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HomeMy WebLinkAboutEHPR-05-2018-29043.TIF • /�yyy���...$ * THIS IS NOT A PERMIT Case# EIIPR-05-2018-29043 II, CATAWBA COUNTY HEALTH DEPARTMENT �•�mro.," `Q 'rle PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES .•-;'i1 1+'tl \is° :. Environmental Health Plan Review-Septic Malfunction o&fKo 4Yo y 4�7 .. AUTHCONST- SEPTIC_MALFUNCTION 0 v fku•;7! • �IZInAtusie (iS notLoot Kill plf)9Prlrf Applicant *DEAN'S I[EATING& AIR COND.INC (3OBY REINHARDT),4945 WHITENER RD, HICKORY NC 28602-7183 13828-322-4328 C:(828)234-4328E:'1044624 I31 NAME TO APPEAR ON PERMIT *DEAN'S HEATING & AIR COND. INC (JOBY REINHARDT) CS ADDRES ) 2475 SPRINGDALE DR,NEWTON NC 28658 PIN# 360802582570 NAME of SUBDIVISION: SPRINGDALE 1014 25 Section/BlockA PROPERTYSIZE: Square Feel 21,344.40 Acres 049 DIRECTIONS: Hwy 10 W,right Springdale Dr, PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: original drainfield and tank in front, replacement is in rear. Rear system failing. Would like to reconnect to original drainfield in front of home 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF mobile EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 61 x47 NUMBER OF EXISTING BEDROOMS: 3 it OF OCCUPANTS: 5 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL. OTHER: INNOVATIVE: ANY: YES Other described: chalipli�onrn 0902.20/0 09.35 Page I of yS_A,G THIS IS NOT A PI!12M1'P Case# EHPR-OS-201 R-29043 H ■ ry CATAWBA COUNTY HEALTH DEPARTMENT •�r2o l 0 tip; �-� PLAN REVIEW APPLICAI ION FOR ENVIRONMENTAL SERVICES J•o �C o t J2� Environmental Health Plan Review-Septic Malfunction riff"lei Ty 4x ' AUTH CONST- SEPTIC_MALFUNCTION 0 4a {? Applicant `DEAN'SI'EALING&AIR CONE).INC (J011Y REINIIARDI).4945 WI IPFENER RD,HICKORY NC 28602-7183 B S28-322-4328 C:(828)234-4328F7044624131 NAME TO APPEAR ON PERMIT *DEAN'S HEATING & AIR COND. INC (JOBY REINHARDT) SITE ADDRESS: PIN# 360802582570 NAME of SUBDIVISION: SPRINGDALE Lot II 25 Se iaiivElnck A PROPERIA SIZE: Square Feet 21,344.40 Aers 0.49 DIRECTIONS: Hwy 10 W,right Springdale Dr, PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 380 WATER SUPPLY: Community Well DESCRIBE WORK: original drainfield and tank in front, replacement is in rear. Rear system tailing. Would like to reconnect to original drainfield in front of home 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF mobile EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 61 x47 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authonzation to Construct). ACCEPTED: ALTERNATIVE. CONVENTIONAL. OTHER. INNOVATIVE. ANY: YES Other descnbed. rhnpplu-mrvr of bio.2418 1158 Page I ori • 'N�. ( VAWBA COUNTY �S Case n EI IPR-05-2018 29043 / Public Health D p n Salado.isigo SPRINGDALE L sm II IIh D I INfl 360802582570 'f\Jr / PO Box 389, 100-A Southwest Omcst Blvd.Newton,NC 28658 VN4 ,32 NAME ON PERMIT: *DEAN'S IIIt.A'I IN(i&AIR COND_INC (TORY REINI IARDT).4945 WHITENER RD. HICKORY NC 22602-7183 'DEAN'S HEATING&AIR CONI Site Address: Property Size: SquareI-cot 21,344.40 Acres 0.49 Directions: Hwy 10 W,right Springdale Dr, Completed applications are valid for a period of 2 years.Improvement Permits are validwith 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 Authorizeton 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 Granges.Permits may be revoked ii 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 kr 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 property or legal g t ofth t r' '� Date: _ _ Signature f Applicant Agent /'/ i/' If you need Further itlorn tion or assmw tc 0leas call 828-466-7291 AREA2 FEENAME DATE FEEAMOUNT Authorization to Construct(Repair) Fee 05/01/2018 $300.00 TOTAL.FEES $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) i, .