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HomeMy WebLinkAboutRBPR-07-2017-26902.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2017-26902 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH_CONST 9011 �Oul w da k Pn" Applicant DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTI-IER:8282287086 Contact Person DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTHER:8282287086 E Owner DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTHER:8282287086 NAME TO APPEAR ON PERMIT Dennis Lowman SITE ADDRESS: 9006 W NC 10 HWY, VALE NC 28168 PIN # 266704836907 NAME of SUBDIVISION: Lot # PT 6 Section/Block PROPERTY SIZE: Square Feet Acres 33.87 DIRECTIONS: West on Hwy 10 approx 1/2 mile past cookville rd property on right next to old honey's store bldg PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY, Private Well DESCRIBE WORK: 36x30 Accessory Dwelling 2 bedrooms 1 bath no basemen WILL SHARE WELL WITH 9054 W NC 10 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? 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?es Are there any easements or right-of-ways on this property o APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY DWELLING FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF primary residence 3 br 76 x57 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: �\ NUMBER OF EXISTING BEDROOMS: # OF OCCUPANTS( 1 / PROPOSED CONSTRUCTION kk-1/ NEW STRUCTURE DIM:: 3366x30 # OF NEW BEDROOMS:: 1 L/ BASEMENT? c BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER. INNOVATIVE: ANY: YES Other described: E9-chup1,11caunn 07/06/2017 1236 Page I of ^�3 CATAWBA COUNTY Case N RBPR-07-2017-26902 h • Public Heahh Department Subdivision Environmental I Icallh Division PINI? eG ^c 266704836907 PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 NAME ON PERMIT: ( DI, NNIS LOWMAN), 2705 WESTVIEW ACRES ST, HICKORY NC 28601 ( Dennis Lowman) Site Address: 9006 W NC 10 1IWY, VALE NC 28168 Property Size: Square Feet Acres 33.87 Directions: West on Hwy 10 approx 1/2 mile past cookville rd property on right next to old honey's store bldg 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 ##############kkk#k#k##k######k####kk########k#k##k###############t#############k###########k#########k#k### ,I� ,. ,�^11; LI 1 „�,;;u' Ip' ;1FEENAME ' �4 NIF"'' {`" ,,� 1pFEEAMOUNT �..In''.HI G u:IuY.w.-I '1 a J"'.�J I.IiI _ —W Authorization to Construct Fee (New/Expansion) 07/05/2017 $150.00 Fee Improvement Permit Fee 07/05/2017 $150.00 1Y,iUIIIiYII1C"' TOTALFEES" :y„"I!d'tll"!,'!'''yi ,,.;ll�ru...', iii" Ilnll' L �'1, .� ,... .. L.al.`� ii v'Ir . ' dlli6.i..A ;. tl,l�l.. 9r1,�,;� S300, 00.: anII ,u�nr ..nnr'r .e�dGiJllII11L!NI„ 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 - ehappbcal lull 07/06/2017 12:36 Page 2 of Applicant Contact Person THIS IS NOTA PERMIT Case # RBPR-07-2017-26902 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTHER: 8282287086 DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTHER 8282287086 Owner DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 C:8282287087 OTHER:8282287086 NAME TO APPEAR ON PERMIT Dennis Lowman SITE ADDRESS: 9006 W NC 10 H WY, VALE NC 28168 PIN # 266704836907 NAME of SUBDIVISION: Lot# PT Sccnon/Block_ PROPERTY SIZE: Square Pect Acres 3387 DIRECTIONS: West on Hwy 10 approx 1/2 mile past cookville rd property on right next to old honey's store bldg PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 36x30 Accessory Dwelling 2 bedrooms 1 bath no basement 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? No 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: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF vacant EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure ACCESSORY DWELLING OTHER DESCRIPTION: # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 3600 # OF NEW BEDROOMS:: 1 Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED ALTERNATIVE: OTHER INNOVATIVE: Other described CONVENTIONAL: ANY: YES E9-chepphcamn 07/05/2017 10'08 Page I of `ygA CATAWBA COUNTY Case# RBPP-07-2017-26902 Public-116alth Department Suhdivisiun Y Environmental Health Division PIN# 266704836907 PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 !g � NAME ON PERMIT: (DENNIS LOWNIAN), 2705 WESTVIEW ACRES ST, HICKORY NC 28601 ( Dennis Lowman) Site Address: 9006 W NC 10 H WY, VALE NC 28168 Property Size: Square Feet Acres 33.87 P S Directions: West on Hwy 10 approx 1/2 mile past cookville rd property on right next to old honey's store bldg 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 ace ible so that a completes site evaluation can be performed. Date: %-5^-,'U/% Signature of Applicant or Agent A//f'w,//.Ua&(Y��/.