Loading...
HomeMy WebLinkAboutEHPR-07-2016-24307.TIF IgA • THIS 1S NOTA PERMIT Case # EI-IPR-07-2016-24307 `711:11 CATAWBA COUNTY HEALTH DEPARTMENT � ; 1El \<4,44.641. REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES � ` ti •i /842 SM Environmental Health Plan Review - OSWP 03 -o — v: • ' • • EXS_SYSTEM 4 • Applicant NCDOT (DAVID ANGEL), 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472 JDANGEL@NCDOT.GOV Contact Person NCDOT (ANTHONY SMITI-I), 840 WALLACE GROVE DR, SI-IELBY NC 28150 B:7044805472227 ACSMITH6ONCDOT.GOV Owner WILLIAM & CLARA HYATT, 2582 STARTOWN RD, NEWTON NC 28658 C:8283108209 NAME TO APPEAR ON PERMIT North Carolina Department of Transportation SITE ADDRESS: 2582 STARTOWN RD, NEWTON NC 28658 PIN # 372007592594 NAME of SUBDIVISION: Lot 4 Section/Block PROPERTY SIZE: Square Feet 82,764.00 Acres 1.9 DIRECTIONS: Hwy 70 SE, onto Mcdonald Parkway/Startown Rd, Go Past Catawba Valley Blvd SE, House will be on the Left just before Settlemyre Bridge Rd.,#is on the Mail Box. PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: Existing System Check - DOT requesting to verify location of existing tanks & drain field for proposed Right of Way. 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? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? Yes Property Easements Description: NCDOT ROW APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF House, Bldg EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 32x32, 2 Bldg 35x23 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: P9-chapplicaGnn 07/19/2016 09:28 Page 1 of,1 „aA • CATAWBA COUNTY Case 0 EHPR-07-2016-24307 , O Public Health Department Subdivision �L 4 IWI---°.ot ” Environmental Health Division PIN# 3720075925941 PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 /842 w NAME ON PERMIT: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION ( William & Clara Hyatt) Site Address: 2582 S IARTOWN RD, NEWTON NC 28658 Property Size: Square Feet 82,764.00 Acres 1.9 Directions: Hwy 70 SE, onto Mcdonald Parkway/Startown Rd, Go Past Catawba Valley Blvd SE, House will be on the Left just . before Settlemyre Bridge Rd., # is on the Mail Box. 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 identifica d a ling of all property lines and corners and making the site a sable so that alcomplete si valuation can be performed. Date: r���ILO Signature of Applicant or Agent.. t� An Environmental Health Specialist will contact you wi in 5 working days of app ication date. If you need further information or assistance please call 828-466-7291 AREA2 PI)1 i` t t!'MM';r ,7 77111 Ilrii �j , it "':i 4'� t1,i�i�1q 1 1>';- Ifgi 'illl IIlrl ' IIiEff 1 !'N laFEFNAME `. ,_-ihtililtii,.iui.d!!:iiiLlt,iLJ.L.i..iL�nl('lip::: DATEII_.-wlllllt-FEEIrAMOUNr_r5rE Existing Tank Check Fee 07/18/2016 580.00 Piiin, I ghITOTALFF.ES11.,Km .;ii+; ,'+U+I' llhll{Gliail':. 113 . .4h 1:r1, 1 58000'fir[� Ed di_. �i L ..i�alistt,,-.._- .241:4..61.stAr ttllli,L11-,......1L5U t Lilld116bv_ _--lu..,_ t�.,._.uliai _. .— .:!OIL 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) lig-ehapplication 07/19/2016 09:28 Paget of4 . A3A C0 CATAWBA COUNTY "7 a 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT ►am PHONE: 828.465.8399 CJ ®11, Tuesday, July 19, 2016 /842 sm www.catawbacountync.gov PAYOR: NCDOT NCDOT(Angel, David) PAYMENTS TRANSACTION NUMBER: TRC-740405-19-07-2016 PAYMENT DATE : 07/19/2016 PAYMENT TYPE: Credit Card Payment by Phone INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330604 Existing Tank Check Fee $80.00 TOTAL PAYMENTS : $80.00 EHPR-07-2016-24307 • CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2582 STARTOWN RD,NEWTON NC 28658 Applicant NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472 ** NO PEOPLESOFTACCOUNTASSIGNED ** Contact Person NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472227 Owner WILLIAM 8 CLARA HYATT, 2582 STARTOWN RD, NEWTON NC 28658 C:8283108209 receipt 07/19/2016 