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HomeMy WebLinkAboutRBPR-05-2016-23779.TIF vayA ,: p THIS IS NOTA PERMIT Case # RBPR-05-2016-23779 :al rt ti CATAWBA COUNTY HEALTH DEPARTMENT 0 4. Ov • 0 1— PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES . 1842 sM Residential Building Plan Review - Building New •ao T AUTH_CONST .0:1174;144.k- . Contractor JOSH KILCOYNE,4536 LANSTONE CT SW, CONCORD NC 28027 r C:8283033809 JOSHUAKILCOYNE @GMAIL.COM Owner JOSHUA& MICHELLE KILCOYNE, 4536 SW LANSTONE CT, CONCORD NC 28027 H:2703507179 C:3173631587 HOME:2703507179 NAME TO APPEAR ON PERMIT Joshua & Michelle Kilcoyne • SITE ADDRESS: 1274 CUMBERLAND DR, CONOVER NC 28613 PIN # 375011553762 NAME of SUBDIVISION: SAMUELAND ELSIE HILDERBRAN Lot# 3A&4 & 5 Section/Block PROPERTY SIZE: Square Feet " Acres - 10.02 DIRECTIONS: East off Hwy 16, Hwy 10, Left on Cumberland Drive. *No driveway has been cut in. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY:. 600 WATER SUPPLY: Public Water DESCRIBE WORK: New 5 bedroom,52x49, 5000 sq ft log house, finished basement, with 20x20 detached garage, no bonus room 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: • NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 52x49 Log home 20x20 detached garage #OF NEW BEDROOMS:: 5 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 05/02/2016 16:54 Page 1 of 4 s,A CATAWBA COUNTY Case a RBPR-05-2016-23779 �Q ® Public Health Department Subdivision SAMUEL AND ELSIE HILDERB 1. <,�,5 Environmental Health Division PIN# 375011553762 �� PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1 it:LT/ NAME ON PERMIT: (JOSHUA& MICHELLE KILCOYNE), 4536 SW LANSTONE CT, CONCORD NC 28027 ( Joshua & Michelle Kilcoyne) • Site Address: 1274 CUMBERLAND DR, CONOVER NC 28613 Property Size: Square Feet Acres 10.02 Directions: East off Hwy 16, Hwy 10, Left on Cumberland Drive. *No driveway has been cut in. 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 an lab ling of all property lines and corners and making the site accessi.l- th- a tom.let- site evaluation can be performed. Date: 2.� 1 LQ Signature of Applicant or Agent v,,_4,4. A Ass An Environmental Health Specialist will contact you within ' wor ing 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) 05/02/2016 $300.00 Fee TOTAL FEES $300.00 "j FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 05/02/2016 16:54 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT counrr � CATAWBA COUNTY HEALTH DEPARTMENT ��,F�,,,;; . Application for Environmental Services Page 1 Improvement Permi. Authorization to Construct Septic Repair El Septic Malfunction n Septic Expansion n New Well Permit❑ Replacement Well IT Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) n Application is for New Construction ❑ Existing Facility IT Property Address 1Z 7 q (.(,th,beA- (CAA elf: Subdivision Lot it Acres /Q arrc l Section/Block/Phase Driving Directions to Property t-0.- t (34 14 Wy (S) ? 1-1-'Ai 10 I ' Or (-LW\ • ' (104 K ■ � e N b kruisck.8 VD. c&c NAME TO APPEAR ON PERMIT? IOW'ner ❑ Applicant IT Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name ri-OS‘rt MX CAA4 Le le.t [ covvi C .-. Address '75 3L t-o-ri5A-D •2 C4 �f1/� LOfC of� /JL 2 )-7 Phone 3l 7 3(03•-(S�-7 Cell Phone lc 2$ - 30 - 3tO`] Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner IT Applicant ❑ Contractor Description of Existing Structures on Site (\ '(1f - (r4-1c11 # of Bedrooms *t Structure Dimensions # of Occupants Basement Fl Yes No Basement Fixtures ❑ Yes fl 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 Does the site contain any jurisdictional wetlands? ❑ Yes nib o Does the site contain any existing wastewater systems? II Yes taro Is any wastewater going to be generated on the site other than domestic sewage? es fio Is the site subject to approval by any other public agency? ❑ Yes "" Are there any easements or right of ways on this property? Describe Existing water supply in use IT Individual Well ❑ Community Well ❑ Semi-Public Well ounty/City/Township Water Line is a public water supply available? ** Wes ❑ No ff 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 y9ny cATAN 7BA THIS IS NOT A PERMIT COUNTY VY . CATAWBA COUNTY HEALTH DEPARTMENT «o „ Application for Environmental Services Page 2 Proposed Facility Type gpI'rimary Residence A�?ew Residence n Addition to Residence # of New Bedrooms *t S ll Project Description ,/v�7 .