HomeMy WebLinkAboutRBPR-07-2014-19541.TIFApplicant
Contractor
THIS IS NOT A PERMIT Case # RBPR-07-2014-19541
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Deck/Porch
IMPROVEMENT
THOMAS WATSON, 411 3RD AV SW, CONOVERNC 28613
H:828-464-7537 HOME: 828-464-7537
0
L1
ENGLE BUILDERS & REMODELING (TOM ENGLE), 747 OLD LINCOLN CROUSE RD, LINCOLI
NC 28092-
B:704-735-1633 C:980-241-0060
Owner THOMAS WATSON, 7833 SAIL POINTE DR, SHERRILLS FORD NC 28673
0:5135038212
NAME TO APPEAR ON PERMIT
Thomas Watson
SITE ADDRESS: 7833 SAIL POINTE DR, SHERRILLS FORD NC 28673 PIN # 460719711313
NAME of SUBDIVISION: POINTE NORMAN Lot # 30 Section/Block
PROPERTY SIZE: Square Feet Acres 0.68
DIRECTIONS: 150E/ RIGHT INTO POINT NORMAN / 1 ST LEFT 3RD HOUSE ON RIGHT
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY : Public Water
DESCRIBE WORK: adding 16 x 30 deck on rear of existing dwelling ***existing concrete covering drainfield must be removed / decl
will be cantilevered as needed to meet setbacks
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
1f 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:
Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF SINGLE FAMILY DWELLING
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 67 X 70
NUMBER OF EXISTING BEDROOMS: 3
NEW STRUCTURE DIM:: 16 X 30
# OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
BASEMENT? Yes BASEMENT FIXTURES? Yes
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE:
OTHER: INNOVATIVE:
Other described:
PLUMBING REQUIRED?
CONVENTIONAL:
ANY:
FQ - chapplication 07/17/2014 17:07 Page I of
yA CATAWBA COUNTY Case # RBPR-07-2014-19541
Public Health Department Subdivision POINTE NORMAN
v o: �� Environmental Health Division PIN# 460719711313
S PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
Ig SM
NAME ON PERMIT: ( THOMAS WATSON), 7833 SAIL POINTE DR, SHERRILLS FORD NC 28673
( Thomas Watson)
Site Address: 7833 SAIL POINTE DR, SHERRILLS FORD NC 28673
Property Size: Square Feet Acres 0.68
Directions: 150E/ RIGHT INTO POINT NORMAN / 1 ST LEFT 3RD HOUSE 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.
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 identifica ion and labeling of all property lines and corners and making the site accessible so that a complete Site evaluation can be performed.
DatYe Signature of Applicant or Ag
An Environmental Health Specialist will contact you within 2 working day's 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 07/17/2014 $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)
EQ - ohapplirilion 07/17/2014 17:08 Page 2 of4
CIATA'%7BATHIS IS NOT A PERMIT
cGu TY _CATAWBA COUNTY HEALTH DEPARTll ENT
Application for Environmental Services Page 1
Improvement Permit Authorization to Construct [:1 Septic Repair ❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
Well Repair ❑ Existing System Inspection (Pre -Approval Required)
Pr
Application� is for New Construction [:1 Existing Facility/ El
Property Address 75 �9 5cL i I �0 '/4 I -k Subdivision &/"n Noo- a4
�A6rr, Its rA A<, 29<o 7,3 Lot Acres
/ Section/Block/Phase
Driving Directions to Property � GTS) Zys 7 T/,erA rr 1 • lT�- 'A -(' z� 1L�- /lid t iVL� lj
1 l -e,41rd ti !�s d ✓ G► -1
NAME TO APPEAR ON PERMIT? ❑ Owner Applicant ontractor
Applicant Contact Information
Name% �j q �n.�1-e.
Address 7" O icl L; n c r-/ v v SE cd L I' A C 0 /n -rare /l C
Phone 7Z) 54 7�' / (� -3 3 I Cell Phone `/SCS (11
Owner Contact Information
Name X5-6 l.Jlti/ /..Ja4s a n
Address /:.33 % c�
Phone I Cell Phone S/3 E03 /a_
Contractor Contact Information
Name Tn N Lrn �l P
Address -70,7�� / � ,car • ('p r o t/S £ (e 1 n GU l n /Z:)/,)
Phone7Q�/- Loi I Cell Phone �-JgQ 2� QQ (per
WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ontractor
Description of Existing Structures on Site
# of Bedrooms *f 3 Structure Dimensions # of Occupants Z—
Basement ®' 'es ❑ No Basement Fixtures es U 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 P/ Does the site contain any jurisdictional wetlands?
Yes a : No Does the site contain any existing wastewater systems?
a Yes N Is any wastewater going to be generated on the site other than domestic sewage?
$Yes Is the site subject to approval by any other public agency?
13 Yes o Are there any easements or right of ways on this property? Describe
ExisECounty/City/Township
ater supply in use El Individual Well ❑ Community Well ❑ Semi -Public Well
Water Line Is a public water supply available? ** ffjY s ❑ 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 ❑ Any
CATAWBA
THIS IS NOT A PERMIT
COUNTY- CAT'AWBA COUNTY HEALTH DEPARTMENT
s 4 Application for Environmental Services Page 2
naar�i Cameno
Proposed Facility Type
❑ Primary Residence ❑ New Residence O'Addition to Residence # of New Bedrooms * j
Project Description 4 i° 6.J',
Structure Dimensions /('p X 1} # of Occupants
Basement es El No Basement Fixtures rl'Yes (2No
❑ Accessory Structure(s) .:Describe
# of New Bedrooms *t if applicable Structure Dimensions
# of Occupants Accessory Dwelling ❑ Yes ❑ No
Plumbing ❑ Yes ❑ No Describe Plumbing Needed
❑ idence #Units _.: #Bedrooms . �,.:,._..:. �.::....:.... __�..e .:...:._.�.....::.:.:. .�. a:.s�:.�....�..... Multi -Family Res_ ' p Unit*�'
Total # Bedrooms *t Structure Dimensions
U Food ervice Specify Typ.:..:.