^. o«,uv2mk ride Page 2on C I II�' `., THIS IS NOT A PERMIT { COUNTY CATAW ILEA COUNTY HEALTH DEPARTMENT NorthC.yrrallno�e Application for Environmental Services Application is for: r-7 New Constructio /Existing Facility ❑ Improvement Permit ❑ Authorization to Construct ['New SepticRepair/Malfunction E Septic Relocation (l Septic Expansion Septic ❑Existing System Inspection or Reconnection ❑ New Well Replacement Well ❑ Well Abandonment ❑ Well Repair • Property Address —\ Sec) \ Y n P Subdivision r" Lot# Acres Driving Directions to Property \-\ (D -F- -\a<\<-6,vrc_- D(A \ rh `( or �� Svc 6� o r 1-��--k- �av��� 1� ►�\, r o cc\\ � � r Applicant Contact Information Name 3- L cAr. r��� 1 _ Address 1-\G \\N-,,\,0,..v- cL\con4 Phone - Cell Phone Owner Contact Information Name Address Phone Cell Phone Contractor Contact Information Name License# Address Phone Cell Phone Name to Appear on Permit? I" : ner ❑Applicant ❑ Contractor Who will be the Primary Contact? [Oner ❑Applicant ❑ Contractor Existing Structures on Site'? 'Yes ❑ No If yes, describe #of Bedrooms * 3 #of Occupants 5 Structure Dimensions Basement ❑Yes [/No Basement Plumbing ❑Yes ❑ No Existing Water Supply9 ❑ Individual Well Community Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes 0 No 0/TA • � a THIS IS NOT A PERMIT COUNTYLarxHEALTH DEPARTMENT Perth G,rcl,no Application for Environmental Services Proposed New Construction - Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description_ Structure Dimensions # of Occupants Basement ❑Yes n No Basement Plumbing n Yes ❑ No Accessory Structure(s)Describe Structure Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed Accessory Dwelling ❑Yes ❑No # of New Bedrooms *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 Dimensions Retail Floor Space #of Employees per Shift #of Shifts If Church#of Seats Commercial Kitchen ❑Yes n 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 EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property i question. If the answer to any question is"yes", applicant must attach supporting documentation. ❑ Yes C e Does the site contain any jurisdictional wetlands? 151, Yes k-' • Does the site contain any existing wastewater systems? ❑ Yes c ► • Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes �C N9 Is the site subject to approval by any other public agency? ❑Yes D- o 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): (sy ms can be ranked in order of your preference) Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other 0 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 EH 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 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 per .nned. The undersigned is the owner of the prop- ty •r l:9,.l gent of the owner. Signature of Owner or Legal Agent Date Printed Name of Owner or Legal Agent / Catawba County Environmental Health ✓ O10 gb •2455 2B 27 381382 • 485 10 N rn 110,00 \II\ 301.34 C7 44141/4 08.2) •2487 45 Parcel: 360802582570, 2475 SPRINGDALE DR