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HomeMy WebLinkAboutRBPR-04-2016-23566.TIF •JgA THIS IS NOT A PERMIT Case # RBPR-04-20 1 6-23 5 66 .Q' CATAWBA COUNTY HEALTH DEPARTMENT CI e CI x '' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • C y BI /842 sM Residential Building Plan Review - Building New o; o a n AUTH_CONST •O o, Contractor HOGAN CONSTRUCTION (TRACY HOGAN T/A), 2012 WAGON LN NE, HICKORY NC 28601 8:828-217-4898 C:828-217-4898F:828-256-5862 TSHOGAN I @AOL.COM Owner BRAD HUDSON,4608 DIAMOND ST, CLAREMONT NC 28610 C:8282342016 NAME TO APPEAR ON PERMIT Brad Hudson SITE ADDRESS: 4310 RIVER RUN CIR, HICKORY NC 28602 PIN # 360902757894 NAME of SUBDIVISION: RIVER RUN Lot 30-31 Section/Block PROPERTY SIZE: Square Feet Acres 7.92 DIRECTIONS: Hwy 10 W, right Finger Bridge Rd, r into River Run Subdivision, middle of River Run Circle PRIMARY CONTACT: Oe t* OwAer SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: 1 story dwelling w/ garage & unfinished 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 72 x 53 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25% reduction E9-ehapplication 04/04/2016 17:01 Page 1 of4 ..1 ,A- CATAWBA COUNTY Case# RBPR-04-2016-23566 G Public Health Department Subdivision RIVER RUN < :-.111" -1-� Environmental Health Division - a K PIN;# 360902757894 41- PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 /g z sM NAME ON PERMIT: (BRAD HUDSON),4608 DIAMOND ST, CLAREMONT NC 28610 ( Brad Hudson) Site Address: 4310 RIVER RUN CIR, HICKORY NC 28602 Property Size: Square Feet Acres 7.92 Directions: Hwy 10 W, right Finger Bridge Rd, r into River Run Subdivision, middle of River Run Circle 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 I beling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: y74///4 Signature of Applicant or Agent 9 / An Environmental Health Specialist will contact you within 5 working,days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME .DATE ':.'.FEE AMOUNT Authorization to Construct Fee (New/Expansion) 04/04/2016 $300.00 Fee TOTAL FEES 5300.00,. .: 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-ehappl ication 04/04/2016 17:01 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT COUNTY �'.�"•�. CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct� Septic Repair n Septic Malfunction ❑ Septic Expansion n New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction Existing Facility ❑ Property Address 4/3/0 Z.iec f,,., Subdivision Z-er7 1/24i44.7 /./e Z& 6oz Lot# 3o - 3 / Acres '7. 9Z Section/Block/Phase Driving Directions toProperty /�,,ty /0 I/k st. T/i? o-,-10 )cn,c#-o,','dye- .7d 7/R n• * .Gr glen $zs/J'4t v.S,.°!l , Sty s1rn yf 1' fa Z.-cr 7.4n C'-.� 0-713 Aic a-1 y44 /zS,C co-' die re_A. NAME TO APPEAR ON PERMIT? k Owner ❑ Applicant Contractor Applicant Contact Information Name ���ry /d J�rca /fe q Hz ds Address �boB - ' 5 l'/ /tfc z86-a Phone 87e _ -z3+f, zd,G Cell Phone ens- 23 Zo/4 Owner Contact Information Name .././ , ei y Address 54o� �, and mil G d cr 7an / .UC Za 6./o Phone an - z3°/- za, L Cell Phone eze-zslcza,G. Contractor Contact Information Name 7) � ,�as? License AL S/°37 Address 20/ Lila n,7 Gn ,t/' Phone Int , z i- �/&,7g Cell Phone szs - L,7- ye 9e3 WHO WILL BE THE PRIMARY CONTACT? �JC Owner ❑ Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *j' Structure Dimensions r # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes n 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 Q"No Does the site contain any jurisdictional wetlands? ❑ Yes 2/No Does the site contain any existing wastewater systems? ❑ Yes 2'No Is any wastewater going to be generated on the site other than domestic sewage? X Yes 'No Is the site subject to approval by any other public agency? ❑ Yes El'iNlo Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well n 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other 257 7o -, ❑ Any cATA BA THIS IS NOT A PERMIT counry CATAWBA COUNTY HEALTH DEPARTMENT „a.,„�;,;;a ,\ Application for Environmental Services Page 2 Proposed Facility Type ® Primary Residence ❑ New Residence n Addition to Residence #of New Bedrooms *1. 