09:05 Page 1 of 1 cATA(� BA THIS IS NOT A PERMIT cot i Vz_lJ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 ibtlM1 Cvel ns Improvement Permit❑ Authorization to Construct❑ Septic Repair 9 Septic Malfunction❑ Septic Expansion 9 New Well Permit❑ Replacement Well 9 Well Abandonment❑ Well Repair 9 Existing System Inspection (Pre-Approval Required) 9 Application is for New Construction ❑ Existing Facility ❑® Property Address 2582 Startown Rd. Subdivision 372007592594 Newton, NC 28658-8569 Lot# Acres I.SO Section/Blocl/Phase Driving Directions to Property Intersection of Startown Rd.SR10058 Settlemyer Bridge Rd.SR1165 • NAME TO APPEAR ON PERnII"? ❑ Owner 9 Applicant 9 Contractor Applicant Contact information Name David Angel \OkQ V tOre& al- -- _-- -- Address 840 Wallace Grove Drive S Iby,NC 150 �✓ Phone(704)480-5472 Cell Phone(704)480-5472 Owner Contact Information ----------.._... Name William and Clara Hyatt Address 2582 Startown Rd. Phone Newton,NC 28658-8355 Cell Phone(828)310-8209 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 9 Owner Q Applicant 9 Contractor Description of Existing Structures on Site I s!cry dRvdtr.gtattic. ? 10#of Bedrooms *j-4 Structure Dimensions 32 X 32 #of Occupants 2 Basement ❑® Yes 9 No Basement Fixtures ® Yes St No e� 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 PJ No Does the site contain any jurisdictional wetlands? 61 Yes El No Does the site contain any existing wastewater systems? U Yes ra No Is any wastewater going to be generated on the site other than domestic sewage? Ba Yes 17 No Is the site subject to approval by any other public agency? 0 Yes 0 No Are there any easements or right of ways on this property? Describe NCDOT wW • Existing water supply in use Q Individual Well 9 Community Well Li Semi-Public Well . • 9 County/City/Township Water Line Is a public water supply available? ** 9 Yes I No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System'I`ype(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other 0 Any CATAWBA THIS IS NOT A PERMITCOUNTYYClVY d.�. . CATAWBA COUNTY HEALTH DEPARTMENT a„ate Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Structure Dimensions #of Occupants _ Basement ❑ Yes ❑ No Basement Fixtures ® Yes ® No U Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling 0 Yes ❑No Plumbing ❑ Yes 0 No Describe Plumbing Needed Multi-Fanuly Residence# Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions U Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area (Sq. Ft.) O Business Specific Type of Business Retail Floor Space,-__.._ # of Employees per Shift #of Shifts • LI Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well 0 Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled 0 Bored ❑ Dug ❑ Unlutown 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 tune of building permit issuance. This may prevent the need for septic system size increase in the future. j 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 ADDTI'IONAL CHARGE (SEE FEE SCHEDULE) hnprovement Permits issued as a result of this information arc valid for 5 years or may be non-expiring under certain specified conditions.Au Authorization to Construct issued by this department is valid for(5)five years from die 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 accessible so that a complete site evaluation can be performed. • Signature of Owner or Agent C(//a Serve r/Date / //k//4 • • Printed Name of Owner or Agent Katherine Harris From: Smith, Anthony C [acsmith6@ncdot.govl Sent: Tuesday, July 19, 2016 8:02 AM To: Katherine Harris Subject: W-5212M 007-2582 Startown Rd Attachments: 20160719075240349.pdf Ms. Harris, We spoke yesterday in regards to Parcel: 372007592594 2582 Startown Rd. I'm not sure if this will impact the research NCDOT is requesting as far as septic location however the assessment report indicates 4 bedrooms. After our conversation I did look into where I pulled the bedroom information originally to