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HomeMy WebLinkAboutRBPR-07-2017-26972.TIFTHIS IS NOT A PERNIIT Case # RBPIZ-07-2017-26972 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICNI ION FOR ENVIRONMENTAL SERVICES Residential Building Plan Re%,iew - Deck/Porch EXS_SYSTEM INA OV-SeJ 1116,4 P.f-nU Contractor *,JOAN CONNOR, 5325 WINDING OAK DR, HICKORY NC 23602 C:8283204238 JOHNCONNOR1940wYAHOO.COM Owner LORI WHITMAN. 4086 RAINBOW HILLS DR, HICKORY NC 28602 C:828-493-2823 NAME TO APPEAR ON PERMIT Lori Whitman SITE ADDRESS: 4086 RAINBOW HILLS DR, HICKORY NC 38602 PIN # 370016829931 NAME of SUBDIVISION: RAINBOW HILLS Lata 44 Soctiun/Black PROPERTY SIZE: Square Pect Acres 0.79 DIRECTIONS: 4086 Rainbow Hills Dr, Hickory PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Two Decks (8x24 & 12x14) to be added to an existing Deck 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? —(Ce (:_ Does this site contain any existing wastewater systems? s 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION-- NUMBER ESCR ON: NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 8x24 & 12x1 decks BASEMENT? Yes—BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED ALTERNATIVE' OTHERINNOVATIVE: Other described: 0 PLUMBING REQUIRED? No CONVENTIONAL ANY 1:1)-chappl,canu11 u7/1721117 1414 Page I uf4 _ `� CATAWBA COUNTY Case # RBPR-07-2017-26972 / Public HeaDepartment De artment Suhdivlslon _ fl RAINBOW HILLS Environmental I lealth Division PIN# 370016829931 PO Box 389, 100-A Southwest Blvd, Nekton, NC 28658 /R42 s. NAME ON PERMIT: ( LORI WHITMAN), 4086 RAINBOW HILLS DR, HICKORYNC 28602 ( Lori Whitman) Site Address: 4086 RAINBOW HILLS DR, HICKORY NC 28602 Property Size: Square Feet Acres 079 Directions: 4086 Rainbow Hills Dr, Hickory 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 Wet 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 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I 'I - 07/17/2017 14 34 Page 2 of 4 s '"NApp-MplO, U.L.FEENA, ijC'DATEilHfl.FiIJITI ^ ..„:w_. if Existing Tank Check Fee 07/14/2017 $80.00 f' il�I 11TOTALFE,ES�j,IjiIIII!{{��d�� �f (liili�i iil�i l��ill�Ilillli�ili' i ii' �Il r' )f;��lli' I41 Milli 00,. tldll'j 1......4 u�in�{i � .{.�:116("it..R.—wnll'.Id!h!116i,aniq.6l!LWI!fa!R41WtiIIifl.iI1101i,illi116IICILh,11Cu1".—��uflii�ia9tm._SII!Ih�.:..h1.;14.lu.ia::_.duu,.:„� i�$80 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) I 'I - 07/17/2017 14 34 Page 2 of 4 yA G 1842 s: Contractor THIS IS NOT A PERMIT Case # RBPR-07-2017 ?6972 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Deck/Porch EXS_SYSTEM *JOHN CONNOR, 5325 WINDING OAK DR, HICKORY NC 28602 C.8283204238 JOHNCONNOR194n,YAHOO.COM Owner LORI WHITMAN, 4086 RAINBOW HILLS DR, HICKORYNC 28602 C.828-493 ?823 NAME TO APPEAR ON PERMIT Lori Whitman SITE ADDRESS: 4086 RAINBOW HILLS DR, HICKORY NC 28602 PIN # 370016829931 NAME of SUBDIVISION: RAINBOW HILLS Lot# 44 Section/Block PROPERTY SIZE: Square feet Acres 079 DIRECTIONS: 4086 Rainbow Hills Dr, Hickory PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Two Decks (8x24 & 12x14) to be added to an existing Deck SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questons 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 8x24 & 12x14 BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED? No Desired system types (Improvement Permit or Authorization to Construct) ACCEPTED. ALTERNATIVE CONVENTIONAL. OTHER INNOVATIVE: ANY. Other described: Est - chapphcation 07/14/2017 09 55 Page 1 of tiyA CATAWBACOUNT\ case n RBPR-07-2017-26972 Q V Public Health Department 2 p Subdivision RAINBOW HILLS Environmental Health Division 370016829931 PO Box 389, 100-A Southwest Blvd, Newton, NC 23658 PINk Igo su NAME ON PERMIT: ( LORI WHITMAN), 4086 RAINBOW HILLS DR, HICKORY NC 28602 ( Lori Whitman) Site Address: 4086 RAINBOW HILLS DR, HICKORY NC 28602 Property Size: Square Feet Acres 0.79 Directions: 4086 Rainbow Hills Dr, Hickory Improvement Permits issued as a result of this information are valid for 5 years or may be non-expinng 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 idenhficah n ano labeling of all property lines and corners and making the site ac ssible 1 that a,yomplete site evaluation can be performed. Date: ILl 20 ti`v Signature of Applicant or site A_ v An