9' Project Description .nr,<.S ',VX ,l eM ■.,-f Structure Dimensions 72 c 5.3 # of Occupants 3 Basement r es ❑ No Basement Fixtures ❑ Yes vo n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes I No Plumbing ❑ Yes n No Describe Plumbing Needed I I Multi-Family Residence# Units #Bedrooms per Unit*t Total #Bedrooms *t Structure Dimensions n 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 n Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial t z/ec 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. j 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. 1 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 }nom' -� -.�� Date �/�/1/4b Printed Name of Owner or Agent ono/a/ ,j,�.q.a//.7 r Catawba County Environmental Health -825 �O 4, I. 10 Ni 7 / 80S N‘s\c/NNT.N:o: el i ess 0 v / N1/4.\\: •r / --885 y Co f t •32.72Lt / 9Q� 1 RiVER'RUN.CtR / f d 190.79 \\\\ Parcel: 360902757894, 4298 RIVER RUN CIR 1in=60ft HICKORY, 28602 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. Copyright 2014 Catawba County NC 04/01/2016 . Catawba County Environmental Health Ii—j_j . Ji htilt S''''frthCCCECCPW-44. cif, ' y � '2.'� "fF RC.�P,}� �� Ir; GNU el}m#au1 F "�h. '{' ,} is eit 4X781 1 .. fr vxix '�"Pk , r4*� � &1) 4 hrt ki \ 2 ...61 1 er; A r t=P�� #e 1a .72 it 2 a91. t Ifi�tf 1114. ay! 32.,58 4,4 1, ' 4.., w r. S 5. 0 Iii g.: , . a 4 Nit ._../ 2 NIP, 21 .4—A i., „,,,,,,. .\\1/4 . _I:, ,4„...., \ (..---\\, _ Parcel: 360902757894, 4298 RIVER RUN CIR 1in=150ft HICKORY, 28602 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. Coovriaht 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 360902757894 Owner: HUDSON RONALD BRADLEY Parcel Address: 4298 RIVER RUN CIR Owner2: HUDSON SARA MEGAN City: HICKORY, 28602 Address: 4310 RIVER RUN CIR LRK(REID): 700668 Address2: null Deed Book/Page: 3292/1164 City: HICKORY Subdivision: RIVER RUN State/Zip: NC 28602-0000 Lots/Block: 30-31/ Last Sale: School Information: School District: COUNTY Plat Book/Page: 52/87 Legal: LOT 30-31 PL 52-87 Elementary School: BLACKBURN Middle School: JACOBS FORK Calculated Acreage: 7.920 High School: FRED T FOARD Tax Map: null School Map Township: JACOBS FORK State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-40 Building(s) Value: $0 Zoning2: null Land Value: $33,400 Zoning3: null Assessed Total Value: $33,400 Zoning Overlay: WP-O,FPM-O Year Built/Remodeled: null/null Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel it: 3710360900J Building Details 2010 Census Block: 4000 WaterShed: WS-III Protected Area 2010 Census Tract: 011802 Voter Precinct: P3 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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. Ac Nom,&pkt cj U rosPc' cr3oo http://gis.catawbacountync.gov/nomap/parcel_report.php?key=360902757894&typ=P 4/1/2016 40 r CATAWBA COUNTY 0 D 0 Case ^ IMPV-03-2016-069786 j r Public Health Department 47:74,w Th.rklM Subdivision River Run < --woe; ' Environmental Health Division r� ' PINk 360902757894 ?i` / I'0 Box 389. 