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HomeMy WebLinkAboutRBPR-03-2016-23440.TIF vSY A THIS IS NOT A PERMIT Case # RBPR-03-2016-23440 a CATAWBA COUNTY HEALTH DEPARTMENT 0 — y ° ' : 'Dr PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES is 41,75m sa `Residential Building Plan Review - Modular ' f•12 = AUTH CONST - NEW WELL •0 J d, ; o" Applicant *CLAYTON HOMES # 81 /CMH INC(UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286 B:828-465-3450F:828-464-0261 JWHOLDERaHOTMAIL.COM Contractor *CLAYTON HOMES # 81 /CMH INC (UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286 B:828-465-3450F:828-464-0261 JWHOLDER @HOTMAIL.COM Owner BRANDON MCKASKLE, 1881 WADES DR, CLAREMONT NC 28610 C:8282174043 OTHER:8282173454 Parcel Owner STANLEY ALLEN. 102 3RD ST SW, CATAWBA NC 28609 NAME TO APPEAR ON PERMIT Brandon McKaskle SITE ADDRESS: 1845 WADES DR, CLAREMONT NC 28610 PIN # 377117114553 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 0.71 DIRECTIONS: Hwy 10 from Newton - left onto Boggs Rd, Right onto Wades DR 1000 ft down & property will be on the left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 - WATER SUPPLY: Private Well DESCRIBE WORK: New 3 bedroom Modular home front 6x6 deck & 6x6 back deck 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? No 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? Yes Property Easements Description: 45 ft ROW APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: • DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x56, 6x6 front deck, 6x6 back deck #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? 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: REPLACE WELL?: NO E9-chapplication 03/21/2016 16:01 Page I of4 • �A CATAWBA COUNTY Case# RBPR-03-2016-23440 (3-_ I ® r Public Health Department Subdivision g Environmental Health Division PIN# ¢\ (-�)I/� 377117114553 PO Box 389, I 00-A Southwest Blvd,Newton.NC 28658 \84% sM NAME ON PERMIT: (BRANDON MCKASKLE), 1881 WADES DR, CLAREMONT NC 28610 ( Brandon McKaskle) Site Address: 1845 WADES DR. CLAREMONT NC 28610 Property Size: Square Feet Acres 0.71 Directions: Hwy 10 from Newton- left onto Boggs Rd, Right onto Wades DR 1000 ft down & property will be on the 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 n labeli g of all property lines and corners and making the site accessible so that a co"Jplett�site evaluation can be performed_. Date: �O�) it� Signature of Applicant or Agent l An nvironmental 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 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/21/2016 $150.00 Fee Well Permit & Inspection Fee 03/21/2016 $300.00 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-ehapplication - 03/21/2016 16-01 Page 2 of4 rp,,Q0C _ 0-3- a-ow) - a3(44io CATAWBA e THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT „o„„ Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Cons ruct Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit Rep acement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for Laic Construction Existing Facility ❑ Property Address II 84`s IAUAd-cc Subdivision nf/A Ctorcn n(l NC- agel0 Lot# Acres Section/Block/Phase Driving Directions to Property N 0.1 lb fie N — (e-Ft NM - et jS ht (5k(Eb wad-es D✓ztue WO rrpcsk3t a 4 peth( & z ti be Ian Le-F+ . NAME TO APPEAR ON PERMIT? tbwner ❑ Applicant ❑ Contractor Applicant Contact Information �j Name r {/I u-n v fr'Vn S 1 C31 Boleti L- Szy-- Address I g-y.) & lOLroC Burp via Phone 82 a 7 — 3L(a8 , Cell Phone 52,9 -217-3JL0a Owner Contact Information , ^ V c Name 1'V I erAsg_(2r Address %SSi IA)Or\PS b2 , Phone �j 2.1-7-40Y 3 Cell Phone /,�— ContractBfContact Information /1 Name /&v�� 4 License# Address v Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site f\c A- EMPTY S(-fe # of Bedrooms *f Structure Dimensions # of Occupants_ Basement ❑ Yes y No Basement Fixtures ❑ Yes 0 No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the propert in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ 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? .Yes •No Is the site subject to approval by any other public agency? ni C r . Yes * No Are there any easements or right of ways on this property? Describe 1 Existing water supply in use ❑ Individual Well ❑ Community Well ❑ 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 yqur preference) ❑ Accepted ❑ Alternative ' Conventional ❑ Innovative ❑ Other XAny 4., CATAVY BA THIS IS NOT A PERMIT ...sour b CATAWBA COUNTY HEALTH DEPARTMENT • cu,�,,,,;>. Application for Environmental Services Page posed Facility Type ( x� Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *t ) Project Description a3X 5(o t1/43e4) ThoduAxic tij�yct , Structure Dimensions # of Occupants Basement n Yes No Basement Fixtures n Yes o ❑ Accessory Structure(s) Describe #of New Bedrooms *1. if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing n Yes ❑ No Describe Plumbing Needed U 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.) H Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts H Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes n 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 ❑ 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. 