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Home My WebLink AboutRBPR-07-2015-21917.TIFApplicant Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2015-21917 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Modular AUTH CONST -NEW WELL GORDON ROSS JR., 2505 POINT ST, CLAREMONT NC 28610 CMH HOMES, INC., PO BOX 9790, MARYVILLE TN 37802 8:828-465-3450F:828-464-0261 CMH HOMES INC, PO BOX 4007. MARYVILLE TN 37802 13:8283021609 C.7042393693 ❑' N1 Paid By *ABEE'S CLEARING & GRADING (DEENAABEE), 2381 US HWY 64 W, MOCKSVILLE NC 2702 C:7042393693 ABEESCG@AOL.COM NAME TO APPEAR ON PERMIT Gordon Ross Jr. SITE ADDRESS: 1662 MURRAYS MILL RD, CATAWBA NC 28609 PIN # 377007698199 NAME of SUBDIVISION: Lot k 1 Section/Block PROPERTY SIZE: Square Feet Acres 0.77 DIRECTIONS: 10E/ right Murray's Mill Rd/ lot on corner of Murray's Mill & J R Queen Rd PRIMARY CONTACT: Contractor SEWER TYPE GALLONS PER DAY: 360 WATER SUPPLY DESCRIBE WORK: 1 story off frame modular dwelling w/ 6 x 8 covered front porch 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 Ivacant lot EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 42 x 66 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct) ACCEPTED: ALTERNATIVE: OTHER. INNOVATIVE Other described: Public Sewer Private Well 3 PLUMBING REQUIRED? Yes CONVENTIONAL. ANY: YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9 - chapplicatmn 07/10/2015 10 34 Page I of BA CATAWBA COUNTY Case # RBPR-07-2015-21917 Public.Health Department Subdivision 4 ^� Environmental Health Division PIN# 377007698199 V PO Box 389, 100-A Southwest Blvd. Newton. NC 28658 Ig 2 NAME ON PERMIT: (GORDON ROSS JR.), 2505 POINT ST, CLAREMONT NC 28610 ( Gordon Ross Jr.) Site Address: 1662 MURRAYS MILL RD, CATAWBA NC 28609 Property Size: Square feet Acres 0.77 Directions: 10E/ right Murray's Mill Rd/ lot on corner of Murray's Mill & J R Queen Rd 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 nd labeling of all property lines and corners and making the site fe so that a comp�)ete�s> ee luahon ca' be performed. Date: r/��(i1ls Signature of Applicant or As nt pLn� Q /� r An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME . DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 07/10/2015 $150.00 Fee Well Permit & Inspection Fee 07/10/2015 $300.00 TOTAL FEES $450.00 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) F9 - ehapplicauun 07/10/2015 10 34 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT CULNT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit Authorization toXonstruc)t�<Septic Repair❑ Septic Malfunction❑Septic Expansion r/New Well PermReplacement Well ❑ Well AbandonmentWell Repair ❑ Existing Systspection (Pre -Approval Required) ❑ Application is for New Construction 'A Existing Facility ❑ Property Address Ips iYirtrrc z Nlil_I f�d Subdivision }a N�C_ Lot # Acres c' Section/Block/Phase Driving Directions to Property NW uI rJ t�'' 0,ku (c r Js A& 61 - lot i S D� MkI(ra.l�-, NV, 1k 9 J R c�uorr. 21 NAME TO APPEAR ON PERMIT? ❑ Owner gApplicant ❑ Contractor Applicant Contact Information Name (_-;rrdori Address-_qS-n �}n nt .SF-,. C �QfPY ll0l1 �G Phone Cell Phone Owner Contact Information I Name, 5_.r\ n a 0m 14 HTNvv. .e.5 Address I r t f a cJs 1—L�et Cato wba- , &Z, Phone Cell Phone Contractor Contact Information Name CMA 4-V) AddressaOalo (v[�r}�>siCt� �r StGt �eSJI(e Phone I Cell Phone '704- _5q - 3& 93 WHO WILL BE THE PRIMARY CONTACT?] Owner ❑ Applicant Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property yiin question. If the answer to any question is "yes", applicant must attach supporting documentation. I] Yes pNo Does the site contain any jurisdictional wetlands? ® E' Yes No Does the site contain any existing wastewater systems? ID Yes 6YNo Is any wastewater going to be generated on the site other than domestic sewage? ®'Yes ❑ No Is the site subject to approval by any other public agency? ® Yes