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Home My WebLink AboutRBPR-07-2014-19586.TIFContractor THIS IS NOT A PERMIT Case # RBPR-07-2014-19586 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Deck/Porch IMPROVEMENT BRUCE SHOOK, 2000 DOUBLE OAK DR, CLAREMONT NC 28610 C:8284615777 LD Owner JOHN GREINER, 3643 BUNKER HILL SCHOOL RD, CLAREMONT NC 28610 NAME TO APPEAR ON PERMIT John Greiner SITE ADDRESS: 3643 BUNKER HILL SCHOOL RD, CLAREMONT NC 28610 PIN # 376207583998 NAME of SUBDIVISION: Lot # Section/Block PROPERTY SIZE: Square Feet Acres 5.7 DIRECTIONS: FROM cLAREMONT / DOWN BUNKER HILL SCHOOL RD/ ABOUT 1 1/2 MILE / LOT ON LEFT PRIMARY CONTACT: Contractor GALLONS PER DAY: 360 SEWER TYPE: Septic Tank WATER SUPPLY: Private Well DESCRIBE WORK: adding 16 x 42 & 12 x 68 L-shaped covered porch on the front & side of new modular dwelling / new porch arez will also be attached to an existing detached garage 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF NEW MODULAR DWELLING EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 30 X 68 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 X 42 & 12 X 68 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: 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 accessibltr so that a complete site evaluation can be performed. Date: ,r -,2 i — / % Signature of Applicant or Agent _% i� An Environmental Health Specialist will contact you within 2 working delays of application date. If you need further information or assistance please call 828-466-7291 AREA2 ************************************************************************************************************ E9 - chapplication 07/24/2014 13:31 Page 1 of $A CATAWBA COUNTY Case # RBPR-07-2014-19586 Public Health Department Subdivision 6 s Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 PIN# 376207583998 Ig42 5M NAME ON PERMIT: ( JOHN GREINER), 3643 BUNKER HILL SCHOOL RD, CLAREMONT NC 28610 ( John Greiner) Site Address: 3643 BUNKER HILL SCHOOL RD, CLAREMONT NC 28610 Property Size: Square Feet Acres 5.7 Directions: FROM cLAREMONT / DOWN BUNKER HILL SCHOOL RD/ ABOUT 1 1/2 MILE / LOT ON LEFT MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit (Existing) Fee TOTAL FEES DATE FEE AMOUNT 07/24/2014 $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 - chapplication 07/24/2014 13:31 Page 2 of THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit O'",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 ; 3(,7 /- , ? ��cmll er� ,i�- I L Subdivision L /(I re -y- of -i f /-q . C . �k1_ L!, Lot # Acres Section/Block/Phase Driving Directions to Property ___Lr_,-)_, v,� c_ k t, ,r" -P. m6r4 - - ( L)cJ ez1 ) 0 (- L,;Q 1 i 7l ✓Y it O 'V . NAME TO APPEAR ON PERMIT? M Owner ❑ Applicant [-Contractor Applicant Contact Information Name )� /amuC o_ A)\_ z, O l ,� Address 10 Ofd D,,-) k 1 r C -)p\ V_ Phone �,q g /4 (, ( - - -77 '-7 Owner Contact Information ( Name J v /1r( G r, c- " Address '3 (v 14 31 �414 I Phone L) f ; Lk Cell Phone S� _ ex)I /Zc_� . I Cell Phone 7 o q - (0 7 — 1. -� '7 Contractor Contact Information L Name /3]-, C e ; 5 tom) 6 (.,- I Address 3,�OW Ue)vL✓v- aav4 Di N,se- Clavrw z./V/ 4/,e, J4 Phone I Cell Phone X-)& — Z/ - S` .7 _77 WHO WILL BE TBE PRIMARY CONTACT? ❑ Owner ❑ Applicant 0 C no tractor Description of Existing Structures on Site h r>wt v 4 (-; QrY� . # of Bedrooms *-j' X 3 Structure Dimensions , '10Y C9 -VPof Occupants Basement ❑ Yes No Basement Fixtures 0 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 0 No Does the site contain any jurisdictional wetlands? * Yes 93 No Does the site contain any existing wastewater systems? * Yes KI No Is any wastewater going to be generated on the site other than domestic sewage? EM Yes 0 No Is the site subject to approval by any other public agency? 10 Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use ®- n!vidual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If app1 ' or n Improvement Permit or Authorization to � Construct, _P_-l_.e.,ma,se Indicate Desired System.,...T..,..y. pe..(s.,): (systems can be ranked in order of your preference) ❑ Accepted ❑ Alternative 0 Conventional ❑ Innovative 11 Other 11 Any CTHIS IS NOT A PERMIT 4: UNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Proposed Facility Type F1 Primary Residence n New Residence F1 Addition to Residence # of New Bedrooms *t Project Description 6t',dJ(` -, (r� coocQeA pr-i'A Structure Dimensions #7?c 4 Y/ 11_2� 69 _# of Occupants Basement F] Yes El No Basement Fixtures El Yes [I No F] Accessory Structure(s) Describe # of New Bedrooms if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes n No Plumbing El Yes ❑ No Describe Plumbing Needed Multi -Family Residence # Units Total # Bedrooms *f LJ Food Service Specify Type #Bedrooms per Unit*t Structure Dimensions # 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 F-1 Other Facility Type Specify If Church # of Seats Kitchen El Yes F1 No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi -Public Well 0 Community Well Abandonment Type 17 Drilled ❑ Bored F1 Dug ❑ unknown Well Repair Requested FlYes RNo Describe Page 2 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date Printed Name of Owner or Agent � vU � - l o ranfl o G� N 1 inch = 100 feet i 1' rte... r 5 1 0 Catawba County, North y 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. 1 Selected Parcel Number: 3762-07-58-3998 l� 1.03A X9981 1.73A i 9536 THIS IS NOT A LEGAL DOCUMENT 700.07 } 1.06A 2648 Prepared for: 1p \& s II 604 �o 1.AA 3585 Q0 goo .;< �`��` Dat aveed 6/11/;01 I CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3762-07-58-3998 Name: GREINER JOHN E Name2: Address: 3643 BUNKER HILL SCHOOL RD Address2: City: CLAREMONT State: NC Zip: 28610-9611 Account: Calc Acreage: 5.7 Tax Map: 3300 00034A LRK: 67900 Deed Book: 1172 Deed Page: 0227 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page.- age:Building BuildingNumber: 3643 Street Name: BUNKER HILL SCHOOL RD Site Zip: 28610 Township: CLINES Fire Dist: CLAREMONT RURAL C ity/Tax: State Road: 1716 Total Bldgs Value: $74,000 Land Value: $48,100 Total Value: $122,100 Year Built: 1978 Year Remodeled: Last Sale Date: 6/1/1978 Last Sale Amount: $34,000 Neighborhood: 67 Watershed: WS -IV Protected Area Watershed Split: NO Voter Precinct: P6 E911 District: CLAREMONT Zoning: R-2 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: CLAREMONT Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CLAREMONT Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010102 Census Block 2010: 3004 Small Area Plan: Agricultural District: Proximity Printed: Thursday, July 24, 2014 02:02 PM