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HomeMy WebLinkAboutEHPR-03-2023-43588.tif catawba county public health 5/30/2023 Michael Walsh 6425 Shinnwood Dr. Wilmington, NC 28409 Re: Application for Improvement Permit for 1940 Briarwood Dr., Hickory, NC 28602 Health Department file number EHPR-03-2023-43588 Dear Michael Walsh: The Catawba County Health Department, Environmental Health Division on March 28,2023,evaluated the above- referenced property at the site designated on the plat/site plan that accompanied your Improvement Permit application. According to your application,the site is to serve a medical office with a design wastewater flow of 1,165 gallons per day.The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 including related statutes and Title 15A, Subchapter 18A,of the North Carolina Administrative Code, Rule.1900 and related rules. Based on the criteria set out in Title 15A,Subchapter 18A,of the North Carolina Administrative Code, Rule.1940 through .1948,the evaluation indicated that the site is UNSUITABLE for a sanitary system of sewage treatment and disposal. Therefore,we must deny your request for an Improvement Permit. A copy of the site evaluation is enclosed. The site is unsuitable based on the following: Unsuitable soil topography and/or landscape position (Rule .1940) Unsuitable soil characteristics (structure or clay mineralogy) (Rule.1941) Unsuitable soil wetness condition (Rule.1942) Unsuitable soil depth (Rule.1943) Presence of restrictive horizon (Rule .1944) X Insufficient space for septic system and repair area (Rule.1945) Unsuitable for meeting required setbacks(Rule.1950) Other(Rule.1946) These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, into surface waters,directly to ground water or inside your structure. The site evaluation included consideration of possible site modifications, as well as use of modified, innovative,or alternative systems. However,the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. catawbacountync.gov Environmental Health Cctcwhc; County Government Center 25 Government Drive PO Box 389 Newton NC 286..58 828.465.8270 Page 2 For the reasons set out above,the property is currently classified UNSUITABLE, and no improvement permit shall be issued for this site in accordance with Rule.1948(c). Note that a site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule.1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the North Carolina Department of Health and Human Services regional soil scientist. A request for informal review must be made in writing to the local health department. You also have a right to a formal appeal of this decision. To pursue a formal appeal,you must file a petition for a contested case hearing with the Office of Administrative Hearings, 1711 New Hope Church Rd, Raleigh, NC 27609. To get a copy of a petition form,you may write the Office of Administrative Hearings or call the office at 984-236- 1850 or download it from the OAH web site at http://www.oah.nc.gov. The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is 5/30/2023. Meeting the 30-day deadline is critical to your formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings,you are required by law(N.C. General Statute 150E-23)to serve a copy of your petition on the Office of General Counsel, N.C. Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001. Do not serve the petition on your local health department. Sending a copy of your petition to the local health department will not satisfy the legal requirement in N.C.General Statute 150E-23 that you send a copy to the Office of General Counsel, N. C. Department of Health and Human Services. You may call or write the local health department if you need any additional information or assistance. Sincerely, /11Agit P,17-‘7 Robbie Phelps Environmental Health Supervisor Enclosures: Site evaluation Rule.1948, Rule.1945 ' Catawba County Environmental Health 11 satpRW000 pR SIS d rl-1w 0.37 pprk%.4,' 04 ,s fPi �1 i- AL SIT t 1 r 13,10 ,°• 1 1 ♦1640 Lo Ha t 1 O prlC9 \ 7 4o V r 44.