100-A Southwest Blvd,Newton. NC 28658 +0 { LOTS 30-31 /74 NAME ON PERMIT: BRAD HUDSON, 4608 DIAMOND ST, CLAREMONT NC 28610 Site Address: 4310 RIVER RUN CIR, HICKORY NC 28602 Property Size: Square Feet: 344,995.20 Acres:7.920 Directions: Hwy 10 W. right Finger Bridge Rd, r into River Run Subdivision, middle of River Run Circle Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Public Water Basement? Yes Basement Piumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 10" LARGE DIAMETER PIPE Type: IIW - LARGE DIAMETER PIPE SYSTEM Landscaping of 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 not 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 13uilding 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 Rides for Sewage Treatment and Disposal Systems' (ISA NCAC I8A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Steven Price 03/07/2016 Au tHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/05/2021 No grading or construction activity is allowed in areas designated for system and repair without app'oval of the Health Department. ehpennit 03/07/2016 11:06 Page 1 of j el-/P( 02 -Zo Jb_ ?�3/3S ,,as- 4- ('Catawba County Environmental Health 4/3/0 Qw, tp ie�, c,,,..4 / 3 14t Cyi r o/' /! II / "4" Sal{.t arc 5 I ado 266,08 L `a-Z 4, rya ,f r V / w / rs / O / / !nth., hit; / SCAT 1e' LDP 2ST AS u/c.,vo / es / ` .rte F / / Te EIP: II P4 r. o / / PS 39'C� "(as-) "----: / PG 47'@ $ f3'ta P2 • / 9 a,- I 72a S! / / Fn«, P.-1-9f° 4r+2 68r p 578't 132.72 I / / " P;1-Z to aFt .s-b' e N Lo'j" / 58.81 RamiluNtm „////,:::::::"--- 190.79 2915.88. Parcel: 360902757894, 4298 RIVER RUN CIR tin=60ft HICKORY, 28602 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 Ufa 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, Ices or liability,whether direct,indirect or consequential which arises or may DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of_Z DIVISION or PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION &APk O2-26L- 2..3 US" PROPERTY ID..q: ON-SITE WATER PROTECTION BRANCH COUNTY: 01•-.44 SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: "� 3 b n APPLICATION DATE ADDRESS: 9310 atvv- lem•■ 9.- Crr[.(e.,__ DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private $Public ❑ Well 0 Spring ❑Other EVALUATION METHOD: 0 Au•cr Boring ( Pit 0 Cut TYPE OF WASTEWATER: )(Sewage ❑Industrial Process ❑Mixed • r • • P o SOIL MORPHOLOGY OTHER F (1941) PROFILE FACTORS 1 .1940 L E LANDSCAPE HORIZON POSITION! DEPT'S .1941 PROFILE p SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTS &LIAR 1 TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 5 o—to .sa.A Fit SC �w 2 8 u v4 Ps Zo-z$ "SML /a "sY fC Sc LDP /c., 1 3P4 xc-so , eti../c F! se- Cr n4"S le O• 5 o-`I I/. 5u.. fit SC �� —L5 _`f-!7 .SSE C F2. .Se ^'4 38 u� o.; 2 'it 17- 38 4'lbt CL "gyp At Sir 3P-4$ S.)/wt er-41-1 Fit S6 i- SC 0—Zj S6tr- C Imo- Sr L5 Zf- 43' "S4t u F12 SC Nk �{g w+ N� PS 3 _ G.3 )stb ..( Int♦ Si • a - iZ .56L CL >r� SC .4� )2 uA/ el A- U,v c-5 I L- .5a I-1-/Sine 4 S°` - - DESCRIPTION INITIAL SYSTEM _ REPAIR SYSTEM 011 IER FACTORS(.1946): _ Available Space(.1945) Ps �S SITE CLASSIFICATION(.1948): f5 .. System Type(s) 2.-St L.,.j- t0/ L-�w.--- 011 IERA-ITD BY: S'('^ �"� OTI�[L'R(S)PRESENT: Site LTAR 03 o •3 COWdENTS: . t:? .4 h' ,.. ,e. is+tn .. .bp .. _.. ::::::::;-.I-. ;PC-;171 . .. 4,': :{ Th^e ..oe..;5•-1 '` _ k''° p` ( !‘ •d '�:.(S e 4• •° ' ,. s n . t rt f: � ' a a s. 5tj SOIL/SITE EVALUATION Sheet 2of a_ (Continuation Sheer-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY II)#: DIVISION OF PUBLIC HEALTH 2.01. — 73131' DATE OF EVALUATION:COUNTY: Ca d s^k ENVIRONMENTAL HEALTH SECTION ON-SITE WATER PROTECTION BRANCH • • • • P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 ELANDSCAPE HOAR .1942 POSIITON! .1941 .1941 SOIL .1943 .1956 .1944 PROFILE O`, x SLOPE% D STRUCTURE/ CONSISTENCE/ WETNESS/ soli, SAPRO RESTR CLASS (IN.) TEXTURE MINERALOGY COLOR DEPTH CLASS IIORiZ &LTAR Ls fl-s 1)s61c. Sct fit -re- _ 92 u.A1 w- PS 5.30 sat. c - see $L1 5 I) 0.3 3,,42 '1st. GE �.� � s� 92-9c., wL/s•P racy :^ 4r' o-S vS 6t Set pct. se PS 5- 21 661 c Pt Sc' to- Zr k.✓ NA- COP "/ 4, /0 bl_ Z4 'f6F cc. (tic i� ,s-e...Jy 0, S ZS 4n' - Gk I t COMMENTS: •