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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: °. 258.69 -4 0 ll . /fit€ 7821 1422 ` ® l i Jt t - 1313 30 - -- i' 1`L • - - 2 - L 1 29 00.88 / OT); THIS IS NOT A LEGAL DOCUMENT 7849 Date/Saved: /11/2011, '133.59 124.31 118.74 M0, Cl a') Q0 4.99 27.54. 142.7?'i 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 vi U_ L, 0 8 -",V.- P, �.pL'" -tom Cb VC f, e5 0 - deck w`' 1 � �� Cao 1 �Jefe�l a S nee�Pd -. meer 9.4be'cLS 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