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HomeMy WebLinkAboutRBPR-08-2016-24419.TIF THIS IS NOT A PERMIT Case # RBPR-08-2016-24419 fl d « , CATAWBA COUNTY HEALTH DEPARTMENT 0f`�,k ,#� 0 tisc'"" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' 4 {3i 1842 RA Residential Building Plan Review - Building New I� IMPROVEMENT - AUTH_CONST k 4 ., Contractor *JOYCE, RON (RON A JOYCE), PO BOX 716, HICKORY NC 28603- B:828-38I-2520 Owner *JOYCE, RON (RON A JOYCE), PO BOX 716, HICKORY NC 28603- B:878-381-2520 NAME TO APPEAR ON PERMIT • *JOYCE, RON (RON A JOYCE) SITE ADDRESS: 1637 BERKSHIRE DR, HICKORY NC 28602 PIN # 370005094634 NAME of SUBDIVISION: BERKSHIRE PLACE PH 1 Lot# 28 Section/Block PROPERTY SIZE: Square Feet Acres 0.39 DIRECTIONS: Hwy 127 South, left on Bethel Church Rd, Left on Berkshire Dr, 6th lot on left in curve PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: New, 3 bedroom, 54x54, one story house, no basement, with 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: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 54x54 Single family residence #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: E9-chapplication 08/02/2016 11:39 Page I of4 pA CATAWBA COUNTY Case# RBPR-08-2016-24419 `Y2 Public Health Department Subdivision BERKSHIRE PLACE PH 1 in: -"w,i Environmental Health Division PIN# 370005094634-�� PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 Ig q'L NAME ON PERMIT: *JOYCE, RON (RON A JOYCE), PO BOX 716, HICKORY NC 28603- "'JOYCE, RON ( RON AJOYCE) Site Address: 1637 BERKSHIRE DR, HICKORY NC 28602 Property Size: Square Feet Acres 0.39 Directions: Hwy 127 South, left on Bethel Church Rd, Left on Berkshire Dr, 6th lot on left in curve 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, complet- : • corr- t. Aut orized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable I. s an.i ule:. I un.-rstand that I am solely responsible for the proper identificatigq a lab jling of all property lines and corners and making the site accessib; • that a c• plete site evaluation can be performed. Date: (C�� 2.- ley Signature of Applicant or Agent Al zA& ,tom, An Environmental Health Specialist will contact you withir working di s o'application date. If you need further information or assistance please call 828f 66-7291 AREA2 "'FEENAME c ' 0..2, DATE ': FEE' T AMOUNT rd Authorization to Construct Fee (New/Expansion) 08/02/2016 $150.00 Fee Improvement Permit Fee 08/02/2016 $150.00 TOTAL FEES $300.00 c , 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 iaation 08/02/2016 11:39 Page 2 of 4 c" ,, l , - THIS IS NOT A PERMITv n _ COUNTYCATADA HEALTH DEPARTMENT,-'.------ -i:::- Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct Septic Repair❑ Septic Malfunction H Septic Expansion ❑ New Well Permit E. Replacement Well ❑ Well Abandonment❑ Well Repair L Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ('1J Existing 0.Fa�ciil Facility`❑ �t (� �(y� Property Address `b; / be II,n-c )a- Subdivision FAQ C-0)i/` y 1 \4. 0j2� 1_ ( (C/G� �lIC ) O2Lot# 2) Acres cal • C r � ec 'on/B1 ck/Phase Driving Directions to Property 127 SO — l—— 'A C f Joh f 0— L— v)ef?0h 2,'z . e_ ( ' Lac CM L-dc fix c o t.l c- , NAME TO APPEAR ON PERMIT? Owner [Applicant R&ntractor Applicant Contact Information Name flN �7oRCr- Address*•`, , UJO', '71(a IA-Kt-Dal t.?C, 2,g bo1 Phone (7j Zq, - 3 e 1L,SZo I Cellphone g� `-3`� ` is Owner Contact Information r jr^ �1 T Name kA C kA 70- l,l �� ea o Nea Address I f P + 1 Phone I Cell Phone Contractor Contact Information Address (tU l \ Phone I CellPhone WHO WILL BE THE PRIMARY CONTACT? ['O`sner [Applicant ❑t-Contractor Description of Existing Structures on Site / 0 .4 C of Bedroonic *t Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures a Yes 0 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 YesNo Does the site contain any jurisdictional wetlands? l Yes No Does the site