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HomeMy WebLinkAboutRBPR-02-2016-23283.TIF ��A �� THIS IS NOT A PERMIT Case # RBPR-02-2016-23283 Q G CATAWBA COUNTY HEALTH DEPARTMENT D • r o. f D - ;'"' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •• 1 F {�- L842 sM Residential Building P� Revien - Manufactured Home Eye for o IMPROVEMENT AUTH_CONST NEW WELL :b r .9.: o} Applicant CLAYTON HOMES (BOBBI LASAGE), PO BOX 132, TAYLORSVILLENC 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: 3463 MELDONNA DR, MAIDEN NC 28650 PIN # 366703234039 NAME of SUBDIVISION: GEORGIA PARK Lot 7 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 7 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 source 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Old trailer has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: DW 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 F9-ehcpplicanon 04/26/2016 13:29 Page 1 of 4 4 • CATAWBA COUNTY Case# RBPR-02-2016-23283 eitti Public Health Department Subdivision GEORGIA PARK d y HY) Environmental Health Division PIN# 366703234039 � ; ' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1842 s. NAME ON PERMIT: CLAYTON HOMES (BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3463 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 7 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 o that a c plete site evaluation can be performed. Date: 11/ 7 Pi, 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 Iu FEENArME;���i"�I��t;R tI!;R�i�FF�iil�6f����'it�fisi �i ',itiuuIiill�IIIIIlUI _ . TE i Emr&MOUNTi���L Improvement Permit Fee 02/25/2016 $150.00 Well Permit& Inspection Fee 02/25/2016 $300.00 Authorization to Construct Fee (New/Expansion) 04/26/2016 5150.00 Fee rr-em�xp+^I.r--r�r... Itl it r1,- I , "'rH't,,,g,,�'11i111I a' I; in,i r., r rr,t 1 r ib ,S.:,.. 1j 71�i OTA d1111111,hil 1111111 ti"0 11inn'1 3 r, ;v'1.rl wr I , h]Ofl Iiln„il' Asj1111111 IAA4Il v.lh$III at imii 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-elmppli cat ion 04/26/2016 13:29 Page 2 of 4 p'A CATAWBA COUNTY A 100A SOUTHWEST BLVD •: NEWTON, NORTH CAROLINA 28658 RECEIPT d 1 mot° , H Vi��� PHONE: 828.465.8399 U va►°P Wednesday, April 27, 2016 is SM www.catawbacountync.gov PAYOR: Clayton Homes Clayton Homes(Lasage, Bobbi) PAYMENTS TRANSACTION NUMBER: TRC-662664-27-04-2016 PAYMENT DATE : 04/27/2016 PAYMENT TYPE: Check 2538 INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327677 Authorization to Construct Fee $150.00 (New/Expansion) Fee TOTAL PAYMENTS : $150.00 RBPR-02-2016-23283 CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home SITE ADDRESS: 3463 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 11:10 Page 1 of 1 6A THIS IS NOT A PERMIT Case # RBPR-02-2016-23283 (-, '� r._ 4 -� zr CATAWBA COUNTY HEALTH DEPARTMENT ;. .eta �' !`�' / PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' �"• •I � 1842 Residential Building Plan Review - Manufactured Home o r.o .' o rIL h IMPROVEMENT- NEW WELL :a.1 3 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: 3463 MELDONNA DR, MAIDEN NC 28650 PIN # 366703234039 NAME of SUBDIVISION: GEORGIA PARK Lot# 7 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Or/lot 7 on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY' WATER SUPPLY: Private Well DESCRIBE WOR New DW mobile home 28x68, Decks: front & back 6x6 Existing septic on property. Prior water source was community well & is no longer accessible 2016 DW mobile home 'Fs its a mobile home park-subdiGision*** 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: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: DW home 28x68, Decks: front& back 6x6 •F 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 F9-ehapptication 02/26/2016 10 55 Page 1 of4 CATAW BA COUNTY Case# RBPR-02-2016-23283 t Lai Public Health Department Subdivision GEORGIA PARK .