*-\00_0 Structure Dimensions Si lc ell #of Occupants (g Basement pes ❑ No Basement Fixtures es ❑ No AAccessory Structure(s) Describe (ttoLz'Cz 0 # of New Bedrooms *t if applicable �" Structure Dimensions 20'_'Zd # of Occupants Accessory Dwelling ❑ Yes( To Plumbing Yes No Describe Plumbing Needed i{/ ,i__ n Multi-Family Residence#Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions F 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 IT Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type n Drilled ❑ Bored ❑ Dug n 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 transferable. 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. C / / J/ l 2 *Signature of Owner or Agent / Date 7.(40 Printed Name of Owner or Agent / 'M is tad,[le k11 Ccv 'l c Catawba County Environmental Health * ar tl1 :iiio \N" O 9 r m `0 / v`� /9e ' 1 s>.., eye �, e(7-------- . . . ti 0 ,r_ Parcel: 375011553762, 1274 CUMBERLAND DR tin=150ft CONOVER, 28613 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 05/02/2016 Parcel Report Page 1 of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375011553762 Owner: KILCOYNE JOSHUA Parcel Address: 1274 CUMBERLAND DR Owner2: KILCOYNE MICHELLE City: CONOVER, 28613 Address: 4536 LANSTONE CT LRK(REID): 34158 Address2: null Deed Book/Page: 3324/0978 City: CONCORD Subdivision: SAMUEL AND ELSIE State/Zip: NC 28027-8704 HILDERBRAN Lots/Block: 3A & 4 & 5/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 26/62 Elementary School: BALLS CREEK Legal: LOT 4 Middle School: MILL CREEK Calculated Acreage: 10.020 High School: BANDYS Tax Map: 060N 01036E School Map Township: NEWTON State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: null Land Value: $25,000 Zoning3: null Assessed Total Value: $25,000 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: CATAWBA 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 #: 3710375000J Building Details 2010 Census Block: 2000 WaterShed: null 2010 Census Tract: 011300 Voter Precinct: P22 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 intomtation 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. A rights reserved. rp ISSN , _ 7 � y� 3 Wm up, 956 MO?. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=3750 1 1 553762&typ=P 5/2/2016 �,lx_ .... CATAWBA COUNTY Q; I Case Case# IMPV-12-2015-067794 /. tti, Public Health Department 1; 71i-' �} z} Subdivision SAMUEL AND ELSIE HILDE < ��'' Environmental Health Division I' r -:o PIN! 375011551658 � � \�_// PO Box 389. RIO-A Sovthtvcs Blvd. Nbhvton, NC 28658 k , ho'fd 3A, 4, 5 /R4 -y;t 1. f CI I,. NAME ON PERMIT: JOSHUA & MICHELLE KILCOYNE, 4536 SW LANSTONE CT, CONCORD NC 28027 Site Address: 1274 CUMBERLAND DR, CONOVER NC 28613 Property Size: Square Feet:436,471.20 Acres:10.02 Directions: East off Hwy 16, Hwy 10, Left on Cumberland Drive. 'No driveway has been cut in, Improvement Permit Facility; Primary Residence - House Permit Category: New Septic Bedrooms 5 WATER SUPPLY: Public Water Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM M SPECIFICATIONS Permit Valid; Expires In Five Years: _X_ No Expiration: Projected Daily Flow 600 g.p.d Proposed Wastewater System; 25% REDUCTION Type: 1110 - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: `Do not grade, drive, or fill over any septic area. • REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: II1G -OTHER NON-CONY TRENCH SYSTEMS PUMP *MAY BE REQUIRED 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 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 or 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 n change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules far Sewage Treatment and Disposal Systems' (I5A NCAC 18A .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. Robbie Phelps 12/23/2015 AUII10RI7-ED STATE AGENT APPROVAL DATE 12/2212020 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermit 12/23/2015 I6:00 Page I of 3 1 \ Catawba County Environmental Health jMh''_ f2-Z os' 96>79•7/ /1 \ I 1 tl l r il 1 i ,r I • II i - 7t 4 J • I +l I ro l n� f' I I l jl`ao N f /• � r � J r' It 1 /Let- Vier • i `; l� .- r V7 yam` x • f r 1 / • O 1 ', /' /f v � 1 i 1 1 .•' i r , / 12 4 } 1 / Ii ® ti' / 'y i /, r C. Cv4f / hI ! �. 