contain'any existing wastewater systems? )Yes No 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 'No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well I Community Well U Semi-Public Well County/City/Township Water Line Is a public water supply available? ** 1/ 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) g� 0 Accepted 0 Alternative Conventional El Innovative 0 Other 25(6' 0 Any crkr raTA THIS IS NOT A PER114IT Cri-1-1�.r3 =— _- CATAWBA COUNTY HEALTH DEPARTMENT f,,_ -„,uh Application for Environmental Services Page 2 Pr posed Facility Type Primary Residence Q/New Residence n Addition to Residence #of New Bedrooms'."-� ( *t Project Description TVA rYI C ( k€. 1.l)71CQ-Q+t S(e- '1 t 5+ENN-1\ Structure Dimensions J x S4 ' #of Occupants 3 , Basement ❑ Yes /: No Basement Fixtures b Yes P. No AS ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions of Occupants Accessory Dwelling _ Yes n No Plumbing Yes No Describe Plumbing Needed ❑ Multi-Family Residence#Units #Bedroo,-ns per Unit*t Total#Bedrooms *1" Structure Dimensions ❑ Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) I 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 Construcfion/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well 7 Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug ❑ Unlmown 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 futu e. 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 RETAIL')WILL INCUR AN ADDITIONAL CHARGE (SEE kJiE S CH H DULE) 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 maybe 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 malting the site accessible so that a complete site evaluation be performed. Signature of Owner or Agent / 171- v Date 07Z/7 ar Printed Name of Owner or Agent p N C • fNS t, ', ; \ f � / ,„ "4`e 1 � \ 4 a //XI A .„,, c4.1 „K.\ fe, � r 1 Qo te " ? \\ kdK Oji - 9i k1I ]I ' `` • r� r J * G` iticagit. SSC b • r (03 )( S�t . Catawba County Environmental Health -��,, 0 ti �l o 64.82 0Se: ° p P464.82 O. i N0t 4.26 32.34 60.32 cb 1" 161.10 2020 n. 7 yea F w X700 0� g. UJ :7.48 49 4bga 7 tul 6' 77e 7.a aL 1 9.00 Or itir.zihililp4,14 Alt 11,1411111;11:1:1 l ��I �� �l.��I I 14e i ar11f{1t i II II �i,1� 1 Ifi 11::VII pill! 29.4'. Y 73.1 . , I<r, M sNiliii 168.37 • a inn G in C 06 ,t. 5., yy„..... Parcel: 370005094634, 1637 BERKSHIRE DR 1in=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 08/02/2016 Parcel Report Page 1 of I Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370005094634 Owner: RA JOYCE CONSTRUCTION CO INC Parcel Address: 1637 BERKSHIRE DR Owner2: City: HICKORY, 28602 Address: PO BOX 716 LRK(REID): 606158 Address2: Deed Book/Page: 3347/1203 City: HICKORY Subdivision: BERKSHIRE PLACE PH 1 State/Zip: NC 28603-0716 Lots/Block: 28/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 66/174 Elementary School: MOUNTAIN VIEW Legal: LOT 28 BERKSHIRE PLACE PH 1 PL 66- Middle School: JACOBS FORK 174 Calculated Acreage: .390 High School: FRED T FOARD Tax Map: School Map Township: HICKORY State Road #: TaxNalue 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: Land Value: $24,500 Zoning3: Assessed Total Value: $24,500 Zoning Overlay: Year Built/Remodeled: / Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 2031 WaterShed: 2010 Census Tract: 011102 Voter Precinct: P23 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. 72/ 01 8‘ C)LD • J 2(c30 goy i oi http://gis.catawbacountync.gov/nomap/parcel_report.php?key=370005094634&typ=P 8/2/2016 /----- CATAWBA COUNTY ' ( p Is\ ;Public Health Department Case# WLS2007-01141 n 1.� R. ) i CATAWBA COUNTY / w ipa/.\: Public Health Department Case# WLS2007-01141 Environmental Health Division Subdivision BERKSHIRE aci '\11911PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 SecUBUPh/Lot# .rf o (8_8)465-8270 FAX(828)465-3276 TOO(828)465-8200 PIN# 911370005095275-r. . D Applicant/Owner JEON REAL ESTATE INC. Site Address: 1637 BERKSHIRE DR Property Si 18800 SF ACRES Directions: HWY 321/EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT ® Improvement Permit Authorization To Construct 0 Well Permit SITE PLAN •.1b1 Rc..l��-$t�.