HomeMy WebLinkAboutRBPR-07-2014-19606.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2014-19606
CATAWBA COUNTY HEALTH DEPARTMENT 0&. o
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '
Residential Building Plan Review - Building New {
IMPROVEMENT - AUTH CONST
%15114 Rwsej dxf-&l
Contractor *JOYCE, RON (RON A JOYCE), PO BOX 716, HICKORY NC 28603-
B:828-381-2520
Owner JOYCE & ASSOCIATES INC, PO BOX 2365, HICKORY NC 28603-2365
NAME TO APPEAR ON PERMIT
Joyce & Associates Inc
M
SITE ADDRESS: 5012 MUNGER LN, HICKORY NC 28602 PIN # 370005095010
NAME of SUBDIVISION: BERKSHIRE PLACE PH 1 Lot # 8 Section/Block
PROPERTY SIZE: Square Feet Acres 0.36
DIRECTIONS: 127S/ LEFT BETHAL CHURCH RD/ LEFT BERKSHIRE DR/ 2ND LOT ON RIGHT
PRIMARY CONTACT: Contractor SEWER TYPE
GALLONS PER DAY: 360 WATER SUPPLY
DESCRIBE WORK: 2 story dwelling w/ attached garage / unfinished basement
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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE:
FACILITY TYPE: Single Family Residence
DESCRIPTION OF VACANT LOT
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS:
PRIMARY RESIDENCE
OTHER DESCRIPTION:
# OF OCCUPANTS:
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 36 X 42
# OF NEW BEDROOMS::
BASEMENT? Yes r BASEMENT FIXTURES? No
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE:
OTHER: YES INNOVATIVE:
Other described: 25% REDUCTION
Septic Tank
Public Water
PLUMBING REQUIRED? Yes
CONVENTIONAL:
ANY:
FI - ehapplication 08/05/2014 10:02 Page I of
Contractor
Owner
THIS IS NOT A PERMIT Case # RBPR-07-2014-19606
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Building New
IMPROVEMENT - AUTH CONST
*JOYCE, RON (RON A JOYCE), PO BOX 716, HICKORY NC 28603-
13:828-381-2520
JOYCE & ASSOCIATES INC, PO BOX 2365, HICKORY NC 28603-2365
NAME TO APPEAR ON PERMIT
❑'
E101
C.
Joyce & Associates Inc
SITE ADDRESS: 5012 MUNGER LN, HICKORY NC 28602 PIN # 370005095010
NAME of SUBDIVISION: BERKSHIRE PLACE PH 1 Lot # 8 Section/Block
PROPERTY SIZE: Square Feet
Acres 0.36
DIRECTIONS: 127S/ LEFT BETHAL CHURCH RD/ LEFT BERKSHIRE DR/ 2ND LOT ON RIGHT
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY : Public Water
DESCRIBE WORK: 2 story dwelling w/ attached garage / unfinished basement
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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR:
STRUCTURE TYPE:
FACILITY TYPE: Single Family Residence
DESCRIPTION OF VACANT LOT
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS:
NEW STRUCTURE DIM:: 36 X 42
# OF NEW BEDROOMS:: 3
BASEMENT? No
New Structure
PRIMARY RESIDENCE
OTHER DESCRIPTION:
# OF OCCUPANTS:
PROPOSED CONSTRUCTION
BASEMENT FIXTURES? No
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE:
OTHER: YES INNOVATIVE:
Other described: 25% REDUCTION
PLUMBING REQUIRED? Yes
CONVENTIONAL:
ANY:
E9 - chapplication 07/28/2014 13:33 Page I of
BA CATAWBA COUNTY Case # RBPR-07-2014-19606
Public Health Department Subdivision BERKSHIRE PLACE PH 1
d a� Environmental Health Division PIN# 370005095010
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
1842 sm
NAME ON PERMIT: JOYCE & ASSOCIATES INC (), PO BOX 2365, HICKORY NC 28603-2365
Joyce & Associates Inc ( )
Site Address: 5012 MUNGER LN, HICKORY NC 28602
Property Size: Square Feet Acres 0.36
Directions: 127S/ LEFT BETHAL CHURCH RD/ LEFT BERKSHIRE DR/ 2ND LOT ON 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 a rect. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable I s rules. I derstand that I am solely responsible for the
proper identification a label" g of all property lines and corners and making the site acces le so that aomplete site evaluation can be performed.
Date: Signature of Applicant or Agent , I t'
An Uvironmental Health Specialist will contact you with" 2 workingys of application date.
