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HomeMy WebLinkAboutRBPR-02-2016-23236.TIF vS�A �G THIS IS NOT A PERMIT Case # RBPR-02-2016-23236 CATAWBA COUNTY HEALTH DEPARTMENT 0 PA j`di 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES "�i� '842 cm Residential Building Plan Review - Manufactured Home IMPROVEMENT Applicant WOODRIDGE INVESTORS, INC (CHRISTY COX), 1110 CIVIC CENTER BLVD, YUBA CITY CA 95993-3013 C:7042361305 Owner WOODRIDGE INVESTORS, INC (CHRISTY COX), 1110 CIVIC CENTER BLVD, YUBA CITY CA 95993-3013 C:7042361305 NAME TO APPEAR ON PERMIT Woodridge Investors, INC (Christy Cox) SITE ADDRESS: 1981 SHORT TAIL LOOP, CONOVER NC 28613 PIN # 374408987144 NAME of SUBDIVISION: HAWKRIDGE ESTATES PH 1 AND 2 Lot 1t 14 Section/Block PROPERTY SIZE: Square Feet Acres 0.42 DIRECTIONS: Swinging Bridge Rd, left on short tail Loop PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Community Well DESCRIBE WORK: 14x70 singlewide w/6x6 front deck with handicap ramp 3x15 & 6x6 back deck "'Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft, home must be mason' underpinned (can use vinyl if singlewide). Home must be parallel to road and must face front of property **If this new home is a replacement for an existing occupied home—that existing home must be removed from the site within 30 days of the issuance of the Certificate of Compliance" 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? Yes Are there any easements or right-of-ways on this property? APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 14x70 #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 02/17/2016 14:39 Page I of4 CATAWBA COUNTY Case# RBPR-02-2016-23236 '° Gy Public Health Department Subdivision HAWKRIDGE ESTATES PH 1 .; Environmental Health Division PIN# 374408987144 ��$ .� "� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Ig 2 sM NAME ON PERMIT: WOODRIDGE INVESTORS, INC (CHRISTY COX). 1110 CIVIC CENTER BLVD, YUBA CITY CA 95993-30 Woodridge Investors, INC ( Christy Cox) Site Address: 1981 SHORT TAIL LOOP, CONOVER NC 28613 Property Size: Square Feet Acres 0,42 Directions: Swinging Bridge Rd, left on short tail Loop 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 beling of all property lines and corners and making the site accessible) that com to site evaluation can be performed. Date: a 1 ( 7 �/(G Signature of Applicant or Agent (—Hie An Environmental Health Specialist will contact you within 5 working ays of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME •• DATE FEE AMOUNT Improvement Permit Fee 02/17/2016 $150.00 TOTAL FEES $150.00 a' 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-ehappl ication 02/17/2016 14:39 Page 2 of 4 CATAWBA 1�HISIS NOT APERMIT RVDYk -O� `�Io _ a33(o . COUNTY .> CATAWBA COUNTY HEALTH DEPARTMENT —il NvrN CadNe Application for Environmental Services Page 1 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) . Application ils for New Construction ❑ Existing Facility ❑ Property Address 1 el O \ S rat\t- TOLd .00 Subdivision 11(kw 1L Klf�9 Cwt Q n o Y'�.f i NC QS 6 13 Lot# Acres .Section/Block/Phase Driving.Directions to Property S ...l n t'rtc P)r`,rl � a.o CA a . L e i2-1-u 0 A L - Sk Crk,I. L,,0 I v r1 2 1 '\ S - a A — Imo( cA--• kr, l k 1 1'l,d i/t,5 e NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Wc;ocl,n(F✓e .1-JtA\(�f 1,�i(S t .14\C l�G, i:lj C-t� cote) 3 Address 1111+ e ;vte. (I QJ�kr A\ !r. 5'-e I u.r�- 7otl 1-�,C f (3c5 Phone 5-3 b— 7'1 a — ova ( °1 I Cell Phone Owner Contact Information ��r' Name W t�oc'.(`tcQeQ ;Lt�Vt' i�vrst cL{nL �/ � Cf� tl �`><13 Address 110 �',iNi t d.-• C f` ttihi_ `>\d S' e l 0..a. I L{LA t, Phone 5 3 p -- t7 9 0 -,9 a 1 9 Cell Phone 7 q — (2 3 6, - 1 0 oS - Prl in ar I Contractor Contact Information 1 Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? .aOwner ❑ Applicant ❑ Contractor Description of Existing Structures on Site VetL.0. n.1— lc k e rt ft o\xS iMQot 1 e Vt u,'✓t.E 04 # of Bedrooms *t Structure Dimensions #of Occupants 1 V i)— Basement ® Yes $No Basement Fixtures 0 Yes ,a 4o 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. ❑ Yes '74.No Does the site contain any jurisdictional wetlands? %Yes CI No Does the site contain any existing wastewater systems? Q Yes 26o Is any wastewater going to be generated on the site other than domestic sewage? — Yes 0 No Is the site subject to approval by any other public agency? "❑Yes NNo Are there any easements or right of ways on this property? Describe Existing water supply in use [J Individual Well WCommunity Well Li Semi-Public Well 0 County/City/Township Water Line Is a public water supply available? ** ® Yes Cl 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) op Accepted ❑ Alternative .&Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA, IS NOTAPERMIT COUNTY 1..�.Cn, CATAWBA COUNTY HEALTH DEPARTMENT o �"° Page 2� Application for Environmental Services g 2 r n Proposed Facility Type 2 p lA ll . <Vo primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t ✓ (ij„ uXce Project Description (`4 c7 f1'� I P l+t �� Structure Dimensions j t( )C 17 0 #of Occupants Basement 0 Yes ekNo Basement Fixtures 10 Yes ( No ` LuI hu . Cid i2 ❑ Accessory Structure(s) Describe J # of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ® Yes 0 No Plumbing 0 Yes ®No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions Li Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq.Ft.) 0 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 El Drilled ❑ Bored ❑ Dug J Unknown Well Repair Requested 0 Yes rif,,,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 s Date /o //67 Printed Name of Owner or Agent S71-+/ r,c 7t r--<____, 4 .� - 1 1 1 r. J \ ---) s ✓ � r° -b i �`— 0 �� I 9 7 t- c--.) 1 y c 2 `o n c 1 -` `j uT -NJ ■ L g- c ° 0 /� .) i C- I D 1 Catawba County Environmental Health .S9 0 fi5 . 18 103.06 N SHORT TAIL LOOP N 130 121.83 17.11 cn CO 130 i 134.61 104 00 i �?' ` 100 W rJ Parcel: 374408987144, 1981 SHORT TAIL LOOP 1 in=50ft CONOVER, 28613 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 2014 Catawba County NC 02/12/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374408987144 Owner: WOODRIDGE INVESTORS INC Parcel Address: 1981 SHORT TAIL LOOP Owner2: City: CONOVER, 28613 Address: 1110 CIVIC CENTER BLVD LRK(REID): 91948 Address2: Deed Book/Page: 2872/0074 City: YUBA CITY Subdivision: HAWKRIDGE ESTATES PH 1 AND State/Zip: CA 95993-3013 2 Lots/Block: 14/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 31/150 Elementary School: OXFORD Legal: LOT 14 14 P31-150 HAWKRIDGE PL 31- Middle School: RIVER BEND 150 High School: BUNKER HILL School Map Calculated Acreage: .420 Tax Map: 0920 01014 Township: CLINES State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $8,700 Zoning3: Assessed Total Value: $8,700 Zoning Overlay: DWMH-O Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710374400J Building Details 2010 Census Block: 2005 WaterShed: 2010 Census Tract: 010201 Voter Precinct: P33 Agricultural District: 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. ©2015, Catawba County Government, North Carolina. All rights re rved. ?m Ecco otrAidq5. http://gis.catawbacountync.gov/nomap/pareel_report.php?key=374408987144&typ=P 2/12/2016 CAT%WB% COUNTY P.tblic-tcal tli Department Case# WLS2 006-01 1 5 1 ' Subdivision' IIA\\KRIDC E ESTATES PH I 'Po Birom 3wtln)ud I W Hz\l}St oDuittins.icrnt i Blvd-Newton,NC 2S658 Sect/I3L/Ph/Lot# 14 lc2St465-5270 FAX iS2S),I65-8276 TDD(S2S)465-5200 PIN# 374403937144 EXISTING SEPTIC SYSTEM INSPECTION REPORT Owner Applicant Lot Size KATHY ROLES KATHY ROLES SF 3987 SECTION HOUSE RD LOT 48 .42ACRES HICKORY NC 828-233-2495 Site Address: 1931 SHORT TAIL LOOP CONOVER NC Directions: 16N/LF SPRINGS RD/LF SWINGING BRIDGE RD/LF SHORT TAIL LOOP/LOT NEXT TO WELL LOT/ HAWKSRIDGE/LOT 14 \i ` ite/System Diagram t 1 1 L 1-a; I Lys • --4 A.a.e r.!1- f frt-P t. • rf- '.r•:.'n I 11 I 1 II I tlh Type of Facility: House Mobile Home X #Bedrooms 7 Business Specify Other Specify • Proposed Additions/Accessory Structures: ,t ,11 H Approved ti' Not Approved Reason Evidence of system malfunction: YES NO System Type/Description El-IS Iz r DATE: NOT FOR LOAN APPROVAL r:Tidaonrk\FonnNtllSconrm ° 04735 C A T A W B A COUNTY H E A L T H no nn M E N T (704) 465-8270 Lot`Eva1./Y Improve. Permit X Repair Permit Cert. of Comp. Permit Oper. Permit Owner/Agent 740,42,,t44 Phone Address Subdivision , ' L,i ' S-ction/Block Lot* / Lot ze Dir: dons; tVV ,6,. Al 47' J2 -- ' 4d ' t- //l ° ' S ^ La es en Jfri i��. �� fir, . Eta // 1/ — e lb — I - / Facility: House Mobile Home ' Business . Other: Zoning Approval - /no p AM Multi-family Other . 100% Repair Area'€ /no Bedrooms,3 Seats Employees . GPD Flow ? 'b Application Rate& li Hot Tub or Spa yes6D Special Fixtures . REPAIR NOTICE: REPAIRS MUST BE WITHIN Basement yes/0 Basement Plumbing yes,0 . 30 DAYS OR DAYS FROM DATE OF Water Supply: Private Public jC . PERMIT. Type of System: Trench X Bed Pump Pump/Panel_Panel_LPP_Other Tank Size: Septic Tank LOCO Pump Tank Nitrification Field: Total Square Feet 700 Depth of Stone /Z/ham Bed Size Trench Width J 't' Total Length of All Trenches 30O Number of Trenches 3 9 i Individual Trench Length/O0//0c//W/ / Feet on Center Maximum Trench Depth Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) Topo 2-5 % Slope Sketch of lot Evaluation Site - System Design - Final Texture. , //�_ Gc�W ,44za- Structure )3(A1X 1I� / _`—"� I1 Clay Min. I : / (J II `5©rne, -4-', Soil Wetness " L. f Soil Depth 44 '• eOh7MA4%� Restric. Hoz. at — " ['---- ' --, Ws(1 I Available space eD/no A .fr Class S PS U `- / 4e-f- O ■ Comments: IS)m I'tri '‘‘v%_ rnohile ( sl I 1 **NO GUARAE EE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT" Permit Date it- , 5i (Improvement Pa i void fter 60 months) Owner/Agent / /lll�i ' San t-riaL Installed :y ril aff%/l._Wf Date : _j 2Sanitaria ' / 14, (Note any'changes/information red or by sketch on ba.+) White-Office Blue-Bldg. Insp. Comp.' Yellow-Owner/Agent Green-Bldg. Insp. I.P.