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HomeMy WebLinkAboutRBPR-03-2016-23392.TIF - •G THIS IS NOT A PERMIT Case # RBPR-03-2016-23392 Q, H CATAWBA COUNTY HEALTH DEPARTMENT 0 c-on. .. . 0 r. , pia' C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �� � ' 842 sM Residential Building Plan Review - Manufactured Home . .o 0 IMPROVEMENT n o Wed 0. o .% w Applicant JOHNNY BOWKLEY, 4887 RALEIGH ST,CONOVER NC 28613 C:8283587707 Owner JEFFREY& WILLIAM HOUSTON, 633 21ST ST SE, HICKORY NC 28602-4434 C:8283088759 NAME TO APPEAR ON PERMIT Johnny Bowkley SITE ADDRESS: 1602 GLIMMERING SAND LN, CONOVER NC 28613 PIN # 374407589492 NAME of SUBDIVISION: ERNEST M HOUSTON Lot# 23 Section/Block PROPERTY SIZE: Square Feet Acres 0.52 DIRECTIONS: Springs Rd/left Eckard Rd/left at twin brick Columns (Glimering Sands) 2nd lot on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: _ '-. WATER SUPPLY: Community Well DESCRIBE WOR SW Mobile Home 14x66 Decks: Front 6x6, Back 4x4 1995 Class E SW mobile---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** okay per Zoning 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 empty lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 - PROPOSED-CONSTRUCTION NEW STRUCTURE DIM:: SW mobile home 14x66, Decks: F 6x6, B 4x4 #OF NEW BEDROOMS:: Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 03/15/2016 14:04 Page 1 of4 y$ CATAWBA COUNTY Case a RBPR-03-2016-23392 , '� G Public Health Department Subdivision �' � ERNEST M HOUSTON 4 '4 Environmental Health Division PINK 374407589492 � PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /g. :u NAME ON PERMIT: (JOHNNY BOWKLEY),4887 RALEIGH ST, CONOVER NC 28613 ( Johnny Bowkley) Site Address: 1602 GLIMMERING SAND LN, CONOVER NC 28613 Property Size: Square Feet Acres 0.52 Directions: Springs Rd/left Eckard Rd/left at twin brick Columns (Glimering Sands)2nd lot 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 e . °; r . g + . M x i `" � F , c"Ant 4biFEENAME i E n L ti p v syJeDATEight-17F EE-AMOUNT Improvement Permit Fee 03/14/2016 $150.00 EF52 r%�P# 7TO,TAL4FEES,r r mfFi'I rt O "g rvv #'F- C a ° .I"_t m 9l c "S150 OOip wFirotwinalnglaUnttzaaka FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplicaiion 03/15/2016 14:04 Page 2 of 4 �S$A THIS IS NOT A PERMIT Case # RBPR-03-2016-23392 CATAWBA COUNTY HEALTH DEPARTMENT D r Tidy U Kinfa2 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 84 Residential Building Plan Review - Manufactured Home d�q� IMPROVEMENT ' 1/21 o Applicant JOHNNY BO WKLEY,, C:8283587707 Owner JEFFREY& WILLIAM HOUSTON, 633 21ST ST SE, HICKORY NC 28602-4434 C:8283088759 NAME TO APPEAR ON PERMIT Johnn Bowkle SITE ADDRESS: 1602 GLIMMERING SAND LN, CONOVER NC 28613 PIN # 374407589492 NAME of SUBDIVISION: ERNEST M HOUSTON Lot# 23 Section/Block PROPERTY SIZE: Square Feet Acres 0.52 DIRECTIONS: Springs Rd/left Eckard Rd /left at twin brick Columns (Glimering Sands) 2nd lot on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Community Well DESCRIBE WORK: 1995 Class E SW mobile ---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** okay per Zoning 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 OF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION • NEW STRUCTURE DIM:: . 14 x 66 ia.' t.,54‘FroJr F y x 4 R-120-Y- #OF NEW BEDROOMS:: 2 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 03/14/2016 17:10 Page 1 of4 • • 8A CATAWBA COUNTY Case# RBPR-03-2016-23392 Public Health Department Subdivision � `f; 'y ERNEST M HOUSTON 4 °--_ - c: Environmental Health Division PIN# 374407589492 n � 4® / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Igo sw NAME ON PERMIT: (JOHNNY BOWKLEY), , ( Johnny Bowkley) Site Address: 1602 GLIMMERING SAND LN, CONOVER NC 28613 Property Size: Square Feet Acres 0.52 Directions: Springs Rd/left Eckard Rd/left at twin brick Columns (Glimering Sands) 2nd lot 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 labeli g of all property lines and corners and making the site acce���jjjible that a complete site evalua ion can be performed. Date: 3 /7 /6 Signature of Applicant or Agent �A II— iG..��.-ate j An Environmental Health Specialist will contact you in 5 world O days of application date If you need further information or assistance please call 828-466-7291 AREA2 L . FEENAME DATE FEE AMOUNT '` Improvement Permit Fee 03/14/2016 $150.00 TOTAL FEES ' °+5150.00 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 icaion 03/13/2016 17:10 Page 2 of 4 • CALTAWBA THIS IS NOT A PERMIT COUNTY v!' /�. . CATAWBA COUNTY HEALTH DEPARTMENT „e Application for Environmental Services Page 1 Improvement Permit Authorization to Construct❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit n Replacement Well n Well Abandonment Well Repair I I Existing System Inspection (Pre-Approval Required) n / Application is for New Construction ❑ Existing Facility ❑ Property Address I 1.