Loading...
HomeMy WebLinkAboutCBPR-07-2016-24387.TIF •� THIS IS NOTA PERMIT Case # CBPR-07-2016-24387 d x �„ CATAWBA COUNTY HEALTH DEPARTMENT CI IE3 uV'9p ... .} 1a �\ °® PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES d. 1 r, ..341 r' 71842 sin Commercial Building Plan Review - Building New ,'DP,' "o', IMPROVEMENT- AUTH CONST • l . Contact Person CITY OF HICKORY (MILES CHAMPION), PO BOX 398,HICKORY NC 28603 H:8283023757 HOME:8283023757F:8283237476 MCHAMPION@HICKORYNC.GOV Contractor JK LANDSCAPING R.GRADING, INC. (JEFFREY KERLEY), PO BOX 937, HICKORY NC 28603 B:(828)234-0394 C:(828)322-6175F322-1725 JEFF@JKGRADING.COM Owner CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 B:8283237592 NAME TO APPEAR ON PERMIT City of Hickor SITE ADDRESS: 1400 2ND ST SW, HICKORY NC 28601 PIN # 370218424407 NAME of SUBDIVISION: I.ot# Section/Block PROPERTY SIZE: Square Feet 531,432.00 Acres 12.2 DIRECTIONS: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 200 WATER SUPPLY: Public Water DESCRIBE WORK: 10x20 Open Park Shelter with men's and women's restrooms 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: ACCESSORY STRUCTURE FACILITY TYPE: Other OTHER DESCRIPTION: City Park DESCRIPTION OF Park Shelter EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 20x30 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 10x20 Pre-fab restrooms EMPLOYEES PER SHIFT: 0 NUMBER OF SHIFTS: 0 TOTAL EMPLOYEES: 0 SEATING CAPACITY: TOTAL FLOOR SPACE (SQ FT): 200 RETAIL FLOOR SPACE (SQ FT): 0 DINING AREA FLOOR SPACE (SQ FT): DAYCARE OCCUPANCY: KITCHEN: No Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 117/28/2016 11:58 Page 1 of 4 ;,eA CATAWBA COUNTY Case a CBPR-07-2016-24387 s rim 2 Public Health Department Subdivision 2'in�1 Environmental Health Division PIN/t 370218424407 PO Box 389. 100-A Southwest Blvd.Newton-NC 28658 J;,2 ss NAME ON PERMIT: CITY OF HICKORY ( ), PO BOX 398, HICKORY NC 28603 City of Hickory ( ) Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feet 531,432.00 Acres 12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance on left 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 belie of II property lines and corners and making the site accessible so at a corn I site evalyation can be performed. Date: 7/Z�6 Signature of Applicant or Agent A� �'" 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) 07/28/2016 S150.00 Fee Improvement Permit Fee 07/28/2016 5150.00 TOTALFEES° 5300.0 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) Eo-chapplication 07/28/2016 11:58 Page 2 of 4 C• A/ TAWTHIS IS NOTA PERMIT CATAWBA COUNTY HEALTH DEPARTMENT - cou�ry` Application for Environmental Services Page 1 Improvement Permit Authorization to ConstructlUi Septic Repair❑ Septic Malfunction n Septic Expansio ❑ New Well Permit E Replacement Well In Well Abandonment❑ Well Repair n Existing System Inspection (Pre-Approval Required) n Application is for New Construction Existing Facility ❑ Property Address / (Ito 0 2nd 0, 5'ut/ Subdivision II eie-0 my /1/C, 94 60 1 Lot# Acres /2( - .2.-- J f Section/Block/Phase r Driving Directions o Property / rnnl /hTentec i/n ei S. replier Si aN m SJ sW -L / 7 rIV So ew, 1-n c.e;L_ aI in S 7 `L- D o✓en taf . lam, est , ( o / J°t.. NAME TO APPEAR ON PERMIT? V Owner n Applicant I I Contractor Applicant Contact Information Name 3- K. L,arydse Rip fit,o, f 6NacIiivg / ill e.- ^ Tel, Rel/Mx Address 13s 4/ /6 tk 3'! isit / /-(i ckoky At G 2.860 Phone 8z$ _ 3,Z,A, - 773 Cell Phone ,pais- 30;L-8 ..//2_ Owner Contact Information ,� Name alta i C` ,v SSR •r • ��fI1/ a le ‘• Address / 4,1...5, el) sf. Drink--Mf Phone t 2,:•- z1„ .. ,, Cell Phone ,„`?.. .r.... 3 0)-- Contractor Contact Information / n // 1> Name 3 �( 4 QnIJG4pIbE ' 6t-catkQt efinf, -- lJrf/ ICer/B,/ Address L3Sy /Gtbft NS / K/&Av N& 660 / 8� '- 3/2- ' XYZ Phone &2-& - 3),3 6/7s I Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner Applicant Contractor Description of Existing Structures on Site 2,0 X 30 op en IJ ark Eke, Set- #of Bedrooms *t /VA Structure Dimensions 20 x 3o #of Occupants Q Basement ❑ Yes X No Basement Fixtures Q 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. 13 Yes o Does the site contain any jurisdictional wetlands? O Yes No Does the site contain any existing wastewater systems? O Yes PCNo Is any wastewater going to be generated on the site other than domestic sewage? Yes 0 No Is the site subject to approval by any other public agency? '{^Yes I) No Are there any easements or right of ways on this property? Describe Date- 4n e'- y POW,e.