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 inforniation 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. Signature of Owner or Agent—Alt Date - A Printed Name of Owner or Agent _ 44 4 /- (j Its '. i S/ CJ� Catawba County Environmental Health 07\7 • 349 • e• ft J 4 co ...._ ..., ....... .4 ,_ „ ,,....., \f„� z�4J ►,_ (127; 00.00 to Parcel: 377117114553, 1845 WADES DR 1 in=50ft CLAREMONT, 28610 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 03/21/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 377117114553 Owner: This parcel is currently being processed Parcel Address: 1845 WADES DR Owner2: City: CLAREMONT, 28610 Address: LRK(REID): 302325 Address2: Deed Book/Page: City: Subdivision: State/Zip: Lots/Block: 1/ Last Sale: School Information: School District: COUNTY Plat Book/Page: 75/130 Elementary School: CATAWBA Legal: Middle School: RIVER BEND Calculated Acreage: .710 High School: BUNKER HILL Tax Map: School Map Township: State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: All in City Zoningl: R-20 Building(s) Value: $0 Zoning2: Land Value: $0 Zoning3: Assessed Total Value: $0 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: CATAWBA Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 3005 WaterShed: WS-IV Protected Area 2010 Census Tract: 011401 Voter Precinct: P5 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. _ e i Net\ 4Liso 3 Than 0■ Jock http://gis.catawbacountync.gov/nomap/parcel_report.php?key=3771 1 71 14553&typ=P 3/21/2016 CATAWBA COUNTY gl O Case B IMPV-(11-2016-068679 f 111 y Public Health Department • - - j-r Subdivision ® H Environmental Health Division 7• Le P)N?i 377117111695 \g. PO Box 389, 100-A Southwest Blvd,Newton-NC 28658 LOTR 1 1: w 44.3. NAME ON PERMIT: BRANDON MCKASKLE, 1881 WADES DR, CLAREMONT NC 28610 Site Address: 1845 WADES DR, CLAREMONT NC 28610 Property Size: Square Feet:43,385.75 Acres:0.996 Directions: Hwy 10 from Newton, Left onto Boggs Rd, Right onto Wades Drive. 1000 feet down & property will be on the Left. Improvement Permit Facility: Primary Residence - modular home Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: 111G -OTI-IER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS --------—-- --- Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IV.A-ANY SYSTEM \VITI-I LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system. or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved. and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Calawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or(lie intended use changes,ur if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Sf.stenrs' (I5A NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Megan McBride 01/29(2016 AUTPORIZED STATE AGENT APPROVAL DAVE Permit Expiration Date: 01/28/2021 No grading or construction activity is allot red in areas designated for system and repair without approval of the Health Department. chpermit 02/01/2016 08:44 Page 1 or 3 i? al??--01- .2016- 3005 1$45 Wades Dr, Old a .er { * ?cooed Subdiv;5l0n- lo} lines Show• are, ro osed. LC4 MuS- be, recorded 1,1-0r ko iSsuaw« cfrf AL QeYMr. i Do nok driae, a,aCCC, cut , or -GU oieV 5e? iC area. 155.19- 5e�l;c Are4 le j _ 'Qr- )57 kdud r Rcptir e °n S0�" utfon 75' r I q0 x ss v jt v.6 . 3 bedr r4 3D' 1 1JI ,� 56x78' me +� Yr6 f / ,as / i K I Area i (*frl bpiq i 9 >loo{i.�ytrn / r Drpfe117 line, t / 1 / 1 174.V/" \Nades Dr, ? 60, DAu-MENTOFENVIRONMENT AND NATURAL RESOURCES Sheet of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID P: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SII'E EVALUATION Nam or PeiMrl: d '�far ON-SITE WASTEWATER SYrT I 8rnn D� SKIe APPLICATIONDATE I (I e P[? Dl >olb ;300� ADDRESS': DATE EVALUATED: I J,5/16 PROPOSED FACILITY: 3 e, PROPOSpO DESIGN FLOW(.1949): 3i)0 PROPEBflS21 0.e�ib Oc++S LOCATION OFS[TE 1$45W41 24 r, Of Aye, PROPERTYRECORDED: WATERSUPPLY: il Private 13 P,:ME• a Weil 0 Spring 0 Oth¢ EVALUATIONMETHOI7. 0 Auger Bain RI PR 0 Ot TYPE OF WASl1:WASESL sewage 7ndu.� s a1?ms 0 1 — -- __. .::-=: : -1 :; _._:• ;=-e: --r.:ui:r.:: _r:_°':11::::' ra.. �.._._. _ _ c_ c r.� _1 _ mc •� L: __#YT_ — aec ,e -,=,,E::cea:es:-_,— e... a c-_nc ::e-._:::-_..:_ __ - - -S= nu4-ib :D r_-_ .-�.e _z= :-:_.:..., _ . _.. _UR z....` � Ei' ;� :=c_i-=;� �_= =-_ _ - :-,:ae]_3_QI_-.—: ._ _. - .- I . IaS' I b i -70' Ji 1 115' `y � So ex). --% 3 ' Co � f l I Wades Or, (Noy Sa.d) �� '91� . .'<: ���{ u • ^ :.�. ... a ter- Y