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HomeMy WebLinkAboutEHPR-07-2016-24308.TIF $A ,G THIS IS NOT A PERMIT Case # EHPR-07-2016-24308 Q CATAWBA COUNTY HEALTH DEPARTMENT � 'j`�� Q ��i rG 1 ,,r S= +4C °' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �.t \842 sM Environmental Health Plan Review - OSWP 4. EXS SYSTEM ®'•` m;. Applicant NCDOT (DAVID ANGEL), 840 WALLACE GROVE DR,SHELBY NC 28150 13:7044805472 JDANGEL@NCDOT.GOV NCDOT.GOV Contact Person NCDOT (ANTHONY SMITH), 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472227 ACSMITH6@NCDOT.GOV Owner SCOTT KAHN,2596 STARTOWN RD,NEWTON NC 28658-8355 NAME TO APPEAR ON PERMIT North Carolina Department of Transportation SITE ADDRESS: 2596 STARTOWN RD, NEWTON NC 28658 PIN # 372007591422 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 37,461.60 Acres 0.86 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: 360 WATER SUPPLY: Private Well 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, Garage EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 79x42 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 1 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: E9-ehapplication 07/1912016 09.12 Page 1 of4 .g,• . CATAWBA COUNTY Case# EI-ITR-07-20 1 6-243 08 Public Health Department Subdivision 4 �n„ "I Environmental Health Division PIN# in e 't 372007591422 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 18 L w NAME ON PERMIT: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION NCDOT (Anthony Smith) Site Address: 2596 STARTOWN RD, NEWTON NC 28658 Property Size: Square Feet 37,461.60 Acres 0.86 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 identificaf nd la eling of all property lines and corners and making the site ac'c sible so that a c mplete • evaluation an be performed. Date: I (lsto Signature of Applicant or Agent I n Environmental Health Specialist will contact you wit n 5 'ork ng days of a p ication date. If you need further information or assistance please call 828-466-7291 AREA2 ............................................................................................................ FEENAME DATE FEE AMOUNT Existing Tank Check Fee 07/18/2016 $80.00 TOTAL FEES $80.00 1 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-chapplicanon 07/19/2016 09:12 Page 2 of4 IgA CATAWBA COUNTY /ET100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT d '�� ��►i� H PHONE: 828.465.8399 Tuesday, July 19, 2016 \5 /8 842 snt w,vw.catawbacountync.gov PAYOR: NCDOT NCDOT(Angel, David) PAYMENTS TRANSACTION NUMBER: TRC-740406-19-07-2016 PAYMENT DATE : 07/19/2016 PAYMENT TYPE: Credit Card payment by phone from David Angel INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330605 Existing Tank Check Fee $80.00 TOTAL PAYMENTS : $80.00 EHPR-07-2016-24308 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2596 STARTOWN RD, NEWTON NC 28658 Applicant NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Contact Person NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28150 B:7044805472227 Owner SCOTT KAHN, 2596 STARTOWN RD, NEWTON NC 28658-8355 receipt 07/19/2016 09:06 Page 1 or 1 C aTA('( /A THIS IS NOT A PERMIT MB COUNTY VV iJL 1 CATAWBA COUNTY HEALTH DEPARTMENT =r-u No , cas., Application for Environmental Services Page I Improvement Permit❑ Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑® Application is for New Construction ❑ Existing Facility 0 Property Address 2596 Startown Rd. Subdivision 372007591422 Newton,NC 28658-8569 Lot it Acres 360 Section/Block/Phase Driving Directions to Property In ersedbn or Startown Rd.sRl005s Somomyer Bridge Rd.SR1165 NAME TO APPEAR ON PERMIT? ❑ Owner © Applicant ❑ Contractor Applicant Contact Information NameDavid Angel EAddress 840 Wallace Grove Drive Shelby,NC 26150 Phone(704)480-5472 Cell Phone(704)622A692 Owner Contact Information Name Scott Allen Kahn Address 2596 Stanown Rd. Phone Newton,NC 28658-8355 Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ® A Applicant pp ❑ Contractor Description of Existing Structures on Site I story dw ettng #of Bedrooms *t 3 Structure Dimensions 26 X 53 #of Occupants 1 Basement ©Yes ❑ No Basement Fixtures Q 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. CI Yes i 7 No Does the site contain any jurisdictional wetlands? C Yes ICI No Does the site contain any existing wastewater systems? U Yes I7 No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes 13 No Is the site subject to approval by any other