Loading...
HomeMy WebLinkAboutRBPR-05-2016-23772.TIF --14$A • THIS IS NOT A PERMIT Case # RBPR-05-2016-23772 n CATAWBA COUNTY HEALTH DEPARTMENT 0 d WO PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES k -ell.: 4� 842 sM Residential Building Plan Review - Manufactured Home o o + o 7 . , • IMPROVEMENT La' '� y° , ,n 0 Applicant DANNY RHONEY, 6570 OLD SHELBY RD,VALE NC 28168 C:7044731275 Owner MICHAEL WISE, 115 33RD AV NE, HICKORY NC 28601-8014 9_0-1 At, r 'r"— NAME TO APPEAR ON PERMIT \1� "Q� . 51a�itsj Danny Rhoney SITE ADDRESS: 2299 JOURNEYS PASS,NEWTON NC 28658 PIN # 269801390482 NAME of SUBDIVISION: TRAIL WINDS PHASE 4 Lot# 38 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 10 west, left at Propst Crossroads, turn left pass fire dept, turn right into trail winds, turn right onto Journeys Pass, 4th lot from end of road PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: Change out 2 bedroom, 14x70 single wide mobile home with 8x8 front porch and 6x6 back deck/vinyl underpinning/ Must be parallel to the road/ Must screen or remove towing tongue/ 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? No 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 3 bedroom MH has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 4 70 single wide #OF NEW BEDROOMS Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehappl icabon 05/02/2016 14:43 Page 1 of 5 �A CATAWBACOUNTY Case# RBPR-05-2016-23772 r.g 4®5 Public Health Department Subdivision TRAIL WINDS PHASE 4 Environmental Health Division PIN# 269801390482 PO Box 389, 100-A Southwest Blvd, Newton. NC 28658 /8 2 ,. NAME ON PERMIT: (DANNY RHONEY), 6570 OLD SHELBY RD, VALE NC 28168 ( Danny Rhoney) Site Address: 2299 JOURNEYS PASS,NEWTON NC 28658 Property Size: Square Feet Acres 0.46 Directions: Hwy 10 west, left at Propst Crossroads, turn left pass fire dept, turn right into trail winds, turn right onto Journeys Pass, 4th lot from end of road 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 EEENAME DATE •t , FEE AMOUNT Improvement Permit Fee 05/02/2016 5150.00 . a. TOTAL FEES 8150.00 ,. 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 icanon 05/02/2016 14:43 Page 2 of 5 vJ�A THIS IS NOT A PERMIT Case # RBPR-05-2016-23772 CATAWBA COUNTY HEALTH DEPARTMENT 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM • Residential Building Plan Review - Manufactured Home o a q r y IMPROVEMENT ` ' ' 0 . Applicant DANNY RHONEY, 6570 OLD SHELBY RD, VALE NC 28168 C:7044731275 Owner MICHAEL WISE. 115 33RD AV NE. HICKORY NC 28601-8014 NAME TO APPEAR ON PERMIT Dann Rhone SITE ADDRESS: 2299 JOURNEYS PASS,NEWTON NC 28658 PIN # 269801390482 NAME of SUBDIVISION: TRAIL WINDS PHASE 4 Lot# 38 . Section/Block PROPERTYSIZE: Square Feet Acres 0.46 DIRECTIONS: Hwy 10 west, left at Propst Crossroads, turn left pass fire dept, turn right into trail winds, turn right onto Journeys Pass, 4th lot from end of road PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY : Private Well DESCRIBE WORK: Change out 2 bedroom, 14x70 single wide mobile home with 8x8 front porch and 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? No 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 3 bedroom MH has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 14x70 single wide Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 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. 1 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 I nd rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site a cessibl so that a comple ite evaluation can be performed. Date: — /L Signature of Applicant or Agent r 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 E9-ehapplication 05/02/2016 14:03 Page of 5 CATAWBACOUNTY Case RBPR-05-2016-23772 ®2 Public Health Department Subdivision TRAIL WINDS PHASE 4 I<� Environmental Health Division PIN# 269801390482 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 g 2 NAME ON PERMIT: (DANNY RHONEY), 6570 OLD SHELBY RD, VALE NC 28168 ( Danny Rhoney) Site Address: 2299 JOURNEYS PASS, NEWTON NC 28658 Property Size: Square Feet Acres 0.46 _ Directions: Hwy 10 west, left at Propst Crossroads, turn left pass fire dept, turn right into trail winds,turn right onto Journeys Pass, 4th lot from end of road FEENAME - DATE ;'! FEE AMOUNT Improvement Permit Fee 05/02/2016 5150.00 TOTAL FEES '° • ';r 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-ehapplicmion 05/02/2016 14:03 Page 2 of 5 CATAWBA THIS IS NOT A PERMIT CO U 1 Y ° CATAWBA COUNTY HEALTH DEPARTMENT NatlF Application Application for Environmental Services Page 1 Improvement Permit Authorization to Construct ❑ Septic Repair❑ Septic Malfunction n Septic Expansion n New Well Permit❑ Replacement Well 1 I Well Abandonment Well Repair ❑ Existing System Inspection (Pre-Approval Required) 1 Application is for New Construction ❑ Existing Facility ❑ / Property Address),2 99 cy S PA S 5 Subdivision 771C,_, L it) i AJ 0 -S m 1 / VZ5 Lot# � $ Acres t� Section/Block/Phase Driving Directions to Property //J.