HomeMy WebLinkAboutRBPR-03-2016-23370.TIF s� G THIS IS NOT A PERMIT Case # RBPR-03-2016-23370
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CATAWBA COUNTY HEALTH DEPARTMENT O "
V`i\ ��" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES r • t
1842 SM Residential Building Pla - Manufactured Home i 'r0 G
IMPROVEMEN UTH CONST)NEW WELL - t,
EXPANSION
Applicant *OAKWOOD HOMES#712 (ELIOBERTO ALFONSO), 1265 70 HWY W,NEWTON NC 28658
B:(828)217-1862 C:(828)464-2662F:828-464-4301 R712 @CLAYTONHOMES.COM
Owner KAREN RICE,3532 MELDONNA DR, MAIDEN NC 28650
C:8287811008
Parcel Owner MOSER BROTHERS ENTERPRISES INC, 2828 ROHRER RD, WADSWORTH OH 44281
NAME TO APPEAR ON PERMIT
Karen Rice
SITE ADDRESS: 3532 MELDONNA DR, MAIDEN NC 28650 PIN # 366703321831
NAME of SUBDIVISION: GEORGIA PARK Lot# 18 Section/I3lock
PROPERTY SIZE: Square Feet Acres 0.46
DIRECTIONS: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY4 - WATER SUPPLY: Private Well
DESCRIBE WORD Revised 5/11/16 -AC added. Required to expand existing system.
New 3 bedroom Doublewide 28x56, Decks: Front& Back k 6x-6
*Existing permit does not indicate# of BdRms. AC may be requires.
Previous water supply was Community Well. No longer able to connect.
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
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: Dbl Wide 28 x 56, 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-chappli eat ioo 05/11/2016 09:27 Page 1 of 4
�x2A CATAWBA COUNTY Case# RBPR-03-2016-23370
,Q'anC4 Public Health Department Subdivision GEORGIA PARK
'< '®t. ,'� Environmental Health Division PIN# 366703321831
\�t PO Box 389, 100-A Southwest Blvd,Newton.NC 28658
IR.2 rw
NAME ON PERMIT: (KAREN RICE), 3532 MELDONNA DR, MAIDEN NC 28650
( Karen Rice)
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet Acres 0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
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 lam 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
rre ,t,„ii ae 1k . "ill'lll lilt I 1 p lippl 7 ,c.{i ��I ff'"�" I ntlt�r^" �l
1� FEENAME , ,r Ilib oli.i . tvel L.i 1 .. yta �",i",(DATE, .H IL^,FEE')AMOUNi
Improvement Permit Fee 03/10/2016 $150.00
Well Permit & Inspection Fee 03/10/2016 $300.00
Authorization to Construct Fee (New/Expansion) 05/I1/2016 $150.00
Fee
11 h �. 'TOTn>;1IFE.ES1111 jI4;lllrll !P'l r l71V11! `II " `.°";>'+�V'Nlllllgi�;{?. '''°l llldll�liHnnlll✓1$600 00�q��1�??�
ELI!" 1..1I P ir 2&l utnruul'4r ', 1,,l aitii1nlLlr. -3uI�ti� »iAnilt`ta� `PnILmpaithilth WIIW,,;;�tldl
FEES ARE NON—REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9-ehnpplicatinn 05/11/2016 09:27 Page 2 of4
p,A CATAWBA COUNTY
,� Y O�� 100ASOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
`Z r sore PHONE: 828.465.8399
U\� ., vaso Wednesday, May 11, 2016
4 yy
1$t�2 sm www.catawbacountync.gov
