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Home My WebLink AboutRBPR-07-2013-17756.TIFApplicant Owner Primary Contractor THIS IS NOT A PERMIT Case # RBPR-07-2013-17756 CATAWBA COUNTY HEALTH DEPARTMENT - PLAN REVIEW APPLICATION FORC V1 Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST - NEW WELL THOMAS LAWLEY, 9485 ISLAND POINT DR, SHERRILLS FORD NC 28673 C:704-361-3130 THOMAS LAWLEY, 9485 ISLAND POINT DR, SHERRILLS FORD NC 28673 C:704-361-3130 FOURTEES INC, PO BOX 2429, DENVER NC 28037- B:(704)361-3130 f. D NAME TO APPEAR ON PERMIT Thomas Lawley SITE ADDRESS: 3924 MT OLIVE CHURCH RD, NEWTON NC 28658 PIN # 366904840832 NAA1E of SUBDIVISION: BANDYS RIDGE Lot # 3 Section/Block PROPERTY SIZE: Square Feet Acres 5.44 DIRECTIONS: from Hwy 16 / left on Balls Creek Rd / go 1 mile / left Mt Olive Church Rd/ approx 1/4 mile on right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 1 story dwelling w/ attached garage (no basement) / house will be 350 ft off road ***house will have 3 bedrooms, but wanting to size septic system for 4 bedrooms*** 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: PRIMARY RESIDENCE OTHER DESCRIPTION: NUMBER OF EXISTING BEDROOMS: # OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 60 x 50 w/ pool 24 x 16 w/ 6 ft concrete decking # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO F9 - chapplication 07/31/2013 14:54 Page I of A CATANVBA COUNTY Case # RBPR-07-2013-17756 Q Public Health Department Subdivision BANDYS RIDGE Environmental Health Division PIN# 366904840832 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1842 sM NAME ON PERMIT: THOMAS LAWLEY, 9485 ISLAND POINT DR, SHERRILLS FORD NC 28673 Site Address: 3924 MT OLIVE CHURCH RD, NEWTON NC 28658 Property Size: Square Feet Acres 5.44 Directions: from Hwy 16 / left on Balls Creek Rd / go 1 mile / left Mt Olive Church Rd/ approx 1/4 mile on 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 laws and les. I riderstand that I am solely responsible for the proper identification a d labe ng of all property lines and corners and making the site accessible •t that cd plete site evaluation can be performed. Date: ��j �l� Signature of Applicant or Agent ( An Environmental Health Specialist will contact you within 2 wo king days of application date. If you need further information or assistance please call 828-466-7291 AREA1 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME DATE FEE AMOUNT Improvement Permit Fee 07/31/2013 $150.00 Well Permit & Inspection Fee 07/31/2013 $300.00 Authorization to Construct Fee (New/Expansion) 07/31/2013 $300.00 Fee TOTAL FEES $750.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/3 1 /2013 14.49 Page 2 of 4 I 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 jk or consequential which arises or may arise from this map product or the use thereof by any person or entity. I inch = 80 feet J �1 198.60 _ $2 L_ C6 60.6 1 9C i61.10 �. 3 81 � _N- `Pla 3011 I� r• 99.87 -60-35 0- 3900 ®� C - 7d) 4 3,5.90 36.01 o, THIS IS NOT A LEGAL DOCUMENT Selected Parcel Number: 3669-04-74-6927 Prepared for: 200 0o yl� I �A�D Date: 7/31/2013 7 3 Time: 2:13:04 PM\ I 6.08 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3669-04-74-6927 Name: LAWLEY THOMAS E JR Name2: LAWLEY TAMMY W Address: 9485 ISLAND POINT DR Address2: City: SHERRILLS FORD State: NC Zip: 28673-7248 Account: Calc Acreage: 2.37 Tax Map: LRK: 201582 Deed Book: 2885 Deed Page: 0481 Subdivision Name: BANDYS RIDGE Subdivision Block: Lots: 2 Plat Book: 69 Plat Page: 145 Building Number: 3916 Street Name: MT OLIVE CHURCH RD Site Zip: 28658 Township: CALDWELL Fire Dist: BANDYS City/Tax: State Road: 1802 Total Bldgs Value: $900 Land Value: $22,000 Total Value: $22,900 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 122 Watershed: Watershed Split: NO Voter Precinct: P1 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011402 Census Block 2010: 3013 Small Area Plan: BALLS CREEK Agricultural District: Printed: Wednesday, July 31, 2013 02:13 PM CATA BA THIS IS NOT A PERMIT crn.in I'Y �/� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence .New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description coo � � k 1-7c, 1J 1�ov�L. Structure Dimensions SID # of Occupants Basement ❑ Yes 2—No Basement Fixtures ❑ Yes [2 -No ❑ Accessory Structure(s) Describe 11�1_ # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per 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 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 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. 