WNo Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Sem -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No 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 0 Alternative AnEl ❑ Innovative ❑ Other y - . CATAWBA THIS IS NOT A PERMIT `co`UNTi CATA"A COUNTY HEALTH DEPARTMENT ' Application for Environmental Services Page 2 7Pro osed Facility Type f Primary Residence E(New EJ Addition to Residence # of New Bedrooms *T C3 Project Description N--d'LJ x to In �� -ira rsve- rvy�,rl,- to r - Structure Dimensio a # of Occupants 3 Basement ❑ Yes NrNo Basement Fixtures ® Yes P 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 #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # 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 If 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 Yndividual 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. 1 understand that I am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent 00,(Va (A Kl') Date 7 15 Printed Name of Owner or Agent Catawba County Environmental Health / \ p0 J \ l \ \ t N \ \A '9 I 1 / ' N � / 1 \ 60 502.46 \ Parcel: 377007698199, 1662 MURRAYS MILL RD CATAWBA, 28609 �1 J lZppl (397) 1 in=60ft This map/report product was prepared from the Catawba County, NC Goospahal 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 2014 Catawba Covnty NC 07/10/2015 / / / / \ p0 J \ l \ \ t N \ \A '9 I 1 / ' N � / 1 \ 60 502.46 \ Parcel: 377007698199, 1662 MURRAYS MILL RD CATAWBA, 28609 �1 J lZppl (397) 1 in=60ft This map/report product was prepared from the Catawba County, NC Goospahal 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 2014 Catawba Covnty NC 07/10/2015 CATAWBA COUNTY .� � Pubhe Health Department < 7, f nvirt nmenta) Hcalth DIVls10u PO Box 389, loll-A Southwest Blvd, Ncwton, NC 28658 Or,• -7•� Case9 �a� Suhdtvista� . r LOTP .4y+i:•. �� EIZ0 IMPV-05 ?015-060485 377007699131 NAME ON PERMIT: GORDON ROSS JR, 2505 POINT ST, CLAREMONT INC 28610 Site Address: 1662 MURRAYS MILL RD, CATAWBA NC 28609 Property Size: Square Feet 26,314.00 Acres 065 Directions: Hwy 10 E, right on Murrays Mills Rd, lot is corner of Murrays Mill and J & R Queen Rd Improvement Permit Facility: Primary Residence Permit Category: New Septic 13cdrnurns 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATION'S -- - -- - -- -- -- -- Permit Valid: Expires In Five Years _X_ No Expiration: Projected Daily Flow 360 g,p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV "TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and repair system minimum. 50' from any well,10' from property lines, 5' from home including decks. Lines to be installed on contour. Do not grade drive or fill over system or repair area Lot must be recorded and an Authorization to Construct and Well permit will be required prior to any building permits. REPAIR SYSTEM SPECIFICA"170NS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of exlshnq permits -1 he issuance of this permit by the Health Dep.0 uncut dues not guaruntec [he issuance of other permits It is the responsibility of the a pplicanupiopeitr owner to insure that all Catri County Planning%Zonmg and Building Inspections requirements are met 7 his 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 Yaws wrd Rules for Semple Treatment and Disnosnl Srstenrs' (15A NCAC 18A .1900). Neither Catawha County nor the Environmental Health Specialist a arran[s that the septic tank system will continue to function satisfactorily for any given period of time. Jason Boyd 05/14/2015 AUTI IORIZED STATE AGF -NT APPROVAL DAIT Permit Expiration Date 05/13/2020 No grayling or construction trcnv r) is allowed in areas desrgn.ued for system and repair n ithout approval ofthe Health Depot iraerrr. ehpcnnu 05/14/2015 0929 Page 1 ora CATAWBA COUNTY Permit u Name Z Public Health Department Q .t►. Environmental Iiealth Division Address PO Dox 399, IQOA Southwest Blvd, Newton NC 28658 1 4% su (828)465-S2711 Fay (828)46:-8276 TDD (828) 465-8291 I'IN4 Scale 12 H ['R-4-15-21406 Gordon Ross .IR 1662 Murrays Mill Rd Catawba NC Lvo, v� I I Site Plan Improvement Permit m��a75 00 J 32k Zoe 3-0 l� +�L, 7c) 10 .............. J) ID d- Scale 12 H ['R-4-15-21406 Gordon Ross .IR 1662 Murrays Mill Rd Catawba NC Lvo, v� I I Department of Environment, Health, and Natural Resources Division of Environmental Healm On-sile Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner Gordon Ross Jr Address. 