HomeMy WebLinkAboutRBPR-07-2014-19532.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2014-19532
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Deck/Porch
IMPROVEMENT
Owner PAULA WATSON, 842 30TH ST NE, CONOVER NC 28613-8240
NAME TO APPEAR ON PERMIT
Paula Watson
E]
SITE ADDRESS: 842 30TH ST NE, CONOVER NC 28613 PIN # 372319506249
NAME of SUBDIVISION: PEAR TREE Lot # 9 Section/Block
PROPERTY SIZE: Square Feet Acres 0.56
DIRECTIONS: Spencer Rd/ left 28th St Place NE/ left 11th Ave Dr NE/ around curve / turns into 30th St NE/ last on left before St
Stephens Elem.
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
DESCRIBE WORK: adding 12 x 16 deck on rear of existing dwelling
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR:
Existing Structure
STRUCTURE TYPE:
PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence
OTHER DESCRIPTION:
DESCRIPTION OF single family dwelling & detached garage
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 40 x 39
NUMBER OF EXISTING BEDROOMS: 3
# OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCLURE DI_M.:.�.2_x
HASEMENT? Yes
BASEMENT FIXTURES? NZ---- PLUMBING REQUIRED?
\\Desirea system types tirnNivvemela#-Pyrrrait-n.LAutborization-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
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lit) - chaplflicatinn 07/21/2014 09:05
Page 1 of 4
THIS IS NOT A PERMIT Case # RBPR-07-2014-19532
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Deck/Porch
IMPROVEMENT
r
Oj
d
Owner PAULA WATSON, 842 30TH ST NE, CONOVER NC 28613-8240
NAME TO APPEAR ON PERMIT
Paula Watson
SITE ADDRESS: 842 30TH ST NE, CONOVER NC 28613 PIN # 372319506249
NAME of SUBDIVISION: PEAR TREE Lot # 9 Section/Block
PROPERTY SIZE: Square Feet Acres 0.56
DIRECTIONS: Spencer Rd/ left 28th St Place NE/ left 11 th Ave Dr NE/ around curve / turns into 30th St NE/ last on left before St
Stephens Elem.
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY : Public Water
DESCRIBE WORK: adding 12 x 16 deck on rear of existing dwelling
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF single family dwelling & detached garage
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 40 x 39
NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 12 x 16
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 � I bell g of all property lines and corners and making the site acces�i a so that a co�]plet�j site evaluation can be performed.
Dat e: ' I � � >0 ) � Signature of Applicant or Agent-1CW_ (I -- �J P,,I3
An Elnvironmelntal Health Specialist will contact ou within 2 working application
p y o b days of date.
If you need further information or assistance please call 828-466-7291
AREA2
MINIMUM SETBACKS FRONT: 0 SIDE: 0 REAR: 0 MAX HEIGHT:
1=9 - chapplicalion 07/16/2014 17.23 Page 1 of 4
CATAWBA COUNTY Case # RBPR-07-2014-19532
`Q Public Health Department Subdivision PEAR TREE
d �a►. "� Environmental Health Division PIN# 372319506249
U®� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
1842 5 -
NAME ON PERMIT: ( PAULA WATSON), 842 30TH ST NE, CONOVER NC 28613-8240
( Paula Watson)
Site Address: 842 30TH ST NE, CONOVER NC 28613
Property Size: Square Feet Acres 0.56
Directions: Spencer Rd/ left 28th St Place NE/ left 11 th Ave Dr NE/ around curve / turns into 30th St NE/ last on left before St
Stephens Elem.
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 07/16/2014 $150.00
TOTAL FEES' $150.00
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)
1"'9 - vhapplicauun 07/16/2014 17:23 Page 2 of
THIS IS NOT A PERMIT
caLI T3' CATAWBA COUNTY HEALTH DEPARTMENT
�G Flartd Comino 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) ❑
Applicationis for New Construction ElExisting FacilityLL❑
Property Address 8J` t3A SVNL L Subdivision Pet? r �Y e (2-, S1,1C
i'�m nu�ti fN
2.2 (0 1'Lot # Acres
Secti lock/Phase
Driving Directions to Property'; rf d j I d+ nn x 4 _q KC W4 -in 114 � lk � �
a i ev o c) &Avc- &,ns ,�,� I �!! >c %' S� N � Ia st-�� /dh,0,4rc Giem ai to A/
I
NAME TO APPEAR ON PERMIT? Owner
Applicant Contact Information
Name Pa i:,. �a V -i 11 c_,j
Address 94,;,
Phone 9Zr;'--2 540 -- 2 3q �
Owner Contact Information
Name
Address
Phone
Contractor Contact Information
Name
i Address
Phone
❑ Applicant ❑ Contractor
Cell Phone o Z8 - � L j 1'Z
Cell Phone
Cell Phone
WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on Site hoikk. 4 de.i-o-cher 5a Ka
# of Bedrooms *j' _� Structure Dimensionsirof Occupants Z
Basement Q"Yes ❑ No Basement Fixtures D Yes M No
The Applicant shall notify the local health department upon submittal of this application if any of the wfollowingp
a ply to
the property in question. If the answer to any question is "yes", applicant must attach supporting documentation.
0 Yes UNo Does the site contain any jurisdictional wetlands?
L'i'es K3 No Does the site contain any existing wastewater systems?
0 Yes GMo Is any wastewater going to be generated on the site other than domestic sewage?
Yes No Is the site subject to approval by any other public agency?
13 Yes iso Are there any easements or right of ways on this property? Describe
Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well
County/City/Township Water Line Is a public water supply available? ** 1Z 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 ❑ Conventional ❑ Innovative other 9/Any
CATAWBA
THIS IS NOT A PERMIT
COUNTYCATAWMA COUNTY HEALTH DEPARTMENT
Application for Enviromnental Services Page 2
Proposed Facility Type
❑ Primary Residence ❑ New esidence Addition to Residence # of New Bedrooms *t
Project Description I'C' jL
Structure Dimensions 12—X 6 # of Occupants
Basement ❑ Yes ❑ No Basement Fixtures El Yes [2 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
TI Multi -Family Residence # Units #Bedrooms per Unit* j'
Total # Bedrooms *t Structure Dimensions
U Food Service Specify Type �� ....�,.m..�.� ....." .__� .o.....,....
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
T --.....,..:.�...-
F] Business Specific Type of 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 Co ustruction/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 fixture.
fi 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 comers and making the site
accessible so that a complete site evaluation can be performed.
Signature of Owner or Agent Atdl,?, Date
Printed Name of Owner or Agent
842.
1
j' 852
1' 6441
0
LO
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on
801
217.72
U
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THIS IS NOTA LEGAL DOCUMENT Date Saved: 6/11/2014 Time: 4:43:57 PM
4
Catawba County, forth 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
or consequential which arises or may arise from this map product or the use thereof by any person or entity.
Selected Parcel Number: 3723-19-50-6249
1 inch = 50 feet
Prepared for:
842.
1
j' 852
1' 6441
0
LO
N
rn
on
801
217.72
U
C/
THIS IS NOTA LEGAL DOCUMENT Date Saved: 6/11/2014 Time: 4:43:57 PM
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3723-19-50-6249
Name:
WATSON PAULA WILKIE
Name2:
Address:
842 30TH ST NE
Address2:
City:
CONOVER
State:
NC
Zip:
28613-8240
Account:
Calc Acreage:
0.56
Tax Map:
164H 15009
LRK:
56152
Deed Book:
1431
Deed Page:
0166
Subdivision Name:
PEAR TREE
Subdivision Block:
Lots:
9
Plat Book:
19
Plat Page:
306
Building Number:
842
Street Name:
30TH ST NE
Site Zip:
28613
Township:
HICKORY
Fire Dist:
ST STEPHENS
City/Tax:
State Road:
1573
Total Bldgs Value:
$107,600
Land Value:
$15,200
Total Value:
$122,800
Year Built:
1987
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood:
61
Watershed:
Watershed Split:
NO
Voter Precinct:
P28
E911 District:
HICKORY
Zoning:
R-1
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay:
Zoning District:
HICKORY
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2):
0
School District:
COUNTY
Elementary School:
ST STEPHENS
Middle School:
ARNDT
High School:
ST STEPHENS
School Split:
NO
P&Z Case Number:
Census Tract 2010: 010304
Census Block 2010:
2002
Small Area Plan:
Agricultural District:
Printed: Wednesday, July 16, 2014 04:43 PM
fliso T -P
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CATAWBA COUNTY HEALTH DEPARTMENT 0
NEWTON, NORTH CAROLINA
COMPLETION PERMIT FOR SEPTIC TANKS
PERM:tT N2
DATE :
OWNER l l,a ADDRESS '/7
BUILDING CONTRACTOR SUBDIVISION
LOCATION ff C7
LOT SIZE BLOCK OR SECTION
HOUSE (X) MOBILE HOME BUSINESS ( ) OTHER FHA -VA LOAN
SEPTIC TANK: (SIZE 1&t-0 GALS)
WATER SUPPLY:
NO. BEDROOMS '3 NO FIXTURES
INDIVIDUAL
PUBLIC
GARBAGE DISPUS—AL UNIT:YES (77 No (
IF WELL, TYPE:
BORED DRILLED DUG
—TANK
AUTO WASHING MACHINE: YES ()o NO (
DISTANCE FROM SEPTIC
OR NEAREST
NITRIFICATIONFIELD: IC)S--V SQ.FT. POLLUTION:
FT.
