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RBPR-07-2022-41539.TIF
t,M11111141 �� THIS IS NOT A PERMIT Case# RBPR-07-2022-41539 dyCATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /$ 2 SM Residential Building Plan Review-Accessory Structure IMPROVEMENT qJ) I)) Pet/ sid da e1 Applicant LORETTA JUSTICE,5132 BUTNER DR,I-IICKORY NC 28602 C:8289897712 LORETTAJUSTICEa,IIOTMAIL.COM Owner JOI IN CALABRESE, 1419 RED MOUNTAIN DR 86,LONGMONT CO 80504 C:828-989-77I2 NAME TO APPEAR ON PERMIT JOHN CALABRESE SITE ADDRESS: 5132 BUTNER DR,HICKORY NC 28602 PIN# 360902988731 NAME of SUBDIVISION: JACOBS VIEW Lot It 37 Section/Block PROPERTY SIZE: Square Feet Acres 0.47 DIRECTIONS: 5132 Butner Dr, Hickory PRIMARY CONTACT: Owner SEW : a • • Septic Tank GALLONS PER DAY: 360 •ommunity Well DESCRIBE WORK: 8/22/22 REVISE BUILDING SIZE TO 12 X 24 SEE NEW SITE PL N _ • relocate septic repair area// Constructing a 10x20 prebuilt shed 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF 51x57 3 bedroom sfd EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 12 X 24 shed Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: chapow•at,m 09/29/2022 16:08 Page I of3 • • THIS IS NOT A PERMIT Case it RBPR-07-2022-41539 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 411- sw Residential Building Plan Review-Accessory Structure IMPROVEMENT Jz /zZReutd Appiiclrnt LORETTA JUSTICE,5132 BUTNER DR,HICKORY NC 28602 C:8289897712 LORETTAJUSTICE IIOTMA1L.COM Owner JOHN CALABRESE, 1419 RED MOUNTAIN DR 86,LONGMONT CO 80504 C:828-989-7712 NAME TO APPEAR ON PERMIT JOHN CALABRESE SITE ADDRESS: 5132 BUTNER DR,HICKORY NC 28602 PIN tp 360902988731 NAM of SUBDIVISION: JACOBS VIEW --_-- Lot k 37 NAME Section/Block PROPERTY SIZE: Square Feet Acres 0.47 Y� DIRECTIONS: 5132 Butner Dr.Hickory PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS P ; '•Y: 360 WATER SUPPLY: Public Water -CRIBE WORK- 8/22/22 REVISE BUILDING SIZE TO 12 X 24 SEE NEW SITE PLAN IP to relocate septic repair area/1 Constructing a 10x20 prebuilt shed 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF 51x57 3 bedroom ski EXISTING STRUCTURES ON SITE(IF ANY} DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 %OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUC M:: 12 X 24 shed Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED, ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 0r22I2072 10 47 Ihgte I of 3 • .4,,,,Si4Mit.j CATAWBA COUNTY case a RBP R-07-2022-41539 Public Health Department {� Subdivision JACOBS VIEW g(...� ,s Environmental Health Division PINK 360902980731 SE / PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JOIM CALABRESE),1419 RED MOUNTAIN DR 86,LONGMONT CO 80504 (JOHN CALABRESE) Site Address: 5132 BUTNER DR,HICKORY NC 28602 Property Size: Square Feet 0.47 Acres.-...__ Directions: 5132 Butner Dr.Hickory Completed appticallons 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 applimtianlsite plan changes or ff 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 lawn 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. 0241-2- •�llatc: Signature of Applicant or '��� I1 you need further information or assistance pleas' : ' 465.8270 AREA1 FEENAME DATE FEEAM9UNT Improvement Permit Fee 07/01/2022 $150.(10 TOTAL FEES 5150.00 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) ds:y.phc:e I:n: 08/22/2022 1047 Pees 2 of 3 Catawba County Environmental Health / (( S/3ifJ3 ,...----<-0'5 \\\,7 jet tF 127.30 •5131 5154 re A\ e s ,,, \ ,,,,, 1''''', c‘.1. -' crr (.2 •5140 -j 122.40 •5132 `Ey (::> lez •5124 0IP �i •Soto Cc> ..):.t. /1://511\2> \/ .-0' 'cep 1t 130. 