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RBPR-02-2016-23282.TIF
THIS IS NOT A PERMIT Case # RBPR-02-2016-23282 4 Q a CATAWBA COUNTY HEALTH DEPARTMENT 0 �o. s 0 � '° PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES l a ` 42 sM Residential Building Pla Rates - M•.nufactured Home ?' le o 0 J r` IMPROVE ENT - AUTH_CONST NEW WELL y` �'- }AVE WO\JPOi Zip (p — e Applicant CLAYTON HOMES (BOBBI LASAGE), PO BOX 132,TAYLORSVILLE NC 28681 C:8282173I68 Land Owner MOSER BROTHERS ENTERPRISES INC,2828 ROHRER RD, WADSWORTH OH 44281 Owner STONE REAL ESTATE (JEFFERY STONE),2828 ROHRER RD, WADSWORTH OH 44281 NAME TO APPEAR ON PERMIT Clayton Homes (Bobbi Lasage) SITE ADDRESS: 3453 MELDONNA DR, MAIDEN NC 28650 PIN # 366703233105 NAME of SUBDIVISION: GEORGIA PARK Lot# 8 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 4/26/16 -AC is required. Added AC New DW mobile home 28x68, Decks: front & back 6x6 Existing septic on property. Prior water supply was community well & is no longer accessible. 2016 DW mobile home **this is a mobile home park subdivision*** Home must meet appearance criteria-- -Screen or Remove Towing Tongue, Front Deck must be minimum of 36 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 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: DW mobile home 28x68, Decks: front& back 6x6 #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplicaiion 04/26/2016 13:15 Page 1 of4 r° CATAWBA COUNTY Case# RBPR-02-2016-23282 .�fl'� Public Health Department Subdivision GEORGIA PARK 4 ®` ,,c, Environmental Health Division PIN# 366703233105 4.'0' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 g.2 sn NAME ON PERMIT: CLAYTON HOMES ( BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3453 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 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 labeli g of all property lines and corners and making the site accessible so that a complete site ev.. • can be performed. Date: LiIa-i 1y, 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 AREA1 `ry r l r l {llr ;,u.Ill! P :47.7,17., 177;157,,..r jI1g, fh l4C�{ if i��° d1ilAl. '1 atria FEENAME -,,G hillifi,t" s I jj �lli �hiW 1ll1'LL'"`'lllii{i,) i, DATES I VL,_FEEtAMOUNTi:A, Improvement Permit Fee 02/25/2016 $150.00 Well Permit & Inspection Fee 02/25/2016 $300.00 Authorization to Construct Fee (New/Expansion) 04/26/2016 $150.00 Fee ;I Iiiir`7 r4 1111 TOTALIFEESi,nl ,,I 11r, r P i iiIIfIil�Illl'1 ' 111111(11, 11111111. "$60000°I ii ;.1 wet 1 RV, r(illi atialidlil45ilii1 JG6 Icbl�alilll111,C1e'S411c4 - 9llliM , hula IJB. A, llk4. 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 (14/26/2016 13:15 Page 2 of 4 44'A • CATAWBA COUNTY IOOASOUTHWESTBLVD t"' NEWTON,NORTH CAROLINA 28658 RECEIPT f " ease PHONE: 828.465.8399 " v vaw. ''C Wednesday,April 27, 2016 /842 SM www.catawbacountync.gov PAYOR: Clayton Homes Clayton Homes(Lasage, Bobbi) PAYMENTS TRANSACTION NUMBER: TRC-662663-27-04-2016 PAYMENT DATE: 04/27/2016 PAYMENT TYPE: Check 2538 INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327676 Authorization to Construct Fee $150.00 (New/Expansion) Fee TOTAL PAYMENTS : 5150.00 RBPR-02-2016-23282 CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home SITE ADDRESS: 3453 MELDONNA DR, MAIDEN NC 28650 Applicant CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681 C:8282173168 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Land Owner MOSER BROTHERS ENTERPRISES INC, 2828 ROHRER RD, WADSWORTH OH 44281 Owner STONE REAL ESTATE,2828 ROHRER RD, WADSWORTH OH 44281 receipt 04/27/2016 11:09 Page I of I 4.06A •� THIS IS NOT A PERMIT Case # RBPR-02-20 1 6-232 8 2 e a CATAWBA COUNTY HEALTH DEPARTMENT V•fi .7e" )' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 4• 8473 sM Residential Building Plan Review - Manufactured Home oiY.