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Home My WebLink AboutRBPR-07-2014-19450.TIFOwner THIS IS NOT A PERMIT Case # RBPR-07-2014-19450 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT KELLY CAREY, 3035 NINTH TEE DR, NEWTON NC 28658 C:828-461-0823 NAME TO APPEAR ON PERMIT Kelly Carey SITE ADDRESS: 3035 NINTH TEE DR, NEWTON NC 28658 NAME of SUBDIVISION: COUNTRY CLUB ACRES LA 0 0 PIN # 371020918295 Lot # 21-24 Section/Block PROPERTY SIZE: Square Feet 52,272.00 Acres 1.2 DIRECTIONS: Hwy 10 W to Robinson Rd Take Right. Right on Ninth Tee. 7th House on rt PRIMARY CONTACT: Owner SEWER TYPE: Public Sewer GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 28 x 63 Inground Pool with pavers 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? Are there any easements or right-of-ways on this property? (!0) APPLICATION FOR: New Structure STRUCTURE TYPE: FACILITY TYPE: House DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 73 x 45 NUMBER OF EXISTING BEDROOMS: 4 ACCESSORY STRUCTURE OTHER DESCRIPTION: # OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 63 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 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: FQ - ehoppiicahon 07/09/2014 17:08 Page I of THIS IS NOT A PERMIT Case # RBPR-07-2014-19450 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT D ;o, 0 Owner KELLY CAREY, 3035 NINTH TEE DR, NEWTON NC 28658 C:828-461-0823 NAME TO APPEAR ON PERMIT Kelly Carey SITE ADDRESS: 3035 NINTH TEE DR, NEWTON NC 28658 PIN # 371020918295 NAME of SUBDIVISION: COUNTRY CLUB ACRES Lot # 21-24 Section/Block PROPERTY SIZE: Square Feet 52,272.00 Acres 1.2 DIRECTIONS: Hwy 10 W to Robinson Rd Take Right. Right on Ninth Tee. 7th House on rt PRIMARY CONTACT: Owner SEWER TYPE: Public Sewer GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 28 x 63 Inground Pool with pavers 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: House OTHER DESCRIPTION: DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 73 x 45 NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 63 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 torr ct. Authorized county d state officials are granted right of entry to conduct net ssary inspections to determine compliance with applicable I and r es. I under that a solely responsible for the proper identification an p lab lin of all property lines and corners and making the site ccess e o a comp ite valu tion can be performe Date: 1 I� Signature of Applicant or Agen �Q _ Ari Environmental Health Specialist will contact you within 2 rki days f applic n c ate. If you need further information or assistance please II 8-46 7291 AREA2 ************************************************************************************************************ MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: E9 - ehapplication 07/09/2014 16:14 Page I of 4 �g A CATAWBA COUNTY Public Health Department Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 SM NAME ON PERMIT: ( KELLY CAREY), 3035 NINTH TEE DR, NEWTON NC 28658 ( Kelly Carey) Site Address: 3035 NINTH TEE DR, NEWTON NC 28658 Property Size: Square Feet 52,272.00 Acres 1.2 Directions: Hwy 10 W to Robinson Rd Take Right. Right on Ninth Tee. 7th House on rt FEENAME Improvement Permit (Existing) Fee TOTAL FEES Case # RBPR-07-2014-19450 Subdivision COUNTRY CLUB ACRES PIN# 371020918295 DATE FEE AMOUNT 07/09/2014 $90.00 $90.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/09/2014 16:14 Page 2 of 4 THIS IS NOT A PERMIT vqv, L'L]L11TY � � CATAWBA COUNT' HEALTH DEPARTMENT Application for Environmental Services Page 1 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 rj Ku-% 1\ TP e -D r _ Subdivision N P man I N C- Qf� I n c�'i Lot # Acres Section/Block/Phase Driving Directions to PropertyJTT ��;cy�Sb►1 1 GL1',¢ r+ _ Q&2y& 12:� n n -Tee.. kuksP r)v\ r+ _ NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name Kel1 C -a-y Address 3D S l\(,t Yt 4 -VT -rep, N, Phone _ y L I - 6 a , I Cell Phone $;)% - y 1, I - OSS Q � Contractor Contact Information Name Address Phone i Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site C2 # of Bedrooms y Structure Dimensions i3 X ((� # of Occupants Basement �J Yes E] 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. 