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Home My WebLink AboutEHPR-09-2022-42405.tif v,A iG THIS IS NOT A PERMIT Case# EHPR-09-2022-42405 CATAWBA COUNTY HEALTH DEPARTMENT v O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8 2 su Environmental Health Plan Review-OSWP EXPANSION- REPAIR- ENGINEERED OPTION Applicant BURKE CI-IRISTIAN TOURS,4643 S NC 16 11WY,MAIDEN NC 28650 NAME TO APPEAR ON PERMIT BURKE CHRISTIAN TOURS SITE ADDRESS: 4641 S NC 16 HWY,MAIDEN NC 28650 PIN# 367702564851 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 1,477,990.80 Acres 33.93 DIRECTIONS: Hwy 16 S on right 1 mile south of Buffalo Shoals Rd PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 2411 WATER SUPPLY: Private Well DESCRIBE WORK: EOP submittal repair expansion for existing bus wash. EOP permit was issued in 2020 without a plan case. Entered for tracking purposes. 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: **NO STRUCTURE SELECTED** FACILITY TYPE: Business OTHER DESCRIPTION: DESCRIPTION OF bus wash EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION 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: ehapplicati„ii 09/29/2022 13:34 Page 1 of 3 _,r,A , CATAWBA COUNTY Case# EHPR-09-2022-42405 iT .i. 2 Public Health Department Subdivision d i-- -1 Environmental Health Division PIN# 367702564851 1PO Box 389,100-A Southwest Blvd,Newton,NC 28658 /8 w NAME ON PERMIT: BURKE CHRISTIAN TOURS ( ),4643 S NC 16 HWY,MAIDEN NC 28650 BURKE CHRISTIAN TOURS Site Address: 4641 S NC 16 HWY,MAIDEN NC 28650 Property Size: Square Feet_ 1,477,990.80 Acres 33.93 Directions: Hwy 16 S on right 1 mile south of Buffalo Shoals Rd 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 #i#ikt7ttttttf#f*iR##*********....1!#t*#.....4f44#4********************************************************* SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ,h.g1.l,,_.,m,a 09/29/2022 13:34 Page 2 of 3 • t ) topo3-)ao /Y399 catawba county RECEIVED public health MAR 0 6 2020 Application for Environmental Health Services Enyii Ofii'1e(' v :lead THIS IS NOT A PERMIT Application is for: 6 New Construction RI Existing Facility ❑ Improvement Permit ❑ Authorization to Construct ❑ New Septic tgl Septic Repair/Malfunction ❑ Septic Relocation El Septic Expansion ❑ Existing System Inspection or Reconnection ❑New Well ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair Property Adslress `f0 1 S. NC i , A/mow ge Acres MA Subdivision t A - Lot# Driving Directions to Pro crty .40W1 /�{ Jl ail, 1'6 pID 4 nikei,st r 1 /fr.l by I of Describe work /174,,I !1'll/J. sV.11lw' word Sri byes LAW w&iM�rr Applicant Name � l'I Aw'!t(or •6V/! 7 Applicant Address +j 41/tj S, fit /v � ,4m i Aft -girl Phone PUP'Lail 110. Cell Phone #74 Owner Name Of AkkvV Owner Address Phone Cell Phone Contractor Name A4►tl lf- , License# Contractor Address Phone Cell Phone Name to Appear on Permit? gOwner ❑Applicant ❑Contractor Who will be the Primary Contact? Z Owner ❑Applicant ❑Contractor Proposed New Construction-Residential AO) Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches Basement ❑ Yes ❑ No Basement Plumbing ❑Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement ❑Yes ❑No Basement Plumbing ❑Yes ❑ No Accessory Structure(s)Describe Structurc(s)Dimensions Plumbing ❑Yes ❑ No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t "total#Bedrooms in Structure*t #of Occupants Structure Dimensions Basement ❑ Yes ❑ No Basement Plumping ❑Yes ❑ No Well Construction/Abandonment/Repair to ` Proposed Well Type 0 Individual Well 0 Semi-Public Well 0 Community Well Abandonment Type 0 Drilled 0 Bored 0 Dug 0 Unknown Well Repair Requested ❑Yes ❑ No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Ilead to Pressure Tank?❑ Yes 0 No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Existing Structures on Site /✓�A Describe Structure Dimensions 4 of Bedrooms * #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply • Vet I NI Individual Well ❑ Shared Well—Number of Connections ❑ Community Well ❑ County/City/Township Water Line Is a public water supply available? ** 0 Yes 'No Commercial ErProposed 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❑ Yes El No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes 0 No Residential Kitchen 0 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 701K C,vvritr,y • 1345 Akt5A Calculated Design Flow,Commercial (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 Pi No Does the site contain any jurisdictional wetlands? MI Yes 0 No Does the site contain any existing wastewater systems? l 'Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes 0 No Is the site subject to approval by any other public agency? FO ! l ❑Yes e!*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) Avers ref /.11 $ ❑Accepted 0 Alternative j,$Conventional 0 Innovative 0 Other PummelVI/ 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) 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 arc 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 leg 'ent of the owner. Signature of Owner or Legal Agent Date 3/4/Z0L 0 • tr 1,, Printed Name of Owner or Legal Agent ��// H. Wftgt#, P6 E A �'0 CATAWBA COUNTY �� 100A SOUTHWEST BLVD Hl, 0 7 NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828,465.8399 Friday,March 6,2020 8 4 2 sM www.catawbacountync.gov. PAYOR: Wright&Associates Wright&Associates(Wright,Recil) PAYMENTS TRANSACTION NUMBER: TRC-11337425-06-03-2020 PAYMENT DATE: 03/06/2020 PAYMENT TYPE: Check 4538 INVOICE NUMBER FEE NAME FEE AMOUNT 03-20-377530 EOP-1,001 or more gpd $270.00 TOTAL PAYMENTS: $270.00 EOP-03-2020-129399 CASE TYPE: Engineered Option Permit WORK CLASS: Expansion SITE ADDRESS: 4641 S NC 16 HWY,MAIDEN NC 28650 Applicant WRIGHT&ASSOCIATES,209 1ST AVE S,CONOVER NC 28613 B:8284652205C:8283109416 RECIL@WRIGHTANDASSOCIATES.US **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner OWENBY PROPERTIES LLC,PO BOX 890,NEWTON NC 28658 receipt 03/06/2020 10:04 Page I of 1