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Home My WebLink AboutRBPR-07-2013-17668.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17668 CATAWBA COUNTY HEALTH DEPARTMENT 0• fFRI PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES r •� r Residential Building Plan Review - Building Addition • T IMPROVEMENT ❑� Applicant CHAMPION WINDOW COMPANY OF CHLT, LLC, 9100 PERIMETER WOODS DR, CHARLOTTE NC 28216- 2:704-398-0085 C:9807226641F:7043980087 CHARLOTTE.PRMGR@CHAMPIONFACTORYDIRECT. Contractor CHAMPION WINDOW COMPANY OF CHLT, LLC, 9100 PERIMETER WOODS DR, CHARLOTTE NC 28216- 8:704-398-0085 C:9807226641F:7043980087 CHARLOTTE. PRMGR@CHAMPIONFACTORYDIRECT. Owner MARK HILL, 1257 HIDDEN CREEK CIR, HICKORY NC 28602 b -ext coJ Ey-v Y - H:828 -429-6825 HOME: 828-429-6825 NAME TO APPEAR ON PERMIT�— Mark Hill SITE ADDRESS: 1257 HIDDEN CREEK CIR, HICKORY NC 28602 PIN # 370012955737 NAME of SUBDIVISION: HIDDEN CREEK ESTATES Lot # 34 Section/Block PROPERTY SIZE: Square Feet Acres 0.34 DIRECTIONS: 321 N, exit 41 turn right on Hidden Creek Cir, house on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic—Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: 12 x 14 Sunroom Addition to rear of dwelling 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? NQ Are Are there any easements or right-of-ways on this property? ( No APPLICATION FOR: Existing Structure STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 40 x 70 NUMBER OF EXISTING BEDROOMS: 3 PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 12 x 14 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? No CONVENTIONAL: ANY: YES GAJ - ehapplication 07/12/2013 16:56 Page I of THIS IS NOT A PERMIT Case # RBPR-07-2013-17668 CATAWBA COUNTY HEALTH DEPARTMENT0� i0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition M. IMPROVEMENT Fil Applicant _ CHAMPION WINDOW COMPANY OF CHI -T, LLC, 9100 PERIMETER WOODS DR, CHARLOTTE NC 28216- 2:704-398-0085 C:9807226641F:7043980087 CHARLOTTE.PRMGR@CHAMPIONFACTORYDIRECT. Contractor CHAMPION WINDOW COMPANY OF CHLT LLC, 9100 PERIMETER WOODS DR CHARLOTTE NC 28216- 2:704-398-0085 C:9807226641F:7043980087 CHARLOTTE.PRMGR@CHAMP ION FACTORYDIRECT. Owner MARK HILL, 1257 HIDDEN CREEK CIR, HICKORY NC 28602 H:828-429-6825 HOME:828-429-6825 NAME TO APPEAR ON PERMIT Mark Hill SITE ADDRESS: 1257 HIDDEN CREEK CIR, HICKORY NC 28602 PIN # 370012955737 NAME of SUBDIVISION: HIDDEN CREEK ESTATES Lot # 34 SectionBlock PROPERTY SIZE: Square Feet Acres 0.34 DIRECTIONS: 321 N, exit 41 turn right on Hidden Creek Cir, house on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: N/A DESCRIBE WORK: 12 x 14 Sunroom Addition to rear of dwelling 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? APPLICATION FOR: Existing Structure STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF House EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 40 x 70 NUMBER OF EXISTING BEDROOMS: 3 NEW STRUCTURE DIM:: 12 x 14 PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE: Other described: PLUMBING REQUIRED? No CONVENTIONAL: ANY: YES E9 - ehapplication 07/12/2013 16:00 Page 1 of 4 A CATAWBA COUNTY Case # RBPR-07-2013-1766$ Public health Department Subdivision HIDDEN CREEK ESTATES Environmental Health Division I'IN# 370012955737 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 NAME ON PERMIT: MARK HILL, 1257 HIDDEN CREEK CIR, HICKORY NC 28602 Site Address: 1257 HIDDEN CREEK CIR, HICKORY NC 28602 Property Size: Square Feet Acres 0.34 Directions: 321 N, exit 41 turn right on Hidden Creek Cir, house on the right Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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 solel responsible for the proper identificIt on and labeling of all property lines and corners and making the site acce�sibie so that complete site evaluati an be performed. Date: J7i-- -7.1) J� Signature of Applicant or Agent�{� (I'mC C\7 An Environmental Health Specialist will contact you within 2 working days ofappiication date. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/12/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - ehapplication 07/12/2013 16:00 Page 2 of 4 THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 18 %M Improvement Permit ` Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) �Z Application isfor New Construction ❑ Existing Facility [:1Property Address I G� A 1'000AC,s,_Pk C /Ue Subdivision i\,OU61 WL Lot # _2,4 Acres 0a :34D Section/Bloc hase Driving Directions to Property A--- nttTp Wu/� 4 Luq � Z.I . cl kt 6,1 ELS D�� ✓15U✓1 �• NAME TO APPEAR ON PERMIT? [Owner ❑ Applicant ❑ Contractor Applicant Contact Information Address nao�-QSTi�E�� 91Dn— - �P,r- , `704 r-� v etas �a-2 A.1� Z X521 is Phone 19 &1o &7 I Cell Phone Owner Contact Information Name 4, [ , .1+�tct._ l j Address S A 2 q 6i9Z Phone g'Z,5 2 3 4C) I ��_.0 f�� Cell Pho e ContractoContact Information Name � O/N �� ?. � C, j r; Address91e6 Phone —704 39g pp B .a I Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner '% Applicant ❑ Contractor Description of Existing Strictures on Site /_/(� t4;5�9 # of Bedrooms *tStructure Dimensions 40 Y - ID # of Occupants %j Basement ElYes V�No Basement Fixtures ❑ Yes ❑ No Planned Future Additions or Improvements (Building Permit NOT requested at this time) Describe Proposed Future Structure Dimension"# of Bedrooms *,t/if applicable Are there easements or right-of-ways recorded on this property ❑ Yes VNo Describe \ \ Is a public water supply available on or adjacent to the above property *Yes No Check type available XJ Community Well ❑ Semi -Public Well lcourfty/ ty/Township Water Line Existing water supply in use ❑ Individual Well Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) ��a G THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 18 % SM Proposed Facility Type ❑ Primary Residence ❑ New Residence Addition to Residence # of New B drooms *t Project Description /b®/yi Ff�D.^ � �ect✓ QeC5� �e-e Structure Dimensions)?— . - Y W� # of Occupants Basement ❑ Yes [A No Basement Fixtures ❑ Yes FN No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units Total # Bedrooms *t ❑ Food Service Specify Type #Bedrooms per Unit*t Structure Dimensions # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. tlf structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental Health employees to go on this property for evaluation purposes. 1 certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non -expiring under certain specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Constr t issued by this department is valid for (5) five years from the date issued and ' nk transferable Signature of Owner or Agent 4 cmt - -41 cti Printed Name of Owner or Agents tAiM1 D710 �_A) t_d Date 7v) / Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map 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 product or the use thereof by any person or entity. Selected Parcel Number: 3700-12-95-5737 1 inch = 40 feet 32 o� oo. 34 h O' mob` 00 33 S ,S Prepared for: Off. 35 58.86 1263 / i F / 1238 � 45�39� THIS IS NOT A LEGAL DOCUMENT 0 0 �� Date: 7/12/2013 / 1242 Time: 3:30:58 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3700-12-95-5737 Name: HILL MARK L Name2: HILL CAROLYN GRACE Address: 1257 HIDDEN CREEK CIR Address2: City: HICKORY State: NC Zip: 28602-9704 Account: Calc Acreage: 0.34 Tax Map: 187H 09005 LRK: 61041 Deed Book: 2965 Deed Page: 0350 Subdivision Name: HIDDEN CREEK ESTATES Subdivision Block: Lots: 34 Plat Book: 24 Plat Page: 87 Building Number: 1257 Street Name: HIDDEN CREEK CIR Site Zip: 28602 Township: HICKORY Fire Dist: MOUNTAIN VIEW City/Tax: State Road: Total Bldgs Value: $116,300 Land Value: $17,500 Total Value: $133,800 Year Built: 1990 Year Remodeled: Last Sale Date: 6/16/1999 Last Sale Amount: $117,000 Neighborhood: 88 Watershed: Watershed Split: NO Voter Precinct: P23 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: ED -O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BLACKBURN Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011102 Census Block 2010: 2066 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Friday, July 12, 2013 03:30 PM 9,0' CATAVBA COUNTY E19ALTH DEPARTMENT o O 1 (7d'4)'465-8270 Lot Evaluation Improvement Permit Repair Permit Completion Permit Owner/Agent 1?()N) ::�0 vC Phone Address -Po "RbX 1i 1, 41(, if,, y �/C Subdivision 40deo Cree k- Section/Block Lot# Lot Size /S,4V O Directions: Rcn�cl w6 4AA1 e.,) Cr-ee LII�'t,4- a -,j Facility: House_jC_ Mobile Home Business Other: Zoning Approva ye o 11 a:5 x% Multifamily_ Other 100% Repair Area .es no Bedrooms 3 Seats Employees GPD Flow 36C2. App ication Rate - i Hot Tub or Spa yesAo Special Fixtures REPAIR NOTICE: REPAIRS MUST BE WITHIN Basement yes/99Basement Plumbing yes/0 30 DAYS OR DAYS FROM DATE OF Water Supply: Private Public_Y PERMIT. Type of System: Trench Bed System Other (Specify) Tank Size: Septic Tank /640 SA- / Pump Tank Nitrification Field: Total Square Feet 900 Depth of Stone Bed Size Trench Width � /' Total Length of All T earaches 34)0 Number of Trenches Individual Trench Length/-sU/sd/?d /sd Feet on Center_ Maximus Trench Depth r i Distance of Nearest Well Lot Evaluation. App ove, yea no (Void After 24 months) Topo " c;L Slope I Sketch of lot Evaluation Site - System Design - Final Texture Structure rR lo(k lot - T 00 % 10 Clay Min. 1 Soil, Wetnessed Soil Depth " I \A �• c^ KAA-y j ' ' Restric. Hoz. at Available spacve //nol / U Overall C 1 BemK%%Ir J I — — - — j�. P �`c vru�`. y wrci Comments: uNec� fyPNc��S 1 1 1 be }v"tPN t�-r I 3 1 � 1 Permit Date — �/�� 7C� (Improvement I pr , m ovesent Permit v d after 60 months) �aer/Agent �— an aarianS stalled By /r°/c/ Date�1�, SanitarZ4n' Jr/ ��`� ( At..► �.... a nnna /info+-�wa h in/ raA nr by Oka I- h nn week