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Home My WebLink AboutEHPR-07-2023-44855.TIF A THIS IS NOT A PERMIT Case# EHPR-07-2023-44855 d �� CATAWBA COUNTY HEALTH DEPARTMENT V� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES J8 2 sM Environmental Health Plan Review-OSWP IMPROVEMENT- EXPANSION -I I, 1- Owner CHAD BARROW, 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 NAME TO APPEAR ON PERMIT Chad Barrow SITE ADDRESS: 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 PIN# 369904740003 NAME of SUBDIVISION: Lotf _ 1 Section/Block PROPERTY SIZE: Square Feet 33,541.20 Acres 0.77 DIRECTIONS: HWY 150 E left on Sherrills Ford Rd,Left on Hopewell Ch Rd,approx 100 yards house on right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 598 WATER SUPPLY: Private Well DESCRIBE WORK: converting accessory structure to commissary kitchen. Septic expansion.well will be shared by home and proposed commissary kitchen 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? Yes Property Easements Description: Shared Driveway APPLICATION FOR: Existing Structure STRUCTURE TYPE: ACCESSORY STRUCTURE FACILITY TYPE: Other OTHER DESCRIPTION:House and commissary kitchen DESCRIPTION OF House EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 67X52 37X30 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: 0 NUMBER OF SHIFTS: 0 TOTAL EMPLOYEES: 2 SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): 375 DAYCARE OCCUPANCY: KITCHEN: Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehapplicatio❑ 07/11/2023 15:06 Page 1 of3 $A doh. THIS IS NOT A PERMIT Case# EHPR-07-2023-44855 (.., CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES I8.. sM Environmental Health Plan Review-OSWP ._..,�..��.......,....w..w....,IMPROVEMENT- EXPANSION.,�..w....,....w�.�..�.M...�.µ.,..V...,..,..,,�.,..�.,..�m..,. Owner CHAD BARROW, 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 NAME TO APPEAR ON PERMIT Chad Barrow SITE ADDRESS: 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 PIN# 369904740003 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet 33,541.20 Acres 0.77 DIRECTIONS: HWY 150 E left on Sherrills Ford Rd,Left on Hopewell Ch Rd,approx 100 yards house on right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 598 WATER SUPPLY: Community Well DESCRIBE WORK: converting accessory structure to commissary kitchen. Septic expansion. 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? Yes Property Easements Description: Shared Driveway APPLICATION FOR: Existing Structure . STRUCTURE TYPE: ._.. .,,.,..��..,... ....M.......H_,.w.... .._..�... ...._ _..,.,�w. .. .. ACCESSORY STRUCTURE _- ,....., ..wM. ,., ...M.,._ ._.w...._.._.,.�.�.�.�_..... FACILITY TYPE: Other OTHER DESCRIPTION:House with accessory structure DESCRIPTION OF 1 House EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 67X52 37X30 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: 0 NUMBER OF SHIFTS: 0 TOTAL EMPLOYEES: 0 SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): DAYCARE OCCUPANCY: KITCHEN: Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehapplication 07/10/2023 16:27 Page 1 of3 i_ CATAWBA COUNTY Case# EHPR-07-2023-44855 • • �.;� Public Health Department Subdivision Environmental Health Division ,° PIN# 369904740003 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 sM NAME ON PERMIT: (CHAD BARROW), 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 (Chad Barrow) Site Address: 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 Property Size: Square Feet 33,541.20 Acres 037 Directions: HWY 150 E left on Sherrills Ford Rd,Left on Hopewell Ch Rd,approx 100 yards house 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: 6-ho /02,2 3 Signature of Applicant or Agent ' eSp?`�'„_s--------- If you need further information or assistance please call 828-465-8270 AREA4 #####kk#######kk############yy+��rr######��ai#########################################k###kk###kkk##kkk#k####k�s##ky1■,(# *t FE fNAME .. .. ... .'.. A ';'?E AM VNT:'.:,;.': Improvement Permit Fee 07/10/2023 $150.00 .`OTAL EE5 : S11'SO ttll �. �r: .�.'�'u 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) ehapplication 07/10/2023 16:27 Page 2 of 3 . cata b county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: ❑New Construction ❑Existing;Flcility Improvement Permit ❑Authorization to Construct ❑New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation V..Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well El Replacement Well ❑l Well Abandonment ❑Well Repair Property Address /473 7 tkOecde(( CGt'r . i , Acres / 7 7 Subdivision Lot# Driving Directions to Property ISO f () SG,err: (Is a to I• D,',e(( rG.„r�(� t2 Q 1 C90 a y y(,c ICO yrc r on rtt*I--- l/ V Describe work. Côe4' ' £ :7 %AG rrwisy,r/ l<< Pvt • SeJfIc... S ,SJr�,Y, ( lJ c.4Sio4. Applicant Name �19 ��N� _ Applicant Address (c,''7 (- pe�„�e Il CA„rc't S�nerr i i(S l- rtO NI C. ow 7 3 Phone 01 80 aR ? - 3 g Email ct,A 19Oct p y41.tr0 ,Go y Owner Name S�� Owner Address Phone Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? ❑Owner g Applicant ❑ Contractor Who will be the Primary Contact? ❑ Owner rEr Applicant ❑ Contractor Proposed New Construction-Residential Primary Residence El 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 ❑Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) El Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Well Constiuction/Abandonment/Repair Proposed Well Type , El Individual Well ❑Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested El Yes El No Describe Will Certified Well Contractor Install Water Line or 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. Pot/se 5 t i , Describe u,is�� 5tio`A Structure Dimensions 67X5 37 3O #of Bedrooms * 3 #of Occupants a Basement ❑Yes No Basement Plumbing ❑Yes Iga No. • Existing Water Supply tto0e 4 Ste 0 Individual Well ,_Shared Well—Number of Connections a ❑ Community Well 0 County/City/Township Water Line Is a public water supply available?" 0 Yes 't No •Commercial ❑Proposed New Construction sting/Change of Use ❑Repair . . . Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑Yes 0 No #of Children #of Employees per Shift #of Shifts Commercial Kitchen 0 Yes ❑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 Calculated Design Flow,Commercial j 3'S T7dis 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. lithe answer to any question is"yes",applicant must attach supporting documentation. ❑Yes 12,No Does the site contain any jurisdictional wetlands? ' Yes 0 No Does the site contain any existing wastewater systems? ❑Yes jallo Is any wastewater going to be generated on the site other than domestic'sewage? ❑Yes 7ZNo Is-the site subject to approval by any other public agency? //.� /n� Yes Cl No Are there any easements or right of ways on this property? Describe si,c.re_D dr:✓e�✓� 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) 0 Accepted ❑Alternative 0 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. j 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 soillsite 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/sprinlder 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).Pennits.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 prope or 1 al agent of the owner. Signature of Owner or Legal Agent `%j Date /o c)4,9 Printed Name of Owner or Legal Agent 041/2 CATAWBA COUNTY PLANNING & ZONING PERMIT • $A Co ZONING AUTHORIZATION (Rl �" .1-1 K Back Yard Business P.O.Box 389 718 /d 25 Government Drive PERMIT NO: ZONR-07-2023-199800 Newton,North Carolina 28658 APPLIED: 07/10/2023 ISSUED: 07/10/2023 4 ` SM EXPIRES: Phone:828-465-8380 FAX:828-465-8484 www.catawbacountync.gov Applicant CHAD BARROW, 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 **NO PEOPLESOFT ACCOUNT ASSIGNED** PROPERTY ID#:369904740003 CENSUS TRACT:011501 STREET ADDRESS:1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 LOT#: 1 PROJECT DESCRIPTION:Food truck/catering business.Accessory structure approx.750 sf. used, less than 50%of principle structure.Applicant will meet all requirements of UDO in addition to parking food trailer in enclosed structure. FLOOD ZONE? OWNER TYPE: 100 YEAR FLOOD ZONE PLAIN? LAND OWNER: FLOOD PLAIN,STRUCTURE? No FRONT SETBACK: 30.00 SIDE SETBACK: 15 REAR SETBACK: 30 FRONT SETBACK 2: SIDE STREET SETBACK: MAX HEIGHT: SETBACK COMMENT: REQUIRED SETBACKS FRONT: 30 REAR: 30 SIDE: 15 INVOICE#: FEENAME DATE FEE AMOUNT • Residential Zoning Fee 07/10/2023 $25.00 • TOTAL FEES $25.00 The permit is issued based upon the information provided on the attached Zoning Application. The applicant acknowledges that any construction,alteration or addition which differs from the application shall be subject to removal or alteration so as to bring said structure into conformance with the specification and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant and/or owner. ISSUED BY: Chris Timberlake permit 07/I0/2023 15:06 Page 1 of 1 Catawba County Environmental Health / .96-,.._ s 1939 0 (. J co O * w4,1 ,,.i.,.,i,:,,i,,,:i.,,,,,,,,..:;:,,,,,.:,,,,...0:::::!:,:,!::::!.1:::::,:: —99 .. ft:54,0:4 . . /(Cji.