11 it /' / �i 9 j if 1. kp ? '� / L, i{ �' f, ! ,�' Grath 4 r �1 pR r i i� / r f. Parcel: 375011551658, 12 • CUMBERLAND DR 1in=100ft CONOVER, 28613 This map(repon product was prepared from the Catawba County,NC Geospafial Information Services. Catawba County has made substantial efforts ..to ensure the accuracy of Inc.afion 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 mapheport product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable fur any and all damages,loss or liability,whether direct,indirect ur consequential which arises or may arise from this mapheport product or the use thereof by any person or entity. Copyright 2014 Catawba Camty NC 12123(2015 I Depanment of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Properly ID: On-site Wastewater Section Lot/f: SOIL/SITE EVALUATION File 4: 22774 for ON-SITE WASTEWATER SYSTEM AppID: Owner: Josh Kilcovne Applicant: Address: 1274 Cumberland Dr Date Evaluated: 12/18/2015 Proposed Facility: 5toir Design Flow(.1949) 600 Properly Size: Location of Site Property Recorded: Water Supply: [x]Public. [ ] Individual [ I Well [ ]Spring I ]Other Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut Type of Wastewater: [x ]Sewage [ ] Industrial Process [ ]Mixed Usa 's, Y al r iu4B49ELaRAria830.,l .E r,�'-p N a e 5.'44]J. "+F ,, I � ''i:L L.X { �' E tv"i', Ciat J .2/n �5 i ✓i;3 J'# '0 ifi K 6Ae1 3 t`' SOIL MORPFIOLOGY ?) rt''�wH.. ,L q r .�a fit. C 1.: ill i M it141 1 t''fi r 6 ." - eF7� 14�giaka 1 c�ii941 1.1 a a x*r 0 P .-,� , sv 4> 3 -.11Y; 1'r � Zf K4. i -gam pill. S o Ist. : tk T-s }aL i' !a'r�' 1M0 ,d Io b-* 94 r4[ ' ?t 4 ,r _ 'd .&QFr'rx LI 14 F Landscape= H-�io y' , 194 .:t,:;i �y,0 Lv. !•_ Y . c 5oll.� � Wi` ' :`tt*i tirr -ltA9ai 4rtt14, ), e ProfdeRal iL: 4 -f , '}(qS �ru(Y�y t 7941 .".ai"s ��� f� �'i s®' e f'�" E cro' Slo."YoN 4, .i..;QN) a wh'ireeztutt e t �a M,,:�n �( ,5 P "fit s,¢•q„.„- :c:11 D Psh(Na �5C ass r{:4 n'vz.- ,1-j24,2,.LITAR''�.1•'. 1 cc,L 0-8 L.sbk tr 8-38 Cl.abk fr,ss,sp 38-48 c+sap,abk fr,ss,sp 48 0.275 2 cv,L 0-9 cl,sbk fr,ss,sa 9-30 sic!,sbk fr.ss,sp 30-44 sic•Sap.sbk fr,ss,sp 44-46 sap fr 44 0.325 3 L 0-6 L 6-31 cl,sbk fr,ss,sp 31-48 c,sbk fr,ss,sp 48 0.3 4 0-26 cl,sbk fr,ss,sp 25-50 cl,sbk fr,s,sp 50 0.3 Description Initial System Repair System Other Factors(.1945)'. Available Space(.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 25% Others Present: Site LTAR 0.3 0.3 Site Classification(.1948): E Site Evaluation By: Others Present: Sheet: COMMENTS: ALE et: Landscape Position Group Texture .1955 LIAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain S5-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam S8K-Subangular Blocky HS-Head Slope ASK-Angular Blocky CC-Concave Slope Ill SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4 -0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VA-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations i Catawba County Environmental Health r 7 �. .0.a 1 i i:y, J✓' i :Y M1 ^ -Neti>v''r ;,r'"L �t• +,� �' rt ry 'it, -'1y � t ` 44 1 'S 'E(? f` �'s {�'��\i r ,'1 Y 7 C by, bb • . 'R F':141,,' v,,h is ` ( - -4,,•1 "a'' 3-'v , .P-.:4 i-.. •+,r ., ' 1 .�,, `sir j S`I y�'p,� «. •�f Pc - a J' •-•�,y, M1 1• 'V'-y ra •'r w J r.. i' �1 '�- 1� ` -,may {'� - __ — . ., , . \ 1 'S A, d J t, 'i• ,� p L F� �'Y'' 11/ r•. Aka} / / 1 4`•.. 1. }/ , } r l 1 * ii• "4:, r -r, '4- . -• iw.s•---.'s., • •.. •- • ' .i C M1� .J, ., d r • S 'icy Iii - r -Q ‘ rr' � rrr_,747,4,1,..l w ..w . ,1 c 4 ' tic' r 4 a .. ..-..W I{S :` ,.. 5 ,} , -'I " 1.�4 ` 'y-i .i ,..t' irf•sits: ss , K s- �.y 4 VA?' . r - g.' f,. it C. r [:7 11`1=1 . mod i - K C Ye 9 N � " r �D .1, � t ! sel /� r ra y �y. is. ,s e i. 1‘11 ,.e.` r sir .; I/t .t'4 .4 W", r .._ ,� ? ._,rte s r ) nTt •. L+` ;e4?-es r ,'.- t• C _3 1•* l i 'r.Y/y / . 00;k �,�'` 2 w W!1 Latc_let- , , 4.----,,, t 1 of ‘,rf-44;14::::: h eFv� of •<,t{ t +1d�Y yy ��i { >r Parcel: 375011551658, 1274 CUMBERLAND DR 1 1in=150ft CONOVER, 28613 This maprreport product was prepared From the Catawba County,NC Genspatial Information Services. Catawba County has made substantial aliens to ensure the accuracy Of location and labeling Information contained on this mop 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.Tho 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 ur entity. Copyright 2,014 Catawba County NC 12/23/2015 •