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HomeMy WebLinkAboutEHPR-07-2016-24331.TIF � A G THIS IS NOT A PERMIT Case # EHPR-07-2016-24331 gr ' CATAWBA COUNTY HEALTH DEPARTMENT ❑� 11 �n. 4J0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �' { $o- .r 1842 sM Environmental Health Plan Review - OSWP .alLIZ a o IMPROVEMENT- AUTH CONST - NEW WELL ael Tf.o •" Owner DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601 H:8283975509 C:8286128113 1-IOME:8283975509 ESPEYHDW@CHARTER.NET CHARTER.NET NAME TO APPEAR ON PERMIT Daniel Espey SITE ADDRESS: 6418 GREEDY HWY, HICKORY NC 28602 PIN # 268904746576 NAME of SUBDIVISION: Lot# Section/13lock PROPERTY SIZE: Square Feet 393,346.80 Acres 9.03 DIRECTIONS: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right.#is on the mailbox. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 100 WATER SUPPLY: Private Well DESCRIBE WORK: New septic to serve a full bathroom being added in an existing 40x60 barn on property. 100 GPD per MC New Well Permit will serve the existing barn & in the future may serve the house. The existing well for the house is an old hand dug well & if it were to ever go dry they would connect to the new well. Existing 2 BdRm House has its own septic system. 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? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Other OTHER DESCRIPTION: Barn DESCRIPTION OF House, Garage, Barn EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: House 44x41, Garage 30x42, Barn 40x60 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? 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: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO 09-chapplicatien 07/20/2016 10:57 Page 1 of4 CATAWBA COUNTY Case# RHPR-07-2016-24331 Public Health Department Subdivision < „`4 Environmental Health Division PINiI 268904746576 4,v' PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 1g42 s. NAME ON PERMIT: (DANIEL ESPEY), 1670 2ND ST NW, HICKORY NC 28601 ( Daniel Espey) Site Address: 6418 GREEDY HWY, HICKORY NC 28602 Property Size: Square Feet 393,346.80 Acres 9.03 Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. #is on the mailbox. 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 n la e,ling of all property lines and corners and making the site acc ible s�omplete site evaluation can be performed. Date: (,O Signature of Applicant or Agent —RISC 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 gl" �niq� �Iq'. rrn T' nq , n' 79hill r t '% m mptl 11j�FEENAMEisll y IilitiIaL has{Ij l"it ,a. 1iI�Si�ilii IDATE 4i i'lli+iti FFEIAMOUNT .i Authorization to Construct Fee (New/Expansion) 07/20/2016 $150.00 Fee Improvement Permit Fee 07/20/2016 $150.00 Well Permit & Inspection Fee 07/20/2016 $300.00 11• - ) t�1 A li l�iir otf)to t,' rIJ IiM I 1p Tr? . p� Ji� I flk4l. d TOTAv��j..ESi lilllj�! 'll11j11U ) rll �� i�' ♦jfitei- ,„I1111if °1„Il j ,. $600 OOIj I ,•:�l��j 11i l�)' i�r�% 1�JI5llWlltil'r�oA uilu4y)ul7{ ;{4 ,,,I h1uu..I�I1inat tlI asp 1{BILL:su I mt, ',I pl{lllh'F 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) 69-chappl ication 07/20/2016 10:57 Page 2 of 4 07/20/2016 14: 49 N0. 151 #001 n• CATA J( /� THIS TS NOT A PERMIT' ® cntr ry V^v�_1U[ 2 CATAWBA COUNTY HEALTH DEPARTMENT No.. �e.o; i mn Application for Environmental Services Page 1 Improvement Permit Authorization to Construct iR Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment ❑ Well Repair n Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction g Existing Facility n Property Address (j-\M r-r,��t-�,� t'k-IADIA , Subdivision 3-5SoD( Lot# Acres Sec tiu n/Blu ck/Ph a se Driving Directions to Property 7't"12A) 0) FL/ .1 /7,tn/Y / 2-7 Cit/ % C &Z'* 42-0,7--- 11141y. — /Jwy. Co 1. ymrIA- 5 /5 , . P OA 2ek rS oft„, t "- NAME TO APPEAR ON PERMrr? *I Owner n Applicant ❑ Contractor Applicant Contact Information Name _ Address O . nA0 - % .._.. Phone Cell Phone Owner Contact Information • Name Address _. Phone Cell Phone — Contractor Contact information Name Address Phone Cell Phone WHO WILL RE THE. PRIMARY CONTACT? LQOwncr ❑ Applicant ❑ Contractor Description of Existing Structures on Site OU- I r A # of Bedrooms *1'_.