°irro o •{ IMPROVEMENT - NEW WELL -�'�r '3 0 120;\n Y m Applicant CLAYTON HOMES (BOBBI LASAGE), PO BOX 132,TAYLORSVILLE NC 28681 C:8282173168 Land Owner MOSER BROTHERS ENTERPRISES INC, 2828 ROHRER RD, WADSWORTH OH 44281 Owner STONE REAL ESTATE (JEFFERY STONE), 2828 ROHRER RD, WADSWORTH OH 44281 NAME TO APPEAR ON PERMIT Clayton Homes (Bobbi Lasage) SITE ADDRESS: 3453 MELDONNA DR, MAIDEN NC 28650 PIN # 366703233105 NAME of SUBDIVISION: GEORGIA PARK Loot 8 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New DW mobile home 28x68, Decks: front& back 6x6 Existing septic on property. Prior water supply was community well & is no longer accessible. 2016 DW mobile home **this is a mobile home park subdivision""" Home must meet appearance criteria -- -Screen or Remove Towing Tongue, Front Deck must be minimum of 36 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 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: DW mobile home 28x68, Decks: front& back 6x6 #OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplication 02/26/2016 10:59 Page 1 o14 A CATAWBA COUNTY Case a RBPR-02-2016-23282 f:i ,y Public Health Department Subdivision GEORGIA PARK """' r. "•Environmental Health Division PINfi ®'/ 366703233105 `'4�'/ PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 /842 sa NAME ON PERMIT: CLAYTON HOMES ( BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3453 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 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 AREA1 doh .. �'arty Pat c h' d f t 1M7 R il I'6 iF 6t�� - E 11 Il �`�' 1 M11�.n.,x _F" £z.t yl REFNAMES If '....u..,_fj'..i3i.aa4§... a DATC ten; 1.FEE AMOUNT ,..I Improvement Permit Fee 02/25/2016 S150.00 Well Permit& Inspection Fee 02/25/2016 $300.00 TOTALtFEES e 3 *v I F yz 1 5450 00 _ �- , 4 e:- e—'z Ys5 - i'* � .� r � by � - ; 4—.v.�1�42U�,1«� �d'a._...._..�0 � �...wht_,..5+u�S{'f� �e�mvlw i � .1 .-1'++. .iA-,..r.. � �i_..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-ehapptication 02/26/2016 10159 Page 2 of 4 //.m.j )- THIS IS NOT A PERMIT Case # RBPR-02-2016-23282 a . !�` H CATAWBA COUNTY HEALTH DEPARTMENT 0 ., ru' CI PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES . .1 ti- 842 sM Residential Building Plan Review - Manufactured Home o •o : ,• { 1, T IMPROVEMENT - NEW WELL *o Applicant CLAYTON HOMES (BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 C:8282173168 Land Owner MOSER BROTHERS ENTERPRISES INC,2828 ROHRER RD, WADSWORTH OH 44281 Owner STONE REAL ESTATE (JEFFERY STONE),2828 ROHRER RD, WADSWORTH OH 44281 NAME TO APPEAR ON PERMIT Clayton Homes (Bobbi Lasage) SITE ADDRESS: 3453 MELDONNA DR,MAIDEN NC 28650 PIN # 366703233105 NAME of SUBDIVISION: GEORGIA PARK Lot 8 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 2016 DW mobile home**this is a mobile home park subdivision*** Home must meet appearance criteria -- -Screen or Remove Towing Tongue, Front Deck must be minimum of 36 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 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 68 #OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?:"NO E9-ehapplication 02/25/2016 17:46 Page 1 of4 isA. CATAWBA COUNTY Case# RBPR-02-20 1 6-2 3 2 82 Public Health Department Subdivision x1 a GEORGIA PARK Gl��h ^ Environmental Health Division PIN# 366703233105 , JM PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 /842 w . NAME ON PERMIT: CLAYTON HOMES ( BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3453 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 8 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 identificatio d labelin of all property lines and corners and making the site acc- iiipe so tat a complete site evaluation can be performed. Date: ILO Signature of A licantorAgent es MA_ _` An n ironmental 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 Improvement Permit Fee 02/25/2016 $150.00 Well Permit & Inspection Fee 02/25/2016 $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) E9-ehappl ication 02/25/2016 17:46 Page 2 of 4 THIS IS NOT A PERMIT Lq'u__ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit Authorization to Construct❑ Septic Repair❑ Septic Malfunction ❑ Septic Expansi n ❑ New Well Permit% Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for nn New Construction ❑ Existing Facility ❑ p Property Address -1O&Vlh rYC 1-0.148 Subdivision dir tA, PA/Cr Li / , / --��4 &. C •_� .fl Lot# g Acres 343 rvteA4( t1nA Nc- Section/Block/Phase Driving Directions to Propert 1� 14l1/0 tuo a t . ` t..