Loading...
HomeMy WebLinkAboutEHPR-04-2016-23672.TIF „rsyA •G THIS IS NOT A PERMIT Case # EHPR-04-2016-23672 •Q a CATAWBA COUNTY HEALTH DEPARTMENT 0 Yrlo rc: f 0 Li 7MIVin PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES {• 1 1842 sM Environmental Health Plan Review - OSWP t ro U j IMPROVEMENT '% - Applicant AMERICAN CHEMICAL CORP, 6047 TYVOLA GLENN CIR, CHARLOTTE NC 28102 C:7044883272 Land Owner BANK OF ATLANTA, 1349 W PEACHTREE ST STE 950, ATLANTA GA 30309 Owner QUEEN CITY REAL ESTATE (BOB ZITO), 6047 TYVOLA GLEN CIR, CHARLOTTE NC 28217 C:7044883273 RZITO @QUEENCITY.BIZ NAME TO APPEAR ON PERMIT Queen City Real Estate (Bob Zito) SITE ADDRESS: 3561 PLATEAU RD,NEWTON NC 28658 PIN # 269802762429 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 577,605.60 Acres 13.26 DIRECTIONS: West NC Hwy 10, Right at Crossroads Family Medical Center onto Plateau Rd, Go past Fred T. Foard High School, Large Mfg Building on Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 300 WATER SUPPLY: Public Water DESCRIBE WORK: IP to determine possible repair& ensure system is sized properly. Mfg. 10 employees - 1 shift 250 GPD (employees) + 50 GPD (misc. discharge) = 300 GPD Total (per MC) 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? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? Yes Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: Water& Power line easement APPLICATION FOR: Existing Structure STRUCTURE TYPE: *" NO STRUCTURE SELECTED ** FACILITY TYPE: Other OTHER DESCRIPTION: Mfg Buildilng DESCRIPTION OF Mfg Bldg 104,000 Sq Ft EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 524x240 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE (SQ FT): Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplicatinn 04/18/2016 11:15 Page I of5 �V)• CATAWBA COUNTY Case n EI-IPR-04-2016-23672 fQ' )"-gl 2 Public Health Department Subdivision cz � . 1" Environmental Health Division �? PINK 269802762429 o- PO Box 389. 100-A Southwest Blvd,Newton;NC 28658 IR.2 ,M NAME ON PERMIT: QUEEN CITY REAL ESTATE ( BOB ZITO), 6047 TYVOLA GLEN CIR, CHARLOTTE NC 28217 Queen City Real Estate ( Bob Zito) Site Address: 3561 PLATEAU RD,NEWTON NC 28658 Property Size: Square Feet 577,605.60 Acres 13.26 Directions: West NC Hwy 10, Right at Crossroads Family Medical Center onto Plateau Rd, Go past Fred T. Foard Nigh School, Large Mfg Building on Right. 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 coif- uthoriz-d county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and r -.. I u.4,‘ and that/am solely responsible for the proper identification,a d)'abe g,of all property lines and corners and making the site accessibl'`-o tha j sit--valuation can be performed. Date: Y//d9//‘ Signature of Applicant or Agent '� the An Environmental Health Specialist will contact you within 5 working days Wapplication date. If you need further information or assistance please call 828-466-7291 AREA2 ��r,(739 M 7 1,1411•. �Illilli ir.tii7lr i„i ;�il9u�lifl�lligijrifflA. il5'E�{pp JFEIEr MA viir- Ii .><.-. �,�� WU�t u.�..�h..�n. h�t a�(�ill.lt�!l..lfiihi�h. nl I--— .,Gl) Improvement Permit Fee 04/18/2016 $150.00 ' 4 'n 111` TOTAL FEES - �� 1111'1�1� tP� "unt�lp��l Iln�y1l 1 •fl Iirl'il" s s0 00 Ir '' S{ 1111'��'� . G.. >, , 1 11n nt101 n 1u.{:F� �'I�i��1 GliWf �.. 11111�� 1�111d11: a t 11 1'I I� ''W14111YiUIThIW ',.l,,PA M1111111111111,'"1,',',s w , 1111llil113lLIt �i It llU bli"i 1piiIII i a FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) N9-ehapplicauon 04/18/2016 11:15 Page 2 of 5 CATAVV BA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT N }, fu.' Application for Environmental Services Page I Improvement Permit H Authorization to Construct n Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well H Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) Application is for New Construction ❑ Existing Facility Property Address 3S I i aJ ect.w Subdivision iNkP,,.