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HomeMy WebLinkAboutEHPR-08-2016-24576.TIF .Y3A G THIS IS NOTA PERMIT Case # EHPR-08-2016-24576 t _ G CATAWBA COUNTY HEALTH DEPARTMENT 0 -fEl � - j'"�' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES fl"--17-.eti' \842 Environmental Health Plan Review - Septic Malfunction U. • cg U . AUTH_CONST - SEPTIC_MALFUNCTION 014. pf Vie: (-19CSO0i tit Applicant MOUNTAIN VIEW MULCH (MARK RHONEY), 5601 BETHEL CHURCH RD, HICKORY NC 2860 C:8282447461 Owner GEORGE &JANETTE RHONEY, 5809 p!TTSTOWN RD, HICKORY NC 28602 C:8282944750 NAME TO APPEAR ON PERMIT George & Janette Rhoney SITE ADDRESS: 5601 BETHEL CHURCH RD, HICKORY NC 28602 PIN # 279118401799 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 90,604.80 Acres 2.08 DIRECTIONS: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the Right. MARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 100 —) WATER SUPPLY: Public Water DESCRIBE WORK: Tank Only Replacement* Truck ran over the tank & crushed it. Landscaping business has 3 employees with 1 shift. Bathroom is in old house on the property. It does contain a full kitchen &full bathroom. *Gallons Per Day = 100 25 GPD per 3 Employees - minimum GPD 100 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Business OTHER DESCRIPTION: DESCRIPTION OF Old House & Storage Trailers EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: House 25x59 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: 3 NUMBER OF SHIFTS: 1 TOTAL EMPLOYEES: 3 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-chappl icauon 08/24/2016 14:25 Page 1 of 7 CATAWBA COUNTY Case# EHPR-08-2016-24576 tib' 1su=1 yV Public Health Department Subdivision < .Roy ; Environmental Health Division PIN# 279118401799 PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 ./• 2 ,. NAME ON PERMIT: (GEORGE &JANETTE RHONEY), 5809 PITTSTOWN RD, HICKORY NC 28602 ( George & Janette Rhoney) Site Address: 5601 BETHEL CHURCH RD, HICKORY NC 28602 Property Size: Square Feet 90,604.80 Acres 2.08 Directions: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the 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 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. Date: Signature of Applicant or Agent 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 �I�IFEENAIrNIEI� Ih C�lfI�Il�blrllllllll Ii ilIt1i}i'1 11 ,Iih Ilillli�4il�Ih�i�Il�ililflt DATE111Ui11 �Ij1II FFE?I\10UNT�V Authorization to Construct (Repair) Fee 08/24/2016 SI50.00 IIJ�' 1111.•TOTAL FEEs ll llpl iii'i41 q;6!'llll "11,11 1 /��I1111;uSI5010oIIh j ll�r • p� tlflm //loco, Lnr 'i n 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-chapplicai ion 08/24/2016 14:25 Page 2 of 7 �13A •G THIS IS NOT A PERMIT Case# EHPR-08-2016-24576 6� tfi„ CATAWBA COUNTY HEALTH DEPARTMENT E .v t0 � " a►eN _ f �,. NLv �!I ' / PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 842 sM Environmental Health Plan Review - Septic Malfunction o_ 'o a AUTH_CONST - SEPTIC_MALFUNCTION i -t• p -S Applicant MOUNTAIN VIEW MULCH (MARK RHONEY), 5601 BETHEL CHURCH RD, HICKORY NC 2860 C:828244746I Owner GEORGE&JANETTE RHONEY, 5809 PITTSTOWN RD, HICKORY NC 28602 C:8282944750 NAME TO APPEAR ON PERMIT George & Janette Rhoney SITE ADDRESS: 5601 BETHEL CHURCH RD, HICKORY NC 28602 PIN # 279118401799 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 90,604.80 Acres 2.08 DIRECTIONS: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the Right. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Public Water DESCRIBE WORK: Tank Only Replacement* Truck ran over the tank & crushed it. Landscaping business has 3 employees with 1 shift. Bathroom is in old house on the property. It does contain a full kitchen & full bathroom. 