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HomeMy WebLinkAboutRBPR-06-2016-24076.TIF y�$.A THIS IS NOT A PERMIT Case # RBPR-06-2016-24076 H CATAWBA COUNTY HEALTH DEPARTMENT O �• 1 CS 0 i ro 1U7 � PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 842 sM Residential Building Plan Review - Building New •I`o,••3 Si %RUTH CONST .� r o, Owner RICHARD STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 • C:858-312-9482 NAME TO APPEAR ON PERMIT Richard Stoian SITE ADDRESS: 5885 PINEWINDS DR, HICKORY NC 28602 PIN # 279009172267 NAME of SUBDIVISION: BAKERSVIEW MEADOWS Lot II 2 Section/Block PROPERTY SIZE: Square Feet Acres_ 0.51 DIRECTIONS: 127 S/to Pinewinds/go right/lot on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 2 story dwelling w/attached garage w/finished 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 50 x 60 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES 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 acces ibie so jhatl complete site evaluafian• be performed. Date: 6 ( O- ( C Signature of Applicant or Agent �.Lz�_ 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 E9-ehapplication 06/10/2016 11:42 Page 1 of 4 v,A • : CATAWBA COUNTY Case R RBPR-06-2016-24076 2 Public Health Department Subdivision BAKERSVIEW MEADOWS d -3 Environmental Health Division PIN/ 279009172267 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 /8. NAME ON PERMIT: ( RICHARD STOIAN), 1437 SWEETBRIAR LN, HICKORY NC 28602 ( Richard Stoian) Site Address: 5885 PINEWINDS DR, HICKORY NC 28602 Property Size: Square Feet Acres 0.51 Directions: 127 S/to Pinewinds/go right/lot on left jFEFNAME 'TW. vi - .'`-3' yi?}"�„ DATED _� _..iFEEAMOUNT', ! Authorization to Construct Fee (New/Expansion) 06/10/2016 $150.00 Fee x b TOTAL FEES�t 3t t�{t ” c" t a'14 e 1t $150 0Q 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 06/10/2016 11:42 Page 2 of 4 ���{ A 'M' THIS IS NOT A PERMIT at 07 "` ... ` --�� CATAWBA COUNTY HEALTH DEPARTMENT Herkk,COUNTY - Page 1 �ti Application for Environmental Services g _`,� APP Improvement Permit ❑ Authorization to Construct Septic Repair I I Septic Malfunction n Septic Expansion n New Well Permit n Re acement Well n Well Abandonment ❑ Well Repair I I Existing System Inspection (Pre-Approval Required) n Application is for New Construction X Existing Facility ❑ Property Address )"�'Y!Y II'Y V IVTIS Subdivision Lot# Acres 1 Section/Block/Phase Driving Directions to Property 2, ? 5 c- et't e, LA. i ca ci g Q p2 r'q L4/ NAME TO APPEAR ON PERMIT? x Owner ❑ Applicant n Contractor Applicant Contact Information Name Address Phone I Cell Phone Owner Contact Information Name 9„ V c fn f, c"-°r P-' Address [ 4 3 7 Sc -e - z. t [_n/ Phone r Cell Phone 'V 2. k 5( 2 c 4 3 '1 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? wner ❑ Applicant n Contractor Description of Existing Structures on Site ON G #of Bedrooms *j' Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures ® Yes ® 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. 0 Yes 15-No ® Does the site contain any jurisdictional wetlands? Yes &No 0 Does the site contain any existing wastewater systems? Yes Is any wastewater going to be generated on the site other than domestic sewage? YesNo Is the site subject to approval by any other public agency? 0 Yes o Are there any easements or right of ways on this property? Describe Existing water supply in use n Individual Well n Community Well nSemi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** X 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 Any cATAgmA. THIS IS NOT APERMIT counrt .�/� J[AI CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence n New Residence I I Addition to Residence # of New Bedrooms *-r Project Description s 0 x d Structure Dimensions # of Occupants Basement n Yes ® No Basement Fixtures ri Yes DI No I Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling n Yes U No Plumbing n Yes P No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unit*t Total# Bedrooms *.j. Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift it 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 Li 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 n Drilled ❑ Bored n 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 Penults 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. Signature of Owner or Agent Date 6 — ( 0 aKPrinted Name of Owner or Agent (2 I C O m e J S flo Catawba County Environmental Health \ \ \ 1 \ \ � 1 1 r• 1p \ $ 1 1 \ \ 4 1 1 \ q5 \ N`'S�a J J \ 1 014 100 1 1 1 30 Illik 100 �� .p —, co P 3 •00.09 100 �0 Si C9 N SG 1-3 1 1110 N O N ■ n r5 ri i & u Al �� �� j N�14,l �? ' 1p0 00 li) itr Il� * rl l it111 1 — ail,.. . rr k $ i� x N �jl� ,` k e,r u:"at ',1t t il ' IS'� ., Thai k I` 1 Via. �.00 \1741 J — — J J if �a r k{;{l 100 / / i I / .i - / J I 1�II J — — J I J_ J Parcel: 279009172267, 5885 PINEWINDS DR tin=50ft 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 06/10/2016 Parcel Report Page I of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 279009172267 Owner: STOIAN RICHARD ALLEN Parcel Address: 5885 PINEWINDS DR Owner2: null City: HICKORY, 28602 Address: 1437 SWEETBRIAR LN LRK(REID): 602534 Address2: null Deed Book/Page: 3341/0605 City: HICKORY Subdivision: BAKERSVIEW MEADOWS State/Zip: NC 28602-8968 Lots/Block: 2/ null Last Sale: School Information: School District: COUNTY Plat Book/Page: 44/2 Legal: LOT 2 2 PL 44-2 BAKERSVIEW PL 44-2 Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK Calculated Acreage: .510 Tax Map: null High School: FRED T FOARD Township: HICKORY School Map State Road #: 2952 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MOUNTAIN VIEW Zoningl: R-20 Building(s) Value: $0 Zoning2: null Land Value: $19,900 Zoning3: null Assessed Total Value: $19,900 Zoning Overlay: WP-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 #: 3710279000J Building Details 2010 Census Block: 1000 WaterShed: WS-III Protected Area 2010 Census Tract: 011801 Voter Precinct: P24 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. ISO z lern 360944 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=279009172267&typ=P 6/10/2016 //,P CATAWBA COUNTY 0; 0 Case# IMPV-05-2016-0 7 1 85 8 CC r �/, Public Health Department r, '�} Subdivision BAKERSVIEW MEADOWS r 279009172267 < ,al. v Environmental Health Division ,i: - -` ' •r PIN# a° PO Box 389. [00-A Southwest Blvd,Newton.NC 28658 5. � •p-i LO14 2 � 'Sr."! ti NAME ON PERMIT: PETRICA (PETE) STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 Site Address: 5885 PINEWINDS DR, HICKORY NC 28602 Property Size: Square Feet:22,215.60 Acres:0.51 Directions: South on 127 Hwy, Right onto Pinewinds Dr, Property is on the left. Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms- 3 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 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: 50% REDUCTION Type: IIIE - PPBPS GRAVITY DOSED SYSTEM 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 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 'Loa's told Rules for Sewage Treatment and Disposal Systems' (15.4 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. Steven Price 05(02/2016 AU'FFIORIZF.D STATE AGENT APPROVAL DAIS Permit Expiration Date: 04(30/2021 No gruding or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpernth 05/04/2016 09159 Page 1 on EHPR 03-2016-23492 5885 PINEWINDS DR, HICKORY • Do not cut, drive, fill,or grade over septic or repair areas. • This permit is not intended for septic installation purposes. 'pr �s �i^ 103 yo,d C p h� is \ 4.8` 2 jC/ S \ r o N ` r F� 1J°` DEPARTMENT OF HEALTH AND HUMAN SERVICES gilt 63- "to r6- 23 qce Sheet I or( DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID ti: ON-SITE WATER PROTECTION BRANCH COUNTY:-c`st.tk SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM p (Complete all fields in full) OWNER: Wttf. 6,3,c _ APPLICATION DATE ADDRESS: DATE EVALUATED: 3/4.1. PROPOSED FACILITY: -S6o PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: . SYY' R ..•..-1 t 0� PROPERTY RECORDED: WATER SUPPLY: ❑Private ,SPublic 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auer Boring SPit 0 Cut TYPE OF WASTEWATER: D3Sewage 0 Industrial Process 0 Mixed .e e it SOIL MORPHOLOGY - OTHER e 0941) PROFILE FACTORS I .1940 L LANDSCAPE HORIZON E POSITION DEPTH PROFILE tl SLOPE`4 (IN•) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS! SOIL SAPRO REStR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0rq `564_ stL- Ft Scr IQ 4- nS LS 9 -/y s6tc c ('! -k Lid' ,v A,. N4- 1 0, 17r Ic-30 A-st C h SC �s..ti / wt , 3.-Y{ l"-$01c. 41.. `''4 S6 o -iz Gt 54- Fr se P5 2- to 6(L cc_ 1=t 4- vti 11 2- 4- ,41-4 0 3 2 St -tiZ s6e- c- (-se • p- H CL SL _ Fit 36 — Auk D (f—LI S6tc .s.L FR' Se /VA, PS 3 z� 21 -31 s6� c ft S� v-aro `i L °N 4 a 27r 31- `1L "56IL s L Ft sD c-(4 CA SC &r SE _ ✓a _ PS 1—S 14 -4R S&L C. !co Se Cy.n., 90 ri- • ^-d-1- o Z7_ 4 °G h. . r - DESCRIY7TON INITIAL.SYSTEM REPAIR SYSTEM OTITER FACTORS(.1946): Available Space(.1945) 1.5 ?CS SITE CLASSIFICATION(.1948): f'5 4n II EVALUATED BY: -51-e1•141-• ^'`■S>'s(cm 7ype(s) ?S°C Ge..( G "7 OTHER(S)PRESENT: I Site LIAR b" 275. D, 271 COMMENTS: '