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HomeMy WebLinkAboutEHPR-09-2022-42340.tif $ �G THIS IS NOT'A PERMIT Case# EHPR-09-2022-42340 7 ;( 11 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /$ 2 sM Environmental Health Plan Review- Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION Applicant BG ENTERPRISES OF PLEASANT VILLAGE LLC (BENJAMIN GABLE),PO BOX 39,CE IINA GROVE NC 28023 C:7044023390 GABLEI3EN@YAHOO.COM Contact Person 7 KIDS SEPTIC,, C:8283082295 NAME TO APPEAR ON PERMIT BG ENTERPRISES OF PLEASANT VILLAGE LLC (Benjamin Gable) SITE ADDRESS: 1866 LUCKY LN,NEWTON NC 28658 PIN# 371118325092 NAME of SUBDIVISION: Lot# 8 Section/131ock I'ROPERTY SIZE: Square Feet 227,818.80 Acres 5.23 DIRECTIONS: Hwy 10 W,right Robinson Rd,left Thompson St.,right on Lucky Ln home on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: failing septic system see EH-04-2022-9475 shared well 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: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF 14 x 60 single wide EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No 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: rLa�plii:nin 09/22/2022 16:20 Page I of6 4413: • CATAWBA COUNTY Case# EHPR-09-2022-42340 (....... I.:, .i. 2 Public Health Department Subdivision Q '3 Environmental Health Division PIN# 371118325092 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: BG ENTERPRISES OF PLEASANT VILLAGE LLC (BENJAMIN GABLE),PO BOX 39,CHINA GROVE NC 28023 BG ENTERPRISES OF PLEAS/ Site Address: 1866 LUCKY LN,NEWTON NC 28658 Property YSize: Square Feet 227,818.80 Acres 5.23 Directions: Hwy 10 W,right Robinson Rd,left Thompson St.,right on Lucky Ln home 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 09/22/2022 $300.00 TOTAL FEES S300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) cl,:ipplir:6,. 09/22/2022 16:20 Page 2 of6 . catawba county, Applicalon for Ensironesentai Health Services Y()3 TlllS IS SOTA PER41IF (/t/v 4'3 jb Application is fur: 0 New Cnnstrurtiolt Iiatia); Facility „ ❑ I rtprosemcnl Permit ❑ . uthuricatiun to Construct [Neu Septic [ ptic Repair/Malfunction 0 Septic RvincAtion ❑ Septic F-.s}rar►sion ❑ Existing System Inspection or Reconnection ❑ \en Well Replacement Well 0 Well Abandonment ❑ Well Repair t�, r-W _ Property Address I '. Lv.lti� L1t r�l�. .]f�-� tu.kt � rV SS1Acres Subdisaion - LOIN --- Drising Directions to Property - Describe nark -tv\,,,C8 4S NrscJ t •I,•, "Ceis\i�� SC�9FL l,+`nV'� eft Ot/' 7?-`1tP7S Applicant \am 'F }ty •c,S ..___.___..___. Applicant Address pp p.0�4Zc�Z1� t.k�+K.IINNA, iJC., 1..e• for- Phone 1 tiM- 001- 33go 1 Email 4 cksla�t e 7 g1-\vo .C.u1,., Owner Name /3. - 1- b1,t - �J Uwner Address VA) . 444 ._-.. i$- h'\4 V,-tS�±l �_ (N 1t- 2�)lr Phone 10'1- �V L —3?10 1 Email 4J 1 4).k VtrN e fA k.t . "6'6- Contractor Name 1 K 015 _S:er}`c-_._ Contractor Addrexs Phcmt - D- D - 2 Name to Appear as Permit' ❑t)u net ❑Arpl!cant ❑l tx,trartte Who will be the Primary Cuntart' ❑f)w net ❑.A)q,iewnt Q(-mtte►rtrx Proposed New Construction - Residential _ Primary Residence 0 Neu ke.s k,ice ❑ Addition to Resids:n e At of New Iktirooms't a t)f Occupruna __---.. . Project Description "lr,Lctutc Dimensions. al.n ywt•il'v dirnor,u„ts oftli k.N por%:ncr it bruit l)nc) ❑Basement 0 Oast! •;{wii.' ❑ SLib }f 11 c,,rnt.will Moe Be Wahl I'still I rst:ut It!IldK9tll'Itt 0 Yes f \., Retamnt}t Wall 2' 0 Yes ❑ 1, Act-racer, Dwelling N of New Iiethis nm •t R id Occupants _ Structure lhntcn,vu,, i Clturr.e(NO E]Basement ❑C„rw I `lace ❑ '1311 If R t'. n1 ul.Will 1hau.