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HomeMy WebLinkAboutEHPR-07-2022-41685.tif CV?' THIS IS NOTA PERMIT Case# EHPR-07-2022-41685 AIL ? CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • 1g 2 sa Environmental Health Plan Review-OSWP IMPROVEMENT IS It gedi scd Applicant SHELIA LINEBERGER,5073 S NC 127 HWY, HICKORY NC 28602 H:704-462-0400 HOME:704-462-0400 STANGSTOMPER68aHO'I'MAILCOM Paid By CALEB LINEBERGER,5073 S NC 127 HWY,HICKORY NC 28602 NAME TO APPEAR ON PERMIT , SHELIA LINEBERGER ( SI E ADDRES . 5079 S NC 127 HWY,HICKORY NC 28602 PIN # 269913243279 of SUBDIVISION: Lot Si Tract A Section/Block PROPERTY SIZE: Square Feet 93,392.64 Acres 2.144 DIRECTIONS: 127 S,on right before Greedy Hwy PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: .360 WATER SUPPLY: Public Water DESCRIBE WORK: IP Only for property subdivision 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 40 x 60 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? 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: chapplicatiun 07/182022 15:36 Page 1 of3 gA • THIS IS NOTA PERMIT Case# EHPR-07-2022-41685 LAIL �-1 CATAWBA COUNTY HEALTH DEPARTMENT U\® 'C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8 2 sa Environmental Health Plan Review-OSWP IMPROVEMENT Applicant SHELIA LINEBERGER,50735 NC 127 HWY,HICKORY NC 28602 H:704-462-0400 HOME:704-462-0400 STANGSTOMPER68 r@HOTMAILCOM Paid By CALEB LINEBERGER,5073 S NC 127 HWY,HICKORY NC 28602 NAME TO APPEAR ON PERMIT . SHELIA LINEBERGER SITE ADDRESS: S NC 127 HWY,HICKORY NC 28602 PIN# 269913243279 NAME of SUBDIVISION: • Lot TractA Section/Block PROPERTY SIZE: Square Feet 93,392.64 Acres 2.144 DIRECTIONS: 127 S,on right before Greedy Hwy PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: IP Only for property subdivision 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: • New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 40 x 60 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? 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: • cliapplication 07/18/2022 13:53 Page 1 of3 • ' a CATAWBACOUN'I'Y Case# EHPR-07-2022-41685 Lida .ePublic Health Department Subdivision `�� � "I Environmental Health Division PIN# 269913243279 \ _ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �53 sw NAME ON PERMIT: (SHELIA LINEBERGER),5073 S NC 127 HWY,HICKORY NC 28602 ( SHELIA LINEBERGER) Site Address: S NC 127 HWY,HICKORY NC 28602 • Property Size: Square Feet 93,392.64 Acres 2.144 Directions: 127 S,on right before Greedy Hwy 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: /1 Signature of Applicant or A t If you need further information or assistance please call 828- 65-8270 AREA1 ti#tkkkMi#1<k}444}************##4##*Ykk*k4************t******!##t*tt4#t4#Y•#t 4f 44 k 44#t k F R}}4}Rk t{ki#4******* +c "^ `i. &A t"m "'�*"t".qt' tagri-�. .li„p�`'�-. e` w �liar �- �q x 'S . FEFNAME r"4+ '" � LL � "'.y'ta,� ; 'TM r§' tr'` w^DATEr?. FEE AMOUNT] Improvement Permit Fee 07/18/2022 $150.00 y ET *$ "1 OTAet.tES`'" ,fie , 0 frfri -;y u, b` s ew'. $. +' lY ..,.' 11 Y M .x n -r•sz.$150 00�.vy :`.. .