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HomeMy WebLinkAboutRBPR-10-2022-42471.TIF dr,/ (7:1--44-1 THIS IS NOT A PERMIT Case# RBPR-10-2022-42471 '�' CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig 2 sw Residential Building Plan Review-Accessory Structure EXS_SYSTEM Applicant CHER XIONG,3035 HILEMAN ST,NEWTON NC 28658 C:8284037262 Owner SHOUA LOR,4325 MILTON RD,VALDESE NC 28690 C:8284037262 NAME TO APPEAR ON PERMIT Cher Xiong SITE ADDRESS: 3035 HILEMAN ST,NEWTON NC 28658 PIN# 371120917507 NAME of SUBDIVISION: JOHN MULL PROPERTY 1 of# 7 Section/Block PROPERTY SIZE: Square Feet Acres 0.28 DIRECTIONS: 3035 Hileman St,Newton PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: EXISTING SYSTEM INSPECTION/DUPLEX 2 BEDROOMS IN EACH FOR A TOTAL OF 4 BEDROOMS/480 GPD—Constructing an 18x20 metal garage 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Accessory Structure OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 29x60 duplex NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 18x20 garage Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: ehapplicanion 10/07/2022 I5.20 Page I of /z \ CATAWBA COUNTY Case# RBPR l0 2022 42471 !� A. Public Public Health Department Subdivision JOHN MULL PROPERTY '1R _ Y) Environmental Health Division PIN# 371120917507 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 \842� NAME ON PERMIT: (CHER XIONG),3035 HILEMAN ST,NEWTON NC 28658 (Cher Xiong) Site Address: 3035 HILEMAN ST,NEWTON NC 28658 Property Size: Square Feet Acres 0.28 Directions: 3035 Hileman St, Newton 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 .....**aa*+*a•*•++s+*+++raa+*.►rs++•+irss*s*as++s*r*sr*.s**r*s*a*ras*as+s+•s..sr+*r+sr*t*►s+r*r**......a«+.* FEENAME DATE FEE AMOUNT Existing Tank Check Fee 10/07/2022 $80.00 TOTAL FEES $80.00 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) chapplicaiion 10/07/2022 15:20 Page 2 of 3 • , catawba county • public health • Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: 0 New Construction [Existing Facility ❑Improvement Permit El Authorization to Construct ❑ ew Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ElSeptic Expansion [' Existing System Inspection or Reconnection El New Well ❑Replacement Well ❑Well Abandonment ❑ Well Repair Property Address 7e 3 f ifileift k" 4-1 , ,j/€ J-fD h ` /v L A a4 4—Er-- Acres I Subdivision _ Lot# Driv nDirections to Property ' r Describe work Re to L `f 1 h l (•1 ea—et, Applicant Name CA.,er X► o' Applicant Address . U 7 .f f/ t,,� S-f 4Je 041 1V L Phone r•a 6 - 113.py Email CG44CIt"6444 303Sr 1Q4.4i/ .GQk7 Owner Name 5404e, Lor � v Owner Address t13 2 M t HON AD , V c.I( e see— /V L at 5'(0 V Phone irA j- Y0 3 - 7 2 6 Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? El Owner Applicant ❑Contractor Who will be the Primary Contact? ❑Owner Applicant El Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*t #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 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 61c r Structure(s)Dimensions AK 2 t0 Plumbing ❑Yes M No Describe Plumb' g Needed (Choose One) ElBasement ❑C awl Space Slab If Basement,Will There Be Water Using Fixtures In Basement El Yes El No Retaining Wall>2' 0 Yes No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*1' #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' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well El 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 El 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 }-. , t ^\e Describe ti1� l �� O h C'G G4�" r Structure Dimensions u h Ic I,_(dt #of Bedrooms * I(it e o Occupants_ l Basement ❑ Yes IN/No Basement Plumbing ❑ Yes ❑ No J9 X6 Existing Water Supply El Individual Well ❑ Shared Well—Number of C nnections [Community Well El County/City/Township Water Line Is a public water supply available? ** ElYes o Commercial El 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 ❑ 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 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 Q•No Does the site contain any jurisdictional wetlands? 12ikles l No Does the site contain any existing wastewater systems? ❑ des LYNo Is any wastewater going to be generated on the site other than domestic sewage? es filiNo Is the site subject to approval by any other public agency? 0 Yes li'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 0 Alternative 0 Conventional 0 Innovative 0 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. 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. Signature of Owner or Legal Agent C,)AA... �� Datc /0_—' —2. X Printed Name of Owner or Legal Agent G k er i`0 Catawba County Environmental Health L---,:/.3°" ,r, ' •3026 r- go <L a. w .:( 4 147.60 60,78 HILEMAN ST 110.07 109,08 21.55 81.50 •3047 •1872 •3035 4. ,°$ •3025i 30 3 •3037 o ..7 ,1==j1C CI 110.07 110,19 " 110.00 2 co 2 tn •1866.1764 •1772 T. T. 110.07 110.00 110.00 8 Parcel: 371120917507, 3035 HILEMAN ST 1 in=50ft 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 10/07/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371120917507 Owner: LOR SHOUA Parcel Address: 3035 HILEMAN ST Owner2: LOR LU T City: NEWTON, 28658 Address: 4325 MILTON RD LRK(REID): 57947 Address2: Deed Book/Page: 1902/0873 City: VALDESE Subdivision: JOHN MULL PROPERTY State/Zip: NC 28690-9321 Lots/Block: 7/ School Information: Last Sale: $60,500 on 1994-09-01 School District: COUNTY Plat Book/Page: UNRE/UNRE Legal: LOT 7 HILEMAN ST PL UNRE-UNRE Elementary School: BLACKBURN Middle School: JACOBS FORK Calculated Acreage: .280 High School: FRED T FOARD Tax Map: 169H 06007 Township: HICKORY School Map State Road #: 2502 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: $59,100 Zoning2: Land Value: $8,000 Zoning3: Assessed Total Value: $67,100 Zoning Overlay: Year Built/Remodeled: 1966/ 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: 3028 links are not permits. 2010 Census Tract: 011102 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. t; 1 Building Details WaterShed: VXA7le beckr `,,D 1 eac/. Voter Precinct: P35/ Voting Map ;ra o Parcel Report Data Descriptions L 93.3 %CC-Op 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.