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 she 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Business OTHER DESCRIPTION: DESCRIPTION OF Old House & Storage Trailers EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: House 25x59 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: 3 NUMBER OF SHIFTS: 1 TOTAL EMPLOYEES: 3 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-ehappli cation 08/24/2016 08:33 Page I of 7 r\-5 * CATAWBA COUNTY Case# EHPR-08-2016-24576 .f' 1' Public Health Department Subdivision iii4 > Environmental Health Division PIN# 279118401799 •q. PO Bos 389, 100-A Southwest Blvd,Newton-NC 28658 /8.2 iv NAME ON PERMIT: (GEORGE&JANETTE RHONEY), 5809 PITTSTOWN RD, HICKORY NC 28602 ( George & Janette Rhoney) Site Address: 5601 BETHEL CHURCH RD, HICKORY NC 28602 Property Size: Square Feet 90,604.80 Acres 2.08 Directions: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the 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 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•cci5n and eling o all property lines and corners and making the site access• - .o that --comple; iyevaluation can be performed. Date: -69,4- / J( Signature of Applicant or Agen Sidi A - An Environmental Health Specialist will contact you within 5 working days of applie.tion date. If you need further information or assistance please call 828-466-7291 AREA2 I FEENAMEy. >r,T�rI »'4 i 3,,„ lk)I)1��i h11 Ill I�[ If,1LI'iu TuraAT!J Eff fl FE}E AMOUNT' , to Ii�a�f ullku61 Ittia.ld ,Ui k�.dr ,6 l aillp � 11 Authorization to Construct (Repair) Fee 08/24/2016 $150.00 ��Is #I�f{ "'r"'f"i t ! l tf i r- 1 f� ' �� � ToTAL FEesl�l,1111>�til�l�ily,li ' •� pf;alllhaf6� ��16! 'VIII{,,��� :pt$1so oo, p i. : "_ „,c ri, i lti 'tlfgmr8,mf,afinabatuif r i cii -...Mow jli WlluLL.rthllllJ',- i iiiti,r 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-chapplication 08/24/2016 08:33 Page 2 of 7 CATAWBA THIS IS NOT A PERMIT counrr� �.-- ,, CATAW,BA COUNTY HEALTH DEPARTMENT yuNTY , Page N>..h� o„ a Application for Environmental Services-�- c �' q 1 Improvement Permit 111 Authorization to Construct Septic Repair ❑ Septic Malfunction Septic Expansion ❑ New Well Permit❑ Replacement Well n Well Abandonment[ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility, Property Address 51) 01 Sc-t A k4Fa Subdivision �1/ HIGKO� /ULJUL e &Oc Lot# Acres �I� ] Sec on/Bloc Phase / Driving Directions(tto��Property H(/O I �0 ( ¶ -VpVward 5 o t✓1-coral V PIN F 4 +u n -2.H- D✓v- B-0-tiRA W v 121- NAME TO APPEAR ON PERMIT?Owner ClApplicant ❑ Contractor Applicant Contact Information Name alA S b/g AddressS /e i Phone gal QL! '7�(-p I Cell Phone Owner ontact Information Name �-Ieof i� ri If<h0/1,e't/ .,�r �jG 0.9. ( Kho✓t,-ey Address S,3 d ( (I ThH /v-, • /,c 0✓v/ At, ,-).1a2_0(-D_ Phone 3 ag 9.�Y in 5 0 CelltPhone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? L Owner Applicant ❑ Contractor Description of Existing Structures on Site #of Bedrooms *j Structure Dimensions ft of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 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 iy-question. If the answer to any question is "yes", applicant must attach supporting documentation. ®;es ti No Does the site contain any jurisdictional wetlands? 