The URL can be used to link to this page

Home My WebLink AboutEHPR-06-2023-44608.tif (.7/ THIS IS NOT A PERMIT Case# El IPR-06-2023-44608 fi CATAWBA COUNTY I IEALTH DEPARTMENT ® * 1 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sM Environmental Health Plan Review-OSWP ABANDONMENT Applicant CATAWBA VALLEY ENGINEERING (NA'I I-IAN SIMMONS),PO BOX 747, HICKORY NC 28603 B:8285781431 NSIMMONS tr,CVET.NET Owner TRIVIUM CORPORATE CENTER INC,P.O.BOX 3388,HICKORY NC 28603 NAME TO APPEAR ON PERMIT Trivium Corporate Center Inc SITE ADDRESS: STARTOWN RD,HICKORY NC 28658 PIN# 372119612638 NAME of SUBDIVISION: Lot J1 1 Section/Block PROPERTY SIZE: Square Feet 4,715,370.00 Acres 108.25 DIRECTIONS: South on Startown Rd, pass Trivium Pkwy go approx.35 miles and turn left into a new construction entrance PRIMARY CONTACT: Applicant SEWER TYPE: GALLONS PER DAY: WATER SUPPLY: DESCRIBE WORK: well abandonment 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: "" NO STRUCTURE SELECTED "" DESCRIPTION OF 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: APPLICATION FOR WELL ABANDONMENT ABANDONMENT TYPE: Dug -- ehapplication 06/13/2023 12:34 Page 1 of7 �I�• CATAWBA COUNTY Case# EHPR-06-2023-44608 t j Public Health Department Subdivision lit '� Environmental Health Division PIN# 372119612638 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 1: w NAME ON PERMIT: IRIVIUM CORPORATE CENTER INC ( ),P.O.BOX 3388,HICKORY NC 28603 Trivium Corporate Center Inc Site Address: STARTOWN RD,HICKORY NC 28658 Property Size: Square Feet 4,715,370_00 Acres 108.25 Directions: South on Startown Rd,pass Trivium Pkwy go approx.35 miles and turn left into a new construction entrance 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 Well Abandonment Fee 06/13/2023 $100.00 TOTAL FEES $100.09 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ch:q,plic,ninn 06/13/2023 12:34 Page 2 of7 , , , a catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: ❑New Construction ❑Existing Facility _ _ Cl Improvement Permit ❑Authorization to Construct [New Septic 0 Septic Repair/Malfunction ❑Septic Relocation El Septic Expansion ❑Existing System Inspection or Reconnection El New Well 0 Replacement Vell _ ►:\Well Abandonment ❑Well Repair Property Address -1-i( av)tn 66, U,K. \ '1 p 2 9 12. Acres jv%‘?_ Subdivision Lot# Driving DireF� onstoProperty 1tfCltl� S a1$ GV1 �')Uf uJh` IA SS. i,'i,AA pW-�.utk�/, 7-( a ,,,e, ,u'P\yn 1o. S m t k ,,� +l CA e.4-4- ',A IA cc 1.ci 1 OUliftv\CP •r,` L Describe work 1`4fXlt4 ll t�1/�CIA <) Ofl ' c,t,Ac`��cVC' { c� l^r tf-�'q� ` . t e V�`N e i'u� Applicant Name N a:\ \c h S i,tn t,-.0t\s' p,'(CAw1o, ,cio i cP r; --1`e s'iik Applicant Address (mod Tp� �ktrtN(, t��t36U3 Phone ��t —5-9 8- \y34 r f Email Vls-TA AAOn_SaCvQ�'11-Z,- OwnerName lV ly.('-'Iv\ CUfeoCtik (� 4Cf- Z5t)C, Owner Address PO 13k �3 1/43 C / t{1,c1Y u(j'- Z6(()- Phone Email �> ' �Contractor Name tk+)J k1 Uc. 4 C.Ai' i AFPTi �,�Rs14NContractor Address T 01, - \-`'t azt f t/ N .Z 66 Phone ' ,Z - 5'1 F3` ly3 1 Email n c' 11MVA.1Ot/\,0 c V ''i''‘'e..i- Name to Appear on Permit? laOwner ❑Applicant 0 Contractor Who will be the Primary Contact? ❑Owner KApplicant 0 Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence 0 Addition to Residence 4 of New Bedrooms*t tl of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' 0 Yes 0 No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' 0 Yes 0 No Multi-Family Residence it of Apartments #Bedrooms per Apartment*t Total 4 Bedrooms in Structure*t it of Occupants I Structure Dimensions (Choose One) 0 Basement ❑Crawl Spare ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes El No Retaining Wall>2' ❑ Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type XIndividuai Well 0 Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled 0 Bored VirDug ❑ Unknown Well Repair Requested 0 Yes10 Describe ' Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes 0 No Environmental Health Catawba County Government Center,25 Government Drive I PO.Box 389, Newton,NC 28658 Phone: (828)465-8270 f Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Scanned with CamScanner