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HomeMy WebLinkAboutEHPR-07-2023-44911.TIF catawba county public health 9/8/2023 MRH Land Holdings, LLC P.O. Box 620013 Charlotte, NC 28262 Re: Application for Improvement Permit and Authorization to Construct for 4201 River Run Cir.,Hickory,NC 28602 Health Department file number EHPR-07-2023-44911 To Whom It May Concern: The Catawba County Health Department, Environmental Health Division on July 26, 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 four-bedroom home with a design wastewater flow of 480 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: X 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 Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. 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 15013. 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 9/8/2023. 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 150B-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, Blake Perkins Environmental Health Specialist Enclosures: Site evaluation Rule .1940, .1945, .1948 ill Catawba County Environmental Health �� ...-- ,.. ...„,------:,...„........„..............------ 205.74 ,�y3 - •4385 . �`S 1 i { ' Y I, 1) '''ti.%;,•',;. ' III (7 125' \`.t/\\ NQS� c Y�49 <1 \ ,Sc .S \S 4201 Pr+Tn\ "-----\., -9 " -c --vvv6,( ,,,t.r...,%e !�, g 36.50 Rr �~- t D , .y vJ lci �P rr yve✓C., r 0 'V 149.23 \ 6 39:Z J 53.86 _ ic 155.94 01--(111C1 13 .4202 64 32� Parcel: 360902657263, 4201 RIVER RUN CIR 1in=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 2023 Catawba County NC 07/17/2023 • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shea all— DIVISION OF ENVIRONMENTAL HEALTH PROPERTY 1D N: ' 73i5 .ON-SITE WASTEWATER SECTION COUNTY: 7 L .1 SO IJSITE EVALUA'TI()N OWNER: J c�11,�r 41 IAfor ON-SITE WASTEWATER E YS'TI?11�I ill 1 J l' ADDRESS: _- DATE EVALUATED: 'iii f i' . PROPOSED FACILITY: Ale— l^o v%P PROPOSED DESIGN FLOW(.1949): '1 '6.9 ,,11 t1 PROPERTY SIZE: l_%,"Pi ',r 4 LOCATION OF SITE: 1 I I u 1 t"i vi v eiry I. c;r, I i il. 0 i:_ IV(' ; `:ELL__ PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public Q`Wc11 II Spring {J Other_ EVALUATION METHOD: I Auger Boring [7 Pit U cut TYPE OF WASTEWATER: U Sewage Q lndusttial Proccaa Ci Mixed .............. r :::::::::_:::.::::1":":"-:1........... !lc:. *aiiiipiiIiii;!gigil ::::..::::...:i.:.....:_ • .. ; ...l... : : . . . . :: :: .. .. ... : : :s :t,:: ::. : V •. .:::: .. .... is .: } rr; : ::: ......... --- ..... "-ii:, :• - . . :. ..........ii 1 ... ' 961E ......lit... .. ... .....,• _. ...... ,::•::::::::::::........• . ......... ...............».. ... _,. . .3..r.. :..iu„,„ 0EN. 5c .. :ii'a: :FOS T ;n :TU::::::=:: ucrU. • :':as fi.................ili # Sf: :::: A: a.80o, ;: srs::::: ... iii_.. ..SLOP& 6' :::. ...:, ..r..... 795��NdX��. ::: ';::F�Y.+Y. ' :iE'C �'� il .uF i::6G�iAR. .:::::: _ ..... ..... . D • L✓/ Li(-- Ail JJ /•,'; r •t ••e• h 3 4 C 1,ejC.,vv,..,,..t•�Ad .*"(.. s•1 ,i j? c? .34 I :3-77 •[18 Sa - . 2 l • • 3 ' i • I 4 DEscR11'llox INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) (AS S SITE CLASSIEICATION(.1948): )1 Sydem Type(s) 5'11 y. EVALUATED BY: Ir ' Pr r '1,rt f OTHER(S)PRESENT: - - SiteLTAR O ,3 Q, 3 COMMENTS: 15A NCAC I8A.1940 TOPOGRAPHY AND LANDSCAPE POSITION (a) Uniform slopes under 15 percent shall bc considered SUITABLE with rcspcct to topography. (b) Uniform slopes between 15 percent and 30 percent shall be considered PROVISIONALLY SUITABLE with respect to topography. (c) Slopes greater than 30 percent shall bc considered UNSUITABLE as to topography. Slopes greater than 30 percent may be reclassified as PROVISIONALLY SUITABLE after an investigation indicates that a modified system may be installed in accordance with Rulc .1956 of this Section; however, slopes greater than 65 percent shall not be reclassified as