-90 I� , C 1uYW�1I ^ J 1 -� 1 tlY er t�1 �Ht 744 J1 � 141 � I � - *t1n4 o/ 6 r`� e r t,e ------7 8 w \--- Parcel: 279119623443, 1940 BRIARWOOD DR lin=40ft HICKORY, 28602 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 2023 Catawba County NC 04/13/2023 gig CamScanncr 15A NCAC IBA.1945 AVAILABLE SPACE (a) Sites shall have sufficient available space to permit the installation and proper functioning aground absorption sewage treatment and disposal systems,based upon the square footage of nitrification field required for the long-term acceptance rate determined in accordance with these Rules. (b) Sites shall have sufficient available space for a repair area separate from the area determined in Paragraph(a)of this Rule. The repair area shall be based upon the area of the nitrification field required to accommodate the installation of a replacement system as specified in Rule.1955..1956.or.1957 of this Section. Prior to issuance ofthe initial Improvement Permit for a site,the local health department shall designate on the permit the original system layout,the repair area,and the type of replacement system. (c) The repair area requirement of Paragraph(b)of this Rule shall not apply to a lot or tract of land: (I) which is specifically described in a document on file with the local health department on July I. 1982.or which is specifically described in a recorded deed or a recorded plat on January 1. 1983;and (2) which is of insufficient size to satisfy the repair area requirement of Paragraph (b) of this Rule, as determined by the local health department;and (3) on which a ground absorption sewage treatment and disposal system with a design daily flow of'. (A) no more than 480 gallons is to be installed:or (B) more than 480 gallons is to be installed if application for an improvement permit which meets the requirements of Rule.1937(c)of this Subchapter is received by the local health department on or before April I. 1983. (d) Although a lot or tract of land is exempted under Paragraph(c)from the repair area requirement of Paragraph(b),the maximum feasible area,as determined by the local health department.shall be allocated for a repair area. Hisi ,v Now: Authority G.S. 13I1A-335te1 crud(1): ER:July 1. 1982: Amended Eff February 1, 1992;July 1, 1983;Jauntily 1. 1983. 15A N('AC ISA.1948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption scwagc treatment and disposal system consistent with thcsc Rules. A suitable classification generally indicates soil and site conditions favorable for the operation ofa ground absorption scwagc treatment and disposal system or have slight limitations that arc readily overcome by proper design and installation. (b) Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules but have moderate limitations. Sites classified Provisionally Suitable require some modifications and careful planning.design.and installation in order for a ground absorption sewage treatment and disposal system to function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However,whcrc a sitc is UNSUITABLE,it may be reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules.1956 or.1957 alibis Section. (d) A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal system specifically identified in Rules .1955, .1956. or.1957 of this Section or a system approved under Rule .1969 if written documentation,including engineering,hydrogeologic,geologic or soil studies,indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines that the substantiating data indicate that: (I) a ground absorption system can be installed so that the effluent will be non-pathogenic.non-infectious. non-toxic,and non-hazardous; (2) the effluent will not contaminate groundwater or surface water;and (3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it could come in contact with people.animals,or vectors. The State shall review the substantiating data if requested by the local health department. History,Note: Authority G.S. 131)-f-335(c): Efr July 1. 