lin=50ft NEWTON, 28658 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 05/01/2018 Paxcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 360802582570 Owner: REINHARDT JOBY D Parcel Address: 2475 SPRINGDALE DR Owner2: REINHARDT AMY B City: NEWTON, 28658 Address: 4945 WHITENER RD LRK(REID): 2215 Address2: Deed Book/Page: 3208/1854 City: HICKORY Subdivision: SPRINGDALE State/Zip: NC 28602-7183 Lots/Block: 25/A Last Sale: School Information: Plat Book/Page: 20/15 School District: COUNTY Legal: LOT 25 BLOCK A PLAT 20-15 Elementary School: BLACKBURN SPRINGDALE Middle School: JACOBS FORK Calculated Acreage: .490 High School: FRED T FOARD Tax Map: 002EJ 01025 School Map Township: JACOBS FORK State Road #: TaxNaiue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-20 Building(s) Value: $46,200 Zoning2: Land Value: $12,200 Zoning3: Assessed Total Value: $58,400 Zoning Overlay: Year Built/Remodeled: 1994/ 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#: 3710360800J Building Details 2010 Census Block: 4002 WaterShed: 2010 Census Tract: 011802 Voter Precinct: P3 Agricultural District: PROXIMITY Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County.NC Geospatiat Information Services.Catawba County has made substantial efforts to ensure the accuracy of ocatnn 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. ©2018, Catawba County Government, North Carolina.All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_rcport.php?kcy=360802582570&typ=P 5/1/2018 V PERMIT FEE: P.rl 1/° :: n I� `1 ika .•PEW`fS'f N0. O 0159 �V- PERMIAt VOID AFTER 36 MONTHS CATAWBA COUNTY HEAL II DPARTMENT !/ , IMPROVEMENT ERMIT ,,// OWNER OR CONTRACTOR: 1-Y�(/ d f/,o, p elan', DATE: /$45--- ADDRESS: �v/ Z/r ADDRESS: /. �� PHONE: / LOCATION: 3�.Q- oz- / '�7 CC y SUBDIVISION: loncelek LOTOa a✓ SECTION OR BLOCK: II LOT SIZE: Notified to ch ck with Zoning Yes ( ) No ( ) Coning Approval 6 7n.2--- House ( ) Mobile Home (QQ Business ( ) Other ( ) Flow Rate: gpd Bedrooms: 3 Bathrooms: Z— Special Fixtures: Other: Basement - Yes ( ) No OC) Fixtures in Basement - Yes ( ) No Pump System Yes( ) No kr Garbage Disposal Unit Yes ( ) No (.X) Water Supply: Private ( ) Public (X) TANK SIZE: /ODO gallons Comments/Special Instructions: NITRIFICATION FIELD: Number of Lines Length and width of pines System must be installed as shown. Any (a) Bed System /J X 77-- changes will be made only with prior Health (b) Trench System 36" X Department approval. If unforeseen problems or Trench System 30" X arise during stallat• n, contractor must To al Square Fontage_f 0$U ng2Is_4f_sQDe_ _(Z call He-lth lepartm . I CERIV \ 1 ` tCl.. IIIA VIEWED AND AGREE TO —e�_ ON T "PERMIT. er/Agent Sanitaria, Final approval of this septic ank system shall in no way •e taken as/ guarantee that the system will function satisfactorily for any given period of time. SITE AND SEPTIC TANK PLAN Key ys44.. 31 - — vadat, Lei 6 �° I1 • (Health Department Copy Site Factor: soil. Group Soil Texture Class Application Rate Slope and Landscape Position S - PS - U Soil Drainage S - PS - 0 - Sandy Clay Soil Depth S - PS - U Fine Silt Loam Restrictive Horizon S - PS - U III Loams Clay Loam 0.6-0.4 Available Space S - PS - U Silty Clay Other S - PS - U (Specify) _ Sandy Clay Soil Characteristics: S - .PS'.