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HomeMy WebLinkAboutRBPR-04-2018-28974.TIF • 4.4a$A • THIS IS NOTA PERMIT Case# RBPR-04-20I8-28974 .._.T .� cnrnw>3A COUNTYHEALTHDEPARTMENT CI ' !zit? .0 vst PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' 1842 ,a Residential Building Plan Review- Building New .'o • o c AUTH_CONST D ay 0 Contractor *JOYCE,RON (RON A JOYCE), PO BOX 716,HICKORY NC 28603- B:828-381-2520 Owner R A JOYCE INVESTMENTS LLC. PO BOX 716, HICKORY NC 28603 C:828-381-2520 NAME TO APPEAR ON PERMIT R A JOYCE INVESTMENTS LLC SITE ADDRESS: 5000 MUNGER LN,HICKORY NC 28602 PIN # 370005086919 NA)IE of SUBDIVISION: Lot PLACE PH 1 1 of# 7 Section/13Iock PROPERTY SIZE: Square Feet Acres 0.34 DIRECTIONS: HWY 321/EXIT 42(127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 2 story single family w/attached garage/3 bedrooms 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 54 x 42 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25%reduction ehappe<anmi (1./24/21115 12:11 Page I of 4 ,p CATAWBA COUNTY Case a RBPR-04-2013-23974 • C'j�jy� Public Health Department Subdivision BERKSHIRE PLACE PH 1 6 ;�i� T, Environmental 11 earth Division I'INd 370005086919 PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 1:4 w NAME ON PERMIT: R A JOYCE INVESTMENTS LLC ( L I'0 BOX 716. HICKORY NC 28603 R A JOYCE INVESTMENTS LL( Site Address: 5000 MUNGER LN. I IICKORY NC 28602 Property Size: Square Peel Acres 0.34 Directions: HWY 321/EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this applicatiorJsite plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements 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 arid rules. I understand that I am solely responsible for the proper identification and labeling of all properly lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the p peny or legal agent of the owner. Date: t.( Signature of Applicant or Agent _ _AS 0l_ If you need further information or assistance I lease call 828-! 6-7291 AREA2 I 4Y*lti*******************************************litYYtniMlFrtkt4***************************************** FEErNAME DATE FEE AAIOU:N1 Authorization to Construct Fee (New/Expansion) 04/24/2018 5150.00 Fee TOTAL FEES S I50.00 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) ehapplicaoon 0424/2018 11:49 Page 2 of CTIFS IS NOT A PERMIT coT j" 6y TI- ifb CATAWBA COUNTY HEALTH DEPARTMENT' „�. Application for Environmental Services Application is for: /New Construction Existing Facility [ improvement Permit / Authorization to Construct New Septic Septic Repair/Malfunction Septic Relocation n Septic Expansion I Existing System Inspection or Reconnection I I New Well Replacement Well ❑ Well Abandonment Well Repair Property Address 00 Am ea-- 1412`e Subdivision fie12 j12e PAzie MA/ L 160.07 Lot# 7 Acres 45170 Driving Directions to Property_,ttzI/Z7.. 0)/1/ —-1- tel-4°1 GaU,u•L Fri L- & Y-Sh,et, lam.- R+- /Juv<15ynLLae - Z '`rei t- — gin /.e•4 Applicant Contact Information Name eat, 2-25?‘; Address yOr D .go$ 7/b Nit F Ile /1/L Z b D 3 Phone e ;.63 -3S/ ' 05-Lo / 7 Cell Phone 8 --3t31 • 2TZO Owner Contact Information Name ji+1 `e Address Phone Cell Phone Contractor Contact Information Name gra A-, OINicr License # 24, 79- Address JAddress P.o . 