6Yes El _No Does the site contain any existing wastewater systems? C Yes 'o Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes lill>lo Is the site subject to approval by any other public agency? ED Yes1®No Are there any easements or right of ways on this property? Describe Existiinn'ater supply in use n Individual Well CI Community Well n Semi-Public Well County/City/Township Water Line Is a public water supply available? ** ❑ 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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative ❑ Other Any c ATA VV 717 A1111 THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT N,„„0a,a Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #i of New Bedrooms *j Project Description Structure Dimensions # of Occupants Basement n Yes ❑ No Basement Fixtures ® Yes n No H Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes 7 No Plumbing n Yes D No Describe Plumbing Needed H Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions E Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of���SSh�iifts Dining Area(Sq. Ft.) Business Specific Type of Business ( JJY3' `( � ( i i Retail Floor Space # of Employees per Shift 3 # of SS�hiii s 0 ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well [ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug [ Unknown Well Repair Requested ❑ Yes n No Describe Calculated Design Flow, Commercial 7 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. f 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 ti understand that I am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent-7770K/ / e i / Date Ift—cP.-V-7/( rinted Name of Owner or Agent MarA ieAt • Catawba County Environmental Health ^'Y314, '1•�sf I iYfIIi'`fl�p.tit (24 ) /y a (346) I BETHEL-CHURCH.RDa o (249) -.0110011.0- 100.29 • 200.00 ill illip jai+ 0 ta fil Nli D akn01 • V it 6p 98 , lis 13 • 50.i, ' I I ' I V O /200,06 �"'..„_ 200.00 99.95 00.07 100.01 i. - 1 / Parcel: 2791 1 8401 799, 5601 BETHEL CHURCH lin=80ft RD 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 08/24/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 279118401799 Owner: RHONEY GEORGE P JR Parcel Address: 5601 BETHEL CHURCH RD Owner2: RHONEY JANETTE G City: HICKORY, 28602 Address: 5809 PITTSTOWN RD LRK(REID): 59283 Address2: Deed Book/Page: 2789/1100 City: HICKORY Subdivision: State/Zip: NC 28602-9748 Lots/Block: / School Information: Last Sale: $150,000 on 2006-10-24 School District: COUNTY Plat Book/Page: Legal: 5601 BETHEL CHURCH RD Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK Calculated Acreage: 2.080 Tax Map: 175H 03007 High School: FRED T FOARD Township: HICKORY School Map State Road #: 1176 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MOUNTAIN VIEW Zoningl: HC Building(s) Value: $24,000 Zoning2: Land Value: $125,300 Zoning3: Assessed Total Value: $149,300 Zoning Overlay: MUC-O,WP-O Year Built/Remodeled: 1946/ 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 #: 3710279100J Building Details 2010 Census Block: 2000 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. ©2016, Catawba County Government, North Carolina. All rights reserved. waO tb \Sre OVRal ; r- od Sate. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=279118401799&typ=P 8/24/2016 ' CATAWBA COUNTY Frda100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT d )-V►e PHONE: 828.465.8399 U Morita /'C Wednesday,August 24, 2016 -� ��""gyp„_ /842 SM www.catawbacountync.gov PAYOR: Mountain View Mulch Mountain View Mulch (Rhoney, Mark) PAYMENTS TRANSACTION NUMBER: TRC-797617-24-08-2016 PAYMENT DATE : 08/24/20IS PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 08-16-331944 Authorization to Construct (Repair) $150.00 Fee TOTAL PAYMENTS : $150.00 EHPR-08-2016-24576 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 5601 BETHEL CHURCH RD, HICKORY NC 28602 Applicant MOUNTAIN VIEW MULCH, 5601 BETHEL CHURCH RD, HICKORY NC 28602 C:8282447461 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner GEORGE&JANETTE RHONEY, 5809 PITTSTOWN RD, HICKORY NC 28602 C:8282944750 receipt 08/24/2016 08:32 Page 1 of 1