Loading...
HomeMy WebLinkAboutRBPR-03-2016-23317.TIF vJ$A THIS IS NOT A PERMIT Case # RBPR-03-2016-23317 ET ` � ,° ti CATAWBA COUNTY HEALTH DEPARTMENT � �� 0 ib PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES .1'} a' X842 sN Residential Building Plan Review - Building New 0 :n IMPROVEMENT- AUTH CONST ROA Applicant ANA FILIP, 2087 MOSS FARM RD, HICKORY 28602 C:8283124180 OTHER:(828)312-4180 Contact Person GEORGE FILIP,2087 MOSS FARM RD, HICKORY NC 28602 C:8283124180 - Contractor *ELISEI OU (ELISEI OU), 692 HUNTERS RIDGE RD, TAYLORSVILLE NC 28681 B:(828)302-4097 OTHER:8283 124 1 80 GANDSGRANITE @YAHOO.COM Land Owner JOSEPH JOSEPH,2201 ZION CHURCH RD, HICKORY NC 28602 NAME TO APPEAR ON PERMIT ANA FILIP SITE ADDRESS: 1067 SPRUCEWOOD LN, NEWTON NC 28658 PIN # 372014330842 NAME of SUBDIVISION: COUNTRY CLUB HEIGHTS Lot# 9-17 Section/Block G PROPERTY SIZE: Square Feet Acres 0.76 DIRECTIONS: 10 E/right Startown RD/left Sandy Ford Rd/right on Sprucewood Ln PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: 2 story dwelling w/attached garage w/finished bonus room (NO basement) 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: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 67 x 66 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: • E9--ehapplication 03/03/2016 12:21 Page 1 of4 ygA CATAWBA COUNTY Case# RBPR-03-2016-23317 ,;;ft Public Health Department Subdivision COUNTRY CLUB HEIGHTS d z . Environmental Health Division PIN# 372014330842 ��j®�/ PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 /8.2 NAME ON PERMIT: (ANA FILIP),2087 MOSS FARM RD, HICKORY 28602 ( ANA FILIP) Site Address: 1067 SPRUCE WOOD LN, NEWTON NC 28658 Property Size: Square Feet Acres 0.76 Directions: 10 E/right Startown RD/left Sandy Ford Rd/right on Sprucewood Ln 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 nd rules. un•-rstand that I am solely responsible for the proper i ntification and labeling of all property lines and corners and making the site cc side s. t, - a ..nplete site evaluation can be performed. Date: '7 - / Signature ofApplicanto gent CC i . f • An Environmental Health Specialist will contac .you within 5 we !yno days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME Ii DATE FEE AMOUNT'; Authorization to Construct Fee (New/Expansion) 03/03/2016 $300.00 Fee Improvement Permit Fee 03/03/2016 $150.00 TOTAL FEES • $450.00 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-ehapplieation 03/03/2016 12:21 Page 2 of 4 CATAN Is THIS IS NOT A PERMIT L`L1li`TY _�M- K..� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit Kie Authorization to Construct DI 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 ! Of, 7 S 00 CO CAWooc L/1 Subdivision /Veit) /OA , AC ,,2r VP Lot# Acres • 76 Section/Block/Phase Driving Directions to Property /-44) /0 E Skirl-occ , n £C', %e rn l /urrl hi-4 00 / r Sprvu t ood Ln NAME TO APPEAR ON PERMIT? ❑ Owner ErApplicant ❑ Contractor Applicant Contact Information Name fin a 7 /if, Address .aoy7 Moss TG/m /-v. ry' , /1/C- fl6ov2 Phone f,2 r 3/Di - 9/8'o Cell Phone 102 r 3 /,2 y/ yo Owner Contact Information Name Address