PAYOR: *OAKWOOD HOMES #712
*OAKWOOD HOMES#712 (Alfonso, Elioberto)
PAYMENTS
TRANSACTION NUMBER: TRC-6705 62-1 1-05-201 6
PAYMENT DATE : 05/11/2016
PAYMENT TYPE: Credit Card
Payment by Phone
INVOICE NUMBER FEE NAME FEE AMOUNT
05-16-328214 Authorization to Construct Fee 5150.00
(New/Expansion) Fee
TOTAL PAYMENTS : $150.00
RBPR-03-2016-23370
CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home
SITE ADDRESS: 3532 MELDONNA DR, MAIDEN NC 28650
Applicant *OAKWOOD HOMES#712, 1265 70 HWY W,NEWTON NC 28658
B.(828)217-1862C:(828)464-2662F:828-464-4301 R712 @CLAYTONHOMES.COM
** NO PEOPLESOFT ACCOUNT ASSIGNED **
Owner KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
C:8287811008
Parcel Owner MOSER BROTHERS ENTERPRISES INC,2828 ROHRER RD, WADSWORTH OH 44281
receipt 05/I1/2016 09:26 Page 1 of 1
�y A THIS IS NOT A PERMIT Case# RBPR-03-2016-23370
r CATAWBA COUNTY HEALTH DEPARTMENT 0 'D ap
74Y PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
I8 2 SM Residential Building Plan Review - Manufactured Home
IMPROVEMENT- NEW WELL b: o
Applicant 0OAKWOOD HOMES #712 (ELIOBERTO ALFONSO), 1265 70 HWY W,NEWTON NC 28658
B:(828)217-1862 C:(828)464-2662F:828-464-4301 R712 @CLAYTONHOMES.COM
Owner KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
C:8287811008
Parcel Owner MOSER BROTHERS ENTERPRISES INC,2828 ROHRER RD, WADSWORTH OH 44281
NAME TO APPEAR ON PERMIT
Karen Rice
SITE ADDRESS: 3532 MELDONNA DR, MAIDEN NC 28650 PIN # 366703321831
NAME of SUBDIVISION: GEORGIA PARK Lot# 18 Section/Block
PROPERTY SIZE: Square Feet Acres 0.46
DIRECTIONS: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY• 360 WATER SUPPLY: Private Well
DESCRIBE WORK: New 3be.room Doublewide 28x56, Decks: Front& Back 6x6
*Existing permit does not indicate#of BdRms. AC may be requires.
*Previous water supply was Community Well. No longer able to connect.
SITE INFORMATIO
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
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: Dbl Wide 28 x 56, 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 03/15/2016 13:54 Page 1 of5
• CATAIVBA COUNTY Case# RBPR-03-2016-23370
�G� Public Health Department Subdivision GEORGIA PARK
1401. Environmental Health Division PIN# 366703321831
'"�` PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
/8.'L ,v
NAME ON PERMIT: ( KAREN RICE),3532 MELDONNA DR, MAIDEN NC 28650
( Karen Rice)
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet Acres 0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
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
�DFEENAME ,#tfr , r; `' §,v � a4EI DATE y urFEE:AM UNTxj
.n � ''.k d?'�.r' 1�L b�
Improvement Permit Fee 03/10/2016 $150.00
Well Permit& Inspection Fee 03/10/2016 $300.00
''3 a n era'g�a rJ r �'v -.-+ s "
4- ,1¢� r„I-g TOTAL FEES �t;y� �- ;�s:'d6li��I1�:�Ift`�,�{ �!��'§`io S450 OOxz.
ab€.._..,ist-r,°he`f.itiM :i4iji why a° P Mrrinttna$'f' ;.:eG;. r � �,sa:m,f SK3'..d
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 03/15/2016 13:54 Page 2 of 5
v4$° • THIS IS NOT A PERMIT Case # RBPR-03-20 1 6-23 3 70
C in
a CATAWBA COUNTY HEALTH DEPARTMENT 0 .o'ts CI PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '
1842 sM Residential Building Plan Review - Manufactured Home 1 0 • o 13::
t :fi
IMPROVEMENT- NEW WELL
Applicant *OAKWOOD HOMES 4712 (ELIOBERTO ALFONSO). 1265 70 HWY W, NEWTON NC 28658
B:(828)217-1862 C:(828)464-2662F:828-464-4301 8712 @CLAYTONHOMES.COM
Owner KAREN RICE, 3532 MELDONNA DR. MAIDEN NC 28650
C:8287811008
Parcel Owner MOSER BROTHERS ENTERPRISES INC.2828 ROHRER RD, WADSWORTH OH 44281
NAME TO APPEAR ON PERMIT
Karen Rice
SITE ADDRESS: 3532 MELDONNA DR, MAIDEN NC 28650 PIN # 366703321831
NAME of SUBDIVISION: GEORGIA PARK Lot 18 Section/Block
PROPERTY SIZE: Square Feet Acres 0.46
DIRECTIONS: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Community Well
DESCRIBE WORK: New 3 bedroom Doublewide
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
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 28 x 56, 6x6 &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-ehapphcation 03/15/2016 08:50 Page 1 of 5
,$w CATAWBA COUNTY Case a RBPR-03-2016-23370 it,
!., Al Public Health Department Subdivision GEORGIA PARK
Q ®} Environmental Health Division P1Nik 366703321831
�'-'•� PC Box 389, 100-A Southwest Blvd, Newton,NC 28658
is 2 sm
NAME ON PERMIT: (KAREN RICE). 3532 MELDONNA DR, MAIDEN NC 28650
( Karen Rice)
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet Acres 0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn
right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
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 es. 1 understand that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site acces . e so t.- a complete site evaluation can be performed.
Date: 3 - /ci - Signature of Applicant or Agent am/
An Environmental Health Specialist will contact you within 5 w• mg days of application date.
If you need further information or assistance plea call 828-466-7291
AREA1
FEENAME ,y DATE FEE AMOUNT
Improvement Permit Fee 03/10/2016 $150.00
Well Permit& Inspection Fee 03/10/2016 5300.00
TOTAL FEES ''„ "' $450.00'-
I
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 03/15/2016 08:50 Page 2 of 5
BPR V ,Do IC0 a33-to
CATAWBA THIS IS NOT A PERMIT
Co-MTV Co-MTV CATAWBA COUNTY HEALTH DEPARTMENT
NOM Grd Application for Environmental Services Page 1
Improvement Permit Authorization to Construct❑ Septic Repair❑ Septic Malfunction ❑ ``
Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment❑ (��ec-
Well Repair El Existing System Inspection(Pre-Approval Required) Kiel—j
132 Application is for New Construction El Existing Facility ❑
Y-
Property Address Loo ti I 1*� o 1e[donna_ CYI Subdivision
1116,,r Ctt,n c Lot# Acres
Section/Block/Phase
Driving Directions to Property 9 -- - f Al 4 _ • C(
TR Or AX (P - CLI-1 -TL-. on AX. It Sate Tl2 Ors 6(4- 'aid SGtcp-k �'Cr
ER n irn e (don -c - fob- o n r t`�h I—
NAME TO APPEAR ON PERMIT? Owner El Applicant El Contractor
Applicant Contact Information / /
Name CC \(w0(YI t—res)ne5 OI A- (01
.1. _
Address �(o [f•1 16 w ( t, rtc t�l fJ( r)cg(9s-e
Phone �, -C (A g coca_ Cell Phone
Owner Contact Information
Name j < _ '.lr.< i ce_
Address L — i P e r\Q, nr(U-_ — c(\ai cke r\ -
Phone ga ' -q R'( _ ?cr.) Cell Phone
Contractor Contact Information
Name 60)-..eVe CS c ye 1CCC-nF
Address \
Phone Cell Phone
WHO WILL BE THE PRIMARY CONTACT? El Owner ❑Applicant El Contractor
Description of Existing Structures on Site
#of Bedrooms *j' Structure Dimensions.. #of Occupants
Basement ❑ Yes ❑ No Basement Fixtures ® Yes ® No
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 •. o Does the site contain any jurisdictional wetlands?
Yes •i"' o Does the site contain any existing wastewater systems?
O Yes * -12o Is any wastewater going to be generated on the site other than domestic sewage?
I
Yes 4,1 Is the site subject to approval by any other public agency?