1982: .•1nrendcd Efj. .Alpril 1. 1993:January 1. 1992 U.S. Postal ServiceTM CERTIFIED MAIL® RECEI2Y Domestic Mail Only Er- For delivery information,visit our website at wt'w:.sps.com'°'. `D Walsh Env.HeilQh Certified Mail Fee if) $ fU Extra Services&Fees(check box,add fee as appropriate) ['Return Receipt(hardcopy) $ c1,666 r-4 CIReturn Receipt(electronic) $ D ['Certified Mail Restricted Delivery $ jier+e`.!.\ OtoAdult Signature Required $ C'C C41 Li ‘ Signature Restricted Delivery$ j' C> ) CI Postage .� Q Q Total Postage and Fees Cl $ �)/DIH r Sent To EHPR-03-2023-43588 fU o 'uaat and APLIVIl`Iiii4"171fralsh r` .Nr stare,t+15+8#Z5 Shin nwood Dr. PS Form 3800,Apr..2:t:..1-i:/SJ}v tar JL , See Reverse for Instructions Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mall label). far an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the •A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'" -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: A Its' •• 'ce,which requires the •You may purchase Certified Mai �.yt 1 years of age(not First-Class Mail1°,First-Class Pa ieniC6, a le ITt- or Priority Mail'service. L••�/ -Adult signature restricted delivery service,which •Certified Mail service is not available for requires the signee to be at least 21 years of age international mall. and provides delivery to the addressee specified •Insurance coverage is not available for purcha qlt na4 the addressee's authorized agent with Certified Mail service.However,the Pl t a t retail). of Certified Mail service does not change"fn •To ensure that your Certified Mail receipt is insurance coverage automatically Included with accepted as legal proof of mailing,It should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on •For an additional fee,and with a proper this Certified ail r '1,please present your endorsement on the mailpiece,y t votatir t puthl�ost Office"for the following services: os ma ing.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix It to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. PS for,3800,April 2015(Reverse)PSN 7530-02-000-9047 • • SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature • Print your name and address on the reverse X 0 Agent so that we can return the card to you. 0 Addressee • Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Michael Walsh 6425 Shinnwood Dr. Wilmington, NC 28409 3. Service Type ❑Priority Mail Express® II I iillll In III I illll III'I II II II II III III I III Signature0 Adult Signature O 0 Adult D Restricted Delivery D Registered Mail Restricted ID Certified Mail® 9590 9402 7759 2152 4093 31 0 Certified Mail Restricted Delivery 0 Signature Confirmation.'" ❑Collect on Delivery 0 Signature Confirmation 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery O Insured Mail 7021 0950 0001 2506 6965 0 Insured Mail Restricted Delivery -----_._-- --- -- - - —- - - - - --- (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt 1 USPS TRACKING# First-Class Mail Postage&Fees Paid " dl 280 USPS I IIII !�MI I I CL Permit No.G-10 9590 9402 7759 2152 4093 31 United States •Sender: Please print your name,address,and ZIP+4''in this box• Postal Service HP -03-2023-43588 FEC;:IVEDorart Phelps, RFNS Catawba County Environmental Health PO Box 389 J U N ` 2023 Newton, NC 28658 Envirnrr^cr+ol Health AI catawba county public health AUTHORIZATION OF REFUND Date: 5/31/2023 Case#: EHPR-03-2023-43588 Applicant: Michael Walsh Refund Amount: $70.00 Refund Reason: Refund to Existing system inspection no soil work completed Authorizing Signature: '/��t. /A7/ Received By Staff: 4tAttiL r4,k_ Date: (u/)J)3 catawbacountync.gov Environmental Health Cctcwhc County Government Center 25 Government Drive PO Box 389 Newton NC 28658 ( 828.465.8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: Make Payment To: (141Cpp Voucher No(s) Michael Walsh t t 6425 Shinnwood Dr ie. „lio ;,. Wilmington, NC 28409 `C 4'L ATTACHMENT Prepared by: Julia English