Phone Cell Phone Contractor Contact Information Name 6-eorq e qi Address 22 o g 7 v 72-ioss toffy/ Pei /Sir 'of f° , /VC „2 y 6 o c2 Phone Cell Phone J'02 g 3 Az L// • e. WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ReContracto o b , Description of Existing Structures on Site #of Bedrooms *j' Structure Dimensions #of Occupants Basement ❑Yes ❑ No Basement Fixtures a Yes a 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. ® Yes li eNo Does the site contain any jurisdictional wetlands? Yes ®'No Does the site contain any existing wastewater systems? C Yes b'No Is any wastewater going to be generated on the site other than domestic sewage? ,01(Yes li'a rNo Is the site subject to approval by any other public agency? C Yes Q'ko Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well l❑itommnnity Well ❑ Semi-Public Well eom,,,un 14, ❑ County/City/Township Water Line Is a public water supply available? ** [ Yes ❑No WT't 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 0 Alternative ❑ Conventional ❑Innovative ❑ Other ❑ Any ATAVY THIS IS NOT A PERMIT COUNTY V-Y- - CATAWBA COUNTY HEALTH DEPARTMENT - e,,,,,c Application for Environmental Services Page 2 Proposed Facility Type ,�/ ❑ Primary Residence u New Residence ❑ Addition to Residence #of New Bedrooms *j V Project Description ALew 044 C' 1/11w Structure Dimensions 6,6 .S X 65' g 41 of 5 ❑ Yes Er No Basement Fixtures ri Yes ''No ❑ Accessory Structure(s) Describe #of New Bedrooms *j if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑Yes ❑No Plumbing ❑ Yes ❑No Describe Plumbing Needed LI Multi-Family Residence#Units #Bedrooms per Unit*j' Total#Bedrooms *j' Structure Dimensions IN 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 Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well El Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes CI 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 maybe 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 (4° 4:61 Date Printed Name of Owner or Agent g Al/9 / z_/ Catawba County Environmental Health , Er % „to _ _ - - 4. S1 3 1 _ __ _ _ _ 1 1 _ I \ :- - trip t \ no , ( _ � L — o ti — — .,o z — — _ _ ___ _ _ — -- ... iii co — - 19375 4 Parcel: 372014330842, 1067 SPRUCEWOOD LN 1 in=50ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report 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/report product or the use thereof by any person or entity. Coovrioht 2014 Catawba County NC Parcel Report Page 1 of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372014330842 Owner: CIRILLO JOSEPH M SR Parcel Address: 1067 SPRUCEWOOD LN Owner2: CIRILLO FRANCES C City: NEWTON, 28658 Address: 2201 ZION CHURCH RD LRK(REID): 31313 Address2: Deed Book/Page: 3045/1182 City: HICKORY Subdivision: COUNTRY CLUB HEIGHTS State/Zip: NC 28602-7114 Lots/Block: 9-17/ G School Information: Last Sale: $28,300 on 2010-10-11 Plat Book/Page: 10/34 School District: COUNTY Legal: LOT 9-17 9-17G PL 10-34 CO CLUB PL Elementary School: STARTOWN 10-34 Middle School: MAIDEN Calculated Acreage: .760 High School: MAIDEN Tax Map: 049N 07002 School Map Township: NEWTON State Road #: 1298 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: HICKORY RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $19,800 Zoning3: Assessed Total Value: $19,800 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710372000J Building Details 2010 Census Block: 1049 WaterShed: 2010 Census Tract: 011701 ��� Voter Precinct: P34 Agricultural District: 3 Q Parcel Report Data Descriptions bIct List all Owners Deed History Report Assessment Report £1 t,.