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Home My WebLink AboutRBPR-07-2014-19393.TIFApplicant Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19393 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Deck/Porch IMPROVEMENT SAME AS OWNER, , PATRICK & BEVERLY WATSON, 2513 PINOAK DR, HICKORY NC 28602 H:828-330-0079 C:828-320-8759 HOME:828-330-0079 NAME TO APPEAR ON PERMIT Patrick & Beverly Watson SITE ADDRESS: 2513 PINOAK DR, HICKORY NC 28602 NAME of SUBDIVISION: CLEARVIEW ACRES PL 14-28 PROPERTY SIZE: Square Feet Acres 0.52 ❑0 ❑0 D: PIN # 279115543635 Lot # 2 Section/Block G DIRECTIONS: Take 321 N to Hwy 127 (Exit 42) Take a left off of exit. go straight until you see Hardees, turn right. Make first left and first right. Down the rd on the left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: 12 x 18 uncovered deck 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: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 77 x 45 NUMBER OF EXISTING BEDROOMS: 3 Existing Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 12 x 18 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 labelin of all property lines and corners and making the site 7eible s so that a complete site evaluation can be performed. Date— j/ /r / Signature of Applicant or AgenAn Environmental Health Specialist will contact you win 2 worki days of application date. If you need further information or assistance please call 828-466-7291 AREA2 E9-ehapplication 07/01/2014 15:06 Page I of A CATAWBA COUNTY Case # RBPR-07-2014-19393 �Q y Public Health Department Subdivision CLEARVIEW ACRES PL 14-28 Environmental Health Division PIN# 279115543635 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 18 2 W NAME ON PERMIT: ( PATRICK & BEVERLY WATSON), 2513 PINOAK DR, HICKORY NC 28602 ( Patrick & Beverly Watson) Site Address: 2513 PINOAK DR, HICKORY NC 28602 Property Size: Square Feet Acres 0.52 Directions: Take 321 N to Hwy 127 (Exit 42) Take a left off of exit. go straight until you see Hardees, turn right. Make first left and first right. Down the rd on the left MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/01/2014 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/01/2014 15:06 Page 2 of 4 CATAA13A THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct E� 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 -,)51.5 T.l ni�-a k _Dr 1 J(f Subdivision H iC h,, j NC, 9_4DU) Lot # Acres Section/B ock/Phase Driving Directions to Property Tn�p VQ11 EX\� yoi l I gab e- r, 1(-.-k 4c-,� 2):�. CDC) \1 (-I) nee cn -6(10t, MA_e. VSA DOw y1 Te rca A -W)r, k4, NAME TO APPEAR ON PERMIT? 0 Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name �� I�� r'�rl �� C►�"j(� Address ,�h�'�► V ;c' Phone; — �i,��`,— ()DqG Owner Contact Information Name 50.%-n_e Address Phone Contractor Contact Information Name m� Address Phone 1V T�rvi'(1,,) 'Rc1mN, CellPhone Cell Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor DescriptionExisting � Structures on Site # of BedroomsStructure DimensionsAlkK # of.Occupants. ' Basement ® Yes ElNo 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. 0 Yes 1% No Does the site contain any jurisdictional wetlands? !J Yes 0 No Does the site contain any existing wastewater systems? 0 Yes JqNo Is any wastewater going to be generated on the site other than domestic sewage? )Yes 0 No Is the site subject to approval by any other public agency? a Yes )�No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well CommunityWell ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes No If applying1or an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 11 Alternative 13 Conventional ❑ Innovative 0 Other 0 Any CATAWBA THIS IS NOT A PERMIT COUNTY -- �� __ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type D Primary Residence El New Residence X Addition to Residence # of New Bedrooms *t r Project Description� .�� ' 1�e'ck ,,c1 '?xcY Structure Dimensions � % X # of Occupants Basement `,Yes No Basement Fixtures El Yes fi No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed Ll Multi -Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions U Food Service Specify Type # Seats Floor Space -Entire Food Service Facili # Employees per Shift ❑ Business Specific Type of Business # of Employees per Shift ❑ Other Facility Type Specify If Church # of Seats # of Shifts # of Shifts Kitchen ❑ Yes ❑ No Application for Well Construction/Abandonment/Repair ty (Sq Ft) Dining Area (Sq. Ft.) Retail Floor Space If Daycare Specify Occupancy 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 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 corers and making the site accessible so that a complete site evaluation can be performed. i -6 Signature of Owner or AgentX2 Date Printed Name of Owner or Agent'��,� Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. r] 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: 2791-15-54-3635 1 inch = 40 feet Prepared for: CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Patcel ID: 2791-15-54-3635 Name: WATSON PATRICK Name2: Address: 2513 PINOAK DR Address2: City: HICKORY State: NC Zip: 28602-9446 Account: Calc Acreage: 0.52 Tax Map: 133H 08002 LRK: 48349 Deed Book: 2832 Deed Page: 1048 Subdivision Name: CLEARVIEW ACRES PL 14-28 Subdivision Block: G Lots: 2 Plat Book: 14 Plat Page: 28 Building Number: 2513 Street Name: PINOAK DR Site Zip: 28602 Township: HICKORY Fire Dist: MOUNTAIN VIEW City/Tax: State Road: 1215 Total Bldgs Value: $134,200 Land Value: $16,900 Total Value: $151,100 Year Built: 1969 Year Remodeled: Last Sale Date: 10/1/1998 Last Sale Amount: $152,900 Neighborhood: 77 Watershed: Watershed Split: NO Voter Precinct: P24 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011101 Census Block 2010: 2036 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Tuesday, July 01, 2014 02:20 PM --t"ry y 5 a • C A T A W S A C O U N T Y H E A L T H N° 02874 D E P A R T M E N T (704) 465-8270 Lot Eval. Improve. Permit Repair PermitCert. of Comp. Permit-X—Oper. Permit- Owner/Agent LIQ T)& Phone Address Subdivision Section/Block Lot#_ Lot Size Directions: i� S 1�) 5 Z I�IZ) 1*4� . 4w-� Facility: House Mobile Home Business Other: Zoning Approval yes/no # Multi -family- Other 100% Repair Area yes/no Bedrooms Seats Employees GPD Flow Application Rate Hot Tub or Spa yes/no Special Fixtures REPAIR NOTICE: REPAIRS MUST BE WITHIN Basement yes/no Basement Plumbing yes/no 30 DAYS OR DAYS FROM DATE OF Water Supply: Private Public PERMIT. Type of System: Trench Bed_Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Pump Tank Nitrification Field: Total Square Feet (Poo Depth of Stone IV' Bed Size 10 )(60 Trench Width Total Length of All Trenches Number of Trenches Individual Trench Length _/_/_/_/� Feet on Center Maximum Trench Depth Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) Topo % Slope Sketch of lot Evaluation Site - System Design - Final Texture Structure Clay Min. Soil Wetness Soil Depth Restric. Hoz. at Available space yes/nol Overall Class S PS U Comments: � U � f I � I I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date ' o� (Improvement Permit void after 60 months) 0 r/Agent �t , Sanitarian%/✓�G�"� " " 2�. I stalled By S , Date a��-9� Sanitari �P (Note any changes/information in red or by sketch o back)