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Home My WebLink AboutRBPR-07-2014-19605.TIFApplicant Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19605 CATAWBA COUNTY HEALTH DEPARTMENT old PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Accessory Structure IMPROVEMENT ASHLEY LUTZ, 5303 CANTERBURY DR, CONOVER NC 28613 0:8288502024 ERICA GREER, 5303 CANTERBURY DR, CONOVER NC 28613 C:8286122828 NAME TO APPEAR ON PERMIT Erica Greer SITE ADDRESS: 5303 CANTERBURY DR, CONOVER NC 28613 NAME of SUBDIVISION: Lot # PROPERTY SIZE: Square Feet Acres 1.93 DIRECTIONS: Springs Rd to Canterbury Dr/turn left of mail boxes, 2nd brick house on left PRIMARY CONTACT: Applicant SEWER TYPE GALLONS PER DAY: 360 WATER SUPPLY DESCRIBE WORK: 24 x 48 Detached Metal 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: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF I Single family house EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 74 x 49 LD RI:` PIN # 373410357594 Section/Block Septic Tank Private Well NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 24 x 48 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9 - chapplication 07/28/2014 13:19 Page 1 of 4 .�$A CATAWBA COUNTY Case # RBPR-07-2014-19605 Public Health Department Subdivision 2 �� Environmental Health Division PIN# 373410357594 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1,g 2 SW NAME ON PERMIT: ( ERICA GREER), 5303 CANTERBURY DR, CONOVER NC 28613 ( Erica Greer) Site Address: 5303 CANTERBURY DR, CONOVER NC 28613 Property Size: Square Feet Acres 1.93 Directions: Springs Rd to Canterbury Dr/turn left of mail boxes, 2nd brick house on left 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 accessibleso� that e.site evaluation can be performed. Date: %-��' f Signature of Applicant or Agent 06A _ An Environmental Health Specialist will contact you within 2 wotfing days of application date. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT: FEENAME 'e 4= DATE FEE AMOUNT Improvement Permit Fee 07/28/2014 $150.00 TOTAL FEES $150.60'" FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chapplication 07/28/2014 13:19 Page 2 of 4 TBATHIS IS NOT A PEPJfflT 'CA A CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New Construction N, Existing Facility ❑ Property Address S (_ VLA 4-1'1,t Subdivision CI A/r) 3/D!' , 111r. a 64 3 Lot # Acres Section/Block/Phase Driving Directions to PropertySDrr� oo;I� i'o Ca.ailzr aq f rf'1c -turAlle F4 !i /R�t, NAME TO APPEAR ON PERMIT? 91 Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name ��VJ�I'� ��ct Z Address S Sol Ca 711-erkr u rVE 0,,V, b,6f AIC— Phone Cell Phoned Owner Contact Information Name : Er-,' (,c; L 1, � Z } j Address "(O > Circ Al i e! -Aa f m �/ f ' v$ Phone"G)q - ��d 4,�� / -��ii � �i Cell Phon� Contractor Contact Information Name Address Phone I Cell Phone WHO WILL BE THE PRIMARY CONTACT? wner Applicant ❑ Contractor Description of Existing Structures on Site < c ; C # of Bedrooms 3 Structure Dimensions # of Occupants Basement Yes ❑ No Basement Fixtures Oyes [I 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 9 No Does the site contain any jurisdictional wetlands? Yes I No Does the site contain any existing wastewater systems? 0 Yes ® No 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? 10 Yes iJ No Are there any easements or right of ways on this property? Describe Existing water supply in use Individual Well F]Community Well ❑Semi -Public 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) 0 Accepted 0 Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CAA. THIS IS NOT A PERMIT CATAWBA COUNT' HEALTH DEPARTMENT NT Application for Environmental Services Page 2 Proposed Facility Type JRJ Primary Residence ❑ ew Residence P Addition to Residence # of New Bedrooms *t Project Description--, Structure Dimensio # of Occupants --,' � Basement ❑ Yes 9 No Basement Fixtures El Yes ® No ( Accessory Structure(s) Describe e q e_ # of New Bedrooms * if applicable Structure Dimensions _ # of Occupants Accessory Dwelling ❑ Yes C4 No Plumbing ❑ Yes KNo Describe Plumbing Needed Multi -Fa ....