Environmental Health Specialist will eontact you with 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME Existing Tank Check Fee TOTAL FEES DATE FEE AMOUNT 07/14/2017 $80.00 $80.00 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) L9-chapph�anan 07/14/2017 09 55 Paget of CA'TAWBA PHIS 1S NOT A PERMIT ii��COUNNTiirL1 11�VV ��- 11JJ� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abando�nnnnment �! ❑ ell Repair [:1Ar Existing System Inspection (Pre -Approval Required) Application is fm• NewConstruction Q ExistingpF'ncilit�, ❑ `` Property Address �\b z- Qci`r`,/hr,, �_ wAv. , lJr. Subdivision 1Y iC�lt�r 1yl Lot# Acres n 1� c p Section/Block/Phase Driving Directions to property It )t J ,n `' xY'.�, �ePl Fn (�_ \i A Nee�,ar- 40 NADiE TO APPEAR ON PERMIT? Owner ❑ Applicant Contractor Applicant Contact information Name Address?�`l Jr- Phone 92R-- �`).�- 123�J Cell Plrone Owner Contact Information Ntune L,,,,N,,e- lAlh,} ten r� Address Lk7Rb Qr, �beyx 1�',\\S tJr:VP �a:c�nrvi IiAL Phone. 5�nQ_y42,-99,as 'Cell Phone Contractor Contact Information Name Address53r)5.J) JCell Phone F28 } 2v N� Z2 Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ® Applicant ❑ Contractor Description of Existing Structures on Site `iou5� # of Bedrooms fi j LA Structure Dimensions �t.4 k' ti l # of Occupants Basement ® Yes ❑ No Basement Fixtures 3K 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 questinn is "yes", applicant must attach supporting documentation. a Yes 0 Na Docs the site contain any jurisdictional wetlands? ® Yes 0 No Does the site contain any existing wastewater system s? 0 Yes ONO Is any wastewater going to be generated on the site other than domestic sewage? ® Yes 0 No Is the site subject to approval by any other public agency? K,7 Yes 0 No Are there any ciscmcuts or right of ways nn this property? Describe Existing water supply in use ❑ Individual 'Well ❑ Community'Well ❑ Scmi-public Well ® County�City/"Township Water Linc is e public walesupply available? ", 00 Yes ❑ No if applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (Isystena can be ranked in order otyour preference) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other 0 Am, CATAV�_7 T TTIISiSNOT APER-MI'I' „t„1.1. �._L.,q � CATANATA'COUNTY HEALTR DEPARTMENT .` pplioation for Environmental ServiccS Nagel Proposed Facility Type [}� Primary Residence (_] Now Residence [g Addition to Residence # of New I.Iedrooms *t—Lf_ Project Description Str;?est e Basement F— Yes ❑ No 13asctneotFi\�turvs Yes C)L No ❑ Accessory Structure(s) Describe - - # of New Bedrooms *j ifapphcahle Structure Dimensions # of OCCUFa::ts scc.ssrvy ti=.cli;r',g ❑ Yes ❑'tic Plumbing; ❑ Yes ❑ Nn Dcscriho Phimbitig Needed ❑ Multi -Family Residence #I Jnits _ -__ #Bedrooms per Unit*'J' Tom 1#Bedrooms''] Structure Dimensions ❑ Food Service Specify "Type 0 Seats Plnor S�r<ice-lint=re i�roC! Service 4�ucility (Su Ft? # Eniployecs per Shift _ _ # of Shifts _. _ -_. Dining Arca (Sq. Pt.) Lj Business Specific "Type of Business Retail Floor Space of bm. p:o)et_ per Shilt _. o S;;:fts Other Facility Type Specify If Church # of Sealy Kitchen ❑ Yes ❑ No If Daycare Specify Oecupatcv Application for Well Construction/Abandontucnt/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Puhlic Well ❑ Communify Well AoandonmcwTpe ❑ Dii;led -1 Boie1 ❑ } Dug ❑ Ln.nown W911 Repair Requested ❑ Yes ❑ No Descrilte CaIC ,'utea Design Flow, Contcnerc'al 'i Additional information may he required to determine design flow from certain facilities. This value will be determined during,consultation with on-site staff. `Ary roam bat r:i'l be intended for sdee;>isg ,I,e time of corsf uc i..n or should he noted as a l'edioem a^a counted on all applications. Tho number of hedrooms will be confirmed by rooms identified on house plana as a bedroom at the time of lwiiding permit is,aance. ;itis moy prevertt'ilc neat fir sapiic sys'tery size increase in tie fidure. t if structure is plumbed but no bedrooms, c:dculated dostgn flow is required. 