PROVISIONALLY SUITABLE. (d) Complex slope patterns and slopes dissected by gullies and ravines shall be considered UNSUITABLE with respect to topography. (c) Depressions shall be considered UNSUITABLE with respect to landscape position except when the site complies essentially with the requirements of this Section and is specifically approved by the local health department (f) The surface area on or around a ground absorption sewage treatment and disposal system shall be landscaped to provide adequate drainage if directed by the local health department The interception of perched or lateral ground-water movement shall be provided where necessary to prevent soil saturation on or around the ground absorption sewage treatment and disposal system. (g) A designated wetland shall be considered UNSUITABLE with respect to landscape position,unless the proposed use is specifically approved in writing by the U.S. Army Corps of Engineers or the North Carolina Division of Coastal Management. History Note: Authority G.S. 130A-335(e); Eff July 1, 1982: Amended Eff January 1, 1990. I5A NCAC 18A.1945 AVAILABLE SPACE (a) Sites shall have sufficient available space to permit the installation and proper functioning of ground absorption sewage treatment and disposal systems,based upon the square footage of nitrification field required for thc 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 of the 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 1, 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 bciorc 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. History Note: Authority G.S. 130A-335(e)and(/).: Eff July 1, 1982: Amended Efj. February 1, 1992:Juh• 1, 1983:January 1. 1983. I5A NCAC 18A.1948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption sewage trcatmcnt and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation of a 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,where a site 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 of this 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. Thc State shall review the substantiating data if requested by the local health department. History Note: Authority G.S. 130A-335(e); Eff July 1. 1982; Amended EfAprilApril!. 1993.-January 1. 1990. U.S. Postal Service"" CERTIFIED MAIL° RECEIPT in p. Domestic Mail Only m For delivery information,visit our website at www.usps.com'. Env Hea t 43 Iill Certified Mail Fee `� 0 ra $ K CRY Extra Services 8 Fees(check box,add fee as appropriate) sic m ❑Return Receipt(nardcopy) $ D ❑Return Receipt(electronic) $ C Pos rk 0 0 Certified Mail Restricted Delivery $ t� CI ❑Adult Signature Required $ CCCJ•,A/ ['Adult Signature Restricted Delivery$ �`� .i f��� c'r, rag Postage \tea;rt . \ pj Total Postage and Fees $EHPR-07-2023-44911 rruu si'diRH Land H,o�lldiings, LLC Dr._ � ,$,P?O: � 62O J1No. c-Cb o to IitC 28262 PS Form 3800,April 2015 PSrt 7530-02-000.9047 See Reverse for Instructions Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for 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 Important Reminders: tottt���th'''e addressee's authorized agent. P � g r: ce,years Page(n the ot •You may purchase Certified M se i� E ig t a� 21 years of age(not First-Class Mail',First-Class Package Service, avai able a re. . or Priority Mail'service. -Aduh signature restricted delivery service,which •Certified Mall service Is not available for requires the signee to be at least 21 years of age international mail. [ C o nd,. delivery to the addressee specified •Insurance coverage Is not available forgltlase 1 jy n S��o the addressee's authorized agent with Certified Mail service.However,the purchase (not ava a.eat retail). of Certified Mail service does not change the •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 Mall Items. USPS postmark.If you would like a postmark on •For an additional tee,and wlthEr ronrrleri teMV, elpt,please present your endorsement on the mailpiece,you may request Cerrt(I1e a e a a Post Office'for the following services: postmarking.