}.,'Xa .y a,,' ` ...:F'sr.:r=.:.ex ab"...2,4 naa[ i3*'F•"B' 'ys g 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) ehappliemion 07/18/2022 13:53 Page 2 of3 Julia English • • From: Katherine Smith Sent: Monday, July 18, 2022 2:36 PM To: Julia English Subject: RE: 5073 S NC 127 HWY - The new address for the 2 acres will be 5079 S NC 127 HWY, Hickory NC, 28602. Thank you, Katherine Smith F-9I.I ADDRESSING COORDINATOR Catawba County Government Center 25 Government Drive, Newton, NC 28658 Office 828.465.8147 ea county :MAHING LIVING' BFTII g. CONFIDENTIALITY STATEMENT: This electronic communication is frornCATAWBA COUNTY and is confidential,privileged and intended only for the use of the recipient named above.If you are not the intended recipient or the employee or agent responsible for delivering this information to the intended recipient,unauthorized disclosure,copying,distribution or use of the contents of this transmission is strictly.prohibited:If you have received this message in error,please notify the sender immediately at the following email ksmith@catawbacountync.gov From:Julia English <JENGLISH@catawbacountync.gov> Sent: Monday,July 18, 2022 1:45 PM To: Katherine Smith <KSmith@CatawbaCountyNC.gov> Subject: 5073 S NC 127 HWY They are cutting off 2 acres to the south of the existing house with 185' of road frontage. Need a new address please. Parcel ID: 26991 3243279 LRK/REID: 4574 5073 5 NC 127 HWY HICKORY,28602 LINEBERGER SHELIA T Julia 'English Administrative Assistant II PO Box 389 125 Government Drive, Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax htt as://www.catawbacountvnc.Rov/county-services/environmental-health/ 1 a catawba county public health Application for Environmental Health Services THIS I NOT A PERMIT ll ".:4 'iti:g; sli5^ _>lil ialitai'ApplicationnscfOiliCr iir New'Constructions.ci❑Ezisting;Facthty:s.,, ,.; ; .;.. k ,,.:,,-tv`.;:rr r 7.. Improvement Permit ❑ Authorization to Construct DNew Septic ❑ Septic Repair/Malfnnction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ❑Well Abandonment ❑Well Repair Property�Addrf$s 1 64 Acres9 Subdivision Lot# Driving Directions to Property Describe work i l? or,14 Rrrtu v{ sukrko`c hAl Applicant Name gie, I G t-41 e.4• Applicant Address �7 A fC irk y/ Phone 709-Lu- 0 00 o Email A 8.[O,IojcTiMper68gh MPA./oc[NV) Owner Name tch�/� �I�� / Owner Address if/ y Phone 704-L( -r M Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? 0/Qwner ❑Applicant ❑ Contractor Who will be the Primary Contact? /Owner ❑Applicant ❑ Contractor !Fil siF,01ew.Construc our Res�tlenUall°}}3- `. i 1 ty,� 41;i: i i ....P _ . .6 !. .. ...... a}1. `��� �"ex`�''�l�t'7'_`lY,:-, ?Fw.'�Fii �'"f n'��V. Yh�i."m,.�,.ur�i..`,�t` �rsi�.: ;. .`` Primary Residence 'NNe_ w Residence ❑ Addition to Residence #of New Bedrooms*j' 3 #of Occupants a Project Description 'I...rL,-l� .i�5�� Structure Dimens}je�ns,also specify dimensions of decks&porches 4060 EX (Choose One) IfrBasement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement (t�'Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No _ Accessory Structure(s)Describe - Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑ Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑ Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No A/10 Consiruchon/Abandonme li airs", rta'tir!- �al;7j '44 "ribl._�= m ,,',i�, �ft"tf' �:t$~r' x7�n "".¢�x'«K tv.-_____ ..�._`_ _-. -._... .._.. lR r�x i.A . nK�k'.(ar- x - ��� hit '_A;.. rxii :.i��+Ytj5fi.44.�u*,. Proposed Well Type ❑ Individual Well ❑ Semi-Public Well . 'D 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?❑Yes ❑No • Environmental Health Catawba County Government Center, 25 Government Drive I PO. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Structure Dimensions #of Bedrooms* #of Occupants • Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Eatshn Water'Su 1 • a ..r r } � , .. .. . . . . I:t' .. �.P;�>�� c H ),fin: . -. ❑ Individual Well ❑ Shared Well—N nber of Connections , 0 Community Well ElCounty/City/Township Water Line Is a public water supply available?