Loading...
HomeMy WebLinkAboutRBPR-02-2016-23253.TIF $Ink� THIS IS NOT A PERMIT Case # RBPR-02-2016-23253 ti CATAWBA COUNTY HEALTH DEPARTMENT 0•. ;0.;&-0 U °da PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 sM Residential Building Plan Review - Manufactured Home _or•o o. ' A ?SAEXS_SYSTEM ' , Applicant KAVALL INVESTMENTS LLC (KEN WALL),20359 CHRISTOFELE DR, CORNELIUS NC 28031 C:704-617-2565 Owner KA WALL INVESTMENTS LLC (KEN WALL),20359 CHRISTOFELE DR,CORNELIUS NC 28031 C:704-6I7-2565 NAME TO APPEAR ON PERMIT KA WALL INVESTMENTS LLC (Ken Wall) SITE ADDRESS: 3087 LEE ST, CONOVER NC 28613 PIN # 376005190696 FLOYD HEAVNER PROPERTY 7 NAME of SUBDIVISION: Lot -8 Section/Block PROPERTY SIZE: Square Feet Acres 0.29 DIRECTIONS: Zebulon Dr, Right on Lee St., 2nd mobile home on left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Community Well DESCRIBE WORK: Single wide MH 14x66 w/ Decks: front 6x6, back 4x4 *Per MC check both systems on this parcel. ** Country Knolls Mobile Home park ** Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 3 sq ft, home must be masonry 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 14x66 #OF NEW BEDROOMS:: 2 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-chapplication 02/19/2016 16:18 Page 1 of 4 ae CATAWBA COUNTY Case ft RBPR-02-2016-23253 e' nt. Public Health Department Subdivision FLOYD HEAVNER PROPERTY ,r Environmental Health Division PIN# 376005190696 1,,PPO Box 389, 100-A Southwest Blvd,Newton. NC 28658 /842 NAME ON PERMIT: KA WALL INVESTMENTS LLC ( KEN WALL), 20359 CI-IRISTOFELE DR, CORNELIUS NC 28031 KA WALL INVESTMENTS LLC ( Ken Wall) Site Address: 3087 LEE ST, CONOVER NC 28613 Property Size: Square Feet Acres 0'29 Directions: Zebulon Dr, Right on Lee St., 2nd mobile home on left. 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. Date: Signature of Applicant or Agent 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 AREA2 si gE,ay4 II FEENAME-; ju i " Id ' s y .. a jt �i1ll's€gllATE ?A'IiFFEI'AMOUNTr Existing Tank Check Fee 02/19/2016 $80.00 PI.t' k foTAtriP Es; - g;`Ixa+1 s 4 i�'rt` tiVi 4'MAa "Leis 580 00 L'aP Et'7.ir ,4 x}loo s4tk* :,;InF#. 1:x:�2.:k n "_Lrer t-74'. .:&4r't....,._ .da.k a,.d'.:8( 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) IN-ehapplication 02/19/2016 16:18 Page 2 of 4 A THIS IS NOT A PERMIT Case # RBPR-02-2016-23253 y< 3 CATAWBA COUNTY HEALTH DEPARTMENT o : .71.7 4=g o 11 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES t ti it �84Z Residential Building Plan Review - Manufactured Home {.a4 • ti .f: EXS_SYSTEM •o�v� , M1 •Applicant KA WALL INVESTMENTS LLC (KEN WALL),20359 CHRISTOFELE DR, CORNELIUS NC 28031 C:704-617-2565 Owner KA WALL INVESTMENTS LLC (KEN WALL),20359 CHRISTOFELE DR, CORNELIUS NC 28031 C:704-617-2565 NAME TO APPEAR ON PERMIT KA WALL INVESTMENTS LLC (Ken Wall) SITE ADDRESS: 3087 LEE ST. CONOVER NC 28613 PIN # 376005190696 NAME of SUBDIVISION: FLOYD HEAVNER PROPERTY Lot# 7-8 Section/Block PROPERTY SIZE: Square Feet Acres 0.29 DIRECTIONS: Zebulon Dr, Right on Lee St., 2nd mobile home on left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Community Well DESCRIBE WORK: Single wide MH 14x66 with 6x6 front deck & 4x4 back deck ** Country Knolls Mobile Home park **Home must meet appearance criteria ---Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sq ft, horn must be