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HomeMy WebLinkAboutEHPR-08-2022-41979.tif TIIIS IS NOT A PERMIT Case# EHPR-08-2022-41979 CATAWBA COUNTY HEALTH DEPARTMENT 115 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 w Environmental Health Plan Review-Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION Applicant *FOOTHILLS SEPTIC&GRADING LLC (BRANDON JANYSSEK),2819 SIGMON DAIRY RD, NEWTON NC 28658 C:8283085994 FOOTHILLSSEPTICGRADING@GMAIL.COM Owner DAVID KANUPP,3156 LUTZ BLVD,NEWTON NC 28658 NAME TO APPEAR ON PERMIT David Kanupp SITE ADDRESS: 3156 LUTZ BLVD,NEWTON NC 28658 PIN# 371116826611 NAME of SUBDIVISION: Lot# _ Section/Block PROPERTY SIZE: Square Feet 128,937.60 Acres 2.96 DIRECTIONS: Startown Rd, Robinwood Rd,right Lutz Blvd on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: septic repair, backing up in house 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 residence EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 90 x 54 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: PROPOSED CONSTRUCTION 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: YES OTHER: INNOVATIVE: ANY: Other described: .l;:q•,,I:..:r.:.: 08/17/2022 08:19 Page 1 of6 e. . CATAWBA COUNTY Case# EHPR-08-2022-41979 i � Public health Department 2 Subdivision Q -4 Environmental Health Division PIN# 371116826611 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /g w NAME ON PERMIT: (DAVID KANUPP),3156 LUTZ BLVD,NEWTON NC 28658 (David Kanupp) Site Address: 3156 LUTZ BIND,NEWTON NC 28658 Property Size: Square Feet__ 128,937.60 Acres 2.96 Directions: Startown Rd,Robinwood Rd,right Lutz Blvd 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 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 Authorization to Construct(Repair)Fee 08/17/2022 $300.00 TOTAL FEES S300.00 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) 08/17/2022 08:19 Page 2 of6 1.A a public h `. ,. l ����: : q!f� e) health II Application for Environmental Health Services THIS IS NOT A PERMIT A. .!tuition is for: ■ New Construction ■ ExIstin• Facil 0 Improvement Permit 0 Au . , ation to Construct ONew Septic La eptic Repair/Malfunction ❑Septic Relocation 0 Septic Expa' ion ❑Existing System Inspection or Reconnection ❑New Well ❑Replacement Well Property ❑Well Abandonment ❑Well Repair P Address (AL Acres Z �l`_ Subdivision t�� i' rty Drivin.Directions to Property _ ..Gl w 'L 1) Lot# A. .licant Contact Information II 0 �' Address I Phone OOwner' Con�tact Information Cell Phone I I TI Address Phone Contractor Contact Information Cell Phone I Name �ji f Address Phone Name to Appear on Permit?; Cell Phone I Who to the Primary Captact? •caner ❑Applicant 0 Contractor ❑Owner 0 Applicant ❑Contractor Exi g Structures on Site? 11.111111.111.1111111 El Yes 0 No If yes describe 4 of Bedrooms* j #of Occupants Structure Dimensions Basement - es Existing Water Supply O No Basement Plumbing ❑yes• ❑ No I � ; 0 Individual Well 0 Community Well ! County/City/Township Water Line111111111.1111111111111 Is a public water supply available?** Well Construction/Abandon>(nient/Repair Y� 0 No Proposed WeII Type ❑ Individual Well 0 Semi-Public Well Community Well Abandonment Type 0 Drilled Well Repair Requested ❑ Bored ❑ Dug❑ Unknown No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?[]Y-• []No cats w►'l)c cou tync.g0, r;ilairontrrenial tienh a i Combo County Government Center 25 Government Drive I PO Box 389 I Newton NC 2865B 1828.465.8270 i Proposed New Construction-Residential Primary Residence ❑ New Residence � Project Description 0Addition to Residence #of New Bedrooms �fi Structure Dimensions I Basement #of Occupants 0 Yes El No Basement Plumbing Accessory Structure(s)Describe Yes ❑ No j Plum bin Structure Dimensions g ❑Yes ❑No Describe Plumbing Needed Accessory Dwelling 0 yes ❑No #of New Bedrooms *t ' ---� Proposed New Construction-CommercialIIIIIIIIIIIIIIIIIIIIII #of Occupants Food Service Specify Type #Seats---,, Floor Space-Entire Food Service Facility(Sq.Ft.) I #Employees per Shift #of Shifts Dining Area(Sq. Ft.) li Business/Other Specify Type Retail Floor SpaceStructure Dimensions �—#of Employees per Shift If Church#of Seats Commercial Kitchen #of Shifts If Daycare,#of Children ❑Yes ❑No If Multi-Family Residence,#of Apartments #Bedrooms per Apartment*f Total#BeBroomst Other Information Calculated Design Flow,Commercial f The Applicant shall notify the local health department (This value will be determined by EH staff)I �If the swer to