- ,4_01 �q p i '� DYt 1. •e ,DYE U'l C e NAME TO APPEAR ON PERMIT? ❑ Owner Applicant ❑ Contractor Applicant Contact Information Name riictujc t nrS i z� Qtid o ( L° cc/aC- Address )j p ���'''-Ou�,lG Phone — ��� 7-3 b Cell Phone 32g 2.4.7-3 �8 Owner Contact Information t �� Name '��F� STh rc Address 23,4 s■ Red . Q&PA Lowe 7'/' [l'l.Lea PLf2oI Phone I Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner $Applicant ❑ Contractor Description of Existing Structures on Site , 7 #of Bedrooms *j' 3 Structure Dimensions o?gee.ag #of Occupants 3 Basement ❑ Yes g No Basement Fixtures a Yes 1No 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. Ycs No Does the site contain any jurisdictional wetlands? Yes No Does the site contain any existing wastewater systems? Yes o 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 o Are there any casements or right of ways on this property? Describe Existing water supply in use Individual Well ❑ Community Well H Semi-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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any • CATAWBA THIS IS NOT A PERMIT • rou�rs CATAWBA COUNTY HEALTH DEPARTMENT • ,,,;,,�,,,,,, Application for Environmental Services Page 2 Proposed Facility Type 1 ; 5 ^ ❑ Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *t 3: ,^�� '( `/ Project Description (Lu') WA_GaLewl_c _ beeAc (pT� Structure Dimensions , j a, #of Occupants _, ' Basement ❑ Yes Ird No" Basement Fixtures ® Yes Ai No ❑ Accessory Structure(s) Pescribc #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*j' 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 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 Al 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 he 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. 1' 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. �7� Signature of Owner or Agent �iea _ Date C� 1i� Printed Name of Owner or Agent Eablo ,_,..e.Sray— Qi ay'f"o u-tttxwed-# 31 Parcel Report _ _ Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 366703233105 Owner: MOSER BROTHERS ENTERPRISES Parcel Address: 3453 MELDONNA DR INC City: MAIDEN, 28650 Owner2: STONE REAL ESTATE COMPANY LRK(REID): 8177 LTD Deed Book/Page: 2915/0175 Address: 2828 ROHRER RD Subdivision: GEORGIA PARK Address2: Lots/Block: 8/ City: WADSWORTH Last Sale: State/Zip: OH 44281-9533 Plat Book/Page: 52/65 School Information: Legal: LOT 8 8 PL 52-65 GEORGIA PARK PL 52-65 School District: COUNTY Elementary School: TUTTLE Calculated Acreage: .460 Tax Map: 008AK 01008 Middle School: MAIDEN Township: CALDWELL High School: MAIDEN State Road #: School Map TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $9,100 Zoning3: Assessed Total Value: $9,100 Zoning Overlay: Year Built/Remodeled: / Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710366600J Building Details 2010 Census Block: 4001 WaterShed: 2010 Census Tract: 011602 Voter Precinct: P9 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 Geospalial 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. W-IS O ooeaO v�P�l Nevi Ngtl . 3 iz 3W 0 01 vi u Cep v CA http:// is.catawbacountync.gov/nomap/parcel_report.php?key=366703233105&typ=P 2/25/2016 Catawba County Environmental Health 75.35 7>7 . 9 7� 'A 90 a? 07 4 ,moo mY qr 7q 2� ■ic, 0,,,„, ,is o ?�.0. 9 730. 