masonry 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 14x66 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplieation 02/19/2016 15:23 Page 1 of4 0,A CATAWBA COUNTY Case# RBPR-02-2016-23253 C Apt a Public Health Department Subdivision FLOYD HEAVNER PROPERTY 4 lg w Environmental Health Division PM# 376005190696 PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 NAME ON PERMIT: KA WALL INVESTMENTS LLC (KEN WALL),20359 CHRISTOFELE DR. CORNELIUS NC 28031 KA WALL INVESTMENTS LLC ( Ken Wall) Site Address: 3087 LEE ST. CONOVER NC 28613 Property Size: Square Feet Acres 029 Directions: Zebulon Dr, Right on Lee St., 2nd mobile home on left. 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 rule . I understand that I am solely responsible for the proper identification and labe ing of all pr9perty lines and corners and making the site ac - ible a that a crimrle to e ?uation can be performed. • Date: (9— it - c�Ql� Signature of Applicant orAgen�A/A, ' An Environmental Health Specialist will contact you within 5 orking days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME.- '`: : ,•'.r• DATE •` FEE AMOUNT Existing Tank Check Fee 02/19/2016 $80.00 TOTAL FEES $80.00 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-ehappilention 02/19/2016 15:23 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT : n cou CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 t%( R- C --cotlo — a3aS3 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 is for New Construction ❑ Existing Facility ❑ /_ L /f Property Address 0E37 Lee, 5-tree + Subdivision eakm t� iV'o ik Mob le/4240 14 e C A • Lot# S Acres SeecctiionBlock//Phase Driving Directions to Property-1 /tl gmvnuel Om* Iecvl KPas-fier R / r15ht an 7epuloru Or, R1c,h+ oti Ler 3t-reefr Zed mobil e_ hone 6/1 NAME TO APPEAR ON PERMIT? VOwner ❑ Applicant ❑ Contractor Applicant Contact fInformation Name 7 1 /"T 1/VQ 1 I "i )eS*)he(l I y S , LLC Address p35q Lin rlcto-Fle rneltus NC a9a3 I Phone 13- - (p1' —2505 Cell Phone - log— tol-7- asoC_ Owner Contact Information Name KA Mall y►'lUL'Si-rnP -IS, L(_C-. ( KEA/ VJALL ) Address 10,35c) CJhrls+-o-rie Ir lue CD( NC t--;RO3 I Phone .10 Uri - as (0S Cell Phone 1014- (o) -02S(LS Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Vicner ❑ Applicant ❑ Contractor Description of Existing Structures on Site m oh t le µn/n P_ # of Bedrooms *t 2 Structure Dimensions I, x ion #of Occupants 3 Basement ❑ Yes X No Basement Fixtures Q Yes [tf0 No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property question. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes no No Does the site contain any jurisdictional wetlands? AYes F No Does the site contain any existing wastewater systems? n Yes INo Is any wastewater going to be generated on the site other than domestic sewage? ICI Yes G3allo Is the site subject to approval by any other public agency? ID Yes 'No Are there any easements or right of ways on this property? Describe Existing water supply in use [] Individual Well (Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes Re<o 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 ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS TS NOT A PERMIT couxrt CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page Pro sed Facility Type aWimary Residence in New Residence H Addition to ,Residence # of New Bedrooms *t 4);(Project Description I L X Lao nubile, �4oThc CI Structure Dimensions 114 j( Lo(.p # of Occupants o. Basement ❑ Yes RNo Basement Fixtures ® Yes n'NO ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing ❑ Yes H No Describe Plumbing Needed I Multi-Family Residence# Units #Bedrooms per Unit*t Total#Bedrooms *j' 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.) ❑ 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 H Individual Well Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug Unknown Well Repair Requested ❑ Yes H 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 confers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent S Date -/6c Printed Name of Owner or Agent /t/ #, Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376005190696 Owner: KA WALL INVESTMENTS LLC Parcel Address: 3087 LEE ST Owner2: City: CONOVER, 28613 Address: 20359 CHRISTOFLE DR LRK(REID): 92531 Address2: Deed Book/Page: 3219/1740 City: CORNELIUS Subdivision: FLOYD HEAVNER PROPERTY State/Zip: NC 28031-7057 Lots/Block: 7-8/ Last Sale: School Information: Plat Book/Page: 29/76 School District: COUNTY Legal: LOT 7-8 7 & 8 PL 29-76 PL 29-76 Elementary School: CLAREMONT Calculated Acreage: .290 Middle School: RIVER BEND Tax Map: 074N 02018N High School: BUNKER HILL Township: NEWTON School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $6,300 Zoning3: Assessed Total Value: $6,300 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: CATAWBA Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710376000J Building Details 2010 Census Block: 1057 WaterShed: WS-IV Protected Area 2010 Census Tract: 011401 Voter Precinct: P22 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 reserved. . ic\, ),L0), -\-A a on lo\-- 3fret_ z �nr1 2c'D so ! !do http://gis.catawbacountync.gov/nomap/parcel_report.php?key=376005190696&typ=P 2/19/2016 Catawba County Environmental Health / 79 r . , 9s 4 3 /eo ' _, FSr 74 .Q a 4�% (ay' lea R 4 t :cc 0 co / W / / / / / / / / / / / / / / / ! / / ri / I / / 1 f Parcel: 376005190696, 3087 LEE ST 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 02/19/2016 Catawba County Environmental Health 066 96932 731 g2$ A C id . .1717 ' 1154/ 8 707 .4.. 4,,, S ;.a ,1. 1 61700 s2z2 4 tjt ` 97 c n --..1 sj -J J 2 " a, 80 3 5 :o sa v 149 4. 45 $ 84 NOF p'RO g @ 1.6911 0 9"673 `3020 tl 31.9 N 7 1 37—f 7d 6' 10 i.7) z 5 1 �1 8u_t '3 (� 79 1 .„.3,0•111 �s�, • : `--=a_#ergo 7' `' `' 3 +.-.. 2. trot w R 160 163 7 CDE30r$7 8 309 1: 7 n. 66 1 I j 1' U f tl 01637 ^ 1 n 0 I f' e1636 0 1 1 / 1 0 t 3 1123 / J f :, ,44 If 60.01 202.07 Parcel: 376005190696, 3087 LEE ST 1in=150ft CONOVER, 28613 This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 02/19/2016 -v' v P CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N2 3501 ,,,, ��� JJ��� DATE: at,i0 /5//yi /?$- OWNER a ,, j 77.4 .,e 7sf�AHDRESS G C. 7:44.-./ _"`.�..,Z--i/2C. BUILDING CO SUBDIVISION ezot LOCATION LO 4I• A LOT SIZE BLOCK OR SECTION HOUSE ( ) MOBILE HOME ( ,.)- BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /60Q GALS) WATER SUPPLY: NO. BEDROOMS NO FIXTURES INDIVIDUAL PUBLIC GARBAGE DISPOSAL UNIT:YES (-7-go ( ) IF WELL, TYPE : BORED. DRILLED DUG AUTO WASHING MACHINE : YES ( ) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD : ?OD SQ.FT. POLLUTION: co '.