-2 0,2 GIiMi^1�rI:A �tiPS Subdivision be}, Co,-.ovtr/ /1/,(Ft 256/3 Lot# Acres Section/Block/Phase . Driving Directions to Property e, , cz't/ 1Acc r�j%f r 6 cv1I. iMe J 77,..ien 6ri c/C (o I 1/nr15 , i2- )' / >L oit. lef il--- NAME TO APPEAR ON PERMIT? El Owner n Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information S Name azkr„n GC.+ ktkU/ ^/ Address e8-- tq,7',Ati 5[/-./ �nod�''/`/yam 2 6/3 Phone / O Cell Phone E-.4 .2 9SS -7707 Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner n Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions # of Occupants AV^ l CG),i �, Basement n Yes No Basement Fixtures n Yes ❑ No LW . The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property . estion. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Ye No Does the site contain any jurisdictional wetlands? L'r Yes ❑ Nom� Does the site contain any existing wastewater systems? ❑ Yes ❑'No Is any wastewater going to be generated on the site other than domestic sewage? PS\Yes ON-o Is the site subject to approval by any other public agency? ❑ No Are there any easements or right of ways on this property? Describe gill as n - is Existing water supply in use Arrntlividual Well 1gCommunity Well n Semi-Public Well n County/City/Township Water Line Is a public water supply available? ** n Yes 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) Ni ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other '"Any CATA`'VBA THIS IS NOT A PERMIT f COUNTY .,,,,,.-- CATAWBA COUNTY HEALTH DEPARTMENT „o„„�fln,. Application for Environmental Services Pag /�( Proposed Facility Type ��0 Primary Residence n New Residence Addition to Residence # of New Bedrooms *1' v S/ Project Description �O U c y ,�di /t"e t� Structure Dimensions #of Occupants Basement ❑Yes ► to Basement Fixtures ❑ Yes XNo n Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes/❑ N Plumbing Yes ❑ No Describe Plumbing Needed /er D/`' �/�jcJ ❑ 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 n Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n Unknown Well Repair Requested ❑ Yes n 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. j 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. ,�� L,/ Signature of Owner or Agent/ 7` /70>���%�->!�J --Date 3 7 / /6 Printed Name of Owner or Agent 3o f'v 7 El , w co K- I y I , 1• •r♦ CATS CCX`NI i &1.TH DEPAF NT PC)---J Zni .t 7 tot Evaluation Impro nt Permit Repair Permit Completion Owner/Agent f/'4-' Phone Address Subdivision -ction/Block t # ,;2 /Lot S. - D' - tions: , - �.c / / /l am - j BA, 'l �w • .._.. daTIZN?" - i - ,l!J�11y1��Jl!� _ - % &7 - ilo7 . Facility: House Mobile Home XL Business_ ' Other: Zoning Appr ye o #/366 Multi-family Other : 100% Repair Area yes/no Bedrooms 3 Baths Seats Employees : GPD Flow Application Rate Garbage Disposal Special Fixtures . REPAIR DICE: REPAIRS MUST BE Wrl'HIN 30 Basement yes1) Basement Plumbing yes/ems : DAYS OR DAYS FROM DAZE OF PERMIT. Water Supply: Privatey. Public Type of System: Trench)( Bed System Other (Specify) Tank Size: Septic Tank /OW Pump Tank Nitrification Field: Total Square Feet '7C O Depth of Stone /Z " Bed Size Trench Width 3-Pk Total Length of All Trenches 300 Number of Trenches 3 Individual Trench Lengthy//00//00/_/ Feet on Center 9 / Maximum Trench Depth Distance to Nearest Well 1-,..56 - '{, Lot Evaluation: Approved sapprovsi ***** ***** ************ Sketch of Lot Evalua - 'te - Sy$tem Design - Final � ` Qt- I � of I t . 1 1 In 164> •st 0 ip I ( • 11 6t ' 1 rA° l 1 / , gofto *************** ** *t*.***********.�• .*****:�►:******* - ** / ******* Permit Date n 2- II (Lot Evaluation d Improvement Pe - vo': ?ft-r • months) Owner/A nt - / ge 'i- -,),v2- a z�,f- Sanitari=•Installed By (4 �-- C(;L1. L Date � l4 9G Sanitarian 'ASHY (Note any chAnges/informati n red or by sketch on back) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz. S PS U Spaoe ' ' PS U Soil S PS U III Las: Sandy Clay, Silt, Clay, Silty Clay .6-.4 IVa Clays: Sandy, Silty, Clay .4-.2 WHITE-OFFICE COPY YELLOW-OWNERMGENT COPY Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374407589492 Owner: HOUSTON JEFFREY D Parcel Address: 1602 GLIMMERING SAND LN Owner2: HOUSTON WILLIAM A City: CONOVER, 28613 Address: 633 21ST ST SE LRK(REID): 43237 Address2: Deed Book/Page: 3197/0188 City: HICKORY Subdivision: ERNEST M HOUSTON State/Zip: NC 28602-4434 Lots/Block: 23/ Last Sale: School Information: Plat Book/Page: 25/11 School District: COUNTY Legal: LOT 23 LOT 23 PL 25-11 PL 25-11 Elementary School: LYLE CREEK Calculated Acreage: .520 Middle School: RIVER BEND Tax Map: 0917 03012 High School: BUNKER HILL Township: CLINES School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $7,700 Zoning3: Assessed Total Value: $7,700 Zoning Overlay: DWMH-O Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710374400J Building Details 2010 Census Block: 2005 WaterShed: 2010 Census Tract: 010201 Voter Precinct: P33 Agricultural District: PROXIMITY 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 ounty Government, North Carolina. All rights reserved. A ,ZIc Uu .� Z � � �o Z &rn Zzfo got / �c�� http://gis.catawbacountync.gov/nomap/parcel_report.php?key=374407589492&typ=P 3/14/2016