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 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 perf rmed. Signature of Owner or Agent Date r �— )3 Printed Name of Owner or Agent t LATA A THIS IS NOT A PERMIT COUNT)'] CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit 4 Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address �A L.( Wt—( 1� J2-�) Subdivision Lot # Acres C� Section/Block/Phase Driving Directions to Property MY IA � � \�_s 'FNsj tam � � LS [,CFC • iDo ►`ail' to P� ��n-�y �S �/o (Si�k Vr' NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address -1 IbSLo p�b Phone Owner Contact Information \ Name Address l Phone Contractor Contact Information Name y^t'cs �.P)LL �I S>✓ J Address i Phone Cell Phone -Z z)q 79U 1 313D I Cell Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site ' '' ''' # of Bedrooms *j• =_ Structure Dimensions `� # of Occupants + Basement ❑ 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 "yes", applicant must attach supporting documentation. ❑ Yes Zf No Does the site contain any jurisdictional wetlands'? ❑ Yes allo Does the site contain any existing wastewater systems? ❑ Yes ErrNo Is any wastewater going to be generated on the site other than domestic sewage? .V Yes -ffNo Is the site subject to approval by any other public agency? ❑ Yes _12'No Are there any easements or right of ways on this property? Describe Existing water supply in use Ind y ❑ ❑ Individual Well r] Communit Well Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ,❑' Yes ❑ No If applying for an Improvement Per or Ant horization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative conventional 0 Innovative 0 Other 0 Any NOTES ' PROPERTY MAY BE SUBJECT TO RECORDED OR UNRECORDED RIGHTS OF WAYS OR EASEMENTS NOT OBSERVED ' OWNER TO VERIFY ALL SETBACKS AND ZONING REGULATIONS PRIOR TO ANY PLANNING OR CONSTRUCTION. ' DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON THIS PLAT SHOULD NOT BE SCALED OR RELIED UPON FOR DESIGN OR CONSTRUCTION WITHOUT A FIELD VERIFICATION OF ALL DIMENSIONS. • DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE I ONLY AND MAY NOT BE USED FOR DESIGN WORK. I I 1 L c W -ALLY SAINE (N.O.F.) DB 2671-1107 S 86'25'00"E 405.00' 8.016 AC+- TOTAL THIS PLAT IS BASED ON PIAT BOOK 69, PAGE 145, CATAWBA COUNTY. NO SURVEY WAS PERFORMED. RANDY HARRIS DB 3025-1639 3 N o 0,q m i„) M O m THIS MAP IS N REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS., 100 0 100 200 300 GRAPHIC SCALE - FEET PLAT FOR THOMAS E. LAWLEY, JR RECOMBINATION PIAT FOR LOT #2 & LOT #3 BANDY'S RIDGE - PB 69-145 JULY 22, 2013 DB: 2885 PG: 481 DB: PG: SCALE 1' = 100' PB: 69 PG: 145 CALDWELL TOWNSHIP' CATAWBA COUNTY, NC DEDMON SURVEYS CHUCK POOVEY, PLS #3762 ROBERT DEDMON, PLS #3899 3704 NC HIGHWAY #16 NORTH P.O. BOX 494 - DENVER, NC 28037 PHONE: 704/48314908 FAX- 704/48312170 62&71 V PROFESSIONAL LAND SURVEYOR SURD. BY: N\A I DRAWN: RD VICINPPY MAP RD 3899 LICENSE NO. JOB# X13LAWLEY SITE S 81 22^E MARK WESSON ^ .8 9x - 4' '8 S 86'25'00"E DB 2725-1445 v 2DO.D0' .. I ------------- 2 1 �S WILLIAM SIN �� 11 `?s�l�• II i DB 2614-1883 1 110 1 t 1 N 8743'47"E o i 266.60' !1 LOT #2 Z U, I w OLD LOT LINE --O------- -- ----------- ---' Z 1 11 LOT #3 1 N O 1 1 1 Q Lp l i c t � .o t cp. 1 836.46' 1 1 t � S 87'45'53"W i SCI t 1 i i 1 t tl tl ` � t 1 ' OT A CERTIFIED SURVEY AND HAS NOT BEEN. S 86'25'00"E 405.00' 8.016 AC+- TOTAL THIS PLAT IS BASED ON PIAT BOOK 69, PAGE 145, CATAWBA COUNTY. NO SURVEY WAS PERFORMED. RANDY HARRIS DB 3025-1639 3 N o 0,q m i„) M O m THIS MAP IS N REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS., 100 0 100 200 300 GRAPHIC SCALE - FEET PLAT FOR THOMAS E. LAWLEY, JR RECOMBINATION PIAT FOR LOT #2 & LOT #3 BANDY'S RIDGE - PB 69-145 JULY 22, 2013 DB: 2885 PG: 481 DB: PG: SCALE 1' = 100' PB: 69 PG: 145 CALDWELL TOWNSHIP' CATAWBA COUNTY, NC DEDMON SURVEYS CHUCK POOVEY, PLS #3762 ROBERT DEDMON, PLS #3899 3704 NC HIGHWAY #16 NORTH P.O. BOX 494 - DENVER, NC 28037 PHONE: 704/48314908 FAX- 704/48312170 62&71 V PROFESSIONAL LAND SURVEYOR SURD. BY: N\A I DRAWN: RD VICINPPY MAP RD 3899 LICENSE NO. JOB# X13LAWLEY SITE FILED C mala County on J ul 311, 2013 et 01.46:0 } rM EXCISE-- l