�a_ of * t-1d J.},„„ I11• n� r1x r • 4 l (r.cl,.l ra.� }'� ,n f el/ fa-Pc.r o \1.7�. 3j2 41. Qq� t S clot I y„:+ ; I Sys .- to pY ,.,r }_ 9S5- 1 I^ Or Scale System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. &—.70( toittir0 A tiorized Slate Agent Date Form C c\TldmmdWnnnMVLSanom)! • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SITE WASTEWATERSECTION `f Z ooh _ COUNTY: • SOIL/SI11., EVALUATION 11y I for ON-SITE WASTEWATER SYSTEM OWNER APPLICATION DATE ADDRESS: DATE EVALUATED: rj IL.I L L PROPOSED FACILITY: S P,2 4-1., PROPOSED DESIGNFLOW(.1949): 36O _ PROPERTY SIZE: LOCATION OF SITE: ,,,jgSa.r k s L..,t. P I � PROPERTY RECORDED: WATER SUPPLY: 0 Private U.Public 0 Wg,eU Spring 0 Other EVALUATION METHOD: OL7 gerBorng gPit 0 Cut TYPE OF WASTEWATER Sewage U Industrial Process U Mixed .......................... ... . SOIL MOPPTIOLOCY UOTIIER. : .:...:: (1947) PROFILEFACTORS • 1940:' ..:... ..LAND ':HOR "I • ' .194Y .._.... SCApE ZAN 19d1 -'"` 1941 .:::. SOIL 194# i95d 194d .POSTTIOw fEPT3l:: ' STRUCTURE/ SV STRUCTURE/ ''''' iETNESS/ 'SOU. ;;SAPgO. ..RESTR.. PIiOFD,E .:.:SLOPE ate: ((N:)" ..::TEXTURE : MINERALOGY: :"":•::.'":QLon ::DEPT$- CLASS - HORIL GFASS.... ..- ... Ii LIAR.:: SH 0- 17" 5:c(. 1 Ur • fl-9b S.c lick SS1tP1Sr_XPIF. v�ll�.� L-74 1 6-n,t: SI«;rg • ps t,4- • o- If'.' 5.c.c- 1 (rt 8s( I f 2 ch r.,..:, 3111 PS , L7SI U-1s11 S:LL ( (rr . ZI + n 1s 4Z" S,c �Sbk SSI1t x? .5r. r II ( S - -L,s• l • • • 4 DESCRIPTION NITIALSYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) Rs 9-5 SITE CLASSIFICATION(.1948): Ps System Type(s) s Q EVALUATED BY: a (i.,yJ P. yr%j,.I.. e• Pka.Iy's OTHER(S)PRESENT: R, 1w.' SiteLTAR2/73 , L )S COMMENTS: 5w: 11 r,z5. rC. sLLciio..f r' "-" -- i re-p.:. nc.� rt. . n.. n_)e);4.:^r-1 c.a./ • LEGEND • use the following standard abbreviations - SOIL .CONVENTIONAL LPP MINERALOGY/ LANDSCAPEPOSITION GROUP 7EXURE .1955LTAR• .1957LTARa CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sod) 12.0.8 0.6-0.4 NF-XP(Non-expansive) G(Single Cain) CV(Convex Slope) LS(Loamy Sand SEXP(Slightly Expansive) M(Massive) D(Drainage Way) EXP(Expansive) CA(Comb) . • DS(Debris Slump) II SL(Sandy Inane) 02.0.6 0.4.03 GR(Granular) FP(flood Plain) • L(Loam) SDK(Subangular Blocky) FS(Foot Slope) ABK(Angular Slaty) H(Had Slope) III SCL(Sandy Clay Imam) 0.6-03 03-0.13 PL(Platy) L(Linear Slope) Sit(Sill Lam) PR(Prismatic) N(Nom Slope) CL(Clay Lam) R(Ridge) Si¢(Silty Clay Loam) MOIST R S(Shoulder Slope) Si(50t) •T(Tante) WA(Vey Friable) NS(Noouirky) IV SC(Sandy Clay) 0.4-0.1 02-0.05 FR(Friable) SS(Slight Sticky) SiC(Silty Clay) Fl(Fum) S(Stidcy) . C(Clay) VII(Way Firm v.Vay Sddy) VS(Very Stacy) O(Organic) Nano FF7(Fmemdy Film) NPMooplenc) ,*Adjust LTAR due to depth,consistence,structure,tail wetness,landscape, SP(SGgky Plate) Position,wastewater flow and quality. P(Flew) NO VP(Very Plastic) . HORIZON DEPTH In'orches below natural soil not DEPIHOFFILL In inches from land svdaee )( 7RIC77YE HORIZON Thickness and depth Sam land seta SIPROII7E S(mitable)or U(uasuiteble) SOIL WRYNESS Inches from la rdsurface to See nater or inches nom land nears to soil calms with aroma or less.rand Moasel color chip designation CL4.4.1FICd77ON S(Suitable),PS(Provisionally Suimbic),or (Unsuitable) Evaluation of sapmlite shall be by pits. . Long-term Asytom Ram().TAR):gaUday/Sn Show profile locations and other she features(dimensions,reference or benchmark,and North). • • • ....n_....e..__...............f............e......e e.._..4__......_....._......................e................_..._..._...._.e._...t .._...q ......._..........._.....4.............4_..... ......0 4 4 I4 ......4 4 n._...0. 4 4. 4 • DE1.R(44444) Iteview(lggRH)'