C Yes • 10 Are there any easements or right of ways on this property? Describe
Existing water supply in use U Individual Well Community Well ❑ Semi-Public Well
CI County/City/Township Water Line s a public water supply available? ** El 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 OAny
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CATAWBA THIS IS NOT A PERMIT (i1 tnnt 3 net �co
couwrr -���_- CATAWBA COUNTY HEALTH DEPARTMENT UU��UU ����
,, Application for Environmental Services Page 2
igposed m ry Residence Type
Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t
Project Description `j C. -{— I ,_0 y',c rick t hie civic 1nc'h i (-c 1'1n trt C
Structure Dimensions g X c.:,./.$„. #of Occupants
Basement ❑Yes !i No Basement Fixtures ® Yes fo
Accessory Structure(s) Describe //
#of New Bedrooms *t if applicable Structure Dimensions
#of Occupants Accessory Dwelling ❑ Yes ❑ No
Plumbing ❑ Yes ❑No Describe Plumbing Needed
Li 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.)
I 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 Drilled ❑ Bored ❑ Dug ❑ Unknown
Well Repair Requested ❑ Yes ❑No Describe
Calculated Design Flow, Commercial t Additional information may be required to determine
design flow from certain facilities. This value will be determined during consultation with on-site staff.
Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and
counted on all applications.The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time
of building permit issuance. This may prevent the need for septic system size increase in the future.
t If structure is plumbed but no bedrooms,calculated design flow is required.
**If No, a well permit must be issued with the Authorization to Construct
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified
conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not
transferable;Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,
site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. 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. ����},� P /
Signature of Owner or Agent\ '`lLN 1144 kl briu/�" 'Date / a (� l cp
Printed Name of Owner or Agen n( I—I c Y\C,A \ 3c 0 X u -0 Olne
E/Z 910Z-60-£0 'W'dzs:so:10 ZIOHW 1.0E1717968Z8
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Parcel: 366703321831, 3532 MELDONNA DR tin=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 shal not be held liable for any and all damages,lass or liability,whether direct,cndrect 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
. 03/09/2016
Parcel Report Page 1 of 1
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 366703321831 Owner: MOSER BROTHERS ENTERPRISES
Parcel Address: 3532 MELDONNA DR INC
• City: MAIDEN, 28650 Owner2: STONE REAL ESTATE COMPANY
LRK(REID): 8187 LTD
Deed Book/Page: 2915/0175 Address: 2828 ROHRER RD
Subdivision: GEORGIA PARK Address2:
Lots/Block: 18/ City: WADSWORTH
Last Sale: State/Zip: OH 44281-9533
Plat Book/Page: 52/65
Legal: LOT 18 18 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 01018
Township: CALDWELL High School: MAIDEN
State Road #: School Map
Tax/Value 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 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 Gov nment, North Carolina. All rights rese
tectSAM. \r-VC00&\ \\DA
' r te -'� c $ Neu. 376 Y11 10
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http://gis.catawbacountync.gov/nomap/parcel_report.php?key=366703321831&typ=P 3/9/2016
. CATAWBA COUNTY HEALTH DEPARTMENT
NEWTON, NORTH CAROLINA
COMPLETION PERMIT FOR SEPTIC TANKS
PERMIT N-° 00779
1 \ DATE : ,47— f�-- -
OWNER klt.teil 2/),1 ADDRESS
BUILDING CONTRACTOR SUBDIVISION ' '41.ed,
LOCATION S (
-� , j_ ( 1 ' LOT 4
LOT SIZE BLOCK OR SECTION
HOUSE ( ) MOBILE HOME /BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( )
SEPTIC TANK: (SIZE /QQ O GALS) WATER SUPPLY: /
NO. BEDROOMS NO IXTURES 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: /0 7 0 SQ.FT. POLLUTION: FT.
1) NUMBER OF LINES C� SEPTIC TAN' ``,�41 . - •
i E
2) LENGTH AND WIDTH OF/LINES ft '- 4 Cl-d 1•
a) BED SYSTEM ( CERTIF %•- m_ i' :/
b) TRENCH SYSTEM ( ) INIM ,A.AMMi
3) DEPTH OF STONE IN LINES REMARK :i
ADEQUATE FAL (GRADE) ON: /
1) BUIL IN (HOUSE) SEWER LINE :
YES NO ( )
2) NITRI IC ON LINES : BATE INSTALLED: A /N' —,-'5)s-,
YES NO ( )
• SEPTIC TANK LAYOUT V
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HEALTH DEPARTMENT COPY
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, , . .CATAWBA COUNTY HEAL (ANT 5� 1
IMPROVEMENT PERMIT FO SEPTIC T� ✓Peermit No.1 az 6 g
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NAME OF OWNER l E le,),i4? DATE (� —/E/"-6_
ADDRESS OF OWNER / PHONE
NAME OF CONTRACTOR ADDRESS
LOCATION'OC/ ^e^ t 12/ 4-2 711. _4-�!✓ZE.
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SUBDIVISION ( 37Q fWI L//fg r LO T
NO. /5 SECTION OR BLOCK
LOT SIZE FHA, V Septic Tank Contractor must follow all
HOUSE ( ) MOBILE HOME SINESS ( ) OTHER ( ) Details of this permit (layout)
NO. BEDROOMS ( ) NO. FIXTURES ( ) SERIIyTANK LAYOUT
GARBAGE DISPOSAL UNIT: YES ( ) NO ( )
PLUMBING UNDER BAS NT FLOOR: YES ( ) NO ( ) ��
NITE OF TANK GIQ GALLONS �^ `\\
NITRIFICATION FIELD:
1. Number of lines
2. Length and width of lines: / }\
a. Bed System ^x 7 ft,/d� 1 '( r
b. Trench system ft. -§V;4° II J
3. Total Depth of stone /2_ inches
GROUNDWATER INTERCEPTOR DRAIN:
1 (IF REQUIRED)
WATER SUPPLY: PRIVATE ( ) PUBLIC
OWNER NOTIFIED TO CHECK ZONING: YES (1-1-6-(44t1 y
OWNER AGREES WITH LAYOUT: YES )
OWNER AGREES WITH SPECIAL INSTRUCTIONS: YE'S ) NO ( )
OWNER OR CONTRACTOR SIGNATURE -�i. . ���///r!ht �.
PERMIT FEE S m,__CLC
PERMIT VOID AFTER. 36 MONTHS FINAL APPROVAL OF THIS SEPTIC TANK SYSTEM BY
TKPROVEMENT ' IT I: •UED BY/ J THE HEALTH DEPARTMENT SHALL INDICATE THAT THE
/l '� SYSTEM HAS BEEN CONSTRUCTED ACCORDING TO
SANITARIAN THE STANDARDS SET FORTH IN THE CATAWBA COUNTY
SEWAGE DISPOSAL REGULATIONS, BUT IN NO WAY
HEALTH DEPT. COPY SHALL BE TAKEN AS A GUARANTEE THAT THE SYSTEM
WILL FUNC •IN SATISFACTORILY FOR ANY jIYEN
SOIL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE I�SUITABLE ( )
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. HIWASSF.E ( )
(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
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�" son�\ CATAWIIA COUNTY
'ai Case# WLS2008-00368
/. fir, Pnblic Health Department v
o Environmental Health Division Su GEORGIA PARK
A ®)/ PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Sect/BIJPh/Lot# 18
wii% (828)465-8270 FAX(828)465-8276 TDD(828)465-8200 PIN# 366703321831
Applicant/Owner: GEORGE MOSER
Site Address: 3532 MELDONNA DR MAIDEN NC
Property size: SF .46 ACRES
Directions: HWY 16 S/RT BUFFALO SHOALS RD/ RT MELDONNA DR/GEORGIA PARK,
Cil EXISTING SEPTIC SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility: House Mobile Home X # Bedrooms ;
Business Specify
Other Specify
Proposed Additions/Accessory Structures:
Approved J Not Approved Reason
Evidence of system malfuncti n: YES NOv/ System Type/Description Q
Authorized State Agent: JAI J.N _ I I DATE: 5` 23 'O8
Form E
NOT FOR LOAN APPROVAL
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