11 Yes XNo Does the site contain any jurisdictional wetlands? XYes 91 No Does the site contain any existing wastewater systems? Vye es _XNo Is any wastewater going to be generated on the site other than domestic sewage? s n No Is the site subject to approval by any other public agency? 0 Yes )0o Are there any easements or right of ways on this property? Describe Existing water supply in use In ividual Well Community Well Semi -Public ublic Well ❑ County/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) ❑ Accepted 0 Alternative ❑ Conventional ❑ Innovative 0 Other -IQ Any CATAWBA THIS IS NOT A PERMIT COUNTY ��-_ti CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *� Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures rJ Yes No Accessory Structures) Describe # of New Bedrooms *t if applicable J Structure Dimensions ,8 x L3 # of Occupants Accessory Dwelling ❑ Yes 15:No Plumbing ❑ Yes 'Q No Describe Plumbing Needed Multi -Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions tJ 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. 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 A Date q `� g g .��i�-cl �d �t .� I Printed Name of Owner or Agent K "t CLIr NAME ON PERMIT: MIKE CAREY, 624 HAMILTON ST, NEWTON NC 28658 - NAME ON PERMIT: MARC 1 REALTY, 5961 HWY 150 E, DENVER NC 28037 601'8 Site Address: 3035 NINTH TEE DR, NEWTON NC 28658 Property Size: Square Feet 0.00 Acres Directions: Robinson Rd, L Ninth Tee Dr, property on R close to end of the road Catawba County Health Department Operation Permit System Type: IIIG - OTHER NON -CONY TRENCH SYSTEMS (In accordance with Table Va ) Description: 25% REDUCTION Types V and VI systems expire in 5 years. Owner must contact health department 6 months prior to exiration for permit renewal. System Installation Comments: Due to basement plumbing, the initial and repair areas had to be switched. PERMIT CONDITIONS: 1. All maintenance, monitoring, and performance requirements shall be in accordance with 15A NCAC 18.1900, Rule .1961 2. Operation & Maintenance Specifics: Yes No X Subsurface system operator required? If yes, see attached sheet for additional operation conditions, maintenance and reporting. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization. Gary Leatherman 07/24/2012 SYSTEM INSTALLER INSTALLATION DATE Susan Bumgarner 07/26/2012 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F 1-19 - chpcnnit 07/27/2012 09:39 Page I of 3 CATAWBA COUNTY Case # OP -07-2012-029923 rF y Public Health Department Subdivision COUNTRY CLUB ACRES Environmental Health Division PIN# 371020918295 oar Ig s� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# 21-24 NAME ON PERMIT: MIKE CAREY, 624 HAMILTON ST, NEWTON NC 28658 - NAME ON PERMIT: MARC 1 REALTY, 5961 HWY 150 E, DENVER NC 28037 601'8 Site Address: 3035 NINTH TEE DR, NEWTON NC 28658 Property Size: Square Feet 0.00 Acres Directions: Robinson Rd, L Ninth Tee Dr, property on R close to end of the road Catawba County Health Department Operation Permit System Type: IIIG - OTHER NON -CONY TRENCH SYSTEMS (In accordance with Table Va ) Description: 25% REDUCTION Types V and VI systems expire in 5 years. Owner must contact health department 6 months prior to exiration for permit renewal. System Installation Comments: Due to basement plumbing, the initial and repair areas had to be switched. PERMIT CONDITIONS: 1. All maintenance, monitoring, and performance requirements shall be in accordance with 15A NCAC 18.1900, Rule .1961 2. Operation & Maintenance Specifics: Yes No X Subsurface system operator required? If yes, see attached sheet for additional operation conditions, maintenance and reporting. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization. Gary Leatherman 07/24/2012 SYSTEM INSTALLER INSTALLATION DATE Susan Bumgarner 07/26/2012 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F 1-19 - chpcnnit 07/27/2012 09:39 Page I of 3 0000,07 T, D9 a CATAWBA COUNTY �ePublic Health Department Q , Environmental Health Division oC PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 w Case # AUTH-3-12-25609 Subdivision COUNTRY CLUB ACRES Lot # 21-24 PIN# 371020918295 Applicant MIKE CAREY Site Address: 3035 NINTH TEE DR, Newton, NC Property Size: SF 1_2 ACRES Directions: Startown Rd to Sandy Ford Rd left on Robinson Rd Left on Ninth Tee Dr. Lot on Right Authorization to Construct Permit Authorization to Construct Wastewater Svstem (Reauired for Buildina Permit) * See site plan and number of additional attachments (J. Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 Type: IIIG - OTHER NON -CONY TRENCH SYSTEMS Permit Category: New Septic Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Soil LTAR: 0.3 q.p.d.M2 Wastewater Svstem Reauirements Tank Size: New Tank 1,200 gal Pump Tank Dosing Volume gal Pump Specs: Pressure Head ft Draw Down Drainfield: Total Area: 1,200 sq ft Total Length: Aggregate Depth in Minimum Soil Cover 12.0 in Number of Drain Lines 5 Bedrooms: 4 gal Grease Trap gal GPM @ TDH g.p.d in 400 ft Maximum Trench Depth 30 Trench Width 3.0 ft Minimum Trench Separation 9.0 ft on center 1n Distribution: Serial Additional Specifications: Plumbing outlet depth must accommodate required septic tank depth and drainfield depth. If plumbing exits too deep a pump will be required. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Pr000sed Repair System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LTAR: 0.3 g.p.d./1112 The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules ror Sewage Treatment and Dlosad Sy is ems, (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Megen McBride 03/05/2012 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 01/16/2017 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/07/12 08:58 * - ,MW + -JK�,njj * bo KcA + Dl aYi c �i rtes, 3035 N� � Tee, Dr. No,+h qoo fj. dvvkl - ifld 44c� dvl4f) V. A?) C , Ov-�t �� 0 'v Se�ftC syS�clr Gtr�a or fC i� area. W ows- 6e -draw. art ` f l l , 10- f oma' ex y ` x¢11 MSS �e G� I*A 5b . S�� is SrAerAs1"If w ckrr&S, olr l �i - 'row froec (� �1tiP5 . 4 ie, 91,17, � 1t -- So, p ropow �W�C, 70 x'{0 jlrl.S\ wc11 Art" 4,04, T,.c Dr. A* v 4 ..106 �eP well 5e c. s 04 O�A ri o Nei l�+DrS W�S N A 1 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: 3710-20-91-8295 Prepared for: SR 2,5261 5 ,- ! 26 122 00 100.00 ---- 90.9 3043 I 1 rr. !' 1 9.97 3035 J ! 1 CO CO o 'f r^ f Plat -RA N W ' 72918 ` 0 1.20A`` f 027 ' N r 8� 9 ,3 9 ! 1' 20 r;f r 21 22 '! .00 r 23 24 99 - r i 0 o THIS IS NOT A LEGAL DOCUMENT Date Saved:/11/2014 r ! 120.40 N /� N-rH r 10d.02 ri ! 3019 P I at 66-84 . O 0 � 1 N. C t 1 r' t 2 27 99 6n. C CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel I D: 3710-20-91-8295 Name: CAREY MICHAEL GEORGE Name2: CAREY KELLY DEATON Address: 3035 NINTH TEE DR Address2: City: NEWTON State: NC Zip: 28658-7632 Account: Calc Acreage: 1.2 Tax Map: LRK: 903947 Deed Book: 3111 Deed Page: 0120 Subdivision Name: COUNTRY CLUB ACRES Subdivision Block: Lots: 21-24 Plat Book: 66 Plat Page: 84 Building Number: 3035 Street Name: NINTH TEE DR Site Zip: 28658 Township: NEWTON Fire Dist: NEWTON RURAL City/ Tax: State Road: 2526 Total Bldgs Value: $303,100 Land Value: $34,300 Total Value: $337,400 Year Built: 2012 Year Remodeled: Last Sale Date: 1/27/2012 Last Sale Amount: $62,000 Neighborhood: 95 Watershed: Watershed Split: NO Voter Precinct: P34 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: STARTOWN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: RZ2012-05 Census Tract 2010: 011701 Census Block 2010: 2024 Small Area Plan: STARTOWN Agricultural District: Printed: Wednesday, July 09, 2014 04:03 PM I-qo/ �p Cf�cR �+D�u fna fed e n :Ds 7-7