assure I didn't overlook something.This is where I pulled the original information indicated on the application. Please let me know if additional information is required thanks. Have a great day! ANTHONY C. SMITH RIGHT OFWAY AGENT North Carolina Department of Transportation 12`t'Division Right of Way Office (704)480-5472(Est. 227} (704)480-5476 Fax acsmith6@ncdot.gov 840 Wallace Grove Drive Shelby,North Carolina 28150 �.: Nothing Compares-: Ik HI A1110 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Email correspondence to and from this sender is subject to the N.C.Public Records Law and may be disclosed to third parties. 2 tc ()Mk° - URIeded OPP q pm. 1 Catawba County Environmental Health \‘‘,,,,,_ bl CCn Li d, PC 0 rr d I^- t _.. a/(4,42 (541) O O 00 O El I co th v (560 • • w (260) v X110 (134) 1i1 ,ct i v 195) /� 81.1] r g05 li ! I I I -o T' `I— _ _ 1 I ! I 4 I I ! 1 1 I Igo I t I o I 1 ! ,"' I I I pr I i Parcel: 372007592594, 2582 STARTOWN RD 1 in=80ft 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 07/18/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372007592594 Owner: HYATT WILLIAM E Parcel Address: 2582 STARTOWN RD Owner2: STRIDER CLARA P City: NEWTON, 28658 Address: 2582 STARTOWN RD LRK(REID): 31738 Address2: Deed Book/Page: 2250/1676 City: NEWTON Subdivision: State/Zip: NC 28658-8355 Lots/Block: / Last Sale: $99,900 on 2001-02-16 School Information: School District: COUNTY Plat Book/Page: Elementary School: STARTOWN Legal: 2582 STARTOWN RD Middle School: MAIDEN Calculated Acreage: 1.900 Tax Map: 051N 01033A High School: MAIDEN Township: NEWTON School Map State Road #: 1005 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: HICKORY RURAL Zoningl: R-20 Building(s) Value: $82,100 Zoning2: Land Value: $22,600 Zoning3: Assessed Total Value: $104,700 Zoning Overlay: Year Built/Remodeled: 1947/ Small Area: STARTOWN Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710372000J Building Details 2010 Census Block: 1027 WaterShed: 2010 Census Tract: 011701 Voter Precinct: P40 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 Geospalial 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 ariso 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=372007592594&typ=P 7/18/2016 Katherine Harris From: Mike Cash Sent: Monday, July 18, 2016 10:19 AM To: Katherine Harris Subject: FW: Startown Rd. Attachments: 20160718084014941.pdf; 20160718083950711.pdf From: Smith, Anthony C [mailto:acsmith6C©ncdot.gov] Sent: Monday, July 18, 2016 9:02 AM To: Mike Cash Subject: RE: Startown Rd. Mr. Cash. Per our conversation this past Friday July 15, 2016 concerning the Startown Rd/ Settlemever Bridge Rd. Intersection this email contains the applications. The applications are for Parcel 006 2596 Startown Rd. Newton, NC 28658-8355 and Parcel 007 2582 Startown Rd. Newton, NC 28658-8355. I am requesting a definitive answer concerning weather the existing septic lines are located in the new (proposed) right of way. The areas indicated on the plans are marked and staked. Please let me know if you need anything additional thanks! ANTHONY C. SMITH RIGHT OF WAY AGENT North Carolina Department of Transportation 12th Division Right of Way Office (704)480-5472{Est.227} (704)480-5476 Fax acsmith6@ncdot.gov 840 Wallace Grove Drive Shelby, North Carolina 28150 Compares_ �i *S0.1 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Mike Cash [mailto:MikeCash®CatawbaCountyNC.gov] Sent: Wednesday, June 15, 2016 10:45 AM To: Smith, Anthony C Subject: RE: Startown Rd. Mr. Smith, According to our GIS system, the closest sewer line (Hickory) is more than 1500 ft north from the Startown Rd/ Settlemeyer Bridge Rd. intersection. These maps are not always up to date, but are generally accurate. For 1 additional information, you may want to contact Shawn Pennell at the City of Hickory Public Works office, (828) 323-7590, or Jon Greer at the Catawba County Utilities and Engineering Department, (828) 