1�h' •5018 •S02 •c:,.A / Parcel: 360902988731, 5132 BUTNER DR 1 in=60ft 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 2021 Catawba County NC 08/22/2022 / $A •� THIS IS NOTAPERMIT Case# RBPR-07-2022-4 1 5 3 9 1111 d CATAWBA COUNTY HEALTH DEPARTMENT kmin O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1-842 sM Residential Building Plan Review-Accessory Structure IMPROVEMENT 6, z'/ZZ /?ev Applicant LORETTA JUSTICE,5132 BUTNER DR,HICKORY NC 28602 C:8289897712 LORETTAJUSTICE a HOTMAIL.COM Owner JOHN CALABRESE, 1419 RED MOUNTAIN DR 86,LONGMONT CO 80504 C:828-989-7712 NAME TO APPEAR ON PERMIT JOHN CALABRESE SITE ADDRESS: 5132 BUTNER DR,HICKORY NC 28602 PIN# 360902988731 NAME of SUBDIVISION: JACOBS VIEW Lot# 37 Section/Block PROPERTY SIZE: Square Feet Acres 0_47 DIRECTIONS: 5132 Butner Dr,Hickory PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PE; • Y: 360 WATER SUPPLY: Public Water • CRIBE WORK- 8/22/22 REVISE BUILDING SIZE TO 12 X 24 SEE NEW SITE PLAN IP to relocate septic repair area II Constructing a 10x20 prebuilt shed 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF 51x57 3 bedroom sfd EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCT M:: 12 X 24 shed -Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 08/22/2022 10:47 Page 1 of 3 3 CATAWBA COUNTY Case# RBPR-07-2022-41539 Public Health Department Subdivision JACOBS VIEW Q _ ,� Environmental Health Division PIN# 360902988731 �J PO Box 389,100-A Southwest Blvd,Newton,NC 28658 8 2 s. NAME ON PERMIT: (JOHN CALABRESE), 1419 RED MOUNTAIN DR 86,LONGMONT CO 80504 (JOHN CALABRESE) Site Address: 5132 BUTNER DR,HICKORY NC 28602 Size: Square0.47 Property Feet Acres Directions: 5132 Butner Dr, Hickory 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 AREA1 ********************************************t*********+*********************************.******************* FEENAME DATE FEE AMOUNT Improvement Permit Fee 07/01/2022 $150.00 TOTAL FEES $150.00 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) 08/22/2022 10:47 Page 2 of 3 CATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465-8270 TDD: (704) 465-82000 1 4 } (� Improve. Permit Kiuthorization to Construct iRepa_ir Permit Oper. Permit S ystem Typl� Owner/Agent t)(,i�r L Phone 3 y - Address P o s t3oic RI to Subdivision -3-A- a g5 V re.A....: (4-(C Section/Block/Phase Lot# 3'7 Lot Size : 5-1y(, 's Directions: 10 LJ © r Gl. CQ 0 ca g.5 U r-ez, ( r $t aci 45 Q l " Qd+ y Ci}- L 5(3a gknverz (a-f Facility: House IX Mobile Home Business . Other: Tax Map # 1' IL+- { —.5 !3 Multi-family Other . Zoning Approval # ai.905�5 `) # Bedrooms 3 # Seats # Employees . Application Rate ,, y GPD Flow 34 Hot Tub or Spa yes/lp Special Fixtures . 100% Repair Area yes/no Basement yes/n(9 Basement Plumbing yes/no Water Supply: Private Well Public )G' Type of System: Trench 'Y Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size (a737J r°r I Pump Tank Size Nitrification Field: Total Square Feet el at) Depth of Stone k Z Bed Size Trench Width 36, Total Length of All Trenches dm Number of Trenches 3 Individual Trench Length tro / h1Z) / fCO/ / Feet on Center 9 Maximum Trench Depths) ' Distance of Nearest Well t97) *DO NOT INSTALL WHEN WET* Topo //-y/ % Slope ti/f Texture C�n-yoy ! • Structure /5GO't07 ',.. �,e`` Clay Min. /;/ \ \\`N ►/�w� Soil wetness 7-5 \ \ Soil Depth y`fIr" 1 CJ\ Restric. Hoz. at �—"- I \ Or-5Available space .1,2P/no Overall Class S 4PPU Comments: t--3d '-~l • ly , • So dim 50c Ra.nur--72- **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. Permit Date /-- -�''7� Owner/Agent L "f' Sanitarian Installed B. 0, Date 9.- 1/*^"1 ? Sanitar n /