8 4 If No, a woll permit must be issued with the Authorization to Construct. SYSTEM REDG;SIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL, CHARGE (SET FFG SCHEDULE) linprovement Pet mils issued as a mailt of this information arc vaiid lot 5 yeas or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is v,1id !a (5) rive yens firm the date issued sud is n,d transfciable, improvement Permits and 1Ve1l Permits are transferrable. Permits may be revoked if the information on this application, sitz: plans or untended use changes for the iii opi«ed .'leilily. I have read this application and certify that the inforntatitm provide;l herein is true, complete and coirva Authorized county and state officials are granted right of entry'to conduct necessary inspections to deternina compliance with applicabie laws and odes. I understand that I ant solely responsible for the proper identification and libeling of all property lines and corners and making the site accessiule so that a complete site evoivaiion can be perfoimed. Signattu e oi'Ot'ner or Agent _�,_.(+y �L � / :<_ Date (�r m ?old l 0 Printed Name of Owner or Agunt f4Nrn 1 e-wwv,r Catawba County Environmental Health Parcel: 370016829931, 4086 RAINBOW HILLS DR HICKORY. 28602 1 in=40ft This map/mport product was prepared from the Catawba County, NC Geospadal 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 07/14/2017 Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370016829931 Owner: WHITMAN ROBERT J Parcel Address: 4086 RAINBOW HILLS DR Owner2: WHITMAN LORI ANNE City: HICKORY, 28602 Address: 4086 RAINBOW HILLS DR LRK(REID): 602011 Address2: Deed Book/Page: 2743/0359 City: HICKORY Subdivision: RAINBOW HILLS State/Zip: NC 28602-9568 Lots/Block: 44/ Zoning2: Land Value: $39,300 School Information: Last Sale: $340,000 on 2006-04-13 Zoning Overlay: WP -O Year BuilURemodeled: 1999/ School District: COUNTY Plat Book/Page: 43/55 Split Zoning Districts: / Elementary School: BLACKBURN Legal: LOT 44 44 PL 43-55 RAINBOW HILLS PL Middle School: JACOBS FORK 43-55 High School: FRED T FOARD Calculated Acreage: .790 School Map Tax Map: Township: HICKORY State Road #: 2956 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MOUNTAIN VIEW Zoningl: R-20 Building(s) Value: $285,700 Zoning2: Land Value: $39,300 Zoning3: Assessed Total Value: $325,000 Zoning Overlay: WP -O Year BuilURemodeled: 1999/ 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 #: 3710370000J Building Details 2010 Census Block: 3000 WaterShed: WS -III Protected Area 2010 Census Tract: 011801 Voter Precinct: P23 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report Page 1 of 1 This map/report product was prepared from the Catawba County, NC Geospatnal Information Services. Catav,ba County has made substantial efforts to ensue 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 0 2017, Catawba County Government, North Carolina. All rights reserved 1ittp://gis.catawbacountync.gov/nomap/parcel_report.php?key=370016829931Rt)'p=-I) 7/14/2017 „ CATAWB/A COUNT' HEALTH DE`fi TIVIENT N° 6141 / Telephone: (828)'465-8?70 T (828) 465 0 Imp. Print. L-- Auth. to Const... vvv Rp . Prmt. Opt: Prmt. Sys: Type Well Print. Wgjl Rpprr, Print. Owner/Agent '`'�p n^ Phone ��a Address �/ �} E� Subdivision ` Section/Bloc • Phase Lot# Lot Size i Directions: ti�^Fla�1 Facility: HouseL,'—Mobile Home Business Multi -family . Other: Tar Map or PinNumber 3700 Other . Zoning Approval # Z�9OY 2.Rf/ # Bedrooms j• # Seats # Employees . Application Rate r 3 GPD Flow 4/�O Hot Tub or Spa na'yes/no Special Fixtures Basement/no 100 % Repair Area yes/no Basement Plumbing/no Water Supply: Private Well Public v Semi -Public_ Type of System: Trench / Bed^ Pump_ Pump/Panel— Panel LPP Other �t Septic Tank Size /(J©Q Pump Tank Size Nitrification Field: Total Square Feet ll° DQ Depth of Stone �d Bed Size Trench/Width{ Total Length of All Trenches Number of Trenches Trench Length �� /�/ /7r /7(/ �� F et (on CenterMaximum Trench Depth_ Distance of Nearest Well /oS� *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope Texture Stmclure Clay Min. i °/ SoilWetness Soil Depth r Restric. Hoz. at l7 a 2 j Available space Ino Overall Class S U +Q Comments: t �"Z i Filter Required ��pZ Riser required when tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. /J Permit Date _�;7—,1 n 9' EHS 1<9,124—, Owner/AgenfC,W-t4w; Septic Tank Installed By 111 1099�� EHS // Well Installed By Well Grout Approval Date Well Head Approdaf Date Date Sample Collected* Date of Results Results ' ' EHS White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct