 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT DiIlb �uk� I e Contractor BIOTEC INDUSTRIES, 3561 PLATEAU DR, NEWTON NC 28658 13:7044650075 C:7044550625 Owner SCOTT DILLINGHAM, 3865 GRANITE ST, TERRELL NC 28682 NAME TO APPEAR ON PERMIT Scott Dillingham SITE ADDRESS: 3865 GRANITE ST, TERRELL NC 28682 NAME of SUBDIVISION: SOMERSET ON LAKE NORMAN PH 2 Lot # PROPERTY SIZE: Square Feet 30,492.00 Acres 0.7 DIRECTIONS: 3865 GRANITE ST PRIMARY CONTACT: Contractor SEWER TYPE: GALLONS PER DAY: 480 WATER SUPPLY: DESCRIBE WORK: pvt inground pool 16 x 23 w/ concrete pad of 2' to 4' around pool 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? 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 House OTHER DESCRIPTION: DESCRIPTION OF SINGLE FAMILY DWELLING f0 :-T D PIN # 461714447175 22 Section/Block Septic Tank Private Well EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 80 X 55 NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 X 32 W/ 2' TO 4' CONCRETE AROUND Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: 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 infonnation or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: F'9 - ehapplicaticm 08/01/2013 17:57 Page 1 of THIS IS NOT A PERMIT Case # RBPR-07-2013-17748 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT Contractor BIOTEC INDUSTRIES, 3561 PLATEAU DR, NEWTON NC 28658 13:7044650075 C:7044550625_ Owner Y SCOTT DILLINGHAM, 3865 GRANITE ST, TERRELL NC 28682 NAME TO APPEAR ON PERMIT Scott Dillingham SITE ADDRESS: 3865 GRANITE ST, TERRELL NC 28682 NAME of SUBDIVISION: SOMERSET ON LAKE NORMAN PH 2 Lot # PROPERTY SIZE: Square Feet 30,492.00 Acres 0.7 DIRECTIONS: 3865 GRANITE ST PRIMARY CONTACT: Contractor SEWER TYPE: GALLONS PER DAY: 480 WATER SUPPLY: DESCRIBE WORK: pvt inground pool 16 x 23 w/ concrete pad of 2' to 4' around pool 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? 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 a of 0 :4 0 PIN # 461714447175 22 SectionBlock Septic Tank Private Well EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 80 X 55 NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 X 32 W/ 2' TO 4' CONCRETE AROUND Desired system types (Improvement Permit or Authorization to Construct).- ACCEPTED: onstruct):ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: 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 identificatio nd labeling of all property lines and corners and making the site accessible so tha a com tete sit evaluation can be pe ormed. Dat( Signature Signature of Applicant or Agente cK�1l�12e nl An Environmental Health Specialist will contact you within 2 working days of applicatio d te. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: E9 - chapplication 07/30/2013 12.9 Page 1 of4 `agA CATAWBA COUNTY Public Health Department d ��, -3 Environmental Health Division v Daae PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 184 2 s - NAME ON PERMIT: SCOTT DILLINGHAM, 3865 GRANITE ST, TERRELL NC 28682 Site Address: 3865 GRANITE ST, TERRELL NC 28682 Property Size: Square Feet 30,492.00 Acres 0.7 Directions: 3865 GRANITE ST FEENAME Improvement Permit Fee TOTAL FEES Case # RBPR-07-2013-17748 Subdivision SOMERSET ON LAKE NORMA PIN## 461714447175 DATE FEE AMOUNT 07/29/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E4 - chapplication 07/30/2013 12:59 Page 2 of CATAWBA THIS IS NOT A PERMIT 'Re PIZ-C) 7-D913 -T(Y cou.lr CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I 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) Application is for New Construction ❑ Existing Facility Property Address W IV: �9 , Subdivision 7tr, g(2 P-('( N(' C2 6�,)51- Lot # Acres Sec tion/Block/Phase Driving Directions to Property (S� (a? LLA; UN -7-�) NAME TO APPEAR ON PERMIT? 9 Owner ❑ Applicant Contractor Applicant Contact Information Name Address1,J Phone _on c7c I Cell Phone�- Owner Contact Information Name !�'C0-77— -f- kA-T�s ( 0,4j) ht GC I,)C f-4" I Address _?QCS' �,�(r'Ar�.�-v SqT-FeR(Mcc A)c I Phone I Cell Phone Contractor Contact Information Name LCA A e Address ,moi i �, 1 Z�C.) �j P,( i/702] ) � 7 Phone n V 4 �� -0 Q Cell Phone ��4r WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Contractor esc of Bedrooms in Structure .. „_... _ .. ._� _..,.... _� _..... ................... Description of Existing Structures on Site � / .