aY $0-00 IFS -1 ITT. # 15253 DONNA HICKS SPENCER, Ragi+atlw of 00 OEM rB� 03202 PQ 0578-0580 Excise Tax S -0- Recording Time, Book and Page Parcel Identifier No. 366904746927 LRK 201582 & 366904840832 LRK 1492 2:�Nct -� Mail after recording to: Kennedy & Wulihorst, P.A. — 3758 Hwy 16 North, Denver, NC 28037 This instrument was prepared by: D. Todd Wulthorst - Kennedy & Wulfliorst, P.A. — 3758 Hwy 16 North, Denver, NC 28037 Brief Description for the index I Lots 2 & 3 Bandy's Ridge NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this 30`x' day of July, 2013, by and between GRANTOR THOMAS E. LAWLEY JR. AND WIFE TAMMY W. LAWLEY 9485 Island Point Dr. Sherrills Ford NC 28673 GRANTEE THOMAS E. LAWLEY JR. AND WIFE TAMMY W. LAWLEY 9485 Island Point Dr. Sherrills Ford NC 28673 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in Caldwell Township, Catawba County, North Carolina and more particularly described as follows: Being all and the full contents of Lot Nos. Two (2) and Three (3) of Bandy's Ridge Plat Book 69 Page 145 (formerly a portion of the William Franklin Sigmon Property Plat Book 60 Page 35) and being described as follows: BEGINNING at a point in the centerline of Mt. Olive Church Road, said point marking the Northwest corner of property of Randy Harris (no -vv or formerly) (Book 3025 Page 1639) and the Southwest corner of property herein conveyed and running thence from said BEGINNING POINT SO FOUND with the centerline of Mt. Olive Church Road the following three (3) courses and distances: (1) North 14 deg. 58 min. 00 sec. West 55.08 feet to a point; (2) North 13 deg. 12 min. 00 sec. West 100.00 feet to a point and (3) North 11 deg. 55 min. 41 sec. West 141.10 feet to a point; thence running two (2) common lines with the property of William Franklin (now or formerly) (Book 2614 Page 1883) as follows: (1) North 87 deg. 43 min. 47 sec. East 266.60 feet to a point and (2) North 30 deg. 33 min. 50 sec. West 117.83 feet to a point; thence running a common line with property of Mark Wesson (now or formerly) (Boole 2725 Page 1445) North 13 deg. 56 min. 47 sec. East 76.42 feet to a point; thence running three (3) common lines with property of Wally Saine (now or formerly) (Book 2671 Page 1107) as follows: (1) South 81 deg. 26 min. 22 sec. East 98.84 feet to a point; (2) South 86 deg. 25 min. 00 sec. East 200.00 feet to a point and (3) South 86 deg. 25 min. 00 sec. East 405.00 feet to a point; thence South 03 deg. 35 min. 00 sec. West 390.42 feet to a point and thence running a common line with Randy Harris (now or formerly) (Book 3025 Page 1639) South 87 deg. 45 min. 53 sec. West 836.46 feet to the point and place of BEGINNING, containing 8.016 ac. More or less. This description is in accordance with a plat and survey prepared by Dedmon Surveys dated July 22, 2013 entitled "Plat for Thomas E. Lawley, Jr." copy being attached hereto and incorporated herein. W� This is a composite description combining Lots 2 and 3 of Bandy's Ridge as shown on plat recorded Plat Book 69 at Page 145 into one building lot to comply with the regulations of the Catawba County Building and Land Development Department. 05-19 NO TITLE EXAM REQUESTED, NO TITLE OPINION GIVEN AND DRAFTER DID NOT PARTICIPATE IN CLOSING OF THIS TRANSACTION The property _ does X_ does not include the primary residence of the grantor. The property hereinabove described was acquired by Grantor by instrument recorded in Book 2885 , at Page 481 . A map showing the above described property is recorded in Map Book 69 , Page 145 . TO HAVE AND TO HOLD the aforesaid lol or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: Valid and enforceable reservations, restrictions, easements, conditions and right-of-ways in the record chain of title. IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, the day and year first above written. 1 t, i ` (SEAL) <-a3miny is/E. Lawley Jr. Arg rSEAL ) W. awl y SEAL -STAMP Q1rBELL /' �c ' a otdcy G°��P��gs MyGoo 1212 Z? O ORTIH1GP`\\\� STATE OF NORTH CAROLINA LINCOLN COUNTY 1, a Notary Public of the County and State aforesaid, certify that Thomas E. Lawley Jr. and Tammy W. Lawley, Grantors, personally appeared before me this day and acknowledged the execution of the foregoing instrument. ;{ Witness my hand and official stamp or seal, this _.�/ day of -J LL12013. Notary Public My Commission Expires: O/