1,362 Murrays Mill Rd Catawba NO Proposed Facility: 3 BR home Design Flew ( 1949) 360 god Location of Site Water Supply pvt well Evaluation Method pits by Tim Abee Type of Wastewater: X Sewage [ I Industrial Proccss .1942 R L Landscape Horizon .1941 Sheet Property ID. Lot #: File #: AppID: CHPR-4-15-21406 Applicant. Date Evaluated 5N V2015 Property Size: Property Re corned: [ j Spring [ ] Other [ ] Cut [ ] Mixed 'D SOIL MORPHOLOGY b F 1941 PROFILE FACTORS 1 1940 .1942 L Landscape Horizon .1941 .1941. Soil .1943 .1956 ' .1944 Profile E Position? .Depth Structure? Consistence Wetness/ iSoil �I,' Sapro 1 Reslr Class # Slope% (IN.) Texture Mineralogy Colon _ ,Depih (IN.) Class .1 toriz & LTAR, 1 LL 4-6% 0-6" I topsoil 6-30" SOL 30-48" SC I SS SP SEXP FR 48" PS 3 2 I same as 1 I 3 I I same as 1,2 I I 4 I I 5 t I 6 I � I 7 I I I De5c9pnon Intal System Repair System I Other Factors (.1946) (Available Space ( 1945) PS PS I Soil Evaluation By Jason Boyd ISyslem Type(s) IIID MG Others Present ISite LTAR .3 3 I I Site Classification ( 1948) PS Bile Evaluation By Others Present. COMMENTS: - Landscape Position Grou Texturo ,1955 LTAR R -Ridge S -Sand 12-08 SS -Shoulder Slope LS -Loamy Sand LS -Linear Slope FS -Foot Slope II SL -Sandy Loam 0 8 - 0 6 NS -Nose Slope L -Loam NS -Head Slope CC -Concave Slope III SI -Silt 0.6 - 0 3 CV -Convex Slope SICL-Silty Clay T -Terrace Loam FP -Flood Plain CL -Clay Loam SCL-Sandy Clay Loam IV SC -Sandy Clay OA - 0.1 SIC -Silty Clay C -Clay Consistence Consistence Mineralogy M2!21 Wet; SEXP-Slightly Expansive VFR-Very Friable NS -Non -Sticky FXP-Expansive FR -Friable SS -Slightly Sticky FI -Firm S-Sricky VFI-Very Firm VS -Very Sticky EFI-Extremely Firm NP-Non-Plaslic SP -Slightly Plastic P -Plastic VP -Very Plaslic Sheet. FILE A. Structure SG -Single Grain M -Massive CR -Crumb GR -Granular SBK-Subangular Blocky ABK-Angular Blocky PL -Platy PR -Prismatic Sketch of Soil Evaluation Locations M `'�r %.y5 f`ti�'t\ Jj L 5D, Pn"� do I Parcel Report Parcel Report- Catawba County NC Parcel Information: Parcel ID: 377007698199 Parcel Address: 1662 MURRAYS MILL RD City: CATAWBA, 28609 LRK(REID): 302296 Deed Book/Page: Subdivision: Lots/Block: 1/ Last Sale: Plat Book/Page: 74/188 Legal: LOT 1 PLAT 74-188 Calculated Acreage: .770 Tax Map: Township: CATAWBA State Road #: 2600 Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: CATAWBA RURAL Building(s) Value: $0 Land Value: $0 Assessed Total Value: $0 Year Built/Remodeled: / Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: WS -IV Protected Area Voter Precinct: P5 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: CMH HOMES INC Owner2: Address: 5000 CLAYTON RD Address2: City: MARYVILLE State/Zip: TN 37804-5550 School Information: School District: COUNTY Elementary School: CATAWBA Middle School: MILL CREEK High School: BANDYS School Map Zoning Information: Zoning District: COUNTY Zoningl: R-20 Zoningl: Zoning3: Zoning Overlay: Small Area: SHERRILLS FORD Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: Firm Panel #: 2010 Census Block: 1004 2010 Census Tract: 011501 Agricultural District: Assessment Report Page 1 of 1 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 toy any and all damages, lass or liability, whether duect, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. (D 2015, Catawba County Government, North Carolina. All rights reserved. 4I �,,) -�Co http://gis.catawbacount),nc.gov/nomap/parcel_rcport.plip?key=377007698199&typ=P 7/10/2015