-tte• t'kct s-P Lot# Acres Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? dIZI Owner ❑ Applicant n Contractor Applicant Contact Information Name }{1.u'LVl(c t, Address 4,r 47 1 t ty(iti c t-c-te Clu,v-Lchke R Phone Cell Phone -70 ce-K -3277_ Owner Contact Information Name Bob Zt E/O PK Ch, : Address 4,,oi477yuofo prcriGnvt Cc rc/e efitt.40 tie ivy Phone Cell Phone 70y:ye s:7-3272_ Contractor Contact Information Name License # Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 0Owner n Applicant ❑ Contractor Description of Existing Structures on Site /0 ci cCw Sc_ /3A-c y- # of Bedrooms *I- Structure Dimensions 5N x CLIO # of Occupants Basement ❑ Yes n No Basement Fixtures U Yes n No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes 3$No Does the site contain any jurisdictional wetlands? "X Yes No Does the site contain any existing wastewater systems? A Yes ❑ No Is any wastewater going to be generated on the site other than domestic sewage? "S Yes ❑ 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 GIc eli°04— Existing water supply in use in Individual Well n Community Well n Semi-Public Well 7 County/City/Township Water Line is a public water supply available? ** K Yes n No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired SystenkType(s): (systems can be ranked in order of your preference) N e..) OtcLvpa: ❑ Accepted 0 Alternative ❑ Conventional ❑ Innovative ❑ Other S�r / /b t z/ ❑ Any cATA `( B A THIS IS NOT A PERMIT _COUNTY V�„ - CATAWBA COUNTY HEALTH DEPARTMENT „„,„,c,--,7,,;,-;--,s Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence n New Residence n Addition to Residence # of New Bedrooms *j Project Description Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures ❑ Yes n No ❑ Accessory Structure(s) Describe # of New Bedrooms *j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*j Total #Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area(Sq. Ft.) X Business Specific Type of Business Retail Floor Space None # of Employees per Shift /4 # of Shifts / Brume 0.54 y,✓Iukvd?r�y /0 " a° 5 r= El 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 —1 Individual Well El Semi-Public Well ❑ Community Well Abandonment Type n Drilled n Bored, ❑ Dug El Unknown Well Repair Requested n Yes n No Describe CIfy d) Ye( me- Calculated Design Flow, Commercial j "fri/kWon 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 •'per identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation c 4e performed. Signature of Owner or Agent ��f� Date /// A' 49 7i I U Printed Name of Owner or Agent SR, Catawba County Environmental Health 7.\\:\>\_-/ -:-%"-----..1N-%1/2-1/4"..-----9);-..----a- id' fille. • •3561 358 \ (17 r • ) I \�t1 q T \\N...,.._..\\_." \ i , \G ? IA. , 11,11)." 11111111111111 i.osit i i 11' 091 iik 1111\ Ev 1 o 21 fl Parcel: 269802762429, 3561 PLATEAU RD 1in=200ft NEWTON, 28658 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 04/18/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 269802762429 Owner: BANK OF ATLANTA Parcel Address: 3561 PLATEAU RD Owner2: null City: NEWTON, 28658 Address: 1349 W PEACHTREE ST STE 950 LRK(REID): 4692 Address2: 2 MIDTOWN PLAZA Deed Book/Page: 3257/1879 City: ATLANTA Subdivision: null State/Zip: GA 30309-2942 Lots/Block: null/ null Last Sale: School Information: Plat Book/Page: School District: COUNTY Legal: null Elementary School: BANOAK Middle School: JACOBS FORK Calculated Acreage: 13.260 Tax Map: 005 J 01008 High School: FRED T FOARD Township: JACOBS FORK School Map State Road it 2036 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: GI Building(s) Value: $287,900 Zoning2: null Land Value: $162,500 Zoning3: null Assessed Total Value: $450,400 Zoning Overlay: null Year Built/Remodeled: 1972/null Small Area: PLATEAU 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 #: 37102698003 Building Details 2010 Census Block: 3009 WaterShed: null 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, 4112, Co5naii http://gis.catawbacountync.gov/nomap/parcel_report.php?key=269802762429&typ=P 4/18/2016 . ' A C� CATAWBA COUNTY r77' \1. 100A SOUTHWEST BLVD Q ,ter, : NEWTON, NORTH CAROLINA 28658 RECEIPT 11r,�. sa>e PHONE: 828.465.8399 CJ\ eeo �G' Monday, April 18, 2016 /842 sm www.catawbacountync.gov PAYOR: Queen City Real Estate Queen City Real Estate (Zito, Bob) PAYMENTS TRANSACTION NUMBER: TRC-657345-18-04-2016 PAYMENT DATE : 04(18(2016 PAYMENT TYPE: Check 2139 INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327322 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EI-IPR-04-2016-23 672 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3561 PLATEAU RD, NEWTON NC 28658 Applicant AMERICAN CHEMICAL CORP, 6047 TYVOLA GLENN CIR, CHARLOTTE NC 28102 C:7044883272 Land Owner BANK OF ATLANTA, 1349 W PEACHTREE ST STE 950, ATLANTA GA 30309 Owner QUEEN CITY REAL ESTATE, 6047 TYVOLA GLEN CIR, CHARLOTTE NC 28217 C:7044883273 RZITO@QUEENCITY.BIZ QUEENCITY.BIZ ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 04/18/2016 11:15 Page 1 of I