any upon submittal of this application if any of the followin apply to the property question.Yes o question is"yes",applicant must attach supporting documentation. g pp Y p p in 0 Yes - Does the site contain any jurisdictional wetlands? Does the site contain any existing wastewater systems? ■ Yes yjs anywastewater going to be generated on the site other than domestic sewage? ❑ Yes goo Is the site subject to approval by any other public agency? I, ❑Yes o Are there any easements or right of ways on this property? f If applying for an Improvement Permit or Authorization to Construct,Pleasecl Indicate Desired Syste. (systems can be ranked in order of your erence) Y Type(s): 0 Accepted ❑Alternative 0-Conventional 0 Innovative 0 Other 1 0 Any "Any room that will be intended for sleeping at the time of construction or for future consideration should b noted as a bedroom and c on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedrom at the time of buildinge issuance. This may prevent the need for septic system expansion in the future. counted t If stricture is plumbed butlhas no bedrooms,calculated design flow will be determined by EH Staff. permit **If No,a well permit must be issued with the Authorization to Construct. SF.E SCHEDULE RETRIP TO TIlE PROPERTY AND/OR SYSTE REDESI N WILL INCU A ADDITIONAL HARGE FEE Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site Ilan=60 months(5 years); •with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improve' ent Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked -f the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoke 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 corregl. Authorized county officials are granted right of entry to conduct necessary inspections to determine compliance with appli c able laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines ai corners and makto in he site state accessible so that a complete'site evaluation can be performed. The undersigned is the owner of the ro I p pe rty or le ent of the owner. • Signature of Owner or Legal Agent Printed Name of Owner or Le g gal A ent n��zt Date // /ZZ� c,ts II Jr f x � � v Catawba County Environmental Health 230.00 •312821 I I • v7 pO 0 1 21g1 0 •3156 20() ,egg ,�0 • S•3196 l �V ,r�021 f ••.75 •31351 •31 , Parcel: 371116826611, 3156 LUTZ BLVD 1 in=100ft 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 2021 Catawba County NC 08/17/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371116826611 Owner: KANUPP MARTIN DAVID Parcel Address: 3156 LUTZ BLVD Owner2: City: NEWTON, 28658 Address: 3156 LUTZ BLVD LRK(REID): 57824 Address2: Deed Book/Page: 3751/0427 City: NEWTON Subdivision: State/Zip: NC 28658-8344 Lots/Block: / School Information: Last Sale: School District: COUNTY Plat Book/Page: Elementary School: BLACKBURN Legal: Middle School: JACOBS FORK Calculated Acreage: 2.960 High School: FRED T FOARD Tax Map: 169H 01026A School Map Township: HICKORY State Road #: 1245 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: HICKORY RURAL Zoningl: R-20 Building(s) Value: $149,600 Zoning2: Land Value: $28,800 Zoning3: Assessed Total Value: $178,400 Zoning Overlay: Year Built/Remodeled: 1968/ 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 #: 3710371100J If available, Building Permits for this parcel. Septic 2010 Census Block: 3009 links are not permits. 2010 Census Tract: 011102 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details y'� WaterShed: ! ' v pikriut-huiluci Voter Precinct: P35/ 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 Goospatial 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. CAI'AWBA COUNTY ;'4"' 100A SOUTHWEST BLVD 1111 NEWTON,NORTH CAROLINA 28658 RECEIPT A , PHONE:828.465.8399 Wednesday,August 17,2022 1 g 4 sM www.catawbacountyne,gov PAYOR: *Foothills Septic&Grading LLC *Foothills Septic&Grading LLC(Janyssek,Brandon) PAYMENTS TRANSACTION NUMBER: TRC-45456090-17-08-2022 PAYMENT DATE: 08/17/2022 PAYMENT TYPE: Credit Card 293873715 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-22-410646 110-580200-663000 Authorization to Construct(Repair) $300.00 Fee TOTAL PAYMENTS: $300.00 ElIPR-08-2022-41979 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 3156 LUTZ BLVD,NEWTON NC 28658 Applicant *FOOTHILLS SEPTIC&GRADING LLC,2819 SIGMON DAIRY RD,NEWTON NC 28658 C:8283085994 FOOTHILLSSEPTICGRADING@GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner DAVID KANUPP,3156 LUTZ BIND,NEWTON NC 28658 receipt 08/17/2022 08:18 Page 1 of 1