� This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report 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/report product or the use thereof by any person or entity. ©2016,Catawba County Government, North Carolina. All rights reserved. fl //4c http://gis.catawbacountync.gov/nomap/parcel_report.php?key=372014330842&typ=P 3/3/2016 CATAWBA COUNTY Case# IMPV-9.10-11339 I,rIN Public Health Department Subdivision \� Environmental Health Division \ PO B,ox 389, 100-A Southwest Blvd,Newton,NC 28658 Lot# 9-17 a 9 PIN# 372014330842 Applicant/Owner JOSEPH M CIRILLO SR Site Address: 1067 SPRUCE WOOD LN,NEWTON,NC Property Size: SF 0.759 ACRES Directions: STARTOWN RD N/LT ON SANDY FORD RD/RT ON SPRUCE WOOD LN/LOT ON LT ABOUT 1/4 MI Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water Type: Community Well Basement? Yes Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 9.p.d Proposed Wastewater System: 25% REDUCTION Type: 111G -OTHER NON-CONY TRENCH SYSTEMS Pump Required?: May Be Required Operator Required?:NO Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION Type: WA -ANY SYSTEM WITH LPP DISTRIBUTION Pump Required?: Yes Operator Required?:YES Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is rot approved, and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Di pose!Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Megen McBride 09/24/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/23/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 09/24/10 11:10 LP — UN'61- 10-7)/6 D(27 S?ruccwood Lv, -40k611 +CIS rem4 i5 nok Ir\Aed coy L SyS v ;v<4 an. '` Tk h'v4ir ev ovy A P�r�� YnaY MA Werth -Ca' irj�ial uf±t1 toe r goiryi -Col rc?dkr sp-It Y`'�. P P l .4` Do horic ar■Ve.r gradR' (AA/ or '(iII o'kX Se i(.orea, It' in Se„{10 Af 1y3.Ep• Ilan 35% NJ. lQef kI 50Z rff 10, rox P scat, e &ox Iip A- 382 nate, 63 "NS o atca- 50x60 m lo} ∎Nast 1-§ „ �,,'I4 well" —x-- � .�, C6r i�, 1 ^15' -C r 315' 85' Sett/61gal La. .� .g eS.:4 tZ 3 +44{�M,li' K 3G tw ta : _, `.-. ri: • . _. .. • . . Shed_of_ DEPARTMENT OFENVIRONMENT AND NATURAL RESOURCES PROPERTY TD k: DIVISION OP ENVIRONMENTAL HEALTH MERIT): ON-SITE WASTEWATER SECTION SOIUSITE EVALUATION RpP n} ` / for ON-SITE WASTEWATER SY$T Al r lion a-iD-7,1G • JO Sl�h t a TR �Ib PyICATION DATE °III 13 10 DATE EVALUATED: 112IJID ADDRESS: ROPO SS— ' . • a+ 1949)• .4h0 • PROPERTY S17 0.759 Qcf+ LOCATION OF SITE:• Tr PRO' S DES[ FLOW 6 PROPERTY RECORDED: LOCATION OF SITE:• 16 .. ..�. � ..: WATER.SUPPLY: 0 Private [3 Public 0 Well I Spring J O-1t-her •1111 I i. ... EVALUATION METHOD: 0 Auger Bating 0 Pit U Cd •I'>r4X�1i ' 6 C t.04%O‘55 WASTEWATER: 3 Sewage 0 Industrial Proems 0 NE%ed J TYPEOF ................................. :.....,........ ... . .. ........_::::::_:::_ -::,: : ....................._::::: :s::::: :viii: ...._................................ __......_._ _ ::I:: ;::::::::: ::StyIL:11X,_::::::::::::::::-..::..: ._::.........:::: ::. ItS::-:......_......._.....:-::::::::::::: ':=__i=.:;i_:lit_ Tith '. :- i= t:"”2:A=i i :::.....:::":':,: :-::::::, ::..:.....;:::- ::: : ' a::0:9.41!:::::: ?iii `ij l a i siiii� [€`'i!t<"i ::':..:.._......... :. . .... ... ::-:::::::-t:::.::a:• :t:;'':��:=:`tai[i:ii;ii:i �ii�"_ i`iiii i ;c: 'iisi ; •:1_i:: :....._... ..:::_ -. .: :::::::::::::::::::: :::::::;:::::::::::_: :_: : :: ��-iiii 'si;ti..;_:...z;::s:: iF1,9:d3� ;tsci�95G...... ......3944......::: . . _-.=..:SA1af,:r_ _�i:::: ................ald1, �:::a:: :;_::ildi::i� ._.::::: : e�...�....:. '__:- .;.....;_ :::: :::: j : :. 3 OF11t t: _ __-.. iiiELiA-;ii .._...t::::: :.14d1 :ge::::: Thoiti....._..:.... _..Cy 3;:: _-_ =;_:31w..... .: ....._ ii:iiiiiiQDxS!3'>:'�?,C�+i:::i ; ':':'::��D`g'+: :-SAPSO�_ 'iikADt?�� :::: Fiti =xn�caoxc: DEEM : ,::,44103C�F :::CAkti3&=: :_° :::: m, : G s::.. :-&LTA8. 6 q- S MIMIlle # . 1 PS 1 0,3 • • X17 2 • • • 4 DESCRIPTION I D.TI7AL SYSTEM RPPI R SYSTEM OTHER FACTORS(.1946): PS SITE CLASSIFICATION(.1948): (� • A�aO•blc Space(.19dS) PS f S EVALUATED BY: I'lr al I'"'a1 & _ _ Typde) �G IL OTEER(S)PRESENT: v • . Site LIAR 0.3 M CDMMENTS: ?u(i) rt1 \al. (ryulrcj-9,r in IAA . LEGEND • use thr following standard abbreviations . • SOIL CONVENTIONAL LP? . S r RCGP COR r .- e JKS LTAR. ?35ZLIdL CgN I STRUCTURE CC _ l 12--QS 0.6.OA ND&(Noo- cpandvd O(Single Cain) • CV(Cava Slope)1 (Loamy Sand) .. SEX (Slightly Expansive) CR(Caanb))• D(DmmCKtamp '08_OS OA-03 GR.(Gmmlc) DS(DoodPSiomP) D SL(Sandy Loral SRK(Suhtntda Bialy) FS(FootMoe)) L(Lnan) _ ABK(AnparBloly)• FS(Foot Slope) .- III . SCw(Sandy Clay Lam) 04-03 03-0.15 PR ?)(Platy) N UP S ) SiL(Silt Loam) . N(Nouns)) CL(CayLoam) jfOIS'j '� R(Rind sia.(Silty Clay Loma) f15(Nx yl S(Shoulder Slops) Si(Silt) vFtNeryFe'wbb) T(Tom) IV SC(UST CUT) 0.0.0.1 02.0.QS FR ffd.bte) We i • ((Sity CbY) Fl(F®1 • R C v1Nar F®..wilt'S *Y) �N�W�Y) C c) Nora FF7(F+momdYFmnl • • SF( �) *Adjust LTAR dos to depth,eansctenes,Amman,oil wetness,landscape.Poddas,Indents.Dow Sod Quillty. P(Flask) EOM m . VP Nor Plank) HO IFPTH In lathatrios na ® f DEPTH OFFal In mda tem land seem ZFS7VJCIIPE HORIZON Thirimou sad depth from land surfs= .W ILMOT S(mdsbls)mU(unmitnble) SOD.Wfl7 3 Incbes ban land turf=to free nma or brim fn>m brad soda=to sn0 colon with dooms2 or less-mod MemreO color chap CLASSIFICATION S(Sduhh)•PS(Provisionally Stumble),call(Unsuitable) • Evabatim ofsqumlte d mil bs by pis ImLy®Aatpmns UM(LTAR):SaU' ' Saner truffle locations and other site fractures(dlmeodaoe recto=or benchmark,and NerthL i 1 I i ; i _ten .w w• ..._w-..rte_ • ..__e--.-:_. .._.__..�..._y__. 1 1 i • ' y._..O__•w•._... ..._...f.._.e_.. ... l i1 1 ___ A .. ) i Nom.. ._.......-. 1 i : . i . r .ems__...-.�......._....__r_ _. _ .,.._..r. -.-. • 1 i 1• 1 1 1 1 _ i i I. j • 1 i i DEA( ) • Prim( ) • SPruct�DO ••