•tic A\,,tc,, 1 smE Fisiru c.In Fi,,..snettt 0 Yes ❑ \„ Retauunit Wnll •2' 0 yr. ❑ Nu Accessory Struct inceis) Iksunbe --- - Srnkureis}Ihm.n,tuaLs — — Plwnh-ng ❑Ye!,‘ ❑ No I)t-cr,he l'lunebinit Needed (Choi-c t h,c) ❑Ra,em tit ❑Crawl space ❑ Slab 11 liasarxwt. Well there lie% atcr t :me I-r tires In ti_t.cincnt ❑ Yes ❑ No Retaining Wall'• s' ❑ 'I es 0 So — NInhi-Family Residence it tit Ap:ertnn-tu• -.... uik•.Irooili,Ivr Apartmait't total Bedrooms in Stnknue •+-- _ ,of(kcupants SIr1tIui I)mietesiue. i('hto►.one) ❑Ilanm.rn 0 l r2%1 slime ❑ ..:Lob II{lawmen! Will there Be Water t.sine I'rsurt•.In Rascrnt'm ❑Yts 0 NO Retaining Wall -• '. ❑ \'r, ❑ Ni, Well CanstnctiottdAbanalnamentifepair • Proposer!Well I►pc ❑ !skirt klua)Well ❑`emri-Public%VcII 0(ommmttlt Nell • .\I'wiJrmment Isla [] lhetled ❑ tiered D INS [3 1 ii rkAsn Well Repdii Requc.tetl ❑ Ye, ❑ \u Ik.u►hc \\:II Crrttlied Well(iaul:rttur In,t.III 11%.11.r i an•or I kt•Incal I n,r ir,nn \\.-al head to Pres.use lank'❑ 'c. ❑ No Environmental Health Catawba County Government Center, 25 Government Drive 4 PO.Box 389, Newton..NC 28658 Phone:(828) 465 8270 I Fax (828)465 8276 I EHAdrnin@CatawbaCountyNC.gov I Lusting strN1allrls rbl__t`Slit y,,`` 1 Describ: 1 \ Ll S " \(.- yC�.>C-._... i z..1 kO Structure Dimensions f llx 6 ci #of Bedrootns • 1, #of Occupants Z YNtSk C 10 txy iBasement ❑ Yes (DN•4o Baseme u Plumbing ❑ Yes 0 No - - Wrot()) ,.. „,q r Existing Water Supply U Indi ,dual Wcll tied %(cll \unitkr ul Cotrttccnons Community Kell Li county('icy i(ui►strip water Zinc Is a public water supply available'' • ❑ Yes SI,\n ('ommcrcutl E Proposed New('oiitstruetioa E Existing)Change of l.se Repair • Flood Scnire Sixtitf\ Type L Seals Dining Area tSq. Ft.t =Employees per Shift - #of Shifts C'hrrch v of Seats ___-_— Daycare❑ Yes ❑ No 0 of Children s of Employees per Shift . ::of Shifts (otnmcrrial kitchen ❑ Yes 0 No Residcntt:rl kitchen ❑ Yes 0 No Daicare u of Children k of Employees per Shift a of Shifts BosinessiOtber Specify Tvpc ---- --- Strout=Dimensions --- -- Retail Floor Space *of Employees per Shill _ tt of Shifts Other Infurmatiun l alculatcd Design l low. Commercial i (flits value mill be determined by Ili staff) The Applicant shall notify the local hullh derrartment avert submittal of this application if-sty of the follow ate_apply to ttie prat ris in question. if the answer to any question is"ses'.applicant must attach supporting documentation. ❑ Ycs 2f\o Does the sue contain any jurisdictional wetlands" Yes Q\o Does the site contain any existing wastca;iicr systems'' Yes 0 \o Is any wasrewatcr fonu to he generated tin the site(visa than there're ss.'wage- j ❑ Yes 2 \u Is the site subject to ap$wos al bs-any other public Icdocs:' CI Yes Ji No Ate there any cas`inents or tight of ways on this piupert}' DeSertbe If apply ink for on Iniprusentent Permit or.luthori anion to Construct. Please ladicate Desired System Typos): (systems can be ranked in order al your pret;ante i 0 Accepted D Al ern:ti e 0(twncrituxi,tl D Innoxaloe ❑Other D .Any •Any room that oill be intended for sleeping at the time of constriction or for future consideration should be noted as a bedroom and counted on:ill applications Me number of bedrooms will be confirmed by rooms identified on floor plans as a bcdrootn at the time of building 1wnnit issuance Tins mots present the need for septic system esp:uisinn in the future * If sltut:nue is plumbed but has no tiediaetis_ calculated design flow will be determined by Ell Staff. •• If No.a well permit must be issued with the Author-inition to Construct. RETRIP TO THE PROPERTI A'DrOR SYSTEM RE D SIG\ H ILI.INCUR AN .ADDITiONAL CH.ARGE(SEE FTE S( HF,IN LEI 1-nv tronmental Iic:alrh soil sue evaluations require d►l'gtn'.:xieermg.and or probing onto the grrnmd Proper owner.appticant is teslxmsiblc for nmarkinig all mmdetuniiuid utilities.nu:1W 'but not Inniteil to tnntkrgrocmd power.cable. tckpivane,gas. water hues.anid itttgaiuuut systenms sprinkier ssstemms. (':unarm Cuwrty Environmental Health is MA responsible for damage to tauti:trked utilities. Completed applications