��: ,� Environmental Health Division PIN# 366703234039 PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 184V NAME ON PERMIT: CLAYTON HOMES ( BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3463 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Peet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 7 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 f p'viu ° ,FEE�� 4 {Th! 9 - i [ 1 tkfVFt3 z .yNii i f.. mFEENAME2 ./Cr w "mot` ATF AMOUNT Improvement Permit Fee 02/25/2016 $150.00 Well Permit& Inspection Fee 02/25/2016 $300.00 t� F.il y L TOTAL FE_.E S ' xn + KN i t x b;Sa x i kt:; JO OO1a 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-ehapplicatibn 02(2612016 1035 Page 2 of 4 THIS IS NOTAPERMIT Case # RBPR-02-2016-23283 Q�, ti CATAWBA COUNTY HEALTH DEPARTMENT 0 .,� •o' 0 • • \ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES F } 'Ncksu 1842 5w Residential Building Plan Review - Manufactured Home 1 o •o • T IMPROVEMENT - NEW WELL �'f{ 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: 3463 MELDONNA DR, MAIDEN NC 28650 PIN # 366703234039 NAME of SUBDIVISION: GEORGIA PARK Lot N 7 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 7 on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 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: 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 17:43 Page 1 of 4 $A CATAWBA COUNTY Case# RBPR-02-2016-23283 F t t % Pubic Health Department Subdivision GEORGIA PARK 6 '_--- v H Environmental Health Division PIN# 366703234039 SCc PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 • /842 sw NAME ON PERMIT: CLAYTON HOMES (BOBBI LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 Clayton Homes ( Bobbi Lasage) Site Address: 3463 MELDONNA DR, MAIDEN NC 28650 , Property Size: Square Feet Acres 0.46 Directions: Hwy 16/left Buffalo Shoals Rd/right Meldonna Dr/lot 7 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 a d labelin of all property lines and corners and making the site acc- .•le so that - comp)-te s e evaluation can be performed. Date: a)al---- I Signature of Applicant or Agent ►f�rr1�Me t- an- -, 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 EEENAME� 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-ehapplication 02/25/2016 17:43 Page 2 of 4 333 CATAWBA THIS IS NOT A PERMIT cLo3N.n•�1r6'V ` CATAWBA COUNTY HEALTH DEPARTMENT ;,,,r,e„-, Application for Environmental Services Page 1 Improvement Permit 4( Authorization to Construct ❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit, Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ 1 Application is for New Construction ❑ Existing Facility ❑ Property Address AARIAjU(.4 I notil / Subdivision CiC.026 (A-' / Jz.A-- frla ci-en Mr ode Lot# Acres 34LO3 INlelda�n,4 Section/BlocWPhase Driving Directions to Property . w✓ l - & u ;4; (w ahao if t . _ is . Mk 0- ' . NAME TO APPEAR ON PERMIT? ❑ Ov,mer [Applicant ❑ Contractor Applicant Contact Information /1 Name V` (,I j1t>- \ all,.-48 ,,l (ctgo l./-- Address Phone Cell Phone Owner Contact Information /� , Name 5 i yp ... 0..tes t n4 / wll t� S I t7CS2 Address 7 5�bt P�U k 02.„ RI-) "0 ! t7T 2 y4Z�/ Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ,Applicant ❑ Contractor Description of Existing Struc�res on Site #of Bedrooms *t f Structure Dimensions al#of Occupants 3 Basement ❑ Yes ❑ No Basement Fixtures 0 Yes Cl No 74, 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. 