�G�p ��g rug, Ci.,s'►/ Dimensions T_ # of Occupants .Basement ❑ Yes! No. Basement The Fixtures ❑ Yes No Applicant shall notify the local health departnentupon so mitta o f 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 ZNo Does the site contain any jurisdictional wetlands? Yes AoNo Does the site contain any existing wastewater systems? ❑ Yes ;2'INo Is any wastewater going to be generated on the site other than domestic sewage? Q(Yes ,No Is the site subject to approval by any other public agency? ❑ Yes [(No Are there any easements or right of ways on this property? Describe Existing water supply in use Individual Well U Community Well U Semi -Public Well ❑ County/City/Townshipater Line Is a public water supply available? ** ❑ Yes ❑ No If.a...1..n....for an Improvement.,.,.�. pp y g 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 ❑ Other 0 Any CATAWBA THIS 1S NOT A PERMIT coinrr x .,_ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services North Corv�ina! Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms * i Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No Accessory Structure(s) Describe ti. Page 2 o/` #of New Bedrooms*f if applicable J Structure Dimensions �1C3� w�(�il1C:e p�J��d T # of Occupants Accessory Dwelling ❑ Yes ❑ No drAwovj Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit* j' Total # Bedrooms * j 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 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 'j 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 firture 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. -' 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 a] I property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent _ Date TA_' Printed Name of Owner or Agent�X ��/�� N 1 inch = 50 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: 4617-14-44-7175 Prepared for: 20 Plat 52j198 6�� 721 3a% 21 �< 22 O61 I OW 71755/ 23 0 "Plat 52-198 THIS IS NOT A LEGAL DOCUMENT ©� 8088.- a 24 Plat 474156 00 0 j�A Date: 7/29/2013 Time: 2:03:33 PM WOO CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4617-t4-44-7175 Name: DILLINGHAM NORMAN S Name2: DILLINGHAM CATHLEEN HEFNER Address: 3865 GRANITE ST Address2: City: TERRELL State: NC Zip: 28682-8001 Account: Calc Acreage: 0.7 Tax Map: LRK: 801911 Deed Book: 3182 Deed Page: 0986 Subdivision Name: SOMERSET ON LAKE NORMAN PH 2 Subdivision Block: Lots: 22 Plat Book: 52 Plat Page: 198 Building Number: 3865 Street Name: GRANITE ST Site Zip: 28682 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD City/Tax: State Road: Total Bldgs Value: $256,600 Land Value: $32,000 Total Value: $288,600 Year Built: 2002 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 131 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011504 Census Block 2010: 5031 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, July 29, 2013 02:03 PM 1U �10 CATAWBA COUNTY HEALTH DEPJE"NT 5� Telephone: (828) 465-8270 TDD: (828) 46 -8200 WLS #J,060 - O//Li l�— IP AC_ Rpr. Pr Opr. t. Sys. Type Well Prmt. Replacement Well Well Rpr. Prmt. Owner/Agent /,tn.,. Phone Address ) Subdivision, r �m o Section/Bloc e Lot#, Z Z Lot Size d 7 _ Dtrecdons: 1( (40 rr//rS )4-0, Property Address J&&5 (Gya"J �r Facility: House Mobile Home Business Multi-family . Other: Pin Number--J/Yo/'j- /l t - Y/— '717-5 Other . Zoning Approval # # Bedrooms L/ # Seats # Employees . Application Rates 3-S GPD Flow Hot Tub or Spa y&/no Special Fixtures Basement yes . 100% R air Are<9/no Basement Plumbing yes/no Water Supply: vate Well Public Semi-Public ssss*ssss*ssss**sssss**sss*ss**sss****s*sssss*s**sss*sss*s*s*s**ss*ssss****ss***ss****ss***** *****ss***ss***ssss ***1s*s** Type of System: Trench__&_ Bed Pump 'L Pump/Panel Panel LPP Other Septic Tank Size Zk&Pump Tank Size Nitrification Field: Total Square Feet 16-1)r Depth of Stone Bed Size S ?�O,Trenc_h Width Total Length of All Trenches jj l G ✓ G/ Number of Trenches Trench Length %71 Feet on Center G7 Maximum Trench Depth-3d Distance of Nearest WellJQd *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* *sss*ss*s****ssss*sss*sss*sss******sss*s***ss***ss ssss*sss*•ss*ss*s**sss*sssss*sss*s**** Topo���% Slope Texture � ell Structure \ Clay Min. Soil Wetness " I Soil Depth--L'—„ 1 I \ S Restric. Hoz. atm" Available spar o Overall Class U Comments. 13� � I W •C. z7 _ TV1+ Zs V I � s Fater Required i q Qh , Riser required when ' -1 tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** **ssssssss*s*sss****sssssss*s*ss*sss*s*s*sssss*ssssss*s*sssssssss*ss*ss********ss***********ssss**s*ss**sss************ssss *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known ible sources of contamination. No volume of water isguar ed at any site by the Health Department. Permit Date EHS Owner/A nt /Z Septic ,�Stalle ll<+ Date7'oE/'y Well Installed By fC Well Gro roval Date%- Well Head roval Dat -2 z/. Date Sample Collected Date of Results Results EHS /( �{ White - Office Yellow - Owner/Agent Pink - Building Inspection Autho ation to Construct