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Home My WebLink AboutRBPR-07-2014-19643.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2014-19643 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Swimming Pool IMPROVEMENT Owner JAMES RHOTON, 1688 RING TAIL RD, CLAREMONT NC 28610 H:8284650027 HOME:8284650027 NAME TO APPEAR ON PERMIT James Rhoton SITE ADDRESS: 1688 RING TAIL RD, CLAREMONT NC 28610 PIN # 376003429945 NAME of SUBDIVISION: CATAWBA VALLEY FARMS MAP 2 Lot # 12 PT 13 Section/Block PROPERTY SIZE: Square Feet 215,186.40 Acres 4.94 DIRECTIONS: From Love Rd, turn onto Ring Tail Rd, first house on right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 26' Round Above Ground Swimming Pool with 3' deck 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? P 0 APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Mobile home w/building attached EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 24/28 x 96 NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 26' Round 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 ac ssible so that a complet ite a aluation can be performed. Date: `% _31— 1 4 Signature of Applicant or Agent %. An Environmental Health Specialist will contact you within QYworking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 ********************************************************************************************************************** MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 10 MAX HEIGHT: E9 - chapplication 07/31/2014 13:18 Page 1 of 4 �A CATAWBA COUNTY t ~e Public Health Department d a� Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 1842 w Case # RBPR-07-2014-19643 Subdivision CATAWBA VALLEY FARMS MA PIN# 376003429945 NAME ON PERMIT: ( JAMES RHOTON), 1688 RING TAIL RD, CLAREMONT NC 28610 ( James Rhoton) Site Address: 1688 RING TAIL RD, CLAREMONT NC 28610 Property Size: Square Feet 215,186.40 Acres 4.94 Directions: From Love Rd, turn onto Ring Tail Rd, first house on right <4a FEENAME` DATE Improvement Permit Fee 07/31/2014 TOTAL FEES FEE AMOUNT ' $150.00 $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORD ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chapplication 07/31/2014 13:18 Pale 2 of 4 BA THIS IS NOT A PERMIT QDLI'VY�CATAWBA COUNTY HEALTH DEPARTMET�DEPARTMENT�o�►„,.' 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 ❑ Existing Facility ❑ nn Property Address / (,n R”, 'ILK R �- Subdivision ClRye-m,� IU /J C- �E(, I D Lot# Acres Section/Block/Phase Driving Directions to Property �ry rr, � c � U r n 01\4,0 U u Se J Uf 1a�� NAME TO APPEAR ON PERMIT? 0 Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name �� m e S 4 e, (trU Address pcqa a , � LJ ii- ► Yz ri� o �� fJ C- � 6 �? Phone �� , (� .5 J © o a ' j I Cell Phone Owner Contact Information Name A ,Y, Q-,- f Address Phone I Cell Phone Contractor Contact Information Name <� ►m S C l� ,,� �.o� i ✓�% Address Phone I Cell Phone WHO WILL BE TEE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site a`l 70 fttoF1-Fe-76m---/ -q; c-% u: /,V # of Bedrooms Structure Dimensions d4./a 96 # of Occupants � Basement ❑ Yes WNo Basement Fixtures Yes O -Ko- 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. a Yes io-O Does the site contain any jurisdictional wetlands? Yes % Does the site contain any existing wastewater systems? a Yes 13 -No Is any wastewater going to be generated on the site other than domestic sewage? id Yes Oo - Is the site subject to approval by any other public agency? 10 Yes Are there any easements or right of ways on this property? Describe Existing water supply m use "y [Individual Well Community Well . __.-..;�..... Semi -Public ' � ❑� ❑Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes To 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) ❑ Accepted 11 Alternative 0 Conventional 0 Innovative 13 Other 0 Any THIS IS NQT-A PERMIT QAS T 1A �,__ACATAWBA C01iNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type M Primary Residence' R New Residence FI Additio-uto Residence # of Now Bedrooms *t Project Description Structure Dimensions # of Occupants Basement F1 Yes El No Basement Fixtures 0 Yes No ❑ essoryStructure(s) •Describe 0 µ^.