464-6411. Thank you for your inquiry and please let me know if I can provide any additional assistance. Mike Cash Michael E. Cash, MPA, REHS Environmental Health Supervisor Catawba County Public Health (828) 465-8268 mailto:mikecash@catawbacountync.gov Conf I d e n ti al i tyS tatemen t: The information contained in electronic transmissions is confidential and may be subject to protection under the law, including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed. If you are not the intended recipient, you are notified that any use,distribution or copying of the message is strictly prohibited. If you received a message in error,please contact the sender immediately by replying to the e-mail and delete the material from any computer. From: Smith, Anthony C [mailto:acsmith6©ncdot.gov] Sent: Wednesday, June 15, 2016 10:02 AM To: Mike Cash Subject: Startown Rd. Mr. Cash, I am working on New Right of Way for NCDOT on Startown Rd. and Settelmeyer Bridge Rd. intersection. I have a property owner located at 2596 Startown Rd. which has indicated the presence of septic drainage area located in the potential new R/W area. I am attempting ascertain if there is any sewage located near this intersection in which the property owner can tap into. Any aid would be appreciated as NCDOT determines how to proceed on this intersection project. Thanks ANTHONY C. SMITH REAL PROPERTY AGENT North Carolina Department of Transportation 126 Division Right of Way Office (704)480-5472(Est.227} (704)480-5476 Fax acsmith6@ncdot.gov 840 Wallace Grove Drive Shelby,North Carolina 28150 Lit Citi 1 !>—Nothing Compares. ta 1 ' igbil Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. 2 CATAWBA COUNTY HEALTH DEPARTMENT N° p7 c � �� ��!d Telepho -. (828)465-8270'T D (828)465-M0_ Imp rPrmt. Age • . to C&_Sk pr Pt�ttt. : Qpr Prmt. l Sys Type L./']' Well Prlgt Wel l 2Ir Prmt. •OwnerlAgent i20.�e c, H Phone 5 4 Address SIM M in Subdivision Section/Block/P Loth' Lot Size Direcjions O W" i Facility. House 1 Mobile Home Business Multi-family Other Tax Map or Pin Number MFP -0)- VW Other Zoning Approval # ,/ # Bedrooms 9 #Seats # Employees Application Rate GPD Flow ,YP.G Hot Tub or Spa yes • 'jai Fixtures Basement ye • 100% Repair Are.9io Basement Plumbing) " ..; Water Supply 'Jell Public Semi-Public Type of System. Trench Bed : Pump Pump/Panel Panel LPP Other 1 \ / pu Septic Tank Siz Xe`6/1(lyl� Pump Tank Size Nitrification Field. Total Square Feet (-G-0V Depth of Stone fa Bed Size 15 ({0 Trench Width Total Length of All Trenches Number of Trenches • / I Trench Length / / / / / Feet on Center Maximum Trench Depth � U Distance of Nearest Well) *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPL ION* ****** **************************$y *d****•t ******************************************** ******************************* Topo r 't % Slope F"t /AW 1 Texture / 1Of ' Structure . ar-i- g ! S` Clay Min. . Soil Wetness ^ " Soil Depth 4--" Restric Hoz at Available space t o Overall Class tia- Comments 15 X 'Id bjj 15 ill Ofiniz w f i Imo' Ex617It It aCL111? up Iln 1nL . s F 0 1, 15 is not- Ma t I I j)&4 I(-O A f Ho Filter Required I ` I„r Ilt7 Me Riser required when ( V lM� 25{jz Ci.l n .n 1 tank is more than 6 I - LTi It�1 inches deep. l **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *************************************************************************************************************************** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation,and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at . y site by the Health Department, /f un Permit Dat 5 - Co EHS �� AL ii..._ . /� Ow :..:Tis 5 .• ! y - Jeptic Tank Install • r/„i(tfi�fming_ Z Date. EH �! - i r ,w Well Installed By W- 1 Grout Approval Date Well Het • •. ova tat / • Date Sample Collected Date of Results Results EHS White-Office Blue Building Inspection Operation Permit Yellow Owner/Agent Green Building Inspection Authorization to Construct i