=;J:. IVa Clays Silty Clay 0.4-0.2 Repair Area Required: Yes ( ) No ( ) Clay *Red systems are allowed only in soil Croon III. ' • ► CAT&W(BA COUNTY HEALTH DEPARTMENT p0.5• 74' /AC Telephope: (828)465-8270 TDD: (828)465-8200 WLS # a005 - v 016 0 Improvement Permit Repair Permit. Operation Permit. System Type Well Permit. Replacement Well Owner/Agent k,...-1v4 r1' Q..e fa- Phone Address a47.35c�aa- Dr 14e,ta4-4n i'4c 0165% Subdivision 30,i. d1e. Section/Block/Phase Lot# O5 Lot Size (D. 4C Directions: I.„.,,,, 10 l..) 1 Ines elt.-.-k L.,r" 5 -k..c ( t Qt t.n+•. S or;4,-..,c/e.,lo.,•Q r. Vs o J Z. c?" L1- Property Address c3`{7S 5o•,i, - .Dr hl a-t,)i-l'f1 N C - Facility: House Mobile Home I Business Multi-family Other: Pin Number 36 0685 b as 7 0 Other . Zoning Approval# #Bedrooms 3 #Seats #Employees . Application Rate , 3 GPD Flow 360 Hot Tub or Spa yes/no Special Fixtures Basement yesfg . 100% Repair Area yes/no Basement Plumbing yea Water Supply: Private Well Public Semi-Public Type of System: Trench Bed j Pump Pump/Panel Panel LPP Other Septic Tank Size x w f• Pump Tank Size - Nitrification Field: Total Square Feet 900 Depth of Stone I%r( r Bed Size is i-1'04 GI Trench Width Total Length of All Trenches Number of Trenches Trench Length / / / / / Feet on Center Maximum Trench Depth a Distance of Nearest Well So 44- *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* *************************************************************************************************************************** Topo 4Y q % Slope , kQ� n z..J rn,n�, I, M t^ Texture SL � l0 5 pc,Nej)s1� 0r . Structure 3b L �- Cr,,M t Clay Min. j; ( G rJ o Y Soil Wetness r Soil Depth 3b''t " r '(� (0 Pr, pr.. r 4-y .�t"i Restric. Hoz. at - f Available space ye no �' —I ti B -� S r � t-r.Ai\ 61 a5 F. 'tc'+'o'\ Overall Class��.J_ �,1. 3 6 R 1-1..,...c.- Comments: \ h N, J J y $,, yzll�� * k sy,+e�• �s 51,110,1 30 .' + \s' Na-..)Bea cis e°'6'° L l CT`' y•ts `� PI tie- \ ' ; 'zC..1\,.._�,( 110M� car fIur'6tnc � , I I;-.,k s �X; ► .1t'� ) a t 1 glo i k,�'1 1 1�,� - '* ka-.&p ti�•►I t 1-4 ( t^ I d r ` r'"\ \ 5\/.5 4-e-1^1 Stch Filter Required A- v ..G�' EXPI 1) Riser required when I tank is more than 6 I inches deep. I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ************************************************************************************************************************ *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for(5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must met state and local regulations,and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed t y site by the Health Department. Q Permit Date o EHS U caner/Agent Septic Tank tailed By V Date EHS Well Installed By Well Grout Approval Date Well Head Approval Date Date Sample Collected Date of Results Results EHS - ,�$A CATAWBA COUNTY �. 100A SOUTHWEST BLVD �, NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT i) PHONE:828.465.8399 Tuesday,May 1,2018 .1 g 2 SM www.catawbacountync.gov Invoice Number: 05-18-352403 Invoice Date: 05/01/2018 EHPR-05-2018-29043 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: , Applicant 'DEAN'S HEAPING&AIR COND.INC,4945 WHITENER RD,HICKORY NC 28602-7183 B:828-322-4328C:(828)234-4328F:7044624131 ACCOUNT:27749 PAYOR: *DEAN'S HEATING&AIR COND. INC FEES EHPR-05-2018-29043 FEE AMT DUE AMT Authorization to Construct(Repair)Fee 05/01/2018 $300.00 $300.00 FEES: $300.00 S300.00 TOTAL FEES: $300.00 $300.00 invoicereceipt 05/01/2018 11:56 Page 1 of I