-_.Z Structure Dim rasions #of Occupants Basement n Yes [ No Basement Fixtures 0 Yes C No The Applicant shall notify the local health department upon submittal ul this a.pplicalion if any of the following apply to the property in question. lithe answer to any question is "yes", applicant must attach supporting documentation. a0 Yes No Does the site contain any jurisdictional wetlands? J(Yes ,tNo Docs the site contain any existing wastewater systems? 0 Yes SNo Is any wastewater going to he generated on the site other than domestic sewage'? O Yes No Is the site subject to approval by any other public agency? 0 Yes Ct No Are Were any easements or right of ways on this property? Describe - Existing water supply in use gi Individual Well n Community Well J Semi-Public Well ❑ County/Cityi l ownship Water Line Is a public water supply available? '* ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Typc(s): (systems can be ranked in order of your preference) O Accepted ❑ Alternative ❑ Conventional 0 Innovative ❑ Other 0 Any 07/20/2016 14: 43 H0. 151 11002 CATAWBA THIS IS NOT A PERMIT . counrr CATAWBA COUNTY HEALTH DEPARTMENT „a,,,,— ,,,,,,,,, Application for Environmental Services Page 2 Proposed Facility Type H Primary Residence U New Residence ❑ Addition to Residence # of New Bedrooms * ' 3/92A-1 Project Description 31q/Zyt/ Structure Dimensions LW X 6 # of Occupants —67 '— Basement ❑ Yes 14 No Basement Fixtures in Yes '.'ri No H Accessory Structure(s) Describe #of New Bedrooms *j if applicable__._._-. Structure Dimensions t{ of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Descrihe Plumbing Needed E Multi-Family Residence# Units //Bedrooms per Unit Total # Bedrooms sit_--. Structure Dimensions U Food Service Specify Type • # Seats floor Space -Knlire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area (Sq. FL)_._ b Business Specific Type of Business Retail Floor Space # of Employees per Shift _ # of Shins [_f Other Facility Type Specify I f Church # of Seats Kitchen ( I Yes ❑ No if Daycare Specify Occupancy _ Application lir Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well U Community Well Abandonment Type ❑ Drilled ® Bored n Dug ❑ Unknown 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 eonsintetion or for fitture consideration should he rioted as a bedroom and counted on all applications.'Ilio 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 sive increase in the future. f If structure is plumbed bun nu bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to C:onstruee 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 Pennies are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 1 have read this application and certify that the information provided herein is true,complete and correct. Authorized county and stats officials are granted right of entry to conduct nccessaty 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 he perfortnal. Signature of Owner or Agent �� Date )r-2-0 `L b Printed Name of Owner or Agent Q.%4/142.'_r_ 5,! ..-._._ 07/20/2016 14: 50 N0. 151 #003 Catawba County Environmental Health / .. . . , Li \ . \-------- , -----,. .. ---- _ K....„,----Anummo. --- -----------------.....„:: (035) _ .. • 17'J•� 7040 Ipso • .7085 rOsp p '• . E4•1 .__,,, . ,_,.., • ) . : IcT• . . fix „ f1064 P., �060 � .7OSs`........ . .....