If you need further information or assistance please call 82t-466-7291
AREA2
************************************************************************************************************
MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT:
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee (New/Expansion) 07/28/2014 $150.00
Fee
Improvement Permit Fee 07/28/2014 $150.00
TOTAL FEES $300.00
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)
E9 - chapplication 07/28/2014 1333 Page 2 of 4
CAT® ® THIS IS NOT A PERMIT
COUNTY L a CATAWBA COUNTY HEALTH DEPARTMENT
Norah Cerollne Application for Environmental Services Page 1
Improvement Permit -d Authorization to Construct Septic Repair ❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑
Application is for New Construction 5l Existing Facility ❑
Property AddresF 1� Nnow Ln Subdivision fW6* K"t f6a
Lot # Acres s
S actio /BI ek/Ph se
Driving Directions o Property — �` �e, U
NAME TO APPEAR ON PERMIT? [Owner ❑ Applicant Ycontractor
Applicant Contact Information
NameT6
Address 0 V11
Phone Cell PhoneZ
Owner Contact Information_
Name k0+J 7,1_0J o�
Address &4 jib 14C c)3
I Phone Cell Phone 97Y SVi ZS LV
Contractor Contact Information
Name VrA i
I Address C) geo', (y I.I 61L f
I Phonej 3Q( -157.,'t I Cell Phone `J
WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant contractor
Desc#.ofiBed oomstin�'Sir'ures oS rte
n .Structur� D erasion - I # of Occupant S
,.,,�_„,,...... .
p a
Basement [Yes ❑ No Basement Fixtures ❑ Yes o
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the property 'n question. If the answer to any question is "yes", applicant must attach supporting documentation.
❑ Yes O� No Does the site contain any jurisdictional wetlands?
El Yes EAO Does the site contain any existing wastewater systems?
❑ Yes Vo
'Is any wastewater going to be generated on the site other than domestic sewage?
❑ Yes Is the site subject to approval by any other public agency?
El Yes Are there any easements or right of ways on this property? Describe
EX` istin water supply m use Individual-Well�+Com..umniti111yWel,1 � lic..
.. ... �., Semi -Pub Well ,.
_. 0.....,... ❑
County/City/Township, Water Line a' _ Is a public water supply pp 11 vai
y .,
,. . U ,a_.� available? Yes .` ,.o.o..�....,,_. .
If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s):
(systems can be ranked in order of ToCr preference)
El Accepted 11 Alternative LJ Conventional ElInnovative 0 Other 200 91,00 UJI"- 0 Any
CATAWBA THIS IS NOT A PERMIT
COUNTY CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services Page 2
Pr posed Facility Type
Primary Residence /New Residence ❑ Addition to Residence # of New Bedrooms *f
Project Description 00-w 0,6yVj_ �Tuv&i l 4'
Structure Dime ions '7,(O X L. 2/# of Occupants
Basemeui [2es ❑ No Basement Fixtures ❑ Yes Q'�4o
❑ 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 -Fa Residence # Untts #Bedrooms pe
"i,
,.... .:.... ... ,,._...�,, ..... , r Unit ... ...... .... ..... ,.. ,..��. . ... ,.,.... ,.........o..,.......
U y .. p *�
Total # Bedrooms *t Structure Dimensions
U Food Service Specify Type .... . .. ,
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
❑ Business Specific T ype of Business .-_._ ,, ..... ..,.,......... ..,. , .... ,.. .. ..... . Retail Floor Space
# of Employees per Shift # of Shifts
Other Fac ty yp. ,. W..e ..._... ,
❑ i T e 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.
t If structure is plumbed but no bedrooms, calculated design flow is required.
** If No, a well permit must be issued with the Authorization to Construct.
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
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 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.