�,..---------_--------- ----- ------ ------ -- -- - ----- - - - - milt' Residence # Units #Bedrooms per Unit* j' Total # Bedrooms Structure Dimensions 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 ❑ Other Facility Type Specify # of Shifts If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy . . ' ...... _ _�_ - T - - -- - - - - - -- Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well Abandonment Type ❑ Drilled Well Repair Requested ❑ Yes ❑ No ❑ Semi -Public Well ❑ Community Well ❑ Bored ❑ Dug ❑ Unknown 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. f 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 `� N -1 inch = 60 feet 12 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: 3734-10-35-7594 Prepared for: 0 310 .R z 15 o x (31 '70 15 133 115 1.93A 7594 Lo I 100 -il 40017 CD M 'r- I CY) THIS IS NOT A LEGAL DOCUMENT Date Saved: 6/11/20\1� 7ime: 12:42:39 PT CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3734-10-35-7594 Name: • GREER ERICA CLONTZ Name2: Addresis: 5303 CANTERBURY DR Addres 32: City: CONOVER State: NC Zip: 28613-7757 Account: Calc Acreage: 1.93 Tax Map: 1500 00016 LRK: 52052 Deed Book: 3092 Deed Page: 0014 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 5303 Street Name: CANTERBURY DR Site Zip: 28613 Township: CLINES Fire Dist: ST STEPHENS City/Tax: State Road: 2387 Total Bldgs Value: $166,000 Land Value: $21,600 Total Value: $187,600 Year Built: 1997 Year Remodeled: Last Sale Date: 9/14/2011 Last Sale Amount: $150,000 Neighborhood: 58 Watershed: Watershed Split: NO Voter Precinct: P33 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: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010301 Census Block 2010: 1059 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Proximity Printed: Monday, July 28, 2014 12:49 PM iso �7 51 -fie P S AVIt-v . • • r � r r��J No 1811 �'`1 ;;,ATA A C TY" H SALT DEPARTMENT • Telephone: (704) 465-82 TDD:(7 4) 8200 / n Improve. Permit_ Authorization to Construct Repair PermiC Oper Permit tSystem Type Owner/Agent /r', �� "C„�-r-(�'t/ Phone�"�(� Address V? o44 Subdivision/// S tion/ ock/P ase Lo # Lot jize Di ecttpions : Facility: House t/" Mobile Home Business Other: Tax Map # -00 "— C1 Multi -family Other Zoning Approval #_7 a � # Bedrooms_# Seats # Employees Application Rate �# y GPD Flow Hot Tub or S, a yes/no Special Fixtures 100% Repair Areano Basement e no Basement Plumbing yes/� Water Su y: Private Well Public Type of System: Trench Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank SizePump Tank Size Nitrification Field: Total Square Feet 9o—D Depth of Stoner f Bed Size Trench Width 3 Total Length of All Trenches + Number of Trenches epthDIndividual Trench LengthPsO/ IrOl / / Feet on Center_ (Maximum Trench Depth -- Distance --,6f -Ne'ar6s : t istance-,of.Ne'arest Well �e��/ *DO NOT INSTALL WHEN WET* Slope• I Text",` C c1 y Min Soil Wetness. Soil: Depth 14 , VJ Restric ,Hoz > at'r " Available space noI Overall Class's 'S U° Comments:. , VV I I rZ I '**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years fro date issued and is not transferable. Permit Date 3+7--.�-7 Owner/Agent / y t !/6�*�__., Sanitarian Installed By a Date ��% Sanitarian White -Office Blue - Building Inspection Operation Permit ,Yellow - Owner/Agent Green - Building Inspection Authorization to Construct