2 01,E �� ...... ....Zs` "C>36 ca rr7 6 M co lq?88• ^r5 ■ • 10,7n 60 . \ 75- 7 960 • • 7j0 Q. Parcel: 366703233105, 3453 MELDONNA DR 1 in=soft MAIDEN, 28650 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 02/25/2016 CATAWBA COUNTY HEALTH DEPARTMENT • NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT ' - N2 U J. I 0 5 DATE : sj, -(36,9 OWNER -PQr_j - 1a J oft, 5 ADDRESS BUILDING CONTRACTOR SUBDIVISION ip s n it Po a (,(z LOCATION g.Q., asp. LOT 11 c3 LOT SIZE BLOCK OR SECTION HOUSE ( ) MOBILE HOME (c, BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE I o n n GALS) WATER SUPPLY: �f NO. BEDROOMS NO FIXTURES " / INDIVIDUAL PUBLIC V/' GARBAGE DISPEL UNIT:YES (�0 MO IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES (v4 NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST— NITRIFICATION FIELD: logo SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES SEPTIC TANK INSTALLED BY: 2) LENGTH AND WWIDTH OF LINES . e g CER C E m co a) BED SYSTEM CERTIF ICATE O` MPLET ION BY: b) TRENCH SYSTEM ( ) age A.9±0/1. 3) DEPTH OF STONE IN LINES 12 ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE : YES (ve/ NO ( ) 2) NITRIFICATION LINES : DATE INSTALLED: -R•=• ,1—€6. YES (y' NO ( ) SEPTIC TANK LAYOUT i. i F If O z '11111111111F111 m a 1 �1 W - H E+ I 0 o I a a 1 HEALTH DEPARTMENT COPY 0.04x6 PERMIT FEE �.Gf 1 PERMIT N0.�Y PERME-T VOID AFTER 36 MONTHS CATAWBA CO TY HEALTH DEPARTMENT i IMPROVEMENT PERMIT OWNER OR CONTRACTOR: _eAti" 12. 1:/0 DATE: 2 - 61-Ye ADDRESS: / PHONE: - s L ' LOCATIO A 7— --°— / f � t � _ L _9 s/ '� a ..�-- ittc2_ .- ' , �" 't-t.'G/t � . , 0, 4 SUBDIVISION: ,_!2414ee, • l LOT II i +£C'IION OR BLOCK: LOT S17,Ei_ Notified to check (th Zoni g Yes 'o ( ) Zoning Approval it 82 .17 House ( ) Mobile Home ( usiness ( ) Other ( ) Flow Rate: gpd Bedrooms: 1 Bathrooms: 'Y Special Fixtures: Other: - Basement es ( ) No (i_j_.---Ericctures in Basement - Yes ( ) No (C�Syste�es-( ) No i)-- Garbage Disposal Uni Yes ( ) No (�Y Water Supply: Private y,.)�blic ( ) (Y TANK SIZE: //e (7 gallons Comments/Special Ins ructions: NITRIFICATION FIELD: / Number of Lines Length and width of Lines � System must be installed as shown. Any (a) Bed System /0 )C / ?,r changes will be made only with prior Health (b) Trench System 16" R Department approval. If unforeseen problems or Trench System 30" X /1 arise during installation, contractor must Total Square Footage a?ept,,_Qf Dgne__/ call Health Department. I CERTIFY T I HAVE REVIaa.. AND AGREE TO TH P OVI NS 0 is P�/FRMIT. /><. GUS� 7 - /�7 (C/7z_/' -t'C-c. Owner/Agent Sani rlan Final approval of this septic tank system shall in no/Way pe taken as a guarantee that the system will function satisfactorily for any given pet4od of time. l c' SITE AND StIt... K PLAN 1 / Y� .i �. ( se c - ,i©Z - /t5/ L - - — Health Department Copy Site Factor: Soil Group Soil Texture Class Application Rate Slope and Landscape Position S - PS - U Soil Drainage S - PS - U Sandy Clay Soil Depth S - PS - U III Fine Silt Loam 0.6-0.4 Restrictive Horizon S - PS - U Loams Clay Loam Available Space S - PS - U Silty Clay Other S - PS - U (Specify) _ -- Sandy Clay Soil Characteristics: S - PS - U IVa Clays Silty Clay 0.4-0.2 Repair Area Required: Yes ( ) No ( ) ' Clay *Bed systems are allowed only in soil GtouD III. 1 - \ CATAWBA COUNTY x •7: \ Public Health Department Case N \VLS2008-00361 I: � CS:,:�' Environmental Health Division Subdivision GEORGIA PARK V'V 1; / / PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 Secl/BL/Ph/Lot# 8 i \•„i (828)465-8270 FAX(828)465-8276 TOD(828)465-8200 PIN# 366703233105 Applicant/Owner: GEORGE MOSER Site Address: 3453 MELDONNA DR MAIDEN NC Property size: SF .46 ACRES ' Directions: HWY 16 S/RT BUFFALO SHOALS RD/ON RT @ CORNER OF MELDONNA DR& BUFFALO SHOALS RD/GEORGIA PARK, CiEXISTING SEPTIC SYSTEM INSPECTION REPORT Site/System Diagram • 14 Do nor- cin VQ1 R- I l ay-0 mete, otier SLjS cry- rtioa l'r • AikcAdorma-Dr (4a-do ' .1:4 LS}- S' n CYOrrn 5jS4-eru w1 t s° I • 0 1 Rime, ” cL[Gks I 4 3 1 0– 4( M a 1- a 9 1t,ar etn het 1/4l.l�ak Sy S ftry\ ■9 I5' a� l no boa �,� — RD Vi3i61t, Si'oKs Tz w , i X61' — o F Pa: I u.re, when tva-( sit hd - ° Qfr It rya 15b1 Type of Facility: House Mobile Home X #Bedrooms 3 Business Specify Other Specify Proposed Additions/Accessory Structures: Approved `y Not Approved Reason .. Evidence of system malfunction: YES NO ✓ System Type/Description Authorized State Agent: /' (,� L/" `(SPA.. DATE: 5-/3 -c5 NOT FOR LOAN APPROVAL Form E r.rni n mlvnnsnint,se nn.n,