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HomeMy WebLinkAboutRBPR-04-2016-23615.TIF 44%?'A �G THIS IS NOT A PERMIT Case # RBPR-04-2016-23615 d sn -, CATAWBA COUNTY HEALTH DEPARTMENT 0 �� in f 0 1_,•' `t'-�' s- PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ti. ��� . ' 1842 5� Residential Building Plan Review - Manufactured Home °rr� °n r IMPROVEMENT .o • boo Contractor FRAZIER PROPERTIES INC. (MICHAEL FRAZIER), 3435 BOGGS RD, CLAREMONT NC 28910 H:8283128562B:828-466-1749 C:8283128563 HOME:8283128562F:828-466-1789 128562 @GMAIL Owner MICHAEL FRAZIER, PO BOX 1238, CONOVER NC 28613-1238 NAME TO APPEAR ON PERMIT Michael Frazier SITE ADDRESS: 4165 HOLLOW OAK DR, CLAREMONT NC 28610 PIN # 377105185421 NAME of SUBDIVISION: Lot# 3 Section/Block PROPERTY SIZE: Square Feet Acres 5.83 DIRECTIONS: from Claremont 1.4 miles on Old Catawba Rd/right CE Ranch Rd/right Hollow Oak/at end of Hollow Oak on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 1992 SW mobile home 14 x 50, w/ Decks: front 6 x 6 & rear 4 x 4 *ok for metal on metal mobile home - subdivision was created in 1987 Screen or Remove Towing Tongue, Fron 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:: 14 x 50 w/6x6 front deck &4x4 rear deck #OF NEW BEDROOMS:: 2 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: F9-ehapplicalion 04/13/2016 09:32 Page 1 of 4 ,1s "\ CATAWBA COUNTY Case n RBPR-04-2016-236]5 rt ,� 2. Public Health Department Subdivision 2 ®.„2�; Environmental Health Division PINJI 377105185421 \.-tt PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 /842 NAME ON PERMIT: ( MICHAEL FRAZIER), PO BOX 1238, CONOVER NC 28613-1238 ( Michael Frazier) Site Address: 4165 HOLLOW OAK DR, CLAREMONT NC 28610 Property Size: Square Feet Acres 5.83 Directions: from Claremont 1.4 miles on Old Catawba Rd/right CE Ranch Rd/right Hollow Oak/at end of Hollow Oak 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 #######Y#ik###♦!#Y*##+<t4+i******++##•t###if+####s##;it♦ia#ti##i####Y*♦♦*+Yi###i+•t#t#t+#•#*ti++###+#####++• ii FFFNAMG'r'" I+r { i r a 1 (DATE t"t 11 FEF'AMOUNT i' Improvement Permit Fee 04/08/2016 $150.00 tV1. TOTALfEEFS 1 �x2` ht $15000 '1 6p€h)]!1 he:. L�� , r:� 7 xu_ ,yea 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) 1:9-ehappliea(ion 04/13/2016 09:32 Page 2 or 4 �qA G THIS IS NOT PERMIT Case # RBPR-04-2016-23615 d1 ,, CATAWBA COUNTY HEALTH DEPARTMENT Q sy r1gy,e,* PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM 84 Residential Building Plan Review - Manufactured Home roao IMPROVEMENT .o oc • Contractor FRAZIER PROPERTIES INC. (MICHAEL FRAZIER), 3435 BOGGS RD, CLAREMONT NC 28910 14:8283128562B:828-466-1749 C:8283128563 HOME:8283 1 2 8 5 62F:828-466-1789 128562 @GMAIL Owner MICHAEL FRAZIER, PO BOX 1238, CONOVER NC 28613-1238 NAME TO APPEAR ON PERMIT Michael Frazier SITE ADDRESS: 4165 HOLLOW OAK DR, CLAREMONT NC 28610 PIN # 377105185421 NAME of SUBDIVISION: Lot# 3 Section/Block PROPERTY SIZE: Square Feet Acres 5.83 DIRECTIONS: from Claremont 1.4 miles on Old Catawba Rd/right CE Ranch Rd/right Hollow Oak/at end of Hollow Oak on left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 1992 SW mobile home 14 x 50 front deck 6 x 6 & rear deck 4 x 4/ `ok for metal on metal mobile home - subdivision was created in 1987 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:: 14 x 50 w/6x6 front deck&4x4 rear deck Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 04/08/2016 16:35 Page 1 of 4 .41$• • CATAWBA COUNTY Case// RBPR-04-20 1 6-23 6 1 5 ;Q ®2 Public Health Department Subdivision d ; it, Environmental Health Division PINfa 377105185421 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 18.2 s: NAME ON PERMIT: (MICHAEL FRAZIER), PO BOX 1238, CONOVER NC 28613-1238 ( Michael Frazier) Site Address: 4165 HOLLOW OAK DR,CLAREMONT NC 28610 a Size: Square 5.83 Property uare p S Feet Acres Directions: from Claremont 1.4 miles on Old Catawba Rd/right CE Ranch Rd/right Hollow Oak/at end of Hollow Oak 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 l-lealth Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 -. . I,,,FEENAME, ! , " :1,,,,,,,,,L1, (, : DATE ' FEE AMOUNT: Improvement Permit Fee 04/08/2016 $150.00 F 1 'a"dr, vim• TOTAL FFFS '.' ,t -4 ' y«1i,;11i0. -t:'i ff 6 : 11 i' xPx$l50 00; u.,za_.,L- , 4.'ra'�''.a..r b..,..., s_zi .. l::th4/ 1'. . 