-Aacbl # of New Bedrooms *t if applicable C Structure Dimensions # of Occupants Adces-sory D:'-' "welling 0 Yes Plumbing El Yes n No Describe Plumbing Needed Multi -Family 'Riisidefice # Units #Bedroorns 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 Xof Shifts F1 Other Facility -Type Sp;ci;`` If Church # of Seats Kitchen El Yes D No If Daycare Specify Occupancy Application for Well Construction/Abandonm 6it/kepw Proposed Well Type n Individual Well ElSemi-Public Well F] Community Well Abandonment Type 17 Drilled n Bored F1 Dug 17 Unknown Well Repair Requested F] Yes El 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 ofbui1dM'g1)6rmitissuance. This i-4ay 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 benon-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 an - d 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 21, L J Date 7 'q Printed Name of Owner or Agent e- 5, R� 0 --G t) Septic Tank Size eY15 rf''� Pump Tank Size Nitrification Field. Total Square Feet &A Depth of Stone / Z Bed Size 6 Y GO0 Trench Width Total Length of All Trenches Number of Trenches Trench Length _/_/_/_/ /_ Feet on Center Maximum Trench Depth Distance of Nearest Well /,t') *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope Texture Structure Clay Min. Soil Wetness Soil Depth Restric Hoz. at " Available space yes/no Overall Class S PS U Comments.-- " omments.—fA _ f r i CC- Y I% v'c LA Filter Required I Riser required when tank is more than 6 inches deep. � **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM 6 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 from date issued and is not transferable. Well Permit valid for 5 years provided site conditionsdo 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 IIealth Department before any p ion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known -possible o ices of contamination. No volume of water is guaranteed at any site by the Health Department./[/,/!�/� / C.7 r4ed *roal �qr,�i nns EHSSeptic Tank Installed ByWell Installed By WeTI Grout Approval 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 jd630 W L -S Z00 D —e :i CATAWBA COUNTY HEALTH DEPARTMENT N2 8821 TeI phon • (828) 465-82 i TDD (828) 465-8200 _ IP' AC Rpr Prmt. Opr Print. Sys. Type Well Prmt. Replacement Well Well Rpr Prmt. Owner/A ent g "�' ,nn,a� Lf f,) )I P� Phone 4GS— Do-gz--1 Address Subdivision (I j CL.V-10vvk-� Section/Block/Phase Lot# Lot Size Directions Property Address /&S /� ,"/ 17d Facility- House K, Mobile Home Business Multi -family Other- Pin Number3?rf7 •-493 Other Zoning Approval # . # Bedrooms 4/ # Seats # Employees Application Rate -i:S GPD Flow 41h Hot Tub or Spa yes/no Special Fixtures Basement ye.,:6> 100% Repair Aree�qno Basement Plumbing yes/no Water Supply- Private WellkPublic Semi -Public Type of -System: Trench Bed X Pump Pump/Panel Panel LPP Other Septic Tank Size eY15 rf''� Pump Tank Size Nitrification Field. Total Square Feet &A Depth of Stone / Z Bed Size 6 Y GO0 Trench Width Total Length of All Trenches Number of Trenches Trench Length _/_/_/_/ /_ Feet on Center Maximum Trench Depth Distance of Nearest Well /,t') *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope Texture Structure Clay Min. Soil Wetness Soil Depth Restric Hoz. at " Available space yes/no Overall Class S PS U Comments.-- " omments.—fA _ f r i CC- Y I% v'c LA Filter Required I Riser required when tank is more than 6 inches deep. � **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM 6 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 from date issued and is not transferable. Well Permit valid for 5 years provided site conditionsdo 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 IIealth Department before any p ion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known -possible o ices of contamination. No volume of water is guaranteed at any site by the Health Department./[/,/!