11(Yes No Does the site contain any jurisdictional wetlands? Yes No Does the site contain any existing wastewater systems? Yes No Is any wastewater going to be generated on the site other than domestic sewage? BYes io Is the site subject to approval by any other public agency? ❑ 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 ater 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 El Innovative ❑ Other ❑ Any . CTHIS IS NOT A PERMIT • b.0%ry CATAWBA cou.�y,.r...�---. CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page d /ny Proposed Facility Type // __ Primary Residence [ J New Residence ❑ Addition to Residence #of New Bedrooms *t 3 C/ - `f' Project Description be -- Structure Dimensions 28xu.'e #of Occupants ,� �l C (.9X Basement ❑ Yes ® No Basement Fixtures ® Yes C4I 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 #of Employees per Shift #of Shifts ❑ Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Coon{structioh/Abandonment/Repair p� 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 maybe 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. / / 77/ 7 Signature of Owner or Agen � �(►,� 11,I�"illl t'��I/ j � a� " Date pt /45- Printed Name of Owner or Agent OA E* /3thy 41}-5466 • Catawba County Environmental Health 16 'e 74? '2p 7 Al • 17. 115r0 • T 7 742� 8 [3 °bear I 9Y/ " 7p2g !,gtov,c, 9},74 759,CQ �3 gyp. 757-53 Parcel: 366703234039, 3463 MELDONNA DR 1 in=50ft 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 mr9sr9nt A Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 366703234039 Owner: MOSER BROTHERS ENTERPRISES Parcel Address: 3463 MELDONNA DR INC City: MAIDEN, 28650 Owner2: STONE REAL ESTATE COMPANY LRK(REID): 8176 LTD Deed Book/Page: 2915/0175 Address: 2828 ROHRER RD Subdivision: GEORGIA PARK Address2: Lots/Block: 7/ City: WADSWORTH Last Sale: State/Zip: OH 44281-9533 Plat Book/Page: 52/65 Legal: LOT 7 7 PL 52-65 GEORGIA PARK PL School Information: 52-65 School District: COUNTY • Calculated Acreage: .460 Elementary School: TUTTLE Middle School: MAIDEN Tax Map: 008AK 01007 High School: MAIDEN Township: CALDWELL School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoning l: 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 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. 'IOU* �� NetkJ e I nicitrn - C20 Sal I ob Tre% �� hoL t p://lis. eta acountync.gov nomap/parcel_report.php?key=366703234039&typ=P 2/25/2016 i CATAWBA COUNTY HEALTH DEPARTMENT • NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT "N° x$100 DATE : 3— :7-5--S--6/ 4 OWNER JAc_f, ' l{//z7/At ADDRESS BUILDING C NTRACTOR SUBDIVISION �" Paije LOCATION li P-eu-- '17 f &4t_ _ _ LOT/# LOT SIZE 13_,LOOK OR SECTION HOUSE ( ) MOBILE HOME (l BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /( 00 GALS) WATER SUPPLY : NO. BEDROOMS NO FIXTURES INDIVIDUAL PUBLIC GARBAGE DISPOSE UNIT:YES (-7—NO ( ) IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES ( ) NO ( ) DISTANCE FROM SEPTIC TANK OR NETREST NITRIFICATION FIELD: /9( O SQ.FT . POLLUTION: FT. 1) NUMBER OF LINES SEPTIC TANK I TALLED BY: n 2) LENGTH AND W DT` 0 N /�_��� /5k, °IcY ,b or PERMIT' FEE S i Citric, BED SYSTEM CERTIFI s OF1COMP7ETION b) TRENCH SYSTEM ( ) z 2 G ,.c 3) DEPTH OF STONE IN LINES /L_ REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILD NG (HOUSE) SEWER LINE : YES ( NO ( ) 2) NITR IC TION LINES : DATE INSTALLED: -5_ 7-6--?t YES C NO ( ) i SEPTIC TANK LAYOUT I cf 1 —I 0 ge J 1 w w Ea I F a° it ;� - - - - _ _ s _ HEALTH DEPARTMENT COPY , I . CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT -N19- Gil 0 0 DATE : --3-- 2-5=7Y‘ OWNER tic e% ' (/,�/ZL,v//I ADDRESS BUILDING C NTRACTOR �i SUBDIVISION (c sZ y? ,Fa't1%j LOCATION 1i& PJtt / 1 �t_ 1 LOT//# LOT SIZE "LOOK. OR SECTION HOUSE ( ) MOBILE HOME (` BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /000 GALS) WATER SUPPLY : y NO. BEDROOMS NO FIXTURES INDIVIDUAL PUBLIC !