Description Amount EHPR-03-2023-43588 Refunding to existing system inspection. No soil work completed $70.00 Sub-Total Food Tax Sales Tax Total $ 70.00 For Accounting Use Fund Cost Center Object Project Amount Only 110 580200 663000 Total The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) 4'A Cp CATAWBA COUNTY IO0A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT v �, PHONE:828.465.8399 Wednesday, May 31, 2023 g 4 2 SM www.catawbacountync.gov l'AYOR: Walsh.Michael PAYMENTS TRANSACTION NUMBER: TRC-65279365-3 1-05-2023 PAYMENT DATE: 05/31/2023 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-23-419120 110-580200-663000 Improvement Permit Fee ($70.00) TOTAL PAYMENTS: ($70.00) EH PR-03-2023-435 88 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1940 BRIARWOOD DR,HICKORY NC 28602 Applicant MICHAEL WALSH,6425 SHINNWOOD DR,WILMINGTON NC 28409 C:9192717441 MICHAELCWALSHa,GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner HOOVER&MCINTYRE LLC,655 STARBOARD TACK,HARDEEVILLE SC 29927 receipt 05/31/2023 12:20 Page I of I TIIIS IS NOTA PERMIT Case# El IPR-03-2023-43588 Q' CATAWBA COUNTY HEALTH DEPARTMENT O7'4.4 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Environmental Health Plan Review-OSWP IMPROVEMENT Applicant MICHAEL WALSII,6425 SHINNWOOD DR,WILMINGTON NC 28409 C:9192717441 MICUAELCWALSII@GMA1L.COM Owner HOOVER&MCINTYRE LLC,655 STARBOARD TACK,HARDEEVILLE SC 29927 NAME TO APPEAR ON PERMIT Michael Walsh SITE ADDRESS: 1940 BRIARWOOD DR,HICKORY NC 28602 PIN# 279119623443 NAME of SUBDIVISION: Lot#t PTS 3&4 Section/Block PROPERTY SIZE: Square Feet 43,995.60 Acres 1.01 DIRECTIONS: Hwy 127 S.left on Briarwood Dr,on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 1165 WATER SUPPLY: Public Water DESCRIBE WORK: IP only to designate repair area for future. Doctors office with 27 employees. Typically see 98 patients per day 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 doctors office EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 51 x 130 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 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: ellapplicautw 03/022023 14:54 Page I of3 .aii\e CATAWBA COUNTY Case p El IPR-03-2023-43588 Public Health Department ti, 't' 2 Subdivision —4 Environmental Health Division :,'; PIN# 279119623443 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 84 w NAME ON PERMIT: (MICHAEL WALSH),6425 SI(INNWOOD DR,WILMINGTON NC 28409 ( Michael Walsh) Site Address: 1940 BRIARWOOD DR,HICKORY NC 28602 Property Size: Square Feet 43,995_60 Acres 1.01 Directions: Hwy 127 S.left on Briatwood Dr,on left 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 ************************************************************************************************************ FEENAME DATE FEE AMOUNT Improvement Permit Fee 03/01/2023 $150.00 TOTAL FEES S150.00 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) elhapplicaiion 03/02/2023 14:54 Page 2 of 3 • cataw'ba county public healer Application for Environmental Health Services P PR 14 e THIS 1S NOT A PERMIT Application Is for._ ❑New Construction IXT Existing Facility El Improvement Permit❑Authorization to Construct ❑New Septic ❑Septic RepairlMalfunctlon ❑Septic Relocation ❑Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well ❑Replacement Well ❑Well Abandonment ❑Well Repair _ PropertyAddress t9'/ 13-tsioxc.A Dr: c , L-4,t tort' AV, ra(odL Acres 0• '7 (It Subdivision I Lott{ R 3 '1 Driving Directions to Property Describe work Wish -(a Conr,rot o-*� p¢rwt w SGptiL leAck (A FetAJw/vf n o- Applicant Name len c1M•te( t Lk;lS - ff Applicant Address to -, c,,�,elnsvurxt D(:.rt t i.sWW� Y rUL Zt 1u`'� Phone cJJr�_17J-7�5r/ IEmail Vn'J,ckle,e cc .16.15i^ caNM04•eo^t Owner Name ){co.t.e r A McLnl-int Lit' _ r •-eA , �,.'