\. 1/11: (81) 0/(122) Parcel: 369904740003, 1937 HOPEWELL 1 in=50ft CHURCH RD SHERRILLS FORD, 28673 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 07/10/2023 MOB 3-rv- , Po.S�'tcJ c ,..,,4�,; 4 CATAWBA CDUN' ALTH`DEPARTMENT r a r , Telephone: (828)465.8270 D (828)465-:r4+0 WLS l# a " evr 71.E Improvement'Pctmit ' % AC (, Repair Permit:_ Operation Permit. System Type Well Permit.X Replacement Well Owner/Agent /r) TA y 14-44441 Qaa peeri s Phone Address J 9"4 1 40+r'..+g44 Cif44tilati ROAD Subdivision ,,�w.„„ %044E 12.14 d r , All .C. An 7.3 Section/Block/Phase Lot/ ) 9 Lot Size i.9010440 Directions: Lyng a.4 Foe& anAn 0 14-ho i•e.4., aritiai 1111144) va f„n 4940100, JO,$ells eirr . / tote Property Address J93.7 Aspioara, ehuicAL Atoka FHome Bumess Facility:House X Mobile Multi-family Other: Pin Number anq e St 7 f/ OO. Other . Appmvel o 2& W O 4- 6105.2. S Bedrooms 3 5'Seats S EmPloYees .Application Rate ,3 GPD Flow aed Hot Tub or Spa ya/g pecial Fixtures Basement ye . 100% Repair ArenSno Basement Plumbing yes& Water Supply: Private Well X Public Semi-Public rrss000000*toss*ssssssss*srsrrrstssiosirir•••••#iii•w•••••sAS•r•Nwsaoimoosoo soompor!*oosrsimi•soos000aoosss000soo Type of System: Trench A Bed Pumper.Pump/Panel--- Panel --- LPP ..- Other ----- Septic Tank Size /0 00 Pump Tank Size . Nib Field: Total Square Feet Lap° Depth of Stone JJ " Bed Size Trench Width 3'l . Length of Ali Trenches POO Number of Trenches fL Trench Length imp/o:Mae)/f I-_ Feet on Cen lc^' Maximum Trench Depth ,2y",► Distance of Nearest Well SD '" *DK)NOT INSTALL:SEPTIC WHEN WET* *WELL ORD REQUIRED AT COMPLETION' rsssssssessoessrss0sseseseersssssssooss esssss...ss sr*sssss+srssrsssrsssoosoosse sssssssssssssssesosssssrsssssasrssoom Truro S`.' %Slope ,x..aa e Texture cy I ,-. Structure +-S/14 . Clay Mtn. /../' ,A Soil Wetness - W -3 Soil Depth 4Lil.� M ti 6 ' • Restrict Hoz.at, 3; 1, -- " Available .., . :;,. '.- t !-�- - Overall Class "3 - -- Comments: - /UA W 0r "w/(,a 1L' ems ea•: oat ."= 600. H 1 t b 0 11. Filter Required Riser required when 4-.. 1 tank is more than 6 'h , • , t inches GUARANTEE OR WARRANTY IS IMP ' • O TO THE P • • N��$ RMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** pc"4.,w6't.. e2�. sr•*sssssss*sssssNsssrssirsirsrsrrissssssss*issr r•is•ass ssssssssssssssRasssrssssssssssssisssss*****msssimmo *Improvement Permit has no expiration date and is transferable,but may be revoked if site plans or Intended use changes for the proposed facility. An Authorization to Construct Is valid for(5)five years from date issued and is not transferable. Well Permit valid for S years provided site conditions do not change. Well location,installation,and protection must meet state and local regulations,and must be Inspected and approved by a representative of the Catawba County Health Department before any portion of the installation Is put into use. The siting of the well by the Health Department staff is to provide protection from known passible sources of contamination. No volume of water is guaranteed at any site by the Health Department. , Permit Date j.d,V, a* aD>4 EHS 010 "- .-Owster/Agent .,%/!i _ Septic Tank Installed.By Pity N,ib, -1lL Dates-10.O c EHS ,,,sr'"-''--;,/ '' 4,e kc Well Installed Byituotmidtt.6 i Jg t.Well Clout Approval Date -.12'-oS Well Head Approval •"to . s',_ ---iwfatefampii Collected Date of Remits Results . EHS ( € .S. value Office ' Yellow.OweesA ant Pink-Building hispoodon Authatization to Construct . . . . • • • --- (-PA • CATAWBA COUNTY 100A SOUTHWEST BLVD d ini t I. NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 C.) , T) *1Monday,July 10,2023 .18 'Z sM www.catawbacountync.gov PAYOR: Barrow,Chad PAYMENTS TRANSACTION NUMBER: TRC-68249055-10-07-2023 PAYMENT DATE: 07/10/2023 PAYMENT TYPE: Credit Card INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 07-23-425245 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: S150.00 EHPR-07-2023-44855 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 Owner CHAD BARROW, 1937 HOPEWELL CHURCH RD,SHERRILLS FORD NC 28673 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 07/10/2023 16:25 Page 1 of 1