„,/ • . • 1064 3p �p '1020 . . r_... Tiquirre. n74.2' 300. o 7OG .""--------i---(1Tri — �-- Parcel: 268504746576, 6418 GREEDY HWY 1 in=10011 HICKORY, 28602 This mapfrepon product Was prepared Imm the Catawba County,NC Geospallal Information Services. Catawba County has made suberential efforts to ensure the exuracy or hu:atien and labeling inlorrnation Contained on this map or data on this report. Catawba County promotus arid recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba, Its employees.agents.and persnnnel,disclaim,and shall not be held risible For any and all damages,less or Iiabillly,whether dined,indirect or consequential which arises or may arise from this map/repon product or the use thereof by any person or entity, I Copyright 2014 Catawba Courtly NC 07)20/2016 Catawba County Environmental Health iNs4‘...:°) \IL,'"-------%-----.., (535) x._ JO 1>158 ro.3.o . . 7ossN) np yr i 7060 2 0 '1/4.~. . 0 Ia6a u- r°ivy ro es, ' b4 NO A O 474.2 300. s I , rifer2„...-.7-r."1"."(ese...........,.........:11yeers-Nt-sa,,,-----;j7t' la, V. Parcel: 268904746576, 6418 GREEDY HWY 1 in=l00ft 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 07/20/2016 Catawba County Environmental Health a /1 / /` �``� CO kitial CIMIMLHNIIIIIL_ 1).) • (535)• `_. .-� 17 '`�, 7040 r.r 56 0 i 00 6 705$ 0 ) Lti 1 T 2 ❑ w 8 Ill\� 1060 _____---Va oo i06p 7pss -- 1050 7----.-"--.--/ II) Opp • , --/ ^p3p ,020 0 -3): tir, -. .... . . _. - ... 474. \ 3uo.�• */^ y ops �_ / .. r. pair 97 IPa'}1 rr /1 ill 27$> , �y� � Parcel: 268904746576, 6418 GREEDY HWY 1in=150ft 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 07/20/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 268904746576 Owner: ESPEY DANIEL LEE Parcel Address: 6418 GREEDY HWY Owner2: ESPEY DEBRA CRUMP City: HICKORY, 28602 Address: 1670 2ND ST NW LRK(REID): 4552 Address2: Deed Book/Page: 3232/1195 City: HICKORY Subdivision: State/Zip: NC 28601-1803 Lots/Block: / Last Sale: $60,000 on 1989-02-01 School Information: Plat Book/Page: School District: COUNTY Legal: 6418 GREEDY HWY Elementary School: BANOAK Middle School: JACOBS FORK Calculated Acreage: 9.030 Tax Map: 005 B 02009 High School: FRED T FOARD Township: BANDYS School Map State Road #: 1120 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-40 Building(s) Value: $49,300 Zoning2: Land Value: $57,600 Zoning3: Assessed Total Value: $106,900 Zoning Overlay: WP-O Year Built/Remodeled: 1940/2005 Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710268900J Building Details 2010 Census Block: 1020 WaterShed: WS-III Protected Area 2010 Census Tract: 011801 Voter Precinct: P24 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. W ©2016, Catawba CounnttyGovernment, North Carolina. All rights reserved. ECh JO Cialei 0(tS socaeaff. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=268904746576&typ=P 7/20/2016 �'A CATAWBA COUNTY �� 100A SOUTH WEST BLVD '" o NEWTON,NORTH CAROLINA 28658 RECEIPT At eeeit......,;‘,„.., PHONE: 828.465.8399 V `va�v,r ''C Wednesday, July 20, 2016 itel184'1 s4 www.catawbacountync.gov PAYOR: Espey, Daniel PAYMENTS TRANSACTION NUMBER: TRC-742350-20-07-2016 PAYMENT DATE : 07/20/2016 PAYMENT TYPE: Credit Card payment by phone w/ Daniel INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330693 Authorization to Construct Fee $150.00 (New/Expansion) Fee Oil§.-330693 71acta3T7ilitiffripit'com&if Permit',Feei.'""Ill111jfj 9!tti", ,.: :$150:00 07-16-330693 Well Permit & Inspection Fee $300.00 TOTAL PAYMENTS : $600.00 EHPR-07-2016-24331 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 6418 GREEDY 1-I WY, HICKORY NC 28602 Owner DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601 H:8283975509C:8286128113 ESPEYHDW@CHARTER.NET ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 07/20/2016 10:56 Page I of 1