- FT. 1) NUMBER OF LINES SEPTIC TAN I L ED BY : 2) LENGTH AND WIDTH DINES 4 , y „,„ J YS-- /X 2 PERMIT FEE $ a) BED SYSTEM ( CERTIFICATE OF COMPLETION BY : _ __ _ - b)-TRENCH SYSTEM ( ) - $6;;;;,,,; 3) DEPTH OF STONE IN LINES lips' REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE : . YES ( ) NO ( ) 2) NITRIFICATION LINES : DATE INSTALLED:' /y /572.,/ /9 YES ( NO ( ) SEPTIC TANK LAYOUT )_ -- -- t z a� y U pa H I I ) ),_ - — _ _ ( . . O CATI,pI�BA rOUNTY HEALTH DEPARTMENT ��� )� /IMPROVEMENT PERMIT- FOR SEPTIC TANKS! Permit No. 12941 •NAME OF OWNERCOJU l� 79-y (�VIO1/4S/ PV ide ((r�vK,�,y ir DATE - 7_ ADDRESS OF OWNER 326> E , et/J'r //VQLU'Q4 PHONE + C9- NAME OF CONTRACTOR ADDRESS LOCATION SUBDIVISION LOT NO. d SECTION OR BLOCK LOT SIZE FHA/,VA LOAN HOUSE ( ) MOBILE HOME ( t` BUSINESS ( ) OTHER ( ) SEPTIC TANK LAYOUT NO. BEDROOMS ( ) NO. FIXTURES ( ) GARBAGE DISPOSAL UNIT: YES ( ) NO ( ) PLUMBING UNDER BASEMENT FLOOR: YES ( ) NO ( ) 75 SIZE OF TANK /000 LIQUID GALLONS r NITRIFICATION FIELD: . 1. Number of lines 2. Length and width of lines : a. Bed System 75-TX- /2- ft. I r b. Trench system ft. 3. Total Depth of stone /0 inches ' GROUNDWATER INTERCEPTOR DRAIN: (IF REQUIRED) WATER SUPPLY: PRIVATE ( 0 PUBLIC ( y' ._ _OWNER NOTIFIED TO CHECK ZONING: YES ( ) NO ( ) - - OWNER AGREES WITH LAYOUT: YES (L)TNO ( ) OWNER AGREES WITH SPECIAL INSTRUCTIONS: YES 0 ( ) OWNER OR CONTRACTOR SICNATU" - Sera Z_ --rron7 PERMIT FEE $ , 3 (1). fit PERMIT VOID AFTER 36 MON S IMPROVEMENT PERMIT ISSUED BY SEPTIC TANK CONTRACTOR MUST FOLLOW ALL DETAILS OF THIS PERMIT (LAYOUT) SANITARIAN 7141,/L/� HEALTH DEPARTMENT COPY SOIL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE ( ) UNSUITABLE ( ) SITE FACTORS: 1. SLOPE (%) S - PS - U 7. SOIL PERMEABILITY S - PS - U 2. SOIL TEXTURE (12-48 IN.) S - PS - U UNDER 60 MIN. - OVER 60 MIN. SANDY, LOAMY, CLAYEY 8. OTHER S - PS - U 3. SOIL STRUCTURE (12-48 IN.) S - PS - U (SPECIFY) 4. SOIL DEPTH (IN.) S - PS - U 9. SOIL SERIES: 5. RESTRICTIVE HORIZONS (IN.) S - PS - U A. CECIL ( ) B. HIWASSEE ( ) (IMPERVIOUS STRATA, ROCK) C. MADISON ( ) D. APPLING ( ) 6. SOIL DRAINAGE - GROUNDWATER S - PS - U E. PACOLET ( ) F. FLOOD PLAIN ( ) (EXTERNAL - INTERNAL) G. 2-1 CLAY SOIL H. OTHER-SPECIFY ai`,7 1: CATAWBA COUNTY HEALTH DEPARTMENT NEWTON , NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N°_ 3500 DATE : ( �,//Y� (VIC • OWNER t .. :_j /. : i.. s.• p t 3c_.� 6, /1,4 //l%O, .� SI '96<.7)-.. IV( BUILDING CONTRACTOR SUBDIVISION ' LOCATION LOT k '� LOT SIZE BLOCK OR SECTION HOUSE ( ) MOBILE HOME (a- BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /ppb GALS) WATER SUPPLY : NO. BEDROOMS NO FIXTURES INDIVIDUAL PUBLIC t— GARBAGE DISPOSAL UNIT :YES (-)N0 ( ) IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES ( ) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: 9py7► SQ .FT . POLLUTION : / pa FT. 1) NUMBER OF LINES o2 SEPTIC TANK IN ALLED BY : 2) LENGTH AND WIDTH OF LINES q< ) 7 C '2( 4 / PERMIT FEE a),_BED. SYSTEM_(. CERTIFICATE OF C LETION BY : b) TRENCH SYSTEM ( ) m, 3) DEPTH OF STONE IN LINES //) " REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE : YES ( ) NO ( ) 2) NNITRIFICATION LINES : DATE INSTALLED: 1 ,, /tj /98.2 SEPTIC TANK LAYOUT a �,.