arc sated for a period of 'years Improseinent Permmts are 1,and with complete star pin,,- 60 months(5 years), with complete plat - without cspu.utinn An Auuhuoniation in Constrict will retrain valid as tong as the Improvement Permit is valid.An Authorisation to Construct issued fur septic repair is valid fur 6(1 months(5 searsi.Permits may be te,irked if the information on this application site plan changes or if the iniaidcd use for the proposed facility changes. Permits may be rr.oked if site conditions are altered such that they effect permit conditions or vistaltatuor►rcqutrcmnenls. I has c read this application and certify than the rnformanion pros ided herein is true,complete and correct Authorivcd cnirny 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 propene lines and corners and making the site accessible so that a complete site evaluation can he performed The undersigned is the owner oldie pro '•ny or legal agent of the osstier. Signature of Owner or Legal Agent , - Date 9- ,2.- Z Printed Name of(hvner or(coal Agent _ °C— fi. rti' I 0 A .catawbacountync.gov % s� Measure by Address Owner Ndnx Par.rl ID F Q ; , 367a 4 ,: 4 t ,r,, , zJ Pa:cal ID:371118325092 LRItiRE:D:47781 ® Selected Parcels 1866 LUCKY LN © Water &Sewer NE'NTON.28658 BC ENTERPRISES OF Q Well and Septic F'LXA.SAN'1'1IILL,103E Lie Zoning DIstr1c1:COUNTY © P.t'cvl Ditilvtl:+iurt+ Zoning.R•23 Zoning Overtays-NONE Misc.Lines PA: r Repoli Q Aeria.2021 Lei II nwnorr. Deed H.storY Report I Aerta.2018 As-ecsrsent Neport 45't,r:rgc`Jica•+tt I--- Aerta:2010 II , ) Catawba County Environmental Health •1907 •1904 •1901 • (Ni a rn Ln 'o .6 1893 •1890 tit •1885 1882 Z 0 J •1878 Y U D —J • •1872. •3634 •3620 •1866� '94,27 Coil 863 - J,1860 f y1857" �1$52 5229 90.24 r •1853-1 109.76 ANc, (56)0.4 �2so THOMPSON ST Parcel: 371118325092, 1852 LUCKY LN 1 in=80ft 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 09/22/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371118325092 Owner: BG ENTERPRISES OF PLEASANT Parcel Address: 1852 LUCKY LN VILLAGE LLC City: NEWTON, 28658 Owner2: LRK(REID): 47781 Address: PO BOX 39 Deed Book/Page: 3645/1618 Address2: Subdivision: City: CHINA GROVE Lots/Block: 8/ State/Zip: NC 28023-0039 Last Sale: School Information: Plat Book/Page: 12/1 School District: COUNTY Legal: LOT 8 PLAT 12-1 Elementary School: BLACKBURN Calculated Acreage: 5.230 Middle School: JACOBS FORK Tax Map: 131H 01001E High School: FRED T FOARD Township: HICKORY State Road #: 1169 School Map TaxNalue 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: $30,000 Zoning2: Land Value: $68,300 Zoning3: Assessed Total Value: $98,300 Zoning Overlay: Year Built/Remodeled: / 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: 2000 links are not permits. 2010 Census Tract: 011102 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: 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 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. �g'A • CATAWBA COUNTY T '}� I00A SOUTHWEST BLVD + NEWTON,NORTH CAROLINA 28658 RECEIPT 1-3 O �. PHONE:828.465.8399 k)79Thursday,September 22,2022 18 4t SM www.catawbacountync.gov PAYOR: BG ENTERPRISES OF PLEASANT VILLAGE LLC BG ENTERPRISES OF PLEASANT VILLAGE LLC(Gable,Benjamin) PAYMENTS TRANSACTION NUMBER: TRC-47720978-22-09-2022 PAYMENT DATE: 09/22/2022 PAYMENT TYPE: Credit Card 295385091 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-22-412561 110-580200-663000 Authorization to Construct(Repair) $300.00 Fee TOTAL PAYMENTS: $300.00 EHPR-09-2022-42340 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1866 LUCKY LN,NEWTON NC 28658 Applicant BG ENTERPRISES OF PLEASANT VILLAGE LLC,PO BOX 39,CHINA GROVE NC 28023 C:7044023390 GABLEBEN a YAHOO.COM **NO PEOPLESOFTACCOUNTASSIGNED** Contact Person 7 KIDS SEPTIC,, C:8283082295 receipt 09/22/2022 16:IR Page 1 of 1