-Lhv Existing water supply in use ❑ Individual Well ❑ Community Well Semi-Public Well XCounty/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 0 Alternative 0 Conventional 0 Innovative Other �OLCei/OPOh 0 Any • Q} i� THIS IS NOT A PERMIT ` CATAWBA COUNTY HEALTH DEPARTMENT . . coon rt . ;% - „—„ Application for Environmental Services Page 2 --�� -�-,. Proposed Facility Type ❑ Primary Residence ❑ New Residence Li Addition to Residence # of New Bedrooms *j' Project Description Structure Dimensions #of Occupants Basement ❑ Yes n No Basement Fixtures ® Yes D No I I Accessory Structure(s) Describe # of New Bedrooms *j' if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing ❑ Yes f 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 # of Shifts Dining Area(Sq. Ft.) Business Specific Type of Business _Retail Floor Space �y #of Employees per Shift #of Shifts T`\ IXI Other Facility Type Specify f C' - - -1/6. , se e7 0 _ If Church# of Scats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well n Semi-Public Well n Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ! I Yes n No Describe/� Calculated Design Flow, Commercial t O, 6/0 d 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 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 (//• At Lf"4'�srt .n;i U ,P–,. Date /.Z�–�a7 Printed Name of Owner or Agent '4S e4 a n r bh TI-IIcIcpRY Engineering Division North Carolina 76 N Center St NE Hickory,NC 28601 Life. Well Crafted. Phone: (828)323-7416 Fax: (828) 323-7476 MEMORANDUM TO: Catawba County Environmental Health FROM: Miles Champion, Senior Civil Engineer (828) 302-3757 DATE: July 28, 2016 SUBJECT: Southside Heights Park Improvements — Septic Tank System Attached is the Application for Environmental Services for the referenced project for your review. The City of Hickory Parks and Recreation Department request authorization to construct an on-site septic system (25% reduction) to serve proposed public restrooms. Plans are being submitted to Catawba County Building Inspections for the building permit. Requested design capacity of 200 g/day ( see calculation below). Daily Wastewater Flow Capacity Calculation: There are no permanent public restroom facilities on site and connection to the City of Hickory's sanitary sewer system has been deemed impractical. An on-site septic tank and nitrification field is proposed. Average daily flow is based on Hickory City Park (1515 12th Street Drive NW) that includes 22 parking spaces, 1 single fixture men's room, 1 single fixture women's room and 1 picnic shelter. The proposed facilities for Southside Heights Park is 19 existing parking spaces, proposed single fixture men's room, proposed single fixture women's room and 1 existing picnic shelter. Therefore, the proposed wastewater flow for Southside Heights Park is estimated to be very similar to Hickory City Park. Peak flow, based on actual water consumption, occurred at Hickory City Park on Reading Date 5/22/15 with usage for 30 days of 300 cu. Ft. Refer to the attached Account Consumption Summary dated 5/20/16. Peak Flow = 300 cu. Ft. / 30 days = 10 cu. Ft. / day =7.48 gal / cu. Ft. x 10 cu. Ft. / day =75 g/day Proposed restrooms at Southside Heights is therefore estimated to be 75 g/day. Assume 100% reserve capacity: 75 x 2 = 150 g/day For future undetermined capacity, recommend design capacity of 200 g/day. Catawba County Environmental Health i. y.r< 14TH;AVE,sw— - ♦ • S . a� . s k14A os: 5 ^tn CO0 I- i dial1 Cv ta to r -1) II"' eitip A abiN "ig 116\)21Th ` -0.9ics, r �z e o T fir Cay al4 \ � _ ,, j' o rr�: lei im-..IF ace 7 aVY io i F n / c' k. wN�TW (2F•1C�` li. al IP N-7 1 a Parcel: 370218424407, HICKORY, 28602lin=150ft - 7/A New &p c, aoo 5Pd 4-3 bb 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 07/28/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370218424407 Owner: HICKORY CITY OF Parcel Address: Owner2: null City: HICKORY, 28602 Address: PO BOX 398 LRK(REID): 43451 Address2: null Deed Book/Page: 2177/1253 City: HICKORY Subdivision: null State/Zip: NC 28603-0398 Lots/Block: null/null School Information: Last Sale: School District: HICKORY Plat Book/Page: 9/39 Legal: 2ND ST SW SOUTHSIDE PARK PL 9-39 Elementary School: SOUTHWEST Middle School: GRANDVIEW Calculated Acreage: 12.200 Tax Map: 093H 01044 High School: HICKORY Township: HICKORY State Road #: null Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: HICKORY Zoning District: HICKORY County Fire District: All in City Zoningl: R-3 Building(s) Value: $0 Zoning2: null Land Value: $86,800 Zoning3: null Assessed Total Value: $86,800 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: null 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 #: 3710370200J Building Details 2010 Census Block: 1055 WaterShed: null 2010 Census Tract: 011101 Voter Precinct: P4 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. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=370218424407&typ=P 7/28/2016