�-• — -dicta- 10'10' ,t p -r VSL ps' I 0 0 -- - - - - , ° - r l HEALTH DEPARTMENT COPY .3 A. CATA �Wks-./r.' .UIvT.Y HEALTH DEPARTMENT [ IMPROV/EMERI''�PEPMIT�/'OR SEPTIC TANKS Trmit No. 12942 ;ME OF OWNER Cdun ret-y /rig c ��ld�Jil�1 ��lC oD TE �_ 7 ! )DRESS OF OWNER A' r( /"/O? ,7 A/464/70)„,,9 PHONE gill/ 091. VIE OF CONTRACTOR ADDRESS )CATION JBDIVISION LOT NO. 7 SECTION OR BLOCK )T SIZE FHA, A LOAN )USE ( ) MOBILE HOME (W.-BUSINESS ( ) OTHER ( ) SEPTIC TANK LAYOUT ). BEDROOMS ( ) NO. FIXTURES ( ) 7� MACE DISPOSAL UNIT: YES ( ) NO ( ) :UMBING UNDER BASEMENT FLOOR: YES ( ) NO ( ) /a [ZE OF TANK /00 \ LIQUID GALLONS ITRIFICATION FIELD: . 1. Number of lines 2. Length and width of lines: f 11 a. Bed System ' 5x'7 Z ft. l b. Trench system ft. 3. Total Depth of stone /?) inches ROUNDWATER INTERCEPTOR DRAIN: (IF REQUIRED) TER SUPPLY: PRIVATE (_ ) PUBLIC (1-.)-' _ 4NER NOTIFIED TO CHECK ZONING: YESS( ) NO ( ) : TNER AGREES WITH LAYOUT YES (ca NO ( ) 11ER AGREES WITH SPECIAL INSTRUCTIONS: YES fr)>NO ( ) QNER OR CONTRAC R SIGNA�TU' `� :J I/ EMIT FEE $ Jt]: ERMIT VOID AFTER 36 MONTHS dPROVEMENT PERMIT ISSUED BY SEPTIC TANK CONTRACTOR MUST FOLLOW ALL DETAILS OF THIS PERMIT (LAYOUT) UNITARIAN / 7Y ltl HEALTH DEPARTMENT COPY )IL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE ( ) UNSUITABLE ( ) [TE FACTORS: . SLOPE (%) S - PS - U 7 . SOIL PERMEABILITY S - PS - . SOIL TEXTURE (12-48 IN.) S - PS - U UNDER 60 MIN. - OVER 60 MIN. SANDY, LOAMY, CLAYEY 8. OTHER S - PS - T . SOIL STRUCTURE (12-48 IN.) S - PS - U (SPECIFY) SOIL DEPTH (IN.) S - PS - U 9. SOIL SERIES: . RESTRICTIVE HORIZONS (IN.) S - PS - U A. CECIL ( ) B. HIWASSEE ( ) (IMPERVIOUS .STRATA, ROCK) C. MADISON ( ) D. APPLING ( ) SOIL DRAINAGE - GROUNDWATER S - PS - U E. PACOLET ( ) F. FLOOD PLAIN ( ) (EXTERNAL - INTERNAL) G. 2-1 CLAY SOIL H. OTHER-SPECIFY 111-:' eft.. A Case# RBPR-04-2013-17202 �Nc. 2Gt CATAWBA COUNTY Subdivision Floyd Heavner Property :-` 'a- / Public Health Department SectionlB]/Ph/Lot# 7-8 ,� l4 "'". - Environmental Health Division P1 N# 3760-05-19-(1696 — ''l V PO Box 389, 100A Southwest Blvd, Newton NC 28658 DS CS-306- 0 3 5 . 1 e 4 .,, (828)465.8270 Fax (828)465-8276 TDD(R28)465-8200 4 Applicant/Owner Queen and Wall Investments LLC Site Address: 3093 Lee St,Conover NC Property Size: 0.29 acres Directions: EXISTING SYSTEM INSPECTION REPORT Site/System Diagram * 4129113 Visual irspec};or` of Itbbile korvte, nark. No 5y5}ew -ca;l1.j3 al -{tics -firie. 4. 'r.0.ximurv< of 2 bedrooM5 perm -lird. ,t Selillt CIS-I evr mai be urdevsi zed Ipy Curvevtl-i Sitin`i ve1viveftevc'5. No r\va(cordee (We\ 6.y Stvet, c.5 -{o Ike 4s~;et,s lovSe,t1{y. Igo' 4, I-f and w■ th-4 ■< sepiit s slew, �U s Tong. at cps--le repair area l�'t°� b< (Dca-�e� C-J"'I APprox Exis-lirv) Drain ficil ov -\�e. Mtl I11vs-I be remoied. 4s' a«x i9, * Nev/ Mob;le kore al( FC1 0� 'SAC tre �C 2 bcdroa { H IYX6 n0 �5 a+ l^e '-\irP of --kis onS c`}coh. Deck does hoi lave tbo'{evs - j-} 54s ill- Oh lol ock5, fill -ctoky5 114 H be a+ S-g. for- See+ic sys{er. ed No o *kl{P vies cow ^v,Ai-ii we11, hv4 \of�'{ Lee S\. oe\ -1v,is loo. Type of Facility: House ❑ Mobile Home IRl #Bedrooms _ 7 Huainesa IT Specify Other f Specify Proposed Additions/Accessory Structure: swapping out mobile homes. new 2 bedroom 14x66 single wide in same location as previous MH Approved ® Not Approved ❑ Reason Evidence of System Malfunction: YES ❑ NO ® System Type/Description lla 'L4 (3,=zil SI6 113 IICHORIZED STATE AGENT A PROVAL DATE NOT FOR LOAN APPROVAL