1) NUMBER OF LINES .5-1
SEPTIC T��jNSTALLED
BY:
2) LENGTH AND WID OF LINES
21V
PERMIT FEE
V -t
a) BED SYSTEM (^I
CERTIFICATE OF
COMPLETION Dy:
b) TRENCH SYSTEM
3) DEPTH OF STONE IN LINES
REMARKS:
ADEQUATE FALL (GRADE) ON:
1) BUILDING (HOUSE) SEWER LINE:
YES (�-' NO ( )
2) NITRIF;CATION LINES:
DATE INSTALLED:
It / Z
YES NO ( )
SEPTIC
TANK LAYOUT
s
Z
0
P4
rX4
E-
0
HEALTH DEPARTMENT COPY
Ef
0
?-4
IT
PERMIT FEE.' kooAMIT NO.'o
-PERMIT VOID AFTER 30-rT7,7TS
f
IMPi,iVEMENT PERMIT
OWNER OR CONTRACTOR: DATE:
ADDRESS: _h-4C_/PHONE:
7
LOCATION:
v 4&1,W1X4
SUBDIVISION:r _&,jf-&C�-, LOT
_�Da SECTION OR BLOCK: LOT SIZE:
Notifie4_to chdck with Zoning Yes No ) Zoning Approval
House {) Mobile Home ( ) Business ( Other Flow Rate: U 1 gpd
Bedrooms: 13 Bathrooms: Special Fixtures: Other:
Basement - Yes -
0 Fixtures in Basement Yes __No, Pump System Yes( No
--------------
------------------
--it es ------------------------
_
_________Pr
Garbage Disposal Un't & No WaterSupply: Private Public
TANK SIZE: Igo gallons Comments/Special Instructions:
NITRIFICATION FIELD:
Number of Lines
Length and width of es System must be installed as shown. Any
(a) Bed System /i A changes will be made only with prior Health
(b) Trench System 36" X Department approval. If unforeseen problems
or Trench System 30" X arise during installation, contractor must
Total Square call -Health -Department -------- — -----------
CERTIFY. T I HAVE REVIEWED AND AGREE TO THE PROVISIONS ON THIS PERMIT.
19 V/ -.1. /;
OwAr/dgeni-11--�Sanitarian
Final approval of this septic tank sstem shall in no way be taken as a guarantee that the
system will time.
cl�
N_ SITE AND SEPTIC TANK PLAN
Site Factor:
Slope and Landscape Position
Soil Drainage
Soil Depth
Restrictive Horizon
&vailable Space
i.fy)
.aracteristics:
rea Required: Yes Ix
jHealth Department Copy(
boil Group
Soil Texture
Class Appl4_r.ation Rate
S -
PS -
U
S -
PS -
U
Sandy Clay
S -
PS -
UIII
Fine
Silt Loam
0.6-0.4
S -
PS -
U
oams
Clay Loam
S -
PS -
U
Silty Clay
S
P0 -
U
Sandy Clay
S
PS
U
Iva Clays
Silty Clay
0.4-0.2
No
(
Clay
*Bed systems
are allowed
only in soil Groan III.