The URL can be used to link to this page

Home My WebLink AboutRBPR-07-2014-19632.TIFContractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2014-19632 CATAWBA COUNTY HEALTH DEPARTMENT . PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 4, Residential Building Plan Review - Building New RUTH CONST D STROM CONSTRUCTION INC, 2343 CROFTE DR, SHERRILLS FORD NC 28673- H:7045064000B:704-506-4000 HOME: 7045064000F:828-478-9469 CHRIS@STROMCONSTRUCTIONINC.COM DENNIS WINKS, 10807 SANTA CLARA DR, FAIRFAX VA 22030 C:704-506-4000 NAME TO APPEAR ON PERMIT Dennis Winks SITE ADDRESS: 2415 TALBOT CT, SHERRILLS FORD NC 28673 NAME of SUBDIVISION: NORTHVIEW HARBOUR PH 5 Lot # PROPERTY SIZE: Square Feet Acres 0.97 DIRECTIONS: Island Point / left Capes Cove/ Left Talbot Ct/ at end PRIMARY CONTACT: Contractor SEWER TYPE GALLONS PER DAY: 480 WATER SUPPLY DESCRIBE WORK: 1 story dwelling w/attached / basement (partially finished) 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? No 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: FACILITY TYPE: Single Family Residence DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70 x 79 # OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: 0 PIN # 461802780980 326 Section/Block Septic Tank Public Water PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: YES E9 - chapplicatim 07/30/2014 11:42 Page I of S$ri r CATAWBA COUNTY Case # RBPR-07-2014-19632 y, Public Health Department Subdivision NORTHVIEW HARBOUR PH 5 d , Environmental Health Division PIN# 461802780980 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 SM NAME ON PERMIT: (DENNIS WINKS), 10807 SANTA CLARA DR, FAIRFAX VA 22030 ( Dennis Winks) Site Address: 2415 TALBOT CT, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0'97 Directions: Island Point / left Capes Cove/ Left Talbot Ct/ at end 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 rulyta erstand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessi s- tmplete site evaluation can be performed. Date: �-3v--J� Signature of Applicant or Agent An Environmental Health Specialist will contact you withi�worll-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 Authorization to Construct Fee (New/Expansion) 07/30/2014 $300.00 Fee `. TOTAL FEES $300.00 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 07/30/2014 11:42 Page 2 of 4 - AW -3- , CATAWBA COUNTY HEALTH DEPARTMENT _W"�� Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct J 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 �`� "Ccs �t)� Subdivision SLhP r1' l=� I it C 2d'C�`> Lot # Acres Section/Block/Ph e / Driving Directions to Property . L ��^✓ P0 '\`i (� �, c, p) (�. e> Ole /_^.4 i NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name -� k n s- �;�"4 S -"J 'v✓N f . c> -,A Address -Z_z, PhonejA,� r r ; t J Vo,r� � 7 1 Cell Phone -70+ `- C Owner Contact Information I Name D v, In h Address Phone Cell Phone-SI�G��J Contractor Contact Information Name P, �, r'1- !!�'G ro -,n � S -� , t� Address -" zq 3 r#- D Sine r < s o v,- L \l 6- 2-,R-&-73 Phone I Cell Phone -)6. (,/— -S'U 6j--- yQ c� c WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Contractor DescriptIN of E ting Structures on Sit _ # of Be oms *t � St< tore Dimensions "%�j �' # of Occupants v Base �'�'es E:1 No Bas e Fixtures 12 ,Yes O No / The App icant 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. a Yes JWNo Does the site contain any jurisdictional wetlands? El Yes P'No Does the site contain any existing wastewater systems? 0 Yes 0&0 Is any wastewater going to be generated on the site other than domestic sewage? O 1'es , -1T0 Is the site subject to approval by any other public agency? E3 Yes .lo 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? ** ❑ 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 11 Alternative 0 Conventional 13 Innovative ❑ Other WAny CATAWBA THIS IS NOT A PERMIT CUUNTY - — - -- CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 FPro osed Facility Type { ,� Primary Residence J9 New Residence ❑ Addition to Residence # of New Bedrooms *t "I Project Description A ILCtil r e S �A6V\c-'P Structure Dimensions �1� h''� # of Occupants Basemen Yes [o Basement Fixtures Yes No ❑ Ac11bin ruc ure(s) crib / Bedrooms * j if cable 1� �ructure Dimensions 7L� cu "2,� Accessory Dwel g ❑ Yes ❑ No Yes ❑NI Describe Plumbing ee ed Vev,% �e4v� Multi-Family7Zesidence # Units #Bedrooms per Unit*t Total # Bedrooms *t 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 # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Ahcation for Well Construction/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 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 pe d. Signature of Owner or Agent ` "'—" Date �. Printed Name of Owner or Agent 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: 4618-02-78-0980 1 inch = 50 feet El 3.29t ,+:'Illr k qq. k�x�l'iN� li 20.31 . 24.22 23� Prepared for: 1 � +4 (00 -412 6 I ., 21 761, N, 9.24! � t 22.08 5 :•, 2 aJ a 20 l LT 5 `� d 2.2.499 A . 327 - -� S NOT A LEGAL DOCUMEN I�. I Dat !' Yved: 7/29/2014 THIS I ... ..._. �. CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4618-02-78-0980 Name: WINKS DENNIS Name2: WINKS PAMELA Address: 10807 SANTA CLARA DR Address2: City: FAI RFAX State: VA Zip: 22030-4464 Account: Calc Acreage: 0.97 Tax Map: LRK: 802135 Deed Book: 3162 Deed Page: 1306 Subdivision Name: NORTHVIEW HARBOUR PH 5 Subdivision Block: Lots: 326 Plat Book: 56 Plat Page: 158 Building Number: 2415 Street Name: TALBOT CT Site Zip: 28673 Township: MOUNTAIN CREEK Fire Dist: SHERRILLS FORD City/Tax: State Road: Total Bldgs Value: $4,700 Land Value: $207,600 Total Value: $212,300 Year Built: Year Remodeled: Last Sale Date: 12/17/2012 Last Sale Amount: $130,000 Neighborhood: 130 Watershed: WS -IV Critical Area Watershed Split: NO Voter Precinct: P31 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): Split Zoning Dist(2): School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILI_ CREEK High School EANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011503 Census Block 2010: 2009 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wednes&y, July 30, 2014 11:01 AM CATAWBA COUNTY HEALTH DEPARTMENT Telephone (828) 465-8270 TDD (828) 465-8200 WLS #,� 003 "40.59?) IP AC_Rpr Prmt. Opr Prmt. Sys Type Well Prmt.. Replacement Well Well Rpr Prmt. Owner/Agent/_ /� I C. 1 /9- 9/, A..le, Phone 7 p cf Address a. �% J �' 7"-jg L� 6-7- G� u /�-T Subdivision I/4 �67A-cUi� S/7( -n e.2/GC,S F02.11 N, C'R',g i,.'_2, Section/Block/Phase Lot# I 9t;Size 0. 9 c},¢ c2 C--,5 Directions ) 5 U B 4D J.� 4fH/ielJ� POr nti�O A I� ?,-7,/ c rzr< re")Gig- FF. C c? (L), G Ll 4 7L),5-- �, Property Address Facility: House Mobile Home Business Multi -family Other- Pin Number Other Zoning Approval # # Bedrooms1IL # Seats # Employees Application Rate , ;3 GPD Flow Hot Tub or Spa yes/gopecial Fixtures . Basement es o 100% Repair Are yes o Basement Plumbing e�s j' io Water Supply: Private Well Public_ Semi -Public Type of System. Trench ---Bed -- Pump _ Pump/Panel .-- Panel — L Other A5 1n ec_'PuQj IeA) 5'y.STC,� Septic Tank Size /U -e ) Pump Tank Size / 0 d O Nitrification Field: tal Square Feet ^ Depth of Stone N/ A Bed Size — Trench Width .3 Total Length of Al enches V 0") Ilumber of Trenches : Trench Length $'U / BU/ t ?V l 82)./&'0/ -- Feet on Center j *DO NOT INSTALL SEPTIC WHEN WET* Topo % Slope Texture Structure Clay Min. Soil Wetness Soil Depth Restric Hoz at Available space yes/no %t4tt, 6 - Overall Class S PS U Comments � St S&4. "VL.i L /Yo 2 TN Z✓ Op aiL� �*WELL nc epth q(y-Distance of Nearest Well A111 �, CORD REQUIRED AT COMPLETION* * P4 MP 'Z�k PP'CSSjtP_�7 1-4AN/F=eW0 -el 2'5 'r' 6, A GTc-kM AA -Z 41 1 N S 7-/ -L.L R—r/ oA) S F,0nC c -d -4-L S c �G�Lo9 �o yS L3c�a2C /,--STS L,. Tlo,J fn tL J�NzTi OL w 1 M Fb q --r^ #:-i-16 ") 53- 0q 30 t" J Filter Required Riser required when 'Su tank is more than 6 inches deep. LL -- **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERl^ORMANCE OR LENGTH OF TIME THIS SYST WILL FUNCTION** r *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 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 water is guaranteed at any site by the Health Department. �y Permit Date LC/ 1 ;� 6 f► EHS _ �_ _, S• Owner/Agent :4 _ _ qw Septic Tank Installed By Date EHS Well Installed By Well Grout Approval Date Well Head Approval Date. Date Sample Collected Date of Results Results EHS White - Office Yellow - Owner/Agent Pink Building Inspection Authorization to Construct 1273 oC)) 6 THIS IS NOT A LFCAL DOCUMENT IV 32.2 ,r-) -7\n \\ Date SAveedt-7129121 4 me. 11:�43A 0 3 � 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: 4618-02-79-3014 1 inch = 50 feet = Pre ared for: 1273 oC)) 6 THIS IS NOT A LFCAL DOCUMENT IV 32.2 ,r-) -7\n \\ Date SAveedt-7129121 4 me. 11:�43A 0 3 