** Yes ❑No Commercial aprOpftseit New,Coustruction ❑,Existing/,Change;oLUs '"n]i epaLr,i�w,4rti' t4a w, , i ,49;t y>j tkitri :24;44 Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts • Church #of Seats Daycare❑ Yes ❑No #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 Structure Dimensions Retail Floor Space #of Employees per Shift' #of Shifts Other Information Calculated Design Flow,Commercial j (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 question. IfIvanswer to any question is"yes",applicant must attach supporting documentation. ❑Yes I2'No Does the site contain any jurisdictional wetlands? ❑ Yes ry Does the site contain any existing wastewater systems? • ❑Yes 9-IVy/ Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes DYlje" Is the site subject to approval by any other public agency? ❑Yes 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): (systems can be ranked in order of your preference) ❑Accepted 0 Alternative 0 Conventional• 0 Innovative ❑ Other ❑ 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. j 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) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems. Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years.hinprovement 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 prop or legal agent oft owner. F na Signature of Owner or Legal / - Date 7 /0 Printed Name of Owner or Legal Agent (h2 o • rho e .r • Catawba County Environmental Health (303) 4 ? . 1151 01\ � J 0 120.00 (271) 221 N 347.31 Z V • 3 sP Ps (38 0 r.03 t.iu .. 620 Parcel: 269913243279, 5073 S NC 127 HWY 1in=100ft 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 07/18/2022 Parcel Report - Catawba County NC • Parcel Information: Owner Information: Parcel ID: 269913243279 • Owner: LINEBERGER SHELIA T • Parcel Address: 5073 S NC 127 HWY Owner2: City: HICKORY, 28602 Address: 5073 S NC 127 HWY LRK(REID): 4574 Address2: Deed Book/Page: 2151/0444 City: HICKORY Subdivision: State/Zip: NC 28602-9307 Lots/Block: A & B/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 47/152 Elementary School: BANOAK . Legal: LOT A & B PL 47-152 Middle School: JACOBS FORK Calculated Acreage: 4.930 High School: FRED T FOARD Tax Map: 005 B 03004A Township: BANDYS School Map State Road #: 127 Tax/Value 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: $185,000 Zoning2: Land Value: $34,700 Zoning3: Assessed Total Value: $219,700 Zoning Overlay: WP-O Year Built/Remodeled: 1983/ Small Area: MOUNTAIN VIEW 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 #: 3710269900J If available, Building Permits for this parcel. Septic 2010 Census Block: 1030 links are not permits. 2010 Census Tract: 011801 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: WS-III Protected Area Voter Precinct: P24/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 tho 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. • 4.#,A CATAWBA COUNTY 25" fin 100A SOUTHWEST BLVD NEW-1'ON,NORTH CAROLINA 28658 RECEIPT ,fir PHONE:828.465.8399 !e Monday,July 18,2022 �1842 5M www.catawbacountync.gov PAYOR: Lineberger,Caleb PAYMENTS TRANSACTION NUMBER: TRC-43643772-18-07-2022 PAYMENT DATE: 07/18/2022 PAYMENT TYPE: Credit Card 292562579 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 07-22-409248 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 • EHPR-07-2022-41685 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: S NC 127 HWY,I-IICKORY NC 28602 Applicant SHELIA LINEBERGER',5073 S NC 127 HWY,HICKORY NC 28602 H:704-46270400 STANGSI'OMPER68 a HOTMAILCOM Paid By CALEB LINEBERGER,5073 S NC 127 HWY,HICKORY NC 28602 **NO PEOPLESOFT ACCOUNT ASSIGNED** • receipt 07/18/2022 13:55 Page 1 of 1