�/� / C.7 r4ed *roal �qr,�i nns EHSSeptic Tank Installed ByWell Installed By WeTI Grout Approval 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 CATAWB C! &TH-EPARTMENT IK2ROVEMENT PERMIT FOR SEPTIC TANKS Permit No. 13824 'AME OF OWNER-; : ` DATEa-- DDRESS OF OWNER PHONE AME OF CONTRACTOR ADDRESS OCATION �F` �� J UBDIVISION ✓ LOT NO. SECTION OR BLOCK )T SIZE f/� FHA, VA LOAN )USE MOBILE HOME ( ) BUSINESS ( ) OTHER ( ) SEPTIC TANK LAYOUT ). BEDROOMS () NO. FIXTURES ) kRBAGE DISPOSAL UNIT: YES ( NO (� i.UM3TNG UNDER BASEMENT FLOOR: YES ( ) NO ( ) EZE OF TANK / Cr & f-`' LIQUID GALLONS CTRIFICATION FIELD: 1. Number of :lines 2. Length and width of liXies: a. Bed System / 9 x l 6) 0 ft. b. Trench system ft. - 3. Total Depth of stone inches _- tOUNDWATER INTERCEPTOR DRAIN: (IF REQUIRED) ITER SUPPLY: PRIVATE ((__)--1PUBLIC ( ) 7 AVER NOTIFIED TO CHECK ZONING: YES 9-)''90 ( ) INER AGREES WITH LAYOUT: YES V)/NO ( ) I 7NER AGREES WITH SPECIAL INSTRUCTIONS: YES O ( ) TNER OR CONTRACTOR SIGNATURE'' :RMIT FEE $ X0-1 ()C- ;RMIT VOID ATTER 36 MONTHS fPRO � T PERMIT ISSU C�BY SEPTIC TANK CONTRACTOR MUST FOLLOW ALL DETAILS OF THIS PERMIT (LAYOUT) NITARIAN 4� HEALTH DEPARTMENT COPY 1IL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE ( U.TSUITABLE ( ) TE FACTORS: SLOPE (%) S - PS - U 7. SOIL PERMEABILITY S - PS - U SOIL TEXTURE (12-48 IN.) S - PS - U UNDER 60 MIN. - OVER 60 MIN. SANDY, LOAMY, CLAYEY 8. OTHER S - PS - U SOIL STRUCTURE (12-48 IN.) S - PS - U (SPECIFY) SOIL DEPTH (IN.) S - PS - U 9. SOIL SERIES: RESTRICTIVE HORIZONS (IN.) S - PS - U A. CECIL ( ) B. HIWASSEE ( ) (IMPERVIOUS STRATA, ROCK) C. MADISON ( ) D. APPLING ( ) SOIL DRAINAGE - GROUNDWATER S - PS - U E. PACOLET ( ) F. FLOOD PLAIN ( ) (EXTERNAL - INTERNAL) G. 2-1 CLAY SOIL H. OTHER -SPECIFY }�A i 1- CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N° 0125 DATE: OWNER G17+-F=c� ��"t-G`.�Z ADDRESS lco,.. BUILDING E NTRACTOR SUBL;?VISION v4— LO CATION > Vw �/-`,� /�z L�'1' 6 LOT SIZE f BLOCK OR SECTION HOUSE ( ) MOBILE HOME (A' BUSINESS ( ) OTHER ( ) FHA -VA LOAN ( ) SEPTIC TANK: (SIZE /00 6 GALS) WATER SUPPLY: NO. BEDROOMS 4/ NO FIXTURES INDIVIDUAL �"PUBLIC GARBAGE DISPU AL UNIT:YES (�0 (�"� IF WELL, TYPE: BORED DRILLED DUG AUTO WASHING MACHINE: YES (�)�NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: �' `� a SQ. FT. POLLUTION: `� -f- FT. 1) NUMBER OF LINES L/ SEPTIC TANK INSTALLED BY: 2) LENGTH AND WIDTH OF LINES ---3 /y- x: ( C9 o PERMIT a) BED SYSTEM ( Q.._./- CERT CAT OF MPLETI N BY: b) TRENCH SYSTEM ( ) /j;.,1n; 3) DEPTH OF STONE IN LINES % REMARV'S: ADEQUATE FALL ( GRADE) ON: 1) BUILDINVGHOUSE) SEWER LINE: YES (y NO ( ) 2) NITRIFI,C ION LINES: DATE INSTALLED: YES (L-) NO ( ) - H W H O ..a SEPTIC TANK LAYOUT HEALTH DEPARTMENT COPY CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3760-03-42-9945 Name: RHOTON JAMES RAY Name2: RHOTON CAROLYN S Address: 1688 RING TAIL RD Address2: City: CLAREMONT State: NC Zip: 28610-9246 Account: Calc Acreage: 4.94 Tax Map: 025 Y 03037H LRK: 24139 Deed Book: 1229 Deed Page: 0288 Subdivision Name: CATAWBA VALLEY FARMS MAP 2 Subdivision Block: Lots: 12 PT 13 Plat Book: 5 Plat Page: 41 Building Number: 1688 Street Name: RING TAIL RD Site Zip: 28610 Township: CATAWBA Fire Dist: CATAWBA RURAL City/Tax: State Road: 1808 Total Bldgs Value: $132,700 Land Value: $36,600 Total Value: $169,300 Year Built: 1988 Year Remodeled: Last Sale Date: 3/1/1980 Last Sale Amount: $11,000 Neighborhood: 122 Watershed: WS -IV Protected Area Watershed Split: NO Voter Precinct: P5 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-0,WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): Split Zoning Dist(2): School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011402 Census Block 2010: 3001 Small Area Plan: BALLS CREEK Agricultural District: Proximity Printed: Thursday, July 31, 2014 01:04 PM h/L rks eir� new 610-1 ... ............ _ ..._._._.._.._......_. a Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. rj 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, indire or consequential which arises or may arise from this map product or the use thereof by any person or entity. Selected Parcel Numl -I inch = 100 feet Prepared for: 00 0i 0 o 5.07A 1-30 1144 O 078 12 .94A 994 49 26 .08 lat 8-12 ; � 4 58A i N g 2 ---- - - _ rn 23 44 278.44 rn 1.32A 3 0. 00 3A FIRE cy $502 2.2-0-4 S FIR o _L J CEO THIS IS NOT A LEGAL DOCUMENT 7 1I a Safed: 7/29/2014 Tim : 1:31:52 PI