public agency? FC)Yes JO No Are there any easements or right of ways on this property? Describe NCDOT RM Existing water supply in use ® Individual Well U Conununity Well I Semi-Public Well ❑ County/City/Township Water Line is a public water supply available? *" 0 Yes j 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) • C Accepted C Alternative 0 Conventional 0 Innovative 0 Other 0 Any cATAAi j q THIS IS NOT A PERMIT country k CATAWBA COUNTY HEALTH DEPARTMENT "`T ,, 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 J Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed - ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions_ ❑ Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) if Employees per Shift - #of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space #of Employees per Shift it of Shifts ❑ Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Plow, 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 he 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 RB'LRIP 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 arc granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. T understand that I am solely responsible for the proper identification and labeling of alt property lines and corners and making the site . accessible so that a complete site evaluation can be performed. �J Signature of Owner or Agent 6�(/j Q t Date 7 0,/ /6 Printed Name of Owner or Agent DDD 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:acsmith6@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/ Settlemeyer 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 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 c rNothing Compares fi 1Ztm i o 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:MikeCasheCatawbaCountvNC.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 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, RENS Environmental Health Supervisor Catawba County Public Health (828) 465-8268 mailto:mikecash@catawbacountync.gov C onfi d e n t i a l i tyStatemen 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, 1 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 REM.PROPERTY AGENT North Carolina Department of Transportation 12`h Division Right of Way Office (704)480-5472(Est. 227) (704)480-5476 Fax acsmith6(@ncdot.Rov 840 Wallace Grove Drive Shelby, North Carolina 28150 igwo u 'Nothing Compares .4 li Jli , ' 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 Environmental Health 0 cv 0, ks. s. Pr _ (560) • 60 (26D) ��Ptf. ........bi • •• • Q VHY 3 o I- 0) •• O 'O • ('195) _ _ - _ _ i 81./1 -1 - i / ! i I r I i _ _ _ f i r — _ _ I ) / i I I f 1 2 n I . I l i / , r _ _ _ _ ` _ + f 1 l i i Parcel: 372007591422, 2596 STARTOWN RD 1in=50ft 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: 372007591422 Owner: KAHN SCOTT ALLEN Parcel Address: 2596 STARTOWN RD Owner2: City: NEWTON, 28658 Address: 2596 STARTOWN RD LRK(REID): 31739 Address2: Deed Book/Page: 1893/0120 City: NEWTON Subdivision: State/Zip: NC 28658-8355 Lots/Block: / Last Sale: $61,500 on 1989-09-01 School Information: Plat Book/Page: School District: COUNTY Legal: 2596 STARTOWN RD Elementary School: STARTOWN Middle School: MAIDEN Calculated Acreage: .860 Tax Map: 051N 01033B 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: $157,100 Zoning2: Land Value: $16,800 Zoning3: Assessed Total Value: $173,900 Zoning Overlay: Year Built/Remodeled: 1962/ 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 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=372007591422&typ=P 7/18/2016 _03A. • CATAWBA COUNTY Case# wIs2009-00223 e' r G �' Z Public Health Department Subdivision p Sectional/PWLot# d' 711$14'"*.rEnvironmental Health Division PO Box 389, IOOA Southwest Blvd,Newton NC 28658 PIN# 372007591422 /842 w (828)465-8270 Fax (828)465-8276 too(828)465-8200 Applicant/Owner Scott Kahn Site.Address: 2596 Startown Rd Newton Property Size: .86 acres Directions: �1 EXISTING SYSTEM INSPECTION REPORT v Site/System Diagram wZ d • u o rs 0/rte S' {I'Uvj zs c.r. r Type of Facility : House Mobile Home ❑ ti Bedrooms Q 1/ Business El Specify Other n Specify Proposed Additions/Accessory Structure: Detached Garage 30 X 48 Approved Not Approved ❑ Reason Evidence of System Malfunction : YES ❑ NO n" Sysem Type/Description LI 4 AUTHORIZED STATE AGENT APPROVAL DATE NOT FOR LOAN APPROVAL M1Don+mcnts end Scating,wMPaocaI»,ins,\Tem,oniyInternn Files\Content.Outlook\32N LJ360\EXISTING TANK CHECK.docx