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HomeMy WebLinkAboutCBPR-06-2022-41344.tif hI`1Y' �G THIS IS NOT A PERMIT Case# CBPR-06-2022-41344 1¢(1" CATAWIIA COUNTY HEALTH DEPARTMENT 1111 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig 2 5M Commercial Building Plan Review- Building Alterations& Additions EXS_SYSTEM Contractor *DTLB GENERAL CONTRACTING LLC (DARRELL BROWN),5645 ROLLINS AVE,CONNELLY SPRINGS NC 28612 13:8289992600 C:8289992600 DTLBLLC@GMAIL.COM Owner KOOI,PARK POOL (GAYI.ENE CARPENTER),2367 24TH ST DR NE,HICKORY NC 28601 NAME TO APPEAR ON PERMIT Kool Park Pool (Gaylene Carpenter) SITE ADDRESS: 3170 31 ST AVE CT NE,HICKORY NC 28601 PIN# 372415630783 NAME of SUBDIVISION: Lot#__ Section/Block PROPERTY SIZE: Square Feet 654,271.20 Acres 15.02 DIRECTIONS: PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Private Well DESCRIBE WORK: Kool Park Pool Building Remodel existing septic drain fields inspected for new restroom renovations. Swimming pool will remain the same. 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? Yes Are there any easements or right-of-ways on this property? Yes APPLICATION FOR: Existing Structure STRUCTURE TYPE: **NO STRUCTURE SELECTED"* FACILITY TYPE: Other OTHER DESCRIPTION:Public Swimming Pool DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 94'4"x 49'5" NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: ehnpplicrtnm 06/13/2022 10:43 Page 1 of3 CATAWBA COUNTY Case# CBPR-06-2022-41344 Public Health Department t"• Subdivision Environmental I lealth Division f'[Nfl 372415630783 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 8 w NAME ON PERMIT: KOOL PARK POOL (GAYLENE CARPENTER),2367 24TH ST I)R NE,HICKORY NC 28601 Kool Park Pool (Gaylene CarpE Site Address: 3170 31ST AVE CT NE,HICKORY NC 28601 Property Size: Square Feet 654,271.20 Acres 15.02 Directions: 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 owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA2 FEENAME DATE FEE AMOUNT Existing Tank Check Fee 06/10/2022 $80.00 TOTAL FEES $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) chapplicatiun 06/13/2022 10:43 Page 2 of 3 1.1 111." Catawba county L/1.3111 - 4-ItLQatiip11° public health 4-s • ,lSo Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: New Construction ®Existing Facility ❑Improvement Permit ®Authorization to Construct ❑New Septic ❑Septic Repair/Malfunction 0 Septic Relocation ®Septic Expansion Existing System Inspection or Reconnection ❑New Well ❑Replacement'Well 0 Well Abandonment 0 Well Repair Property Address 3170 31st Ave Ct NE Hickory, NC 28601 Acres Subdivision Lot# Driving Directions to Property Kool Park road turn right on 28th Street NE turn right on 31st Ave Ct NE Describe work Existing septic drain fields inspected for new restroom renovations . Applicant Name DTLB General Contracting, LLC d `b)Ic'g rNki.J Applicant Address 5645 Rollins Ave Connelly Springs, NC 28612 Phone 828-764-1072 I Cell Phone 828-764-1072 Owner Name Kool Park Pool (Gaylene Carpenter) Owner Address 2367 24th St Dr. NE Hickory, NC 28601 Phone 828-661-1439 Cell Phone 828-661-1439 Contractor Name DTLB General Contracting, LLC License# 84913 Contractor Address 5645 Rollins Ave Connelly S rin s NC 28612 Phone 828-764-1072 Cell Phone 828-764-1072 ii- Name to Appear on Permit? ® Owner ❑Applicant ❑Contractor Who will be the Primary Contact? LI Owner 0 Applicant ®Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Accessory Dwelling #of New Bedrooms it #of Occupants Structure Dimensions Basement ❑Yes ❑No Basement Plumbing ❑Yes ❑ No Accessory Structure(s)Describe Stnrcture(s)Dimensions Plumbing ❑Yes 0 No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions Basement ❑Yes ❑ No Basement Plumbing El Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type 0 Individual Well 0 Semi-Public Well 0 Community Well Abandonment Type D Drilled D 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?❑Yes ❑No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 : Existing Structures on Site f Describe Structure Dimensions #of Bedrooms* #of Occupants 5 Basement 0 Yes ❑ No Basement Plumbing ❑Yes ❑ No i 7 Existing Water Supply ❑Individual Well ❑ Shared Well-Number of Connections 0 Community Well ❑ County/City/Township Water Line I Is a public water supply available?** 0 Yes ❑No i Commercial El Proposed New Construction ®Existing/Change of Use El Repair i Food Service Specify Type € #Seats Dining Area(Sq.Ft.) 3 #Employees per Shift #of Shifts Church #of Seats Daycare❑Ycs ❑No it of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑No Residential Kitchen ❑Yes ❑No • Daycare#of Children #of Employees per Shift #of Shifts • Business/Other Specify Type Kool Park Pool Structure Dimensions t Retail Floor Space #of Employees per Shift #of Shifts Other Information 1 , 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 in I question. tithe answer to any question is"yes",applicant must attach supporting documentation. ❑Yes IS]No Does the site contain any jurisdictional wetlands? I ❑Yes El No Does the site contain any existing wastewater systems? ❑Yes ®No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes ID No Is the site subject to approval by any other public agency? ❑Yes Cl9 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) 1 T ❑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 pennit i 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. a **If No,a well permit must be issued with the Authorization to Construct. P. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) 4 Completed applications are valid for a period of 2 years.Improvement Permits are valid;with complete site plan=60 months(5 years); a with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An t Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Pennits 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. k i 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. 1 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. k n r The undersigned is the owner of the property or legal agent of the cr. e t i? Signature of Owner or Legal Agent \ `• `_r _ Date /f O / Z Printed Name of Owner or Legal Agent \ 044%1-L- R • Z(Lot..N R f I Catawba County Environmental Health 4� 210 _ 1'�E3,7 ; 34TN AVE.NE (•" ) • 111L—o '1 15 lc `'0 CDa304; i i311: .• a •3331 (1 �1 - 3330 I 1 87 .1r,„ ." .0 1a (2 ce �i ` r <�a • y i` . 61 .30 , F.74, . )3320 : li # r 1t O 1 a: ° -, iiialt: .-.. .t, Li 33RD AVE NE i 4 ,AL.,- 1. tR R . = i__,•'3,026 0 ila. ell .,W r-- 8 167,5 186 6 �J 1. 0 c-—3240 3 ❑ FL/ - . U� -"Oil :. 3 3220 - "- 429.06 R3212 r 0.52111 ( , ) , r �� 275.. ' • 0 •3221 ( I)1 I t J ,,~ o �i 3202 Q it L\ [[// 275.bco .tt f '3) •3160 3, _U /Vf I Is i'c'4° wg.97 1 �' 3 •3205 a1 ('°21 1 70 2437.20 to 60 , 3152 •2923 ED �� n 53 [121.25-31S1 AVE CT NE - • 142 sg 5.9 3 510.36 4559.6,9 1:::, .; .8u 68. 7 a'.1 . 0 lilik ,, 3108 97 D , IWO'. •I ►I liorr •2805 1 . ...