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Home My WebLink AboutRBPR-08-2022-42074.TIF CPLAN�A � s THIS IS NOTA PERMIT Case# RBPR-08-2022-42074 d CATAWBA COUNTY HEALTH DEPARTMENT U �� REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 184%�+ Residential BuildingPlan Review-Buildin w IMPROVEMENT- AUTH CONST- NEW WELL 1O-(-&4 (c,A).,std Contractor VICTORY BUILDERS LLC (MALLORY REDMAN),3281 KEADY MILL LOOP,KANNAPOLIS NC 28081 B:7047010418 VB.MREDMAN@GMAIL.COM Owner *FOUR CORNERS OF CHARLOTTE LLC, 1612 SEATTLE SLEW CT,WAXHAW NC 28173 C:704-713-2602 ROMELLE03@YAHOO.COM YAHOO.COM NAME TO APPEAR ON PERMIT *Four Corners of Charlotte LLC SITE ADDRESS: 3525 33RD ST DR NE,HICKORY NC 28601 PIN# 372412854111 NAME of SUBDIVISION: HEFNER HEIGHTS Lot# 1-4 Section/Block F PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Left off of Sulphur Springs Rd onto 34th Ave Ct NE.Right onto 33rd St Dr NE.3rd lot on left(corner lot) PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK) 10/6/22 Revised to add a Well permit Previous Description: IP SESSION LAW 2022-11 AC COUNTY ISSUED IP/AC/NEW SEPTIC New 48x30,3 bedroom single family dwelling, no basement 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 48x30 sfd #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO chapplieation I0/06/2022 14:08 Page I of 3 / ~e CATAWBA COUNTY Case# RBPR 08-2022-42074 t Public Health Department Subdivision HEFNER HEIGHTS -( Environmental Health Division 1 PIN# 372412854111 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 SN NAME ON PERMIT: *FOUR CORNERS OF CHARLOTTE LLC (), 1612 SEATTLE SLEW CT,WAXHAW NC 28173 *Four Corners of Charlotte LLC Site Address: 3525 33RD ST DR NE,HICKORY NC 28601 a Size: Square0.46 Property ttY Feet Acres Directions: Left off of Sulphur Springs Rd onto 34th Ave Ct NE.Right onto 33rd St Dr NE.3rd lot on left(corner lot) 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 SETBACKS: 20 ft side street setback from 33rd St Dr NE; verify setbacks; applicant shows home meets setbacks FEENAME • DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 08/25/2022 $150.00 Fee Improvement Permit Fee 08/25/2022 $150.00 Well Permit&Inspection Fee 10/06/2022 $300.00 • TOTAL FEES $600.00 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) ehapplication 10/06/2022 14:08 Page 2 of3 Catawba county public health Application for Environmental Health Services _ THIS IS NOT A PERMIT Application is for; ®New Construction 0 Existing Facility ❑ Improvement Permit ❑ Authorization to Construct ❑New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑Septic Expansion ❑ Existing System Inspection or Reconnection ® New Well ❑ Replacement Well ❑Well Abandonment ❑Well Repair Property Address 3525 33rd St Dr NE Hickory,NC Acres .46 Subdivision Lot# Driving Directions to Property 85 South Describe work New construction residential single family home.Design,manage and build all aspects of construction process. Applicant Name Victory Builders LLC Applicant Address 3281 Keady Mill Loop Kannapolis, NC 28081 Phone 7047010418 Email vb.mredman@gmail.com Owner Name Four Corners of Charlotte, LLC Owner Address 1612 Seattle Slew Ct Waxhaw, NC 28173 Phone 7047010418 Email vb.mredman@gmail.com Contractor Name Victory Builders LLC Contractor Address 3281 Keady