Signature of Owner or Agent/�/ Date ``z g r
L
Printed Name of Owner or Agen ,�} u �� Y I -�
rCD
t O N I
`o 4871CV
O
587-0
4 r'R) ,z„ 6768
THIS IS NOT A LEGAL DOCUMENT Date Saved: 6/2 014 Time: 1:11:52 PM
Catawba County, forth 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: 3700-05-09-5010
1 inch = 50 feet
_ -------1
Prepared for: -
r
� 5156
_ _------ -� 6155
9
.1.4--, _ -1n
rCD
t O N I
`o 4871CV
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587-0
4 r'R) ,z„ 6768
THIS IS NOT A LEGAL DOCUMENT Date Saved: 6/2 014 Time: 1:11:52 PM
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3700-05-09-5010
Name: -
JOYCE & ASSOCIATES INC
Name2:
Address:
PO BOX 2365
Address2:
City:
HICKORY
State:
NC
Zip:
28603-2365
Account:
Calc Acreage:
0.36
Tax Map:
LRK:
606182
Deed Book:
3058
Deed Page:
0309
Subdivision Name:
BERKSHIRE PLACE PH 1
Subdivision Block:
Lots:
8
Plat Book:
66
Plat Page:
174
Building Number:
1586
Street Name:
BERKSHIRE DR
Site Zip:
28602
Township:
HICKORY
Fire Dist:
MOUNTAIN VIEW
City/Tax:
State Road:
Total Bldgs Value:
Land Value:
$28,700
Total Value:
$28,700
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood:
88
Watershed:
Watershed Split:
NO
Voter Precinct:
P23
E911 District:
COUNTY
Zoning:
R-20
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay:
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2):
0
School District:
COUNTY
Elementary School:
MOUNTAIN VIEW
Middle School:
JACOBS FORK
High School:
FRED T FOARD
School Split:
NO
P&Z Case Number:
RZ2012-05
Census Tract 2010: 011102
Census Block 2010:
2031
Small Area Plan:
MOUNTAIN VIEW
Agricultural District:
Printed: Monday, July 28, 2014 01:11 PM
no ie-(
I
1�
CATAWBA COUNTY
f o Public Health Department Case # WLS2007-01 165
Environmental Health Division Subdivision BERKSHIRE
PO.BoA 389, 100-A Southwest Blvd, Newton, NC 28658 SecdBUPh/Lol # $
(828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN#
911370005095275-3T g
Applicant/Owner JEON REAL ESTATE INC.
Site Address: 1586 BERKSHIRE DR n0S �i
Property Size: 16,200 SF ACRES
Directions: HWY 321/ EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD / LEFT 1 1/4 MILE ON LEFT
Improvement Permit
Permit Valid For: Five years No Expiration Q�
Facility (Residential): House
House X Mobile Home Multi -Family Bedr}°ms _3_ New? liel Addition?
Projected Daily Flow IVU g.p.d Water Supply Private Well? Public? Semi -Public?
Basement: y_ Basement Plumbing: N HotTub/Spa: Y Special Fixtures (explain):
Proposed Wastewater System: )5 1% Type:
Proposed Repair: a1 S 5 t2�.d f (• -
Permit Conditions:JO." F.% ��� t_ ti=�1f+�-. ^.j i 4 I to—o •r c ny. 9-t l_ _f t o' r� <
,
inc..s IJ Frae•� �1.,�.s.. L,•...t f� ba. �s�� � �� �...�t-oaf
Owner or Legal Representative'gnattre: r "' Date: e ��
Authorized State Agent: (i �Y�I f ___ Date: p 6 0 -7
The issuance of this permit by the He Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property
owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to
revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement Permit is not affected by a change in
ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewaee Treatment
and Disposal Svstems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank
system will continue to function satisfactorily for any given period of time.
Authorization to Construct Wastewater Svstem (Required for Buildinq Permit)
* See site plan and additional attachments ( ).
Proposed Wastewater System: Type: Wastewater Flow g.p.d
New Repair Expansion Soil LTAR: cl.p.d./ft2
Type of Facility:
Basement: Y Basement Plumbing: N HotTub/Spa: Y Special Fixtures (explain):
Wastewater Svstem Requirements
Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal
Drainfield: Total Area: scl ft Total Length: It Maximum Trench Depth in
Trench Width It Minimum Soil Cover in Minimum Trench Seperation It
Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other
Additional Specifications:
Authorized State Agent:
Permit Expiration Date:
I have read and accept the specifications and all conditions of this permit as indicated.
Owner or Legal Representative Signature:
r.\ride,n rk\F 5WILSam.nu
Date:
Date:
Form B
CATAWBA COUNTY
r°6"i
.Case # WLS2007-01165
/V
! Public Health Department
Environmental liealth Division SubdivisionBERKSHIRE
/ PO Box 189, 100'A Southwest Blvd, Newton, NC 28658 Sect/BL/Ph/Lot # �, Y
I� (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 91137000509527544
Applicant/Owner AEON REAL ESTATE INC.
Site Address: 1586 BERKSHIRE DR
Property Si 16,200 SF ACRES
Directions: HWY 321/ EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD / LEFT 1 1/4 MILE ON LEFT
® Improvement Permit Authorization To Construct
SITE PLAN
m f%C) Q�r L--
Crl.an�C \
� O
3e 3 B R
r
r
ADL
0 Well Permit
Scale
System components represent approximate contours only. The contractor must flag the system prior to beginning the
installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of
revocation if the site plan or site conditions are altered.