1-. .t.4,.,..__ 1. t . ._>.- ,.rL.t_ t t 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 04/08/2016 16:35 Page 2 of 4 cATAWB e THIS IS NOT A PERMIT COUNTY lY rTrL" CATAWBA COUNTY HEALTH DEPARTMENT Ni„,h—c-; Application for Environmental Services Page 1 Improvement Permit I�(I Authorization to Construct U Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit Lf Replacement Well Well Abandonment n Well Repair ❑ Existing System Inspection (Pre-Approval Required) n Application is for New Construction ❑ Existing Facility ❑ IV Property Address '/ -s 1,91-« 676ze,4 Subdivision _,y yrF- .6 • i Lot# Acres (Cl Section/Block/Phase -Driving Directions to Property h",yi l r Pa.9-Ye / , t%' Al 1-. at d i' £ 7/r- ,/6'4 4/– // i CATAWBA TAWBA THIS IS NOT A PERMIT COUNTY .o- V .U„ CATAWBA COUNTY HEALTH DEPARTMENT .> / r ^ Application for Environmental Services Page 2't Proposed Facility Type n Primary Residence U Ne v Res deynte n Addition to Residence # of New Bedrooms Project Description & X, v L t� Structure Dimensions JL( k- fop ft of Occupants Basement ❑ Yes No Basement Fixtures ❑ Yes ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes n No Plumbing ❑ Yes n No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unit*t Total #Bedrooms *j 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 n 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 n Individual Well n Semi-Public Well ❑ Community Well Abandonment Type n Drilled n Bored n Dug ❑ Unknown Well Repair Requested ❑ Yes H 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 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. -KSignat ure of Owner or Agent - - i Date �. Printed Name of Owner or Agent' A,iced /? i' Z/P.✓ • Catawba County Environmental Health -870 885 — �` /" P• pP ,,air p _...--------------or, {1z7 ir • N ; (46. 6 m V) co ill .17 A. ,_ N N 0 N t /77/ 7 Parcel: 377105185421, 4165 HOLLOW OAK DR 1in=80ft 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 04/07/2016 1 • . • Catawba County Environmental Health • 7 c,,cam , i /7/77 1 77_7_7 r 7 mss — t • ...,...._7 Or ,/ f ,...-----------.1/ 65' fir ( \ _� >kiti,i, . \ , \ \ Parcel: 377105185421 , 4165 HOLLOW OAK DR 1in=150ft 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 04/07/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 377105185421 Owner: FRAZIER MICHAEL DALE Parcel Address: 4165 HOLLOW OAK DR Owner2: null City: CLAREMONT, 28610 Address: PO BOX 1238 LRK(REID): 20854 Address2: null Deed Book/Page: 2436/1673 City: CONOVER Subdivision: null State/Zip: NC 28613-1238 Lots/Block: 3/ null School Information: as Sale: Plat Book/Page: 22/79 School District: COUNTY Legal: LOT 3 3 PL22-79 HOLLOW OAK PL 22- Elementary School: CATAWBA Middle School: RIVER BEND 79 High School: BUNKER HILL Calculated Acreage: 5.830 Tax Map: 020 Y 03026 School Map Township: CATAWBA State Road #: null TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoningl: R-40 Building(s) Value: $0 Zoning2: null Land Value: $25,400 Zoning3: null Assessed Total Value: $25,400 Zoning Overlay: DWMH-O,WP-O Year Built/Remodeled: null/null Small Area: CATAWBA Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710377100J Building Details 2010 Census Block: 2016 WaterShed: WS-IV Protected Area 2010 Census Tract: 011401 Voter Precinct: P5 Agricultural District: PROXIMITY Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. o �� ©2016, Catawba County Government, North Carolina. All rights reserved. �r- Z$? zQ a\ Id http://gis.catawbacountync.gov/nomap/parcel_report.php?key=377105185421&typ=P 4/7/2016 -.1t3ei • CATAWBA COUNTY Case# EHPR-3-I(l4548 TT `t'la -t Public Health Department Subdivision Section/BUPh/L.ot# 3 Q ?) ;,-c-1-; Environmental Health Division �j `, , PIN# 3771-05-18-5421 PO Box 389, I OOA Southwest Blvd, Newlon NC 28658 ) j��^ 1 (828)465.8270 Fax (828)465-8276 TDD(628)465-6200 6XSS,9_) ) ip/bL Applicant/Owner Crystal Allen ((// Site Address: 4165 Hollow Oak Dr, Claremont, NC Property Size: 5,869 acres Directions: EXISTING SYSTEM INSPECTION REPORT Site/System Diagram 41 gpkii- SIS4e431 NOS Vi5uai9;"`'emir al rt+-e r'c oc — u5 N✓'` f-{IA` iqoWC,Vtwo ri&gge At/cll.-fiery-1. l Gscui rt& an- Lt. vJeh as to its I( �Vt (F\,1, Primrtci) * �oJ 4 Porob■ P.04'1 be- 5--P. from All Corlo rtivt, of ce pT c, s'js-lur. *`A-` Some oirrl �Ikra May have kat\ a /ravel dvty� oA�& 1►t e,■d of -t+-e_ awl r41r.IV. --c 3bedroom mH 114 5 Cody s�b� lave darna�ed i+. a_ xo �y . .� h . Uo NM 11�e 6V a"/ et �i n 2-1( "t C Q 5'ni n v `� TuKeL1a��irecav\icx75 Whevl 1r�(�'r111 IS '°{ air Arec4 pr'- �ONt JD QUarl ' P� 9. -hC J I 3 I 4' r►, • a 1,4� Well is laal� �(s;�e. Type of Facility: House fl Mobile Home ® #Bedrooms 3 Business n Specify Other rl Specify Proposed Additions/Accessory Structure: replacing previously existing MH with new 14x72 MB(will have 20x20 deck on rear) Approved ® Not Approved ❑ Reason 1 Evidence of System Malfunction: YES ❑ NO ® System Type/Description Ha VPdLVrgrnt•CIgrajin I. 7'2-4/9'} perm{# 7172- A I ORIZED STATE AGENT P OVAL DATE NOT FOR LOAN APPROVAL ***Op. Permit and/or Cert. Op. Required (Must be completed prior to final) - t . 0 A T A W B A COUNTY_H EAL T H D P A R T M E N T / ' Y (704) 465-8270 •Lot Eval. x Improve. Permit /\ Repair Permit Cert. of Comp. Permit. Oper. Permit Owner/Agent C IQrala/1 Phone ��Alll Address Subdivision • Sec ion/Blocs/Phase �Lsot.#_ L e I?"OI7' Directions: (� vi &:Ol * - , '�/ 1, 4K - k aa_e_ - d/ - sf- v-c 7 ofd- o-U .. " -_ au- 5f - /5/0 4DG.) /11..x!)1 Facility: House Mobile Home XC Business . Other: Tax-Map # 07b y-3-Z6 Multi-family Other . Zoning Approval # 294832.433 Bedrooms,3 Seats Employees . Application Rate 0.¢ GPD Flow360 Hot Tub or Spa yes69 Special Fixtures . 100o Repair Area e/no REPAIR NOTICE: Basement yes/® Basement Plumbing yes/a). REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private )C Public_ . DAYS FROM DATE OF PERMIT. Type of System: Trench )C Bed_Pump_Pump/Panel_Panel_LPPOther Tank Size: Septic Tank /Coo Pump Tank Nitrification Fiee?l Z d: Total Square Feet 00 Depth of Stone/it Bed Size Trench Width 3 -Pi Total Length of All Trenches 300 Number of Trenches 3 Individual Trench Length/e0//00/100/ / Feet on Center 9 Maximum Trench Depth Distance of Nearest Well Lot §valuat' n: Approved yes/no (Void After 24 months) **************************************** Topo % Slope Sketch of lot Evaluat Sit System Design - Final Texture ( •P& DO NOT 0 INSTALL Structure /1 \ WHEN WET Clay Min. / \ Soil Wetness / I Soil Depth 111 D Restric. Hoz. at " / h Available space yes/no / '' Overall Class S PS U / Comments: �y jv12�:I'z cl, __ ___ ___ ___ Q Septic Tank Contractors ! MUST contact the Sanitarian BEFORE 1 jaD changing permit. ) **NO GUARANTEE OR WARRANTY/LYIS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date �/ _./� T (Zmprovemen j-rm. t voo l/�fter 60 months) Owner/Agent ! �/7_�Ji Sanitarian /t !" % � Installed By �1' O &(&1Z: Date A —i -1 ' Sanitarian -4111,01. • (Note any changes/information in red or by sketch on b!k) IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PRO"e RTY, THERE******** IS AN ADDITIONAL $25 CHARGE. - - White-Office Blue-Bldg Insp.Comp. Yellow-Owner/Agent Green-Bldg.Insp.LP.