Existing Structures on Site ` �r , Describe Kd�1I Pam, Y `'`-'� N C� etc'o(v9 w(o1 Structure Dimensions //of Bedrooms* `— #of Occupants Basement ❑Yes Basement Plumbing ❑Yes tic< Existing Water Supply dividual Well ❑Shared Well—Number of Connections D Community Well ❑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 Scats Daycare❑Yes 0 No it of Children #of Employees per Shift #of Shifts Commercial Kitchen 0 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 . No Does the site contain any jurisdictional wetlands? ❑Yes Does the site contain any existing wastewater systems? ❑Yes 110 Is any wastewater going to be generated ou the site other than domestic sewage? ❑Yes -lNo Is the site subject to approval by any other public agency? ❑Yes -nd‘Io 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 ❑Conventional 0 Innovative 0 Other ❑ 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. 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 the effect ermit conditions or installation re uirements. 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 le4a1 agent of/ the owner. Signature of Owner or Legal Agent in oti %)1 t(%r({() Date 6'lid-J�J Printed Name of Owner or Legal Agent Met et�� £. ono Scanned with CamScanner I\ ,• I _ m . . PA ' , ' \ 1 i . -I r E Z v` 1 Z 1 r A Z p n P. = -... = O r a Qca -a m O C Gq c CD g — N W11 T c m 'C' M n z Z - o z 0 Catawba County Environmental Health • % • . .85 1 It'. • 1\4,. r, :.= 1 7 . 7 • ----I-4225y ‘ / ti -*444'.. - / l'' •3224 1 26 I� 'iiSE 4 •3 0 • .46 3,... .24,4 . . 0 ,!. s 14 PS ' '' ii, • \ ,ifk g "A._ E rjoie' ,. pit ,_-./P : iN to •:.4541\0 a e 61.33 3.. 81953 :: B :[ 2603 is Et ..Y,y„ 0 \ill, -9 .. .20 =.53 *Q • N. ,^% i 425.115 11 .\ • \' 20 • '54 rZ7 • •±1'\,1 m i • , `� 2" B ate_ 4,, t.• . 0 = ! � ` 9 O �i �2500 �" ' o ,za • flee) FFi.R] 1 * . Illy r0 .1110111111k \\\ • 707.R2 '` / p t1 .) 2.Tt1✓ • .0" 7 / 82539 + 14 sb I • 2560 7. 12 14.91 Parcel: 372119612638, HICKORY, 28602 1in=600ft 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 06/13/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372119612638 Owner: TRIVIUM CORPORATE CENTER INC Parcel Address: Owner2: City: HICKORY, 28602 Address: PO BOX 3388 LRK(REID): 31744 Address2: Deed Book/Page: 3668/1282 City: HICKORY Subdivision: State/Zip: NC 28603-3388 Lots/Block: 1/ Last Valid Sale: $2,706,500 on 2021-06-29 School Information: School District: COUNTY Plat Book/Page: 82/153 Elementary School: STARTOWN Legal: LOT 1 PLAT 82-153 Calculated Acreage: 108.250 Middle School: MAIDEN Tax Map: 051N 01036 High School: MAIDEN Township: NEWTON State Road #: 1005 TaxNalue Information: Tax Rates Zoning Information: City Tax District: HICKORY Zoning District: HICKORY County Fire District: All in City Zoningl: IND-CZ Building(s) Value: $0 Zoning2: Land Value: $2,357,700 Zoning3: Assessed Total Value: $2,357,700 Zoning Overlay: Year Built/Remodeled: / Small Area: STARTOWN Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710372100J If available, Building Permits for this parcel. Septic 2010 Census Block: 1027 links are not permits. 2010 Census Tract: 011701 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: Voter Precinct: P35 Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability, whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. �$A CATAWBA COUNTY �+ G 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 Tuesday,June 13,2023 1$4 Z s►n www.catawbacountync.gov PAYOR: Catawba Valley Engineering Catawba Valley Engineering(Simmons,Nathan) PAY M ENTS TRANSACTION NUMBER: 'I'RC-66234836-13-06-2023 PAYMENT DATE: 06/13/2023 PAYMENT TYPE: Credit Card 306704560 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-423975 110-580200-663000 Well Abandonment Fee $100.00 TOTAL PAYMENTS: $100.00 EHPR-06-2023-44608 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: STARTOWN RD,HICKORY NC 28658 Applicant CATAWBA VALLEY ENGINEERING,PO BOX 747,HICKORY NC 28603 B:8285781431 NSIMMONSaCVET.NET **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner TRIVIUM CORPORATE CENTER INC,P.O.BOX 3388,HICKORY NC 28603 receipt 06/13/2023 12:32 Page 1 of 1