6`'K 716 14-C1271 /VC_ Z to b Zj Phone i2-0 3S 2,57-0r/ Cell Phone g2 -3i . • Name to Appear on ,Permit? e{ Owner L. Applicant L :ontractor Who will be the Primary Contact? [Owner Applicant L . contractor Existing Structures on Site? ❑ Yes V/No If yes; describe #of Bedrooms * # of Occupants Structure Dimensions Basement [ Yes ❑ No Basement Plumbing ❑ Yes No Existing Water Supply? ❑ individual Well H Community Well [A Comity/City/Township Water Line Is a public water supply tivai!able? **' Yes I I No Well Construction/Abandonment/Repair • Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled n Bored n Dug ❑ Unknown Well Repair Requested El Yes ❑No Describe \Vill Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank? Yes 0 No r'AU A THIS IS NOTA PERMIT OLN Y1. )-. • CATAW itA COUNTY HEALTH DEPARTMENT�ouNr. __ t ,1/4,e:,�o ,, Application for Environmental Services Proposed New Construction - Residential Primary Residence 1New Residence n Addition to Residence #of New Bedrooms *j 3 Project Description hat Alt Structure Dim isions 5'/}//z # of Occupants , Basement Yes n No Basement Plumbing Yes [✓No Accessory Structure(s) Describe Structure Dimensions Plumbing n Yes n No Describe Plumbing Needed Accessory Dwelling n Yes n No #of-New Bedrooms lc t # of Occupants Proposed New Construction - Commercial Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq. Ft.) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) Business/Other Specify Type Structure I)imensions Retail Floor Space #of Employees per Shift II of Shifts If Church# of Seats Commercial Kitchen ❑ Yes I I No If Daycare,# of Children If Multi-Family Residence;#of Apartments #Bedrooms per Apartment*'t Total# Bedrooms *t Other Information Calculated Design Flow, Commercial t (This value will be determined by ER staff) 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 0/No Does the site contain any jurisdictional wetlands? ❑ Yes BIC Does the site contain any existing wastewater systems? ❑ Yes ReNo Is any wastewater going to be generated on the site other than domestic sewage? $ Yet No Is the site subject to approval by any other public agency? ❑ Yes Li/No Are there any easements or right:of ways on this property? Describe 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) ❑ Accepted 0 Alternative ❑ Conventional 0 Innovative \p Other aE% j- 441 Any *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 floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EI-I Staff **If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Completed applications are valid for a period of 2 years. Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct, issued for septic repair is valid for 60 months(5 years).Permits may be revolted if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements. 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 roles. 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. The undersigned is the owner of the p- -tits,or egal gent of the owner. Signature of Owner or Legal Agent At_ ` Date 4(aell� �^, �r — Printed Name of Owner or Legal Agent Iw/ c p A— y/C(� Lol- 417 moo mui7alert_. LR,; ' Beg Ksln't-e P{r c e.. , q5-7f 14 r M i 7M • d 93 0,1 1 i cy.) pecK - < 2I r � �4 , 2L VIN(.;.4 64Soinen � O � 1/49 13i 3t • 21 0 �� 2.1 j < }�, i r1/4 171 11 0 v - • V Catawba County Environmental Health - .111"— \ cr _ � Sql ", 1045 ce 101.83 80,00 ao _Air 15.71 cc / 46.70 Z �- „ 707.82 U.1 m ey co D 0 70511 n l P to 13 cti Oli C it. 7. 95.77 N 46 98 C. 42.45 "' 5.81 4 , MUNGER LN pp 75.62 96.77 46.72 ne 97`x2 �`(, O 'n o 155. Parcel: 370005086919, 5000 MUNGER LN lin=50ft 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 04/24/2018 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370005086919 Owner: R A JOYCE INVESTMENTS LLC Parcel Address: 5000 MUNGER LN Owner2: City: HICKORY, 28602 Address: PO BOX 716 LRK(REID): 606183 Address2: Deed Book/Page: 3436/1661 City: HICKORY Subdivision: BERKSHIRE PLACE PH 1 State/Zip: NC 28603-0716 Lots/Block: 7/ Last Sale: School Information: School District: COUNTY Plat Book/Page: 66/174 Legal: LOT 7 PL 66-174 Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK Calculated Acreage: .340 Tax Map: High School: FRED T FOARD Township: HICKORY School Map State Road #: 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: $0 Zoning2: Land Value: $22,600 Zoning3: Assessed Total Value: $22,600 Zoning Overlay: Year Built/Remodeled: / Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel it: Building Details 2010 Census Block: 2031 WaterShed: 2010 Census Tract: 011102 Voter Precinct: P23 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. ©2017, Catawba County Government, North Carolina. All rights reserved. Bk Ec,0 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=370005086919&typ=P 4/24/2018 CATAWBA COUNTY > �,� Case 9 WLS2007-0l 166 /; .r<\': Public Health Department s� Enviiohmental Health Division Subdivision BERKSHIRE �� )/ PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 Sect/BLJPh/Lot# . ' .+2 (828)465-8270 FAX(828)465-8276 TDD(828)465-8200 PIN# 911370005095275-33 Applicant/Owner JEON REAL ESTATE INC. Site Address: 5000 MUNGER LN voskd 5C Property Size: 15 500 SF ACRES 1... Directions: HWY 321/EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT 1. . / Improvement Permit Permit Valid For: Five years 4/ No Expiration Facility(Residential): House / House X Mobile Home Multi-Family Bede nu 3 New? V Addition? Projected Daily Flow Ibp g.p.d Water Supply Private Well? Public?- Semi-Public? Basement: Y Basement Plumbing: N floclub/Spa: Y Special Fixtures(explain): Proposed Wastewater System: S10 PQ)v'-+•.n Type: U Proposed Repair: asc. Ca..) t.-1-•Imes Permit Conditions: * to Lp.n-ri-s orso.• s ' , i, too ' Crarti Us—1 _JO' Ora enpi-rty ( ria l ill'cr•", L rte;,,—'k 1. t'naa } ' 8ci nS+CJJ can L.ni-.,ter Owner or Legal Representative Signature: /l.t. __..) /� — Date: 1/4 1 LH-7 Authorized State Agent: y,i U r Date: I /6 Ifo 7 f The issuance of this permit by the He h Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement 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 Rules for Sewage Treatment and Disposal Systems' (ISA NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) See site plan and additional attachments( ). Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair Expansion Soil LTAR: _. _ g.p.d./ft2 Type of Facility: Basement: y Basement Plumbing: N HotTub/Spa: Y Special Fixtures(explain): Wastewater System Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in Trench Width ft Minimum Soil Cover in Minimum Trench Seperation ft Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other Additional Specifications: Authorized State Agent: Date: Permit Expiration Date: /have read and accept the specifications and all conditions of this permit as indicated. • Owner or Legal Representative Signature: Date: Form B r:Vidrnuu 1 V'o nmVrvlS mn.m, K�� i--�-� CATA\VBA COUNTY n,. Case 4 WLS2007-01166 e_,�,.\! PubligFfealih Department 9 Envirdnmental'Health Division Subdivision BERKSHIRE PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 SecVBUPh/Lot k �,} ' (828)465-8270 FAX(828)465-8276 TDD(828)465-8200 PINI 911370005095275-34' -I Applicant/Owner JEON REAL ESTATE INC. Site Address: 5000 MUNGER LN Property Si 15 500 SF ACRES Directions: HWY 321/EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT IMImprovement Permit 0 Authorization To Construct Well Permit SITE PLAN 961 Mvnct-r Ln. O o E 6-0 dzP..nat n9 o r\ 364 N ft.) I in J Is, sn N 1 "—%-ban 7- �51 Z„.t,.l Sy,-I,„ jd as,> etavd. 9 sso ew e.i-:..‘ • • 11 i I ° Scale System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. 1° / oo �1u rized c1 St to Agent Date Form C :\Tiie,mu OVbnneV WLSnnn.mr • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet_of DIVISION OF ENVIRONMENTAL HEALTH • PROPERTY ID Ii: ' ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION � ' f 7_,..03 - 0‘, 4‘, . for ON-SITE WASTEWATER SYSTEM . OWNER • APPLICATION DATE ADDRESS: . DATE EVALUATED: 7R-0• PROPOSED FACILITY: .i 6 C 11 PROPOSED DESIGN FLOW(.1949): 1(0 Li LOCATION OF SITE: G>,C Kr t, : rk- fl . 341 PROPERTY RECORDED; WATER SUPPLY: 0 Private Er-Public 0 Well 0 Spring 0 Other • EVALUATION METHOD: 0 Auger Boring 0/Pit 0 Cut TYPE OF WASTEWATER: B-Sewage 0 Industrial Process 0 Mixed P ata; ::""'''-:::::.:::; g. SOTI al101thHOTOGY O•1HPR . r! ..................................(,1941) PROFILE FACTORS E...:...''''L JSTV4. :. . $ORL... ::::1942 SCAPE ZON 1941 1941 . SOIL -194# 1456 1944 '' ' POSITION! .1)EP.TH ._....5"i'RUCS'C1REt..... CONSLSraNCIJ WETNESS/ :SAIL SAP.RO. :.11ESTit PROFH:£: :::::..: SLOPE:%[ :::::(IN) TEXTURE MINERALOGY .....COL'OR:..:: :::DEPTH. :CLASS :::: [E HORIZ.... .CLASS ::::GI:TARE •LL o try " S <_c • q 3 t4-g$ c/ Atok SS,sP1iI ' (( its 1 SN I'S (,_ l ori., • • • u 2_9:' 5 <L tog- Lt.-91. C.; j Al* • Si1se sgxp f IV 2 . � 2 • • \ U- (in p.•.3sl / c Q_ 1S r S (S- 1a L Cs. r a.l io 3 75'-4a` sc iSbk ssise s-Eke Pr • • • • • ' . i . . 4 • • • I DESCRIPTION TdITL1L SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) P J e S SITE CLASSIFICATION(.1948): PS - System Types) 1:5" . EVALUATED BY: S 6O7 a /Q Pha.IPJ ✓h`. .-, ,&-.....h- ' ' ,6r.d- 1 la A OTHER(S)PRESENT: Site LTAR. I COMMENTS: '4, " 4ra,nLL- 11, P•-I, 'LEGEND • use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LIAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.5 0.6-0.4 NEXP(Non-expansive) G(Single Gram) CV(Convex Slope) LS(foamy Sand) SEXP(Slightly Expansive) M(Massive) D(Drainage Way) EXP(Fvpaesive) CR(Crumb) DS(Debris Slump) II SL(Sandy Loam) 03-0.6 0.4-03 CR(Granular) FP(Flood Plain) • L(foam) MK(Subangular Blocky) FS(Foot Slope) • ABK(Angular Blocky) H(Head Slope) III , SCL(Steady Clay Loam) 0.6-03 03.0.15 - PL(Platy) • L(Linear Slope) SiL(Silt fmm) - PR(Prismatic) N(Nose Slops) CL(Clay Loam) . R(Ridge) Sift(Silty Clay Loam) MOIST W ' S(Shoulder Slope) Si(Silt) •TIT�O) VFR(Very Friable) NS(Nmaidry) IV .SC(Sandy Clay) 0.4-0.1 01-0.05 FR(Friable) SS(Slighuy Sticky) SiC(Silty Clay) Fl(Fum) 5(Sticly) . C(Clay) WI Neil Firm v.Very Sticky) VS(Vey Sticky) . O(Organic) None EFl(Extremely Firm) NP(Nervplastic) SP(Slightly Plastic) *Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) . HORIZON DEMI In inches below=ma!soil smilax DEPTH OF FILL- . In inches from land surface RE IRIC77PEHORIZON Tbiekaes and depth Bon land str ce S4PROLITE S(suitable)or U(unsuitable) SOLL MITES Inches horn land=face to free water or inches from land surface to son colors with ehrome2 or les-record Mansel color thip designation CLtSSIFICA77011 ' S(Suitable),PS(Provisionally Suitable),orU(Unsuitable) Evaluation of sapmlite shall be by pits. Long-tom Ace-Tuna Rate(LTAR):gauday/fe Show profile locations and other site features(dimensions,reference or benchmark,and North). • • ... <. P e......e........._...._......_.< .4 4 4......0 r_...4 O • •••-J L e o L e • •_-•• 4 4 + • • ._.._.n...e J..._.......L ............................4 < 4 4 o-.. < < 4 4...... 9 4 0 • ...._e. e._ 4......e a 4--.4 a o._... . • 4 4 4 a 4• a......4 bENR(######) . Review(q stn)