InS 1-16107
It
orized Sfate Agent Date
Form C
,ATirlPmurk1F0 .A11VLSa in
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of_
DIVISION OF E 4VMONIMENTAL HEALTH PROPERTY ID #:
ON-SITE WASTEWATER SECTION COUNTY:
SOIUISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
OWNER APPLICATION DATE
1
2
3
11
LL,
15 - ZL"I C- sbk I7s�JfIJr-)(' �t
IZy-gs!, C L sop
i
IDESCRIPTION I ARITAL SYSTEM I REPAIR SYSTEM
Available Space (.1945) I p f I PJ
SystemType(s)
y .1
Site LTAR
COMMENTS:
1
ETHER FACTORS (.1946):
SITE CLASSIFICATION (.1948): hs
EVALUATED BY: a (31V a
OTHER(S) PRESENT:
P4
p
�3
p
SP (Slightly Plastic)
*Adjust LTAR due to depth, consistence, structure, soil wetness, tandseape, position, wastewater flow and quality. P (P ic)
NOTES
XORIlONDEPTX In arches below natural soil surface VP (Very Plastic)
DFURM OFFILL In inches from land surface
RFSTRIC=R0R1Z0N Thickness and depth from land surface
SAPROUTE S(suitable) or U(unsuitable)
SOIL )rE MY Inches from land surface to free water or inches from land surface to soil colors with chrome. 2 or less - record Mtmsell color chip designation
CL-SMCATION S (Suitable), PS (Provisionally Suitable), or (Unsuitable)
Evaluation of saprolite shall be by pits.
Lomg-term Acceptance Rate (LTAR): gavday/ftr
Show profile locations and other site features (dimensions, reference or benchmark, and North).
]ENR-
ceview (�
LEGEND
,
use the following standard abhreviations
.
+ u
SOIL
1 II h
CONVENTIONAL
.
LPP
IJ n.
MINERALOGY!
Ilii i,.I
LANDSCAPE POSITION
GROUP
TEXTURE
.1955 LTAR*
.1957 LTAR*
CONSISTENCE
STRUCTURE
CC (Concave Slope)
I
S (Send)
1.2-0.9
0.6- 0.4
NEXP (Non-expamive)
G (Single Gram)
CV (Convex Slope)
LS (Loamy Sand)
SEXP (Slightly Expansive)
M ()vassive)
D (Drainage Way)
EXP (Expansive)
CR (Cramb)
DS (Debris Slump)
II
SL (Sandy Loam)
0.8-0.6
0.4 - 03
GR (Granular)
FP (Flood Plain)
L (Loam)
SBK (Subangular Blocky)
FS(Foot Slop)
ABK(AmgularBlocky)
H (Head Slope)
III
SCL (Sandy Clay Loam)
0.6-0-3
0.3-0.15
.
PL (Platy)
L (Linear Slope)
SiL (Silt Loam)
PR (Prismatic)
N (Nose Slope)
CL (Clay Loam)
R (Ridge)
SiCL (Silty Clay Loam)
MOIST
LVET
S (Shoulder Slope)
Si (Slat)
T (Termce)
VFR (Very Friable)
NS (Nm -sticky)
IV
SC (Sandy Clay)
0.4-0.1
0.2-0.05
FR (Friable)
SS (Slightly Sticky)
Sic (Silty Clay)
Fl (Firm)
S (Sticv) .
C (Clay)
VFl (Very Firm v. Vey Sticky)
VS (Very sticky)
O (Organic)
None
EFT (Etmemely Firm)
NP (Non -plastic)
SP (Slightly Plastic)
*Adjust LTAR due to depth, consistence, structure, soil wetness, tandseape, position, wastewater flow and quality. P (P ic)
NOTES
XORIlONDEPTX In arches below natural soil surface VP (Very Plastic)
DFURM OFFILL In inches from land surface
RFSTRIC=R0R1Z0N Thickness and depth from land surface
SAPROUTE S(suitable) or U(unsuitable)
SOIL )rE MY Inches from land surface to free water or inches from land surface to soil colors with chrome. 2 or less - record Mtmsell color chip designation
CL-SMCATION S (Suitable), PS (Provisionally Suitable), or (Unsuitable)
Evaluation of saprolite shall be by pits.
Lomg-term Acceptance Rate (LTAR): gavday/ftr
Show profile locations and other site features (dimensions, reference or benchmark, and North).
]ENR-
ceview (