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HomeMy WebLinkAboutEHPR-3-10-4330.TIF THIS IS NOT A PERMIT Case # EHPR-3-10-4330 % H CATAWBA COUNTY HEALTH DEPARTMENT V Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - Septic Malfunction SEPTIC-MALFUNCTION APPLICANT OWNER CONTRACTOR MARC 1 REALTY/BANK OF AMERICA BANK OF NEW YORK MELLON (THE) 7105 CORPORATE DR 7105 CORPORATE DR PLANO TX 75024-4100 PLANO TX 75024-4100 (704)489-1339 NAME TO APPEAR ON PERMIT MARC I REALTY/BANK OF AMERICA Pin#: 372419509218 SITE ADDRESS: 2651 NE 31ST ST CT, Hickory, NC DIRECTIONS: SPRINGS RD - TURN LEFT ONTO 26TH AV PL NE - TURN RIGHT ONTO 31 ST ST CT NE - ON LEFT AT END NAME of SUBDIVISION: RANDOM WOODS Lot # 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.79 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 25 X 48 Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:Yes No. in Family Whirlpool "Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well Community Well Municipal X Semi-Public I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: , ' 1 z1 16 Signature of Applicant or Agent An Environmental Health Specialist will contact you with working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE AMOUNT Side Authorization to Construct (Repair) F103/12/2010 $300.00 Rear TOTAL FEES $300.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/12/10 08:44 THIS IS NOT A PERMIT )-hj 403 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair,[ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I . Name to Appear on Permit M Q 4C-. / 2"_ 1 ~ 'e-f Am-z cg 2. Permit Requested By G rk_~ Business Phone 7,S11f -`t F9 -«39 Address _5"761 ,4 z-,/ aP ~w✓w !~G Z-ka 3 " a Home Phone 74i -'-t7Z -ffy46 3. Property Owner a-L ,t w► g,rz' Business Phone Address 2_65 1 3 / --t-r 2-SG4_I Home Phone 4. Name of Subdivision j2-t- J.a,.... Z--/ -S Lot # h Section/Bloc Phase Property Address es l -1/ --7- c AJ-~- Directions to Property: zs ~L- L c-- 5. Property Size: Square Feet 191~ Acres 6 + 7 Date Platted/Recorded 6. TYPE OF FACILITY: House X Mobile Home Dimension of Structure 49 IG~S Bedrooms*_ *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 system size increase in the future. Basementzsyno Water Using Fixtures in Basement: ye /no No. in Family_ Whirlpool Tub yes/ o:'allon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes /&o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Ye / Nom If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes No 10. Is a public water supply available on or adjacent to the above property. L )l No Check type that is available: [ ] Community well [ ] Semi-public well County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MAD TO PROPER Y, THERE IS AN ADDITIONAL CHARGE.** Date 4 Signature of Owner or Agent Catawba County, North Carolina N This map product was prepared firom the Cattnvba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Countypromotes and recommends the independent verification of any data contained on this map product by the user. The County of Cataivba, 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 product or the use thereof by any person at- entity. Legend Selected Parcel Number: 3724-19-50-9218 1 inch = 60 feet Prepared for: pc 5 5 55 80 13~ ro S 31 ~ V 7 t ~h 9`218 X00 h rIj 7250 ,0O 0194 81,23 0° goo 7 9 ~O THIS IS NOT A LEGAL DOCUMENT Fri, March 12, 2010 08:26 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3724-19-50-9218 Name: BANK OF NEW YORK MELLON (THE) Name2: Address: 7105 CORPORATE DR Address2: City: PLANO State: TX Zip: 75024-4100 Account: 159758064 Calc Acreage: 0.79 Tax Map: 165H 14025 LRK: 56569 Deed Book: 3004 Deed Page: 0298 Subdivision Name: RANDOM WOODS Subdivision Block: D Lots: 1 Plat Book: 13 Plat Page: 82 Building Number: 2651 Street Name: 31 ST ST CT NE Site Zip: 28601 Township: HICKORY Fire Code: ST. STEPHENS City Code: COUNTY State Road: Total Bldgs Value: $101,700 Land Value: $23,700 Total Value: $125,400 Year Built: 1974 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 56 Watershed: Watershed Split: Voter Precinct: P30 E911 District: HICKORY Zoning: R-3 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: HICKORY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CLYDE CAMPBELL Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010303 Census Block 2010: 1001 Small Area Plan: Agricultural District: Printed: Fri, March 12, 2010 08:26 AM -2010 13:35 PMIELL SEPTIC PAGE1 POWEL.L SEPTIC TANK SERVICE 360 POWELL RD. TAYLORSVILLE, NC 28681 (828) 632-1791 CERTIFICATION NUMBER 18641 Date of inspection 3-8-2010 Septic Tank Inspection at 2651 31" ST. CT. NE. Done at the request of Jan Hendrix Upon inspection.o.f the septic system at the home referenced above the following can be said The system consist of a 1000 gallon septic tank and a gravity fed drain field. All components of the system are not in good working order as of this date. The septic system does not pass inspection. The drain field will not hold water and will need to be replaced the septic tank needs to be pumped at time of repair. The Catawba County Department of Environmental Health will need to draw up plans for a suitable system for this home. The septic tank had a sludge level of approx 2 foot and was not pumped out at the time of inspection. Service fee and Labor $175.00 Total Due $175.00 t .Thank You, 4/ e7 Kevin W. Powell A CMG CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 2865588- - ,--j 0 (828)465-899 Friday, March 12, 2010 Ig 42 SM www.catawbacountync.gov Plan Case: EHPR-3-10-4330 Invoice Number: INV-3-10-260388 Environmental Health Plan Review Invoice Date: 03/12/2010 Site Address: 2651 NE 31 ST ST CT, Hickory, NC APPLICANT OWNER MARC 1 REALTY/BANK OF AMERICA BANK OF NEW YORK MELLON (THE) 7105 CORPORATE DR 7105 CORPORATE DR PLANO TX 75024-4100 PLANO TX 75024-4100 (704)489-1339 Fee Name Fee Amount Authorization to Construct (Repair) Fee Adjustable $300.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/12/2010 Check 10434 $300.00 $0.00 Total Paid: $300.00 Payer: GRANT HOSTELLER MARC 1 REALTY LLC Total Due: $0.00 p)anreceipt;8elb~9d6-3ri?~-4SO7-I)c-II'- 61",498hS~f)} rpt 03/12/2010 08:43 North Carolina Department of Environment and Natural Resources Division of Environmental Health Beverly Eaves Perdue Terry L. Pierce Dee Freeman Governor Director Secretary April 15, 2010 Mike Cash, Environmental Health Supervisor Catawba County Health Department PO Box 389 Newton, NC 28658 Dear Mr. Cash: Subject: Soil / Site Evaluation of Random Woods Lot 1 st Location-2651 31 St Ct. NE Hickory, NC Lot size-0.79 Acres On April 14, 2010, Mike Cash and Megen McBride from the Catawba County Environmental Health Department and I did a soil / site evaluation of the aforementioned property to determine its suitability for the installation of a subsurface sewage treatment and disposal repair system for a three-bedroom residence. A public water supply is available. The majority of the site is unsuitable for the installation of a subsurface treatment and disposal system due to unsuitable fill material (Rule 15A NCAC 18A .1957), unsuitable topography (Rule 15A NCAC 18A .1940), and insufficient available space (Rule 15A NCAC 18A .1945). A small area at the back of the property was evaluated using backhoe pits and auger borings. There was 4 to 6 inches of sandy loam topsoil over subangular blocky structured clay subsoil. Rock was encountered at 22 and 29 inches. The soil has slightly expansive clay mineralogy with friable to firm soil consistence. The soil at the back of the property is suitable for a subsurface drip irrigation system with TS-II pretreatment. Due to lack of space, TS-II pretreatment is required to go up to 25 feet to the creek. Due to lack of space and suitable soil, the repair system will not be sized for 100% of the daily design flow required by Rule 15A NCAC 18A .1949 for a three-bedroom residence. The actual size of the system cannot be determined until the property line and the 50-foot setback from the creek have been surveyed in the field. Other options include locating an offsite area where an additional system can be installed and having the site evaluated by a licensed soil scientist. Appropriate easements will be needed for the offsite system. The Division of Water Quality may also be contacted about securing a surface discharge permit into the creek. If you have any further questions, please feel free to call me. On-site Water Protection Section – Ted Lyon, Chief 1642 Mail Service Center, Raleigh, North Carolina 27699-1642 Phone: 919-733-2895 \\ FAX: 919-715-3227 \\ Internet: www.deh.enr.state.nc.us/osww_new/new1//index.htm An Equal Opportunity \\ Affirmative Action Employer Sincerely, Karen Wallace, LSS, REHS Regional Soil Scientist, NCDENR