* • • •• �1 6 • 30,.55 025t ' Parcel: 372415630783, 3170 31ST AVE CT NE 1 in=300ft HICKORY, 28601 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. Coovriaht 2021 Catawba County NC Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372415630783 Owner: CARPENTER CLARENCE RALPH Parcel Address: 3170 31ST AVE CT NE Owner2: CARPENTER GAYLENE BILLINGTON City: HICKORY, 28601 Address: PO BOX 2556 LRK(REID): 49624 Address2: Deed Book/Page: 3219/0890 City: HICKORY Subdivision: State/Zip: NC 28603-2556 Lots/Block: / School Information: Last Sale: School District: COUNTY Plat Book/Page: Elementary School: SNOW CREEK Legal: Middle School: ARNDT Calculated Acreage: 15.020 High School: ST STEPHENS Tax Map: 1400 00011C School Map Township: CLINES State Road #: 1502 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoningl: R-20 Building(s)Value: $94,500 Zoning2: Land Value: $117,600 Zoning3: Assessed Total Value: $212,100 Zoning Overlay: Year Built/Remodeled: 1947/ Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710372400J If available, Building Permits for this parcel. Septic 2010 Census Block: 2020 links are not permits. 2010 Census Tract: 010301 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: Voter Precinct: P29/ Voting Map 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. ©2022, Catawba County Government, North Carolina.All rights reserved. Julia English From: Julia English Sent: Friday, June 10, 2022 3:50 PM To: Megen McBride Subject: FW: Kool Park Pool Environmental Health Septic System Check VWMCOS mer\ Also,what am I putting for GPD? Leave it blank for now? • I� �o(! F5 -►al( �� S I q.. �c� v�l r� Did you get the same counts as I did? 't ks We*-cIun nA IIu 3 — 11/merS 1 Si h Julia English Administrative Assistant II PO Box 389 125 Government Drive, Newton, NC 28658 (828)465-8270 office iA-O6-v[ Ice Maier (828) 465-8276 fax 2- (C ff, 040(5I-f-( r https://www.catawbacountync.gov/county-services/environmental-health/ "G(Ctee 5r.r, l~ We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tomese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol catawba county MAKING. LIVING. BETTER. Confidentiality Statement:The information contained in electronic transmissions is confidential and may be subject to protection under the law,including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are hereby notified that any use,distribution or copying of the message is strictly prohibited.If you received a message in error, please contact the sender immediately by replying to the e-mail and delete the material from any computer. From: Megen McBride<MMcBride@CatawbaCountyNC.gov> Sent: Friday,June 10, 2022 2:33 PM , xl`sf r✓z1G ... To:Julia English <JENGLISH(5catawbacountync.gov> Subject: RE: Kool Park Pool Environmental Health Septic System Check No, that should be it. J W M MI(1G e 6e1 W 1 << rovt0.j vt I he- Guess start it as a cbpr and let Seth know. Camt-- i CATAWBA COUNTY 100A SOUTHWEST BLVD 4.141 ■ NEWTON, NORTH 828.465(R399A 28658 RECEIPT � 7 Monday,June 13, 2022 1 Z SM www.catawbacountync.gov PAYOR: *DTLB General Contracting LLC *D'I'LB(ieneral Contracting LLC(Brown,Darrell) PAYMENTS TRANSACTION NUMBER: TRC-41576958-13-06-2022 PAYMENT DATE: 06/13/2022 PAYMENT TYPE: Credit Card 291164729 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-22-407703 110-580200-663000 Existing Tank Check Fee $80.00 TOTAL PAYMENTS: $80.00 CBPR-06-2022-41344 CASE TYPE: Commercial Building Plan Review WORK CLASS: Building Alterations&Additions SITE ADDRESS: 3170 31 ST AVE CT NE,HICKORY NC 28601 Owner KOOL PARK POOL,2367 24TH ST DR NE,HICKORY NC 28601 Contractor *DTLB GENERAL CONTRACTING LI,C,5645 ROLLINS AVE,CONNELLY SPRINGS NC 28612 B:8289992600C:8289992600 DTLBLLC@GMAIL.COM **NO PEOPLESOFI ACCOUNT ASSIGNED** receipt 06/13/2022 10:41 Page 1 of 1