Mill Loop Kannapolis, NC 28081 Phone 7047010418 Email vb.mredman@gmail.com Name to Appear on Permit? ®Owner ❑ Applicant ❑Contractor Who will be the Primary Contact? ❑Owner ❑ Applicant ®Contractor Proposed New Construction Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants Project Description New construction residential single family home.Design,manage and build all aspects of construction process. Structure Dimensions,also specify dimensions of decks&porches (Choose One) ❑Basement ❑Crawl Space ® Slab If Basement, Will There Be Water Using Fixtures In Basement El Yes ❑ No Retaining Wall>2' ❑ Yes ® No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space El Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' El Yes El 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 El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Well Construction/Abandon ent/Repair Proposed Well Type [Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored El 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 P0. Box 389, Newton, NC 28658 Phone: (828)465-8270 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 Existing Water Supply El Individual Well El Shared Well—Number of Connections ❑ Community Well El County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑No Commercial ❑Proposed New Construction ❑Existing/Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq. Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare El Yes El No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑No Residential Kitchen El Yes El 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 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 question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes 0 No Does the site contain any jurisdictional wetlands? ❑Yes 1No 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 1No Is the site subject to approval by any other public agency? ❑Yes 0 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) ❑Accepted ❑Alternative ❑ Conventional ❑ Innovative ❑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) 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. 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. 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. Signature of Owner or Legal Agent Z7 7Va u Date 10/6/22 Printed Name of Owner or Legal Agent Daniel Hamilton g g NOTES: LEGEND I a 1.APPARENT SOURCE OF TITLE: 0 IPF IRON PIPE FOUND y RECORDED IN PLAT BOOK 9 PAGE 106.(CABARRUS COUNTY REGISTER OF 0 IRF IRON ROD FOUND DEEDS)PARCEL 108372412854111(33R0 ST DRIVE NE) SITE 'A S 2.AREA CALCULATED BY COORDINATE GEOMETRY METHOD. •IRS IRON ROD SET * „ A A TOTAL LOT AREA 20000 sglt/0.480 ocra. - LINES NOT SURVEYED 3.SUBJECT TO R-20 ZONING REGULATIONS. ——— SETBACKS y11HT�ci NE NtH�v 4. MINIMUM FRONT SETBACK SF 30'DUPLEX 20' RW RIGHT OF WAY 4 MINIMUM SIDE YARD 15' —oNw— OVERHEAD WIRES +oAvr:>a Ne �RnAv[we MINIMUM REAR YARD 30' MINIMUM YARD MOTH 75' 0 UTILITY POLE 5.THIS PARCEL MAY BE SUBJECT TO EASEMENTS AND/OR R/WS CI X CABLE BOX 7hn4W cr EITHER RECORDED OR IMPUEO. A COMPLETE AND FULL TITLE SEARCH WAS NOT PERFORMED FOR THIS SURVEY. OLD LOT LINES VICINITY MAP 6.NO PORTION OF THIS PARCEL UES WITHIN A COMMUNITY OR FEMA FLOOD Opt fo scum ZONE PER FIRM 03710372400J DATED 09/05/2007. 4""SUPERINTENDANT TO VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION...* THIS PLOT PLAN DOES NOT REPRESENT A LAND SURVEY,WAS NOT PREPARED FOR RECORDATION, AND IS NOT SUITABLE FOR DEEDING OF PROPERTY. W— �W 3a v+ w pe•gjOG oOS,TO \r„...............................___.-BW TOSS`"Pk.��C` cp1N 04. E OFPAV "1 �G�S IRS is ptW4 h3 oHW — 1465.59'46 E 200•� f q a 1/2"IPF __ oMM 1-OT 1 •.... g 125 AT.°\E� 15.8ET8ACYL. �' 26.5'.' •—1/2"IRF 56� �,-CBOx r'� .•ABBEY {� PORCH. m N5ti 1 i i }........ ... t 1 "c i'so 1 LOTS 1 LQ 2........•-' .el 3.s 5 DRIVEWAY `a I/ a' I Z 1 36. 1�,� N 6.,60 AG 1R 6r (� fo i a 20000 SOFT LOT 3 3D.0 ki ! 8 ...... Rx"' v� ��' I a � ~r }Z �"..13313' t5�SEt8AC+`J 1i$- N.G.S."BOLCH" " / �, +,�•�"" 4 STATE PLANE COORDINATES: �1 , 'oo L-- ~'SOT 200 IRS t71 00' N:737658,71' $ g65'59'as"N E:1328626.09' 1 N.A.D.83-2011 7 COMBINED FACTOR:0.99991119 f IRS WF SERGIO IBARRA OROSCO N DB.2956 PG.246 a PB.9 PG.106 PION 3T2416644967 Pz ZONE R-20 NIP ` JONATHAN JOSUE SILVA LANOAVERDE N DB.3828 PG.1891 N PB.9 PO.106 W. PIDB 372416842999 ZONE.R-20 a m 1 \ V 1/2"IRF if No GRAPHIC SCALE 'n ` 50 0 25 50 • `1 _ u I I ' ( IN FEET ) "'' 1 inch = 50 ft, a m 1/2"IPF PLOT PLAN AT REQUEST OF FOUR CORNERS OF CHARLOTTE LLC: 0 33RD ST DR NE LOTS 14 THIS IS AN EXISTING PARCEL OF LAND WITHIN A MUNICIPALITY rANOVER TO E:JULY 14,20 CdlNTT.NC THAT REGULATES PARCELS OF LAND. DALE JULY t4,2022 SCALE 1-•50' I CERTIFY THAT THIS MAP DRAWN UNDER MY SUPERVISION FROM AN PROJECT4.1091-0927 ACTUAL SURVEY MADE UNDER MY SUPERVISION (DESCRIPTION RECORDED IN DEED BOOK 2956 PAGE 246); THAT THE BOUNDARIES NOT SURVEYED ARE INDICATED AS DRAWN FROM INFORMATION IN PLAT BOOK 9, PAGE 106; THAT THE RATIO OF PRECISION OR POSITIONAL ACCURACY IS 1:10,000;AND PROPERTYOWNER: THAT THIS MAP MEETS THE REQUIREMENTS OF THE STANDARDS OF MARK A LOVELACE PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA(21 NCAC 56.1600). DB.2956 PG.246 P6.9 PG.106 THIS 14th DAY OF JULY, 2022. SUBJECT TRACT PICW 3 7 2412 8 5 4111 PRELIMINARY SURVEY PROVIDED BY' JULIA A. McDONALD REGISTRATION I L-3617 ((h aET\,^UGC, 3556-A CENTRE CIRCLE FORT MILL. SC 29715 644-865-5263 C-4291 (11A CATAWBA COUNTY 100ASOUTHWESTBLVD NEWTON,NORTH CAROLINA 28658 RECEIPT -44 PHONE: 828.465.8399 Friday,October 7,2022 8 4 2 su www.catawbacountync.gov PAYOR: *Four Corners of Charlotte LLC *Four Corners of Charlotte LLC PAYMENTS TRANSACTION NUMBER: TRC-48611359-07-10-2022 PAYMENT DATE: 10/07/2022 PAYMENT TYPE: Credit Card 296023107 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 10-22-413179 110-580200-663000 Well Permit&Inspection Fee $300.00 TOTAL PAYMENTS: $300.00 RBPR-08-2022-42074 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 3525 33RD ST DR NE,HICKORY NC 28601 Owner *FOUR CORNERS OF CHARLOTTE LLC, 1612 SEATTLE SLEW CT,WAXHAW NC 28173 C:704-713-2602 ROMELLE03@YAHOO.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor VICTORY BUILDERS LLC,3281 KEADY MILL LOOP,KANNAPOLIS NC 28081 B:7047010418 VB.MREDMAN@GMAIL.COM receipt 10/07/2022 09:35 Page 1 of 1 �, �� l\ jt1 W.gtiOpo�1 X o .00 • \ \ . . 0\1 \\1\40.\\ 4. ,_lik. 9A\ .cc:, ga, \ vtlik -i. \ s A. \ "Tx \ 0., 4.,K , \ 41411 '-'4' \ \ ...-•-----..ri-13 :# % .\\-\*\: \*\h 1 \\. — L 5t$1.)'');,.,..cs 1 Cc% \\ ti 0 _ ��'" • fin, '. 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