(,I/%%'Q'liJ An Environmental I 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 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/05/2017 $150.00 Fee Improvement Permit Fee 07/05/2017 $150.00 TOTAL FEES $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - chappl icauon 07/05/2017 10.08 Paee 2 of 4 C'OUNT1 a� " CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit 17 Authorization to Construct % Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Ap'pl'ication is for New Construction [>( Existing Facility El 0 Property Addressg66� /,JC In 141'C4VvHU Subdivision npn� LIPL� AV1 QUllri Lot# Acres 11'' Sectio n/Bloc W Phase Driving Directions to Property U/,EST ON /414httlAy / C AAP0PX• 111 Mlk6&i� '11WIa—ili'lle, zna-/ IVPIV('�- Ort IVG_ iz DIcL P'0' Sfr'ge /7l/ilek&l� NAME TO APPEAR ON PERMIT? X Owner ❑ Applicant ❑ Contractor Applicant Contact Information�l S h�(C -t t r Q DSy it) oC 10 Name �r�rti� K gnu/rh�i� Address o2915 l/% Vj ElC/ /4ereySf��4.t Ni�s� /kl� 2Z/O/ Phone �,'(� 22,-7G'�7 I Cell Phone 106 -27,q- 702% Owner ContactInforntmimn Name9'- 7"%lil��lf% Lnu/mwr Address, -2 7115 le) [/i Ek,,' jgdl-e5 .�� />ji ,k- CV NC Phone Y',�91- 22ff Cell Phone b' 9--2Z1 7 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner LgApplicant ❑ Contractor Description of Existing Structures onSite �titrtAft ¢ w it*r6)ns7YtAeh-ew # of Bedrooms *-r 3 Structdre Dimensions -7&1 57 # of Occupants of Basement ❑ Yes No Basement Fixtures ® Yes W 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. ® Yes -)KNo Does the site contain any jurisdictional wetlands? 0 Yes ® No Does the site contain any existing wastewater systems? 0 Yes �No Is any wastewater going to be generated on the site other than domestic sewage? J(Yes ❑ No Is the site subject to approval by any other public agency? ® Yes -)�(No Are there any easements or right of ways on this property'? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available'? ** ❑ Yes U 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 0 Other Any C ArrA 7BA ['HIS IS NO'I' A PERMIT couNTI �/�/ D CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms * Project Description Structure Dimensions Basement ❑ Yes ❑ No # of Occupants Basement Fixtures ® Yes ® No Accessory Structure(s) Describe # of New Bedrooms *i if applicable o2 Structure Dimensions 3%a 3Fi # of Occupants I Accessory Dwelling Yes ❑ No Plumbing,0 Yes ❑ No Describe Plumbing Needed U Multi -Family Residence # Units #Bedrooms per Unit*i Total # Bedrooms *i' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seals Kitchen ❑ Yes [:]No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Senti-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Page 2 Calculated Design Flow, Commercial i 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. i 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 ifthe 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 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent �Clv o� Xl;IU/%r� Date 7-5- -a7/%/ % Printed Name of Owner or Agent �f1/ijE /»I eS IC. /-Pa' 0"w Catawba Cobnt,y E,Oirbnmental Health Parcel. 266704836907 9054 All N--- I vAL.E,,.28168. 1 in=300ft This inaph: - 011 :noduli was , to :11 rwAij-m Sci A:cs Catr woo Fourvy has l substantial efforts ii., l; v- l, . 10 pr 3 , w Un m- ct p -j-, b - wi�! i 1) 1 c ',-'I id f e -.bT 11 wo rid s to LnGurc, the al'�Joiq of ficatil.OWO�,Lld the Indo pe i I JOW v 1f, ca li ori of an v data ;onui if i cd c 11. - pi b� :r,neer. Tht punt+ Ca a,,b 1. ts grn p 1.) l,jof�ts, and pblsoliat, and stfitj �ot b,, hold llabl�7:fof any aaJ :all d.w.,', ;o-',U,r 11IN171, llretnar dlffel-1, inuirerl or all orl arise fircin tq;s ii;'i116,,9oq pmduci'or the use tliiiyeo: by all%, -m, o�, :ll 01.27i2l)17 Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 266704836907 Parcel Address: 9054 W NC 10 HWY City: VALE, 28168 LRK(REID): 11063 Deed Book/Page: 3340/0988 Subdivision: Lots/Block: PT 6/ Last Sale: $150,000 on 2016-05-05 Plat Book/Page: Legal: Calculated Acreage: 33.870 Tax Map: 011 B 05007 Township: BANDYS State Road #: 1105 Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: COOKSVILLE Building(s) Value: $0 Land Value: $135,300 Assessed Total Value: $135,300 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details Watershed: WS -III Protected Area Voter Precinct: P2 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: LOWMAN DENNIS K Owner2: LOWMAN PAMELA F Address: 2705 WESTVIEW ACRES ST Address2: City: HICKORY State/Zip: NC 28601-7187 School Information: School District: COUNTY Elementary