/ GARBAGE DISPOSAL UNIT:YES ( ) NO ( ) IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES ( ) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: /ct?G7SQ.FT. POLLUTION : FT. 1) NUMBER OF LINES SEPTIC TANK 1 .TALLED BY: / 2) LENGTH AND W DT L NES _ei47Q� 4 j Icy �b 70 r PERMIT FEE $ CihUo a) BED SYSTEM CERTIFI •` 1 C• 1• EST • b) TRENCH SYSTEM ( ) 2 ( % c 3) DEPTH OF STONE IN LINES /� REMARKS : / ADEQUATE FALL (GRADE) ON: / 1) BUILDINGG (HOUSE) SEWER LINE : YES ((- NO ( ) 2) NITRIFICATION LINES : DATE INSTALLED: 3_ 2-6---y-6 YES NO ( ) i SEPTIC TANK LAYOUT ( c ( —I S 0 as H r a a° I i ( HEALTH DEPARTMENT COPY i .�� Cho PER:14IT No. ,4 & PERMIT //000 1 PERMIT VOID AFTER 36 MONTHS CATA A CO ' TY HEALTH DEPARTMENT IMPROVEMENT PERMIT / OWNER OR CONTRACTOR: t.-� rk i ,q-�r� -A DATE: 32 n`ch ADDRESS: PHONE: LOCATION: /A - e - C4-_ i4L �A- ig,r6.. - )- „inn 2L c� fZt-_, L2�i� l"QC� >- (f„ ��-C G2Ljy 7 SUBDIVISION: '^ > / , &'2 I�OT 11 ' SE SON OR BLOCK: LOT SIZE/: Notified to check w'f Zoninggj-s ( ) No ( ) Zoning Approval I House ( ) Mobile Home ( 1- Business ( ) Other ( ) Flow Rate: gpd Bedrooms: e3 Bathrooms: L- S�p�ial Fixtures: Other: Basement - Yes ( ) No ( Fixtures in Basement - Yes ( ) No (Z.-)dump System s( ) No Garbage Disposal Un Yes ( ) No ( (-)------- t)- Water Supply: Private (Zi')Public ( ) TANK SIZE: /ttfl CY gallons Comments/Special Instructions: - NITRIFICATION FIELD: Number of Lines Length and width of Lines p- System must be installed as shown. Any (a) Bed System 76 X l(�.'1 changes will be made only with prior Health (b) Trench System 36" X Department approval. If unforeseen problems or Trench System 30" X yy arise during installation, contractor must Total Square Fontage Depl,b_Qf_Rgne__/ call Health Department. IARTZ THAT I H7 RE� V L D AND AGREE TO THE PrISIO, ON T,S PE rI[T�. Owner/Agent Sanitar' cn Final approval of this septic tank system shall in no wa be taken as a guarantee that the system will function satisfactorily for any given period of time. I SITE AND SEPTIC TANK PLAN ^ �- /y ,7' 1/l�!'7 \ ., , I ' S0-1--1 1 ` (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 ( ) . . ..r ' Clay *Bed systems are allowed only in soil Grouo III. r» .CATAWBA COUNTY /it '` Case# WLS2008-00360 /. I`f\ Public Health Department I y 1 Environmental Health Division Subdivision GEORGIA PARK PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 Sect/BUPh/Lot# 7 ewe_'." (828)465-8270 FAX(828)465-8276 TDD(828)465-8200 PIN# 366703234039 Applicant/Owner: GEORGE MOSER Site Address: 3463 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 CyRD/GEORGIA PARK, EXISTING SEPTIC SYSTEM INSPECTION REPORT Site/System Diagram 44 1)0 no+ d r;v c l R 11 o,- 9 ntcl e DVLr S LiS-I-erk or rtpa.t`r a n-tc. ' SIr,Lu( S'rti.).. PY0 IAA SNASAtty. e, do-n Sr I56. 84 r wttl-k horhe Lottcics • I o e ..-._.__ `$c f\I0I- a 9tkarIetn he, vttta..4- sl{s&1Y. Not " l — — — W111 &ncriM, - ho V;SIh1C s -Z01ktoor r 5° &l@hs 0f- ..r cu. I(.trC when m 3 LvtlKulecl . m N _ � 1 Atka Lam' r LvOkA arm 1561. 100 , • Type of Facility: House Mobile Home X #Bedrooms 'i Business Specify Other Specify Proposed Additions/Accessory Structures: Approved J Not Approved Reason Evidence of system malfunction: YES"_ PP NOS Lib— System Type/Description 3-06 Authorized State Agent: K. "� ��` DATE: 5- / NOT FOR LOAN APPROVAL Form E _ cVidnnm4VonUNWLSnnn.on