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 Retum Receipt;attach PS Fortn 3811 to your mailpiece; IMPORTANT:Save Mrs receipt for your records. PS Form 3800,Apra 2015(Reverse)PSN 7530-02-000.9047 (11y,A • THIS Is NOTA PERMIT Case# EHPR-07-2023-4491I CATAWI3A COUNTY HEALTH DEPARTMENT 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES g 2 sM Environmental Health Plan Review-OSWP IMPROVEMENT Applicant MRH LAND HOLDINGS LLC„ B:9803497002 Contact Person ARROW DEVELOPMENT (MICHAEL I31.ACKMON),41 OI)EI.L SCI IDOL RI)SUITE E,CONCORD NC 28027 C:9802160652 Owner JOHNNY HULL, 11:9803497002 IIOM E:9803497002 NAME TO APPEAR ON PERMIT MRH Land Holdings LLC SITE ADDRESS: 4201 RIVER RUN CIR,HICKORY NC 28602 PIN # 360902657263 NAME of SUBDIVISION: RIVER RUN Lot# 56 Section/Block PROPERTY SIZE: Square Feet 32,234.40 Acres 0.74 DIRECTIONS: Hwy 10 W,right Finger Bridge Rd, right River Run Cir,property on right PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: IP only 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 54 x 54 #OF NEW BEDROOMS:: 4 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: 07/17/2023 I3:56 Page 1 01'3 4 CATAWBA COUNTY Case# EHPR-07-2023-44911 .t y Public Health Department Subdivision RIVER RUN '1 Environmental Health Division PIN/ 360902657263 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: MRIl LAND HOLDINGS LLC ( ),, MRH Land Holdings LLC ( ) Site Address: 4201 RIVER RUN CIR,HICKORY NC 28602 Property Size: Square Feet 32,234.40 Acres 0.74 Directions: Hwy 10 W,right Finger Bridge Rd,right River Run Cir,property 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: _ Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA1 FEENAME DATE FEE Ab1OUN'I' Improvement Permit Fee 07/17/2023 $150.00 TOTAL FEES S 150.00 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) ehapplicatn,n 07/17/2023 13:56 Page 2 of 3 catawba county public health ! r Application LiLIP pp cation for Environmental Health Services THIS IS NOT A PERMIT Application is for: ®New Construction. 0 Existing Facility ®Improvement Permit ❑Authorization to Construct ONew Septic El Septic Repair/Malfunction ❑Septic Relocation ❑ Septic Expansion ❑Existing System Inspection orReconnection ❑New Well 0 Replacement Well ❑Well Abandonment 0 Well Repair Property Address 4201 River Run Cir, Hickory, NC 28602 Acres Subdivision River Run Lot# 56 Driving Directions to Property Take 1-40 to 321 South,take exit 41, right onto River Rd to deadend left onto Zion Church Rd, right onto Pittstown Rd, left onto Finger Bridge Rd, Left onto River Run Ct. Describe work New Home 54'x 54' pad -conventional only system acceptable Applicant Name Applicant Address MRH Land Holdings LLC Phone 980-349-7002 Email Owner Name Owner Address Johnny Hull Phone 980-349-7002 Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? ❑Owner IN Applicant ❑Contractor Who will be the Primary Contact? ❑Owner E1 Applicant ❑Contractor Proposed New Construction-Residential Primary Residence [RI New Residence 0 Addition to Residence #of New Bedrooms*t 4 #of Occupants 8 Project Description New Home Structure Dimensions,also specify dimensions of decks&porches New Home 54'x 54'pad - conventional only system acceptable (Choose One) 0 Basement ❑ Crawl Space 0:4 Slab If Basement,Will There Be Water Using Fixtures In Basement El Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes 0 No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment* Total#Bedrooms in Structure* #of Occupants Structure Dimensions (Choose One) ❑Basement El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well 0 Semi-Public Well 0 Community Well Abandonment Type 0 Drilled ❑ Bored ❑ Dug D Unknown Well Repair Requested 0 Yes ❑No 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 P0. Box 389,Newton,NC 28658 Phone:(828)465-8270 I Fax: (828)465-8276 [ EHAdmin@CatawbaCountyNC.gov Existing Struetinrs or Ste Describe Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes 0 No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well ❑Shared Well—Number of Connections 0 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 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. KI Yes 0 No Does the site contain any jurisdictional wetlands? KI Yes 0 No Does the site contain any existing wastewater systems? DO Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? KI Yes 0 No Is the site subject to approval by any other public agency? MI Yes 0 No Are there any easements or right of ways on this property? Describe Power Easement 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 ❑Alternative 111 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. 1: 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 arc 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 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 --- Date 13 125 Printed Name of Owner or Legal Agent ( 011(9 4�,{ IV 6 ...4 7 ft III 111 Ca Ss 6 4.3 PI- . so_ a) 4 1 en tr-1 Lit Oh \, vi-A 1\,) Vd VI 7 0„0\00"..\ V fl U . • c vi-ft i.,4 o f4 # t ort Ire 66 . CIS g °4 514 I let . � I R - — Catawba County Environmental Health 205.74 16,„56 •4385 • 126 36 �� •4201 36.50 —6, 149.23 3°26 53.86 �JRR � NG�R 155.94 RV 381") •4202 323� Parcel: 360902657263, 4201 RIVER RUN CIR 1in=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 2023 Catawba County NC 07/17/2023 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 360902657263 Owner: HULL JOHNNY ALAN Parcel Address: 4201 RIVER RUN CIR Owner2: City: HICKORY, 28602 Address: 4110 CAT SQUARE RD LRK(REID): 700693 Address2: Deed Book/Page: 3349/1895 City: VALE Subdivision: RIVER RUN State/Zip: NC 28168-7484 Lots/Block: 56/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 52/87 Elementary School: BLACKBURN Legal: LOT 56 PL 52-87 Middle School: JACOBS FORK Calculated Acreage: .740 High School: FRED T FOARD Tax Map: Township: JACOBS FORK School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $14,800 Zoning3: Assessed Total Value: $14,800 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: MOUNTAIN VIEW 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 #: 3710360900J If available, Building Permits for this parcel. Septic 2010 Census Block: 4000 links are not permits. 2010 Census Tract: 011802 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: WS-III Protected Area Voter Precinct: P3/ 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 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. ©2023, Catawba County Government, North Carolina.All rights reserved. Lip fi�2�"�, o d g IS} � /By d ON re Ids 8�i` "6fi � i .00,: t. 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"• y* m 4 wo b 4 a C 1 CATAWBA COUNTY 4 1y � 100A SOUTHWEST BLVD 1 NEWTON,NORTH CAROLINA 28658 RECEIPT Ar5 �Gu PHONE: 828.465.8399 U ��►� `�` Monday,July 17, 2023 1$4'Z sM www.catawbacountync.gov PAYOR: Arrow Development Arrow Development(Blackmon,Michael) PAYMENTS TRANSACTION NUMBER: TRC-68753359-17-07-2023 PAYMENT DATE: 07/17/2023 PAYMENT TYPE: Credit Card 308126777 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 07-23-425526 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: S 150.00 EHPR-07-2023-44911 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4201 RIVER RUN CIR,HICKORY NC 28602 Applicant MRH LAND HOLDINGS LLC,, B:9803497002 Contact Person ARROW DEVELOPMENT,41 ODELL SCHOOL RD SUITE E,CONCORD NC 28027 C:9802160652 **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner JOHNNY HULL,, H:9803497002 receipt 07/17/2023 13:55 Page 1 of 1