School: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Map Zoning Information: Zoning District: COUNTY Zoningl: R-40 Zoning2: Zoning3: Zoning Overlay: WP -0 Small Area: PLATEAU Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2007-09-05 Firm Panel #: 3710266600J 2010 Census Block: 1010 2010 Census Tract: 011802 Agricultural District: Proximity Assessment Report Page 1 of 1 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. © 2017, Catawba County Government, North Carolina. All rights reserved. Q br'�° IV 300 http://gis.catawbacountync.gov/notnap/parcel_report. plip?key=266704836907&typ=P 7/5/2017 �5 CATAWBA COUNTY C t Public Ifeahh Department Gm•ironmental I lealth Division PO Bm 389. 100-A Southwest Blvd. Newton. NC 28658 El Case a S uhdiviSion PIN# LOT# A U T FI -02-2017 -082084 266704836907 PT 6 NAME ON PERMIT: DENNIS LOWMAN. 2705 WESTVIEW ACRES ST, HICKORY NC 28601 Site Address: 9054 W NC 10 HWY, VALE NC 28168 Property Size: Square feet: 1,475,377.20 Acres:33.87 Directions: West on Hwy10 past Cooksville Road property on right next to old Honeys store approximately 1/2 mile past Cooksville road Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Buildinq Permit) ' See site plan and number of additional anachmenrs ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG - OTHER NON-CONV'fRENCH SYSTEMS Soil LTAR: 0.4 o.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - residence Basement? No Basement Plumbine? No Tank Size: New Tank 1,000 gal Dosing Volume Wastewater System Requirements Pump Tank gal Pump Specs. Pressure Head ft Draw Down Drainfield: Total Area: 675 sq ft Total Length: Aggregate Depth 12 in Minimum Soil Cover 6 in Number of Drain Lines 3 Distribution: Serial Pre Treatment: NONE Bedrooms: 3 gal Grease Trap gal GPM @ TDH in 225 ft Maximum Trench Depth 18 in Trench Width 36 ft Minimum Trench Separation 9 ft on center Additional Specifications: Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not aooroved, and may result in failure to approve the initial system installation, or the susoensionlrevocation of existing Dermits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Repair System Required? Required Distribution Type:: Serial Proposed Repair System Class: IIIG Soil LTAR chtxrm❑ 02/16/2017 0928 Proposed System: 25% REDUCTION 0.3 a.p.d.lft2 CATAWBA COUNTY Case 4 AUhH-02.2017.082084 e ¢ Public Health Department Subdivision Y Fnvironniental Health Division I IN11 266704836907 ' PO Box 389, 100-A Southwest 131ed. Newton, NC 28658 1,01'N PT 6 NAME ON PERMIT: DENNIS LOWMAN, 2705 WESTVIEW ACRES ST, HICKORY NC 28601 Site Address: 9054 W NC 10 HWY, VALE NC 28168 Property Size: Square Pccc 1,475,377.20 Actes.33.87 Directions: West on Hwy10 past Cooksville Road property on right next to old Honeys store approximately 1/2 mile past Cooksville road The issuance of this permit by'the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicum/property owner to insure that all Catawba County Plonningi7_oning and Building Inspections requirements ore met. This Authorization to Construct Permit is subject to revocation if the site plan. plat or the intended use changes, or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Urdes for Seu,twe 7),enlment and Dimmsal Srstenrs' (I5A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will rnntinue to function satisfacmrilr for arty given period of lime Randy Ross 02/15/2017 AUTHORIZED STATE AGENT Permit Expiration Date02/15/2022 APPROVAL -DAN' No grading or consU'nclion activirn is allowed in areas deci,gncued far sYstenr and repair without approval of the fleulth Department. chpemnt 02/102017 09:28 GIIYW�JYYYJOurJI,IJJI uLLYirriL.ad. i .dLh d'iYY Yl id iilr:J4aa.6ilYGd .iYi `IL:IJ jsl rs11i.621iidYY.YC— - - _ --- -- �o 'nab' Cuk reAe a pUec sept=c atawba County Environmental R�9R-oi-aai7-,�5�35 Health�U7N oaa�1-O�a08 \\I Parcel: 2667048369D7, 9054 W NC 10 HWY 1in=1OGft VALE, 28168 )VL } W� 10 The; «ap/mpom product was prepared from the Catawba Count, NC CoosaaLLnl In(omation Scrviws. Catawba County has made wbstantlal efforts to ensure the accuracy of location and labeling information contaaYed= on tNs map or data on this report, Catawba County, promotes and recamtends rho Irdependont verification of any data contained m this Zmport product by the usor. The Count of Catrlwba. IG erp{0y0 . agonts. and personnel, disclaim, and shall not be held liable for any and all danagos, lose or liability, whether direct, indirect or cons quenilal which arisen or may arise from this map'report product or gro use thereof by eny person or entity. Copyright 2014 Catawba Count NC 02/15(2017