\ lax,-t.c' Owner Address Phone 1.8:-'6)2.Ny-0'175— _ j Email IFvo .527b $at,ul eo+•- Contractor Name Contractor Address _ Phone Email Name to Appear on Permit? ❑Owner ®Applicant 0 Contractor Who will be the Primary Contact? ❑Owner ©Applicant 0 Contractor Proposed New onstruction-Restial - Primary Residenc• ❑ New Residence ❑ Addition to Residence #of New Bedroo s't #of Occupants Project Description Structure Dimensions,a• specify dimensions of decks&porches (Choose One) 0 Basement Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' 0 Yes le No Accessory Dwelling #of New B ooms st #of Occupants - Structure Dimensions-_—_ (Choose One) ❑Basement ❑Cra Space ❑ Slob If Basement.Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes 0 No Accessory Structure(s)Describe __ .... Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plu •ing Needed_ (Choose One) ❑Basement ❑Crawl Space • lab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Be. •oms per Apartment"t Total#Bedrooms in Structure•t #of Occupants__ Structure Dimensions (Choose One) ❑Basement ❑Crawl Space El Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes El No Retaining Wall>2' ❑ Yes ❑ No Well Conatraction/Abandonmen epalr Proposed Well Type ❑ Indivi I Well 0 Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ['Yes ❑No 'tribe Will Certified Well Contractor Install Water Line Electrical Line from Well Head to Pressure Tank?❑Yes ❑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 • , • Describe Structure Dimensions #of Bedrooms• #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well El Shared Well•-Number of Connections E Community Well ❑County/City/Township Water Line Is a public water supply available?** ❑ Yes 0 No Commercial 0 Proposed New Construction WI Existing/Change of Use rig Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats _ Daycare❑Yes ❑No #of Children 4 of Employees per Shift #of Shifts Commercial Kitchen ❑Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts - 1 Business/Other Specify Type pus-1 0/S U�•c-L Structure Dimensions .5"/ i 3 c.., Retail Floor Space #of Employees per Shift #of Shifts Other Information K(1\'P Calculated Design Flow,Commercial t 1 Ili S (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 'No Does the site contain any jurisdictional wetlands? M t� 'Yes 0 No Does the site contain any existing wastewater systems? �Cr�^ .�- TO % i Lt 1 `K ❑Yes tiiNo Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes I$'No Is the site subject to approval by any other public agency? 0 Yes ®No Arc 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 T pe(s): (systems can be ranked in order of your preference) y�(� Ptf ® — ❑Accepted 0 Alternative 0 Conventional 0 Innovative Other tQ#f _ 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 soiUsite evaluations require digging,angering,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 arc 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 al agent of7e ow Signature of Owner or Legal Agent %,// /AI)/! Date 2 1 ii I ZoL3 Printed Name of Owner or Legal Agent rn.chc+ej t_ U-)r•\Sh 01) r'1' . # • i a �. '''',.. ....,.:,:. 4, ./ wIP . 1 t \118 • • ,,,':.t''' .'"."...\:\ tof/' Jo* r L F E ....'llir..-...-417: En .I. m a "I. _I 1117 it r l M r I� , 1 1 .44ll0ll1 . ' ill' 1111-'' 40, 1. 4 '. lill , _ I ' 4 is . .�I'a * 1 1r 40011111°:: .. - 00 ; 1116 1 r 41# , . , , .' \ i . 6 • • \ _ f':\ 4 ' r� .. 1. \ 43 I. • TI o• a r. •• a C r CD • ' .. M Catawba County Environmental Health 114.92 107.44 C\ ,IV° \ ...- ti I� frr N. ki ti it\1 — I __. 1 N � N\ 1 II i 1 \. 1 I ~ I \1 I i II ` _ I •1940 IIllI t -N.,I I I i_. �� \__Jf - —r� Ili III �" ■ I Ir , a 4490 . /36 00 ..-,,_ ,. " '` '"t.,;a 7 \Q of 28 18 �A5 ■ - •1657 II 5 .1693 .---.� Il 85.22 •1665 -- , _ -_..- --"--A .?6,/ - r�' Parcel: 279119623443, 1940 BRIARWOOD DR 1 in=50ft HICKORY, 28602 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 02/17/2023 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 279119623443 Owner: HOOVER & MCINTYRE LLC Parcel Address: 1940 BRIARWOOD DR Owner2: City: HICKORY, 28602 Address: 655 STARBOARD TACK LRK(REID): 64470 Address2: Deed Book/Page: 2483/1522 City: HARDEEVILLE Subdivision: State/Zip: SC 29927-2691 Lots/Block: PTS 3 & 4/ Last Sale: $120,000 on 1990-02-01 School Information: School District: COUNTY Plat Book/Page: 18/61 Legal: LOT PTS 3 & 4 PTS 3-4 PL 18-61 PL 18-61 Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK Calculated Acreage: 1.010 Tax Map: 219H 01131 High School: FRED T FOARD Township: HICKORY School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: MOUNTAIN VIEW Zoning1: O-I Building(s) Value: $366,200 Zoning2: Land Value: $88,000 Zoning3: Assessed Total Value: $454,200 Zoning Overlay: MUC-O,WP-O Year Built/Remodeled: 1984/ Small Area: MOUNTAIN VIEW Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Comparable Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710279100J If available, Building Permits for this parcel. Septic 2010 Census Block: 2036 links are not permits. 2010 Census Tract: 011102 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-III Protected Area Voter Precinct: P23/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 .r � � 3C) rATA ► crxJrh�r TH ❑EeARrr 1 X Lot Evaluation ,�8� Improvement Permit Repair Permit Completion Permit Cwner/Agent ktit Phone Address �-�' Subdivision C/Y,-T ,I 27 C Section/Block L t # f Lot Size Direct ions: i - QL 0 �� ._,24 ----fy-tt-464 k ....,___. Facility: House Mobile Hare Business,/ : Other: Zoning Approval/yew/no # ;4 ] J Multi-family Other 3 u/rub1 ,3 iMA Lij'v.t , 100% Repair ALea ye - _. reL.04 Bedrooms Baths 3 Seats Employees /0 : GPD Flow Application Rate ' y r`-ut r, Garbage Dis.•sal_ Special Fixtures : REPAIR DICE: FAIRS MUST BE WITElN 30 Basement 41/no Basement Pluming yes/no : DAYS OR LAYS FROM DATE OF PEWIT. Water ` 4• y: Private Public i/ * ******** **** ********t *********yr,ter* **** **************** Type of System: Trench System Other (Specify) (jc)Ju lk` ,1/�1,f.HeALL Tank Size: Septic Tank AUC) Pump Tan) ,i Nitrif"«-ti.on Field: Total Square Feet ( OL 6 Depth of Stones /9 Bed Size f� (0 f Length dC C)' . N irber of Trenches 7`?) Trench Width Total Len hoof A11 TrenchesL ti - see IndividUal Trench : gth lv/56 /$v/ hod/ Feet on Center MaxiM rn Tre/9clh Depth £ y Distance tom• -st Wel — — — — Lot Evaluation: Apporonredati,- tD �v **** *****************:*************s* ******************* N. Ske h of Evaluation Site - System Design - Final N 4 — ik Suet ile Ittit f-/21-4 S r , N• , ,•d Arq ' Lkit' ,0 M't N q': 'CSC ire r --� —tt-S, t y /.- a r,�� ?WIN'- E 3x l - - g ' `) 4/4204 V LS- -----4-C — 'i, • _ r --------______,_:. 3 x s S .a? 4o.eim . . . f . L. r, i I `I a ) At 3 / fan bfrAraili Alui ICI t�e n )'�`s; 6/1 ----" itst "D .,httA-04/1 Al P , , arkim) or ro_, /Nome', LA 5(y-g- re ''Ail t, r lcbc� ' ' ****************** ** *p�******** ** r�*: ***#******* ******* *** Permit Date (Lot .Evalloation and I rovement Permit void er 36 months) Owner/Agent 4-e_ e 4" -4 itarian fl i r Installed Barr Mkt( m14 Date / / i f Sanitarian - t..t`-) (Note any changes/informati red or by sketc on/ ck) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz. S PS U Space S PS U 11 S PS U III Looms: Sandy Clay, Silt, Clay, Silty Clay .6-.4 IVa Clays: Sandy, Silty, Clay .4-.2 WHITE •OFFICE COPY YELLOW•OWNER/AGENT COPY • t4L4 - :j) c,t, ?eitta.c ._ 0700 /, - A"...„).„4„, • 4,4u.L. bid5. , 6i/e 1 ��A C CATAWBA COUNTY 7( 100A SOUTHWEST BLVD �1 ` NEWTON,NORTH CAROLINA 28658 RECEIPT k)79. ` _,.5+ PHONE:828.465.8399 \\7 `J Thursday,March 2, 2023 18 4 2 sM www.catawbacountync.gov PAYOR: Walsh,Michael PAYMENTS TRANSACTION NUMBER: TRC-58812102-02-03-2023 PAYMENT DATE: 03/02/2023 PAYMENT TYPE: Credit Card 301908550 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-23-419120 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-03-2023-43588 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1940 BRIARWOOD DR,HICKORY NC 28602 Applicant MICHAEL WALSH,6425 SHINNWOOD DR,WILMINGTON NC 28409 C:9192717441 MICHAELCWALSH@GMAIL.COM GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner HOOVER&MCINTYRE LLC,655 STARBOARD TACK,HARDEEVILLE SC 29927 receipt 03/02/2023 14:53 Page I of I