S e
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
❑ Business Specific Type of Business . . J� i. + Retail Floor Space
# of Employees per Shift # of Shifts
Facility , ,. _ ...:.:..:,.... .:..._.....: _ .. .,.. _ .:..... . ...:..::. ,._ .... .... ,:.... , _ ..:,......,_, ,_ . ......._..:. .
❑ ility Type Specify
If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy
s
ntruction/Aband11onmen ..
Application for Well Co J� t/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 f 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.
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 Agent Date
,Printed Name of 0 Ag
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
or consequential which arises or may arise from this map product or the use thereof by any person or entity.
Selected Parcel Number: 4607-19-71-1313
1 inch = 50 feet
Prepared for:
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THIS IS NOT A LEGAL DOCUMENT 7849 Date/Saved: /11/2011,
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CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
4607-19-71-1313
Name:
WATSON THOMAS S
Name2:
WATSON TONYA S
Address:
7833 SAIL POINTE DR
Address2:
City:
SHERRILLS FORD
State:
NC
Zip:
28673-8360
Account:
Calc Acreage:
0.68
Tax Map:
01 2F 01030
LRK:
800180
Deed Book:
3066
Deed Page:
1874
Subdivision Name: POINTE NORMAN
Subdivision Block:
Lots:
30
Plat Book:
35
Plat Page:
147
Building Number:
7833
Street Name:
SAIL POINTE DR
Site Zip:
28673
Township:
MOUNTAIN CREEK
Fire Dist:
SHERRILLS FORD
C ity/Tax:
State Road:
2769
Total Bldgs Value:
$436,500
Land Value:
$174,200
Total Value:
$610,700
Year Built:
2000
Year Remodeled:
Last Sale Date:
3/1/2011
Last Sale Amount:
$679,000
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-O,FPM-O
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: R-438
Census Tract 2010: 011504
Census Block 2010:
4001
Small Area Plan:
SHERRILLS FORD
Agricultural District:
Printed: Thursday, July 17, 2014 04:46 PM
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ti— CATAWBA COUNTY HEALTH DEPARTMENT No 5 3 6 Q ���
Telephone: (828) 4O -em STPD- (828) 465 2,O0 ,1I
Imp. Prmt. 6.i Auth. to Const. aL/Rpr Prmt. Opr Prmt_ !7' Sys. Type �(S Well P Well Rpr Prmt.
Owner/Agent 6) � F-Jl )��`ig fi!`— V: Phone _ ) — c /-
Address J�K.�_,4/L ,D�/I f /){� Subdivision 1��— AMIZIn�f
�ij� All ;, );7- `)
Section/Block/Phase Lot#
Lot Size , 9,,Tb ZOE:5 Directions:
S69 -i1, Ant T iE X> k?," D Axa r. CA4�.bS7—
_--Oct
Facility: House_L,,e!fMobile Home Business Multi -family Other: Tax Map or Pin Number YCO7j'3/3_
Other Zoning Approval # z9'/65"770
# Bedrooms , 'j # Seats # Employees Application Rate , ,� GPD Flow -3191-"/j
Hot 'Cub or Spa yes no pecial Fixtures Baserner(po 100% Repair Areat�s(e�u
Basement Plumhin es Water Supply: Private Well Public
_L..,Semi-Public
Type of System: Trench c --'—Sed Pump_ Pump/Panel _ Panel LPP Other
Septic Tank Size /00 6 PumpTank- Size ---, Nitrification Field: Total Square Feet /O S'() Depth of Stone
Bed Size Trench Width Total Length of All Trenches__ '3-5-7) Number of Trenches
i
Trench Length r% / 70 / .70/ ID 17Q != Feet on Center Maximum Trench Depth Distance of Nearest Well
*DO NOT INSTALL SEPTIC WHEN WET* *� � *WELL RECORD REQUIRED AT COMPLETION*
Topo 7 % Slope I `
Texture C6'±7tfyI r
Structure
Clay Min.
Soil Wetness I W
Soil Depth
Restric. Hoz. at
Available spae es o I ��
Overall Class S I / ' 1 SToNG
Comments:
1r.ijter Required
riser required zvh r
- �flnit is more than
I i-j;E1�es. veep. y
I o
**NO GUARANTEE OR IWARRANTIS IMPLIED OR OVEN AS TO THE PERFO ANCE OR LENGTH OF TIME THIS SYSTEM
WILL FUNCTION**
*Improvement Permit has no expiration date and is transferable, may be revoked if site p ans-or-intended use changes for the p oposed
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 possible sources of contamination. No volume of
Stater is guaranteed at any site by the Health Department. '
Permit Date EHS 57
Owner/ASeptic Tank Installed I3y_0—G, ZUkX ; , •�`� Date C? -';x1
EHS MM14Well Installed By Well Grout Approval Date I
Well Head Ap val Date Date Sample Collected
Date of Results Results EHS
White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct