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HomeMy WebLinkAboutRBPR-04-2018-28976.TIF • 0G 'I'1115 IS NOT:k PERMIT Case# RQPR-0ri-2013-23976 CA'IAWBACOUNI'Y HEALTH DIYARTMENT rr 77';'‘0 4. °b' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �I \ TI !$42 sw Residential Building Plan Review- Building New Di • •d+ O h r IMPROVEMENT- AUTH_CONST 4r Contractor `JOYCE, RON (RON A JOYCE). P0BOX 716. HICKORY NC286(3- 13:828-381-2520 Owner RA JOYCE CONSTRUCTION COMPANY. P.O. BOX 716, HICKORY NC 28603 NAME TO APPEAR ON PERMIT RA Joyce Construction Company SITE ADDRESS: 1644 BUFFETI'CIR. HICKORY NC 28602 PIN# 370005097164 NAME of SUBDIVISION: Lot PLACE PH 1 I of# 11 Section/Block PROPERTY SIZE: Square Feet Acres 0.5 DIRECTIONS: 1275/left Bethel Church Rd/ left Brekshire Dr/right Buffett Cir/3rd lot on right 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:: 36 x 52 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%reducation chapplicanon 04/24/201R 12:05 Page 1 of4 Y;x • CNI'.UYBA COUNTY Case a RBPR-04-2018-28976 uQ' Rat ,7 Public health Department Subdivision BERKSHIRE PLACE PH 1 6 ro Environmental Health Division I'IN4 370005097164 1 PO Box 389, I Or-A Southwest Blvd,Newton,NC 28658 /•.7. W NAME ON PERMIT: RA JOYCE CONS'T'RUCTION COMPANY ( ). P.O.BOX 716. IIICKORY NC 28603 RA Joyce Construction Canaan! Site Address: 1644 131JFFE fT CIR.HICKORY NC 28602 Property Size: Square Feet Acres 0.5 Directions: 1275/left Bethel Church Rd/ left Brekshire Dr/right Buffett Cir/3rd lot on right 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 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 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. The undersigned is the• nner oft e property or legal agent of the owner. Date: r/ Signature of Applicant or Agent I a W If you need further information or assistane• please call 828 66-7291 AREA2 •***•***t*******•************•**********************•****•********♦**•*************•***************•****•*** FEENA\IE DA'Z'E FEE AMOUNT Authorization to Construct Fee(New/Expansion) 04/24/2018 SI50.00 Fee Improvement Permit Fee 04/24/2018 $150.00 TOTAL FEES $3110.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ONA PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplicaum' a-/2./2018 12.05 Page 2 oro li { /t / THIS IS NOT A PERMIT S (1 C COUNTY AW p T p��J p p COUNTY ',HEALTH ( Tp D ry p �pTMENT COUNTY- •- �AJL[-�V'W.LLDtil .11ll1L`�t9lt��L,��JW�IC t11i`��L lV',u.1L,1V Jt Application for Environmental Services Application is for: /New Construction Existing Facility �ImprovementPermit 4 Ant IorizatioH to Construct New Septic I I Septic Repair/Malfunction • Septic Relocation ( I Septic Expansion II Existing System Inspection or Reconnection New Well ReplacementoWell Well Abandonment Well Repair Property Address /� f eIi Che, Subdivision 32. 1t1cp P hGe _ticbt NG 286,0 Z beth )- Lot#. / I Acres :,5VO Driving Directions to Property 50vf"A — L— patrol G/t✓ii ed - Zr see 44 at /Jr< 2 alt+ .b)4-c� irc C,w . 3 M 07, azisai0R, h•f A )licant Contact Infornition Name rrrh a?C Address / . 0 4cl1 71k Phone (-h C1-r.7 /L- 74 , Cell Phone -3.81• 2.SZa Owner Contact Information Name Address rt Phone ✓ Cell Phone Contractor Contact Information Name kc,-„, r . -j-20.4/co2 License# Z4, 7Q Address pop a0), 7 /-k) 1-k761-.9 NL Phone Cell Phone qZS -.3$J .. LIZ 0 Name to Appear on Permit? Owner LApplicant �`; Contractor Who will be the Primary Contact? fI Owner pi Applicant U Contractor Existing Structures on'Site? ❑ Yes \/No If yes, describe #of Bedrooms * # of Occupants Structure Dimensions Basement [ Yes ❑ No 13asement Plumbing ❑ Yes Li No Existing Water Supply? I Individual Well I I Community Well VCounty/City/Township Water Line Is a public water supply available? ** Ry Yes E No Well Construction/Abandonment/Repair • Proposed Well Type Individual Well n Semi-Public Well Community Well Abandonment Type ❑ Drilled ❑ Bored n Dug ❑ Unknown Well Repair Requested Yes No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank? 7 Yes U No • 0A Fin JTHIS IS NOT A PERMIT CIAJA U± . cf/HWY l CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services • Proposed New Cons uction - Residential Primary Residence New�L/Residence n Addition to Residence #of New Bedrooms * 3 Project Description I' ecii$-1 reetri`e- Structure Dint inions 31¢K52-- # of Occupants_r 7 Basement Yes ❑ No Basement Plumbing Yes I No Accessory Structure(s) Describe Structure Dimensions Plumbing ❑ Yes n No Describe Plumbing Needed Accessory Dy elling ❑ Yes No #ofNew Bedrooms 'lit - # of Occupants _ Proposed,New Construction - Commercial • Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq. FL) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts • IIChurch#of Seats Commercial Kitchen n Yes _ No If Daycare, #of Children . lfMulti-Family Residence,#ofApartments #Bedrooms per Apartment*t Total #Bedrooms *j Other Information • Calculated Design Flow, Commercial t (This value will be determined by EM 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 nnlst attach supporting documentation. ❑ Yes G1'No Does the'site contain any jurisdictional wetlands? ❑ Yes Cv/t/No Does the site contain any existing wastewater systems? ❑ Yes C'No Is any wastewater going to be generated on the site other than domestic sewage? • inYes r. No Is the site subject to approval by any other public agency? Yes C3/No Are there any easements or right of ways on this proper'? 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) t� ❑ Accepted 111 Alternative 111 Conventional El Innovative ❑ Other 25% ❑ 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 confined 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 !inure. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff ** if No,a well permit must be issued with the Authorization to Construct. RETRIP TO TILE PROPERTY AND/OR SYS'I'Eti\i REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Completed applications are valid for a period oft years. Improvement Permits arc 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 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 tine, complete and cornet. 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. The undersigned is the owner of the pr p•r 'or legal, gent of the owner. Signature of Owner or Legal Agent /14- Date � ) 1 g Printed Name of Owner or Legal Agent 7a r/ , �eT'L to-} 4 0 l�k4 B,FFe+6r&cGQ kskiat pic4cel06 , 41) 1119 • \ N 9 � -c-*\ ,yam 4 . qt `Iv cb : \\N-I / SCA- k � „� 3© , • • Catawba County Environmental Health (677) NO3© 27.72 174.96 1:6.1 G\� 64.69 Otte 160.40 0 64.69 70.44 1035 \id" 246.6 EiD rn ,Q44. n 1045 80.00 46.70 101.82 - 113.06 1S>1 ESL 0 c6ev • Parcel: 370005097164, 1644 BUFFETT CIR 1 in=50ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatial Intormalion 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 I of 1 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 370005097164 Owner: RA JOYCE CONSTRUCTION Parcel Address: 1644 BUFFETT CIR COMPANY INC City: HICKORY, 28602 Owner2: LRK(REID): 606179 Address: PO BOX 716 Deed Book/Page: 3358/0943 Address2: Subdivision: BERKSHIRE PLACE PH 1 City: HICKORY Lots/Block: 11/ State/Zip: NC 28603-0716 Last Sale: Plat Book/Page: 66/174 School Information: Legal: LOT 11 BERKSHIRE PLACE PH 1 PL 66- School District: COUNTY 174 Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK Calculated Acreage: .500 High School: FRED T FOARD Tax Map: School Map Township: HICKORY State Road #: TaxNalue 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: $28,200 Zoning3: Assessed Total Value: $28,200 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. 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E ytl-;`�8•r GP�P��` Iy / - Z.CS gp N J�I1111443 i iF riipnmlll°t`` xTi 3GE'lSi v5 2�a2 � It 33 a „ . 1 Nitt co 0 • U) E e m n g FF J ii m z 1E S S gig is r z : i s 3i:Es 1 I I' 1 g 4 YI gE r y or a an• _ _ I g a �g vk BPS i 11 � � _ $ ' la IV, i r.+ z• k �OJ � Jffiffl1 i 1 61.. L : i is 1 Rv3 8 / �7 CATAWBA COUNTY �' Case # W LS2007-01 162 f f PubT;c Healthpepartment —�cvt\�') Environmentakf lealth Division Subdivision BERKSHIRE '\ n C.Di PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 SecI/BIJPh/Lot# I I \N------7 �.. iMR)465-8270 FAX(828)465-8276 TDD(828)465-8200 PINfl 911370005095275-3b•I I Applicant/Owner JEON REAL.ESTATE INC. Site Address: 1644 BUFFETT CIR poSJe d 5C- Property C Property Size: 25500 SF ACRES Y Directions: HWY 321/ EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT •A�f VIIImprovement Permit ”{-- Permit Valid For: Five years No Expiration Facility(Residential): House House X Mobile Home Multi-Family Bedrooms 3 New? L Addition? — Projected Daily Flow () g.p.d Water Supply Private Well? Public? X Semi-Public? Basement: Y Basement Plumbing: N HotTub/Spa:: l Y Special Fixtures(explain): Proposed Wastewater System: -`UI g AI, Qpo,C - L ? this, ILt^ Type:IcaIcap Proposed Repair: '/, [ L X. AL_ WV.k -�p d1 4- Permit Conditions: OCUtri- es DP( lir Will_be_a u1r?r}. i Owner or Legal Represen tive Signal.re. G`•— _ Date: / 2// Si') / Authorized State Agent: • 141� r / Date: t The issuance of this permit by the th 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 Permits * 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 Hot Tub/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 It 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 VidnmwkVnnnsVwLSmn.n,, /, �., CATAWBA COUNTY ' Case ti WLS2007-01162 ,--4-. --_--, ,. % -irk; Public tlealth.Department (: ' Environmental Health'Division Subdivision BERKSIIIRE \'� 1+/ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Sect/BUM/Lot fi 39 t t \„4 s/ (828)465-8270 FAX(828)465-8276 TDD(828)465-8200 PIN# 911370005095275-38 I 'Applicant/Owner JEON REAL ESTATE INC. Site Address: 1644 BUFFETT CIR Property Si 25 500 SF ACRES Directions: HWY 321/EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD/LEFT 1 1/4 MILE ON LEFT VOID © Improvement Permit 0 Authorization To Construct 0 Well Permit SITE PLAN \ oAt' y iao N of dfive, rl .e, ov ,, �I ,, ore✓ eR.ric areas. • `n 3��5co . -1-A4A tQfic°Y Photume Ai Cb- t\ (at- ll =cbl 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 rev0 ation if the • to plan orsite conditions are altered. , _at ko\it 167 • utht. d Sta e Agent Date Form C ;Miele min t\Fe,nnanvr_can,,nn ' . DEPARTMENT OF ENVIRQNMENT AND NATURAL RESOURCES Sheet of DIVISIONOF ENVIRONMENTAL HEALTH � PROPERTY ID#: — ON:SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION Lj L5 t-O07- c i t6 z_ for ON-SITE WASTEWATER SYSTEM OWNER: APPLICATION DATE ADDRESS: DATE EVALUATED:c1.fa 0 12-‘) PROPOSED FACILITY: -)CO2_ H-•. P�R'OPOSED DESIGN FLOW(.1949): '6 m PROPERTY SIZE: + LOCATION OF SITE: ` (%r 5 L: rt. IQ t iv3 e PROPERTY RECORDED: WATER SUPPLY: 0 Private 9/ t., / Public 0 Nye) 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring U'Pit 0 Cut TYPE OF WASTEWATER: Et/Sewage 0 Industrial Process 0 Mixed r SOlt:MORY$OLOG .........................._.....:-cilar;R (.1941) PR(3EII I?AGTOR5 Y,..: :E:::! ,....LAND: :: :::$ORI-.._ 1942::...... ..................... ... ............... .. ............. ... SCgkE ZON 1941 I541 SOIL 1943 I95G 1944 a„. ,POSITION! .DEPTH "'' STRUCTURE/..... :: !CONSISTENCE/ .."YE:TNI SS/ ...::S01T .. :.;SAPACi ...RESTR PROFILE:: .. : SLOPR /' .;(IN:)" .......TEXTURE.::::" :::MINERALOGY ".'.COLOR.:. ::DEPTH E CLASS `i::'HORIZ':. ,' • 4 S :C LIAR: • L (- v- -3 SCR- /rick I ii Z 23"44' Sc_4 ./siJ • jib �`� 3 1 [pi- Lk Sc _ �s<.f SS i1P15EAP 1 (2•11 D- 1'L�> t s,r . 2 10 -93" sc�lbk SSilr�.sako Fr 4 3 LI3 „ , ✓ L(3 °'4- r..c_ (-----:- �r c k P.S V0- i,t' 5c. / A 1,14 I, _ 2t.-`1s c t $..f /$LE SS11P+ /l:yPIci 2_2_ (1}- 1>szt ' 3 3 I . 4 1 1 I DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) PJ eJ SITE CLASSIFICATION(.1948): Pc • System Type(s) at A 5A EVALUATED BY: T 6•Y, '14- P4-(p1 PI• 1h. arn•d•,-. OTHER(S)PRESENT: Site LTAR •} COMMENTS: • •LEGEND use the following standard abbreviations SOIL . CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR' .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 12-0.8 0.6-0.4 NEXP(Non-expansive) G(Single Grain) CV(Cony=Slope) L5(Loamy Sand) SEXP(Slightly Expansive) 14(Massive) D(Drainage Way) EXP(Expansive) CR(Crumb) DS(Debris Slump) II SL(Sandy Loam) OS-0.6 0.4-03 OR(Granular) FP(Flood Plain) L(Loam) SEK(Subnngula Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) SCL(Sandy Clay Loam) 0.6.03 03-0.15 PL(Platy) L(Linear Slope) SiL(Silt Loam) PR.(Prismatic) N(Nose Slope) CL(Clay Loan) • R(Ridge) SiCL(Silly Clay Loam) MOIST WET S(Shoulder Slope) Si(Silt) •T(Tee(remote) • VFR(Very Friable) NS(Nmri&y) IV SC(Sandy Clay) 0.4.0.1 02-0.05 FR(Friable) 55(Slightly Sticky) SiC(Silty Clay) Fl(Firm) S(5deky) C(Clay) VFl(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) None En(Extremely Firm) NP(Nwpletic) SP(Slightly Plastic) .Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plunk) • NOTES VP(Very Plastic) . HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface . RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)orU(unsuitable) SOIL WETNESS Inches hum land surface to free water or inches from land surface to soil colon with chuoma2 or less•teeord Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),orU(Unsuitable) Evaluation of sepiolite shall be by pits. Long-tear Accrytmce Rate(LTAR):gal/day/1e Show profile locations and ether site features(dimensions,reference or benchmark,and North). • • ...._J_...P...._........_....e P—... a 4.......... P......4 • • ......_ • • P 4 ....:__...<........_....._...P............• < o.._..P P P n.__.l--P P P .... P. _O. 4. P ... 4......4 ......o .............0 4 4......................_. J......4 4. ........_...P.........._.........<+ O 0........................._O 4...... O o 4..............._..._...........p P P- 4.._.._......f • • DENR(04$91441) Renrw(RR O)