-Lt) 'e f / "in Si X /lea d-5 /. /2C5 [ ✓4-- n eva* 1- Y - /iv S' f0 -T ct,`< w 1V I3 7� ,�r 2 ./) 0Art 7;o c J '? y S A SJ Y- .fa fi Icy �, -cav'v t 04/ A Ic1 NAME TO APPEAR ON PERMIT? n Owner FY/Applicant ❑ Contractor Applicant Contact Information Name 9 £l i 1 t „ /i Address I Acid 2 ' /L iu Phone Cell Phone o - Owner Contact Information Name ; L ( (.t/; $ L Address Phone g '.-j" -3Do Cell Phone 728-_3.„2,t a/c( Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner IV Applicant ❑ Contractor Description of Existing Structures on Site 4 C. " _a. • I . ►• a 'Gin # of Bedrooms *t Structure Dimensions # of Occupants }ivjcN(y, Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes I I No 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. ❑ Yes iscro 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 'A o Is the site subject to approval by any other public agency? ❑ Yes To Are there any easements or right of ways on this property? Describe Existing water supply in use WIndividual Well ❑ Community Well ❑ Semi-Public Well El County/City/Township Water Line Is a public water supply available? ** ❑ Yes IgkNo 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 Any CATAVY BA THIS IS NOT A PERMIT .rr����,,,,, counTV CATAWBA COUNTY HEALTH DEPARTMENT _________—:' „o«n Application for Environmental Services Page 2..+ • Bib posed Facility Type Pr Primary Residence New Residence n Addition to Residence # of New Bedrooms *t Project Description //4 (42e oioh / //p/y/- Structure Dimensions / yi X X16 #of Occupants, Q Basement I I Yes Dimensions Basement Fixtures ❑ Yes R1 No n Accessory Structure(s) Describe ti/ A # of New Bedrooms *7 if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes No Plumbing n Yes n No Describe Plumbing Needed n Multi-Family Residence#Units #Bedrooms per Unit*t Total #Bedrooms *t Structure Dimensions n 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 n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi-Public Well n Community Well Abandonment Type I I Drilled n Bored n Dug n Unknown Well Repair Requested Yes IT 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. / / Signature of Owner or Agent l !/G--- 2_�/ Date cc" /4 Printed Name of Owner or Agent D A/U/U 7 12//Q/l/e/ . Catawba County Environmental Health • • °Pr ii (41? T d • • y • ' '3 G s E i 1. soh CO 0o ru mo \. O .. J 4 CI 78500 � I. q 1 z . a .•. t • , • • • I I . • • 199.63 ' • Parcel: 269801390482, 2299 JOURNEYS PASS 1 in=50ft NEWTON, 28658 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 05/02/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 269801390482 Owner: WISE MICHAEL JEFFREY Parcel Address: 2299 JOURNEYS PASS Owner2: null City: NEWTON, 28658 Address: 115 33RD AVE NE LRK(REID): 5445 Address2: null Deed Book/Page: 3247/1829 City: HICKORY Subdivision: TRAIL WINDS PHASE 4 State/Zip: NC 28601-8014 Lots/Block: 38/ null School Information: Last Sale: $8,500 on 2014-07-10 School District: COUNTY Plat Book/Page: 23/30 Elementary School: BANOAK Legal: LOT 38 TRAIL WINDS PLAT 23-30 Middle School: JACOBS FORK Calculated Acreage: .460 High School: FRED T FOARD Tax Map: 005CB 01038 School Map Township: BANDYS State Road #: null Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-40 Building(s) Value: $0 Zoning2: null Land Value: $7,500 Zoning3: null Assessed Total Value: $7,500 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: PLATEAU 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 #: 3710269800J Building Details 2010 Census Block: 3005 WaterShed: null 2010 Census Tract: 011802 Voter Precinct: P3 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. ©2016, Catawba County Government, North Carolina. All rights reserved. eybfi1 j■ )\ Igo o oio. at /da 1_.1.._.//�.:,. ,...«.....1...,.,.....t.,* r n.r/nnrnan/narral rennrt nhn?lkev 269801390482&tVD=P 5/2/2016 • CATAWBA Canny HEALTH DEPARTMENT' ��� 9 8 9/ Lot Evaluation Improvement Permit /.0 Re it Permit Completion Permit Owner/Agent a G a t / 33 L y_.y l�.) 'e _ /lone Address bdivision it a it /w ,`-t,,,4 c Section/Block I Lot # 3,.' Lot Size Directions: Mr 1- - /, i1 nr r er e- c-- > i .X I._ Facility: f'ouse Mobile Ha t- usiness : Other: Zoning Approval yes/no # /.,tYy y Multi-f. y Other , 100% Repair ea yes/no Bedrooms '-j Baths '7 Seats_ Employees : GPD Flow lb application Rate e Garbage Disposal Special Fixtures : REPAIR NOTICE: REPAIRS MUST HE WITHIN 30 Basement yes/no Bas t Plumbing yes/no : DAYS OR DAYS FROM DATE OF PERMIT Water Supply: Private//Public **AA£AA********t*ter********* *****************tk****** Type of System: Trench Bed System Other (Specify) Tank Size: Septic Tank /0® 0 Pump Tank Nitrification Field- Total Square Feet / 7,O Depth of Stone G� Bed Size Trench Width -54 Total Length of All Trenches U d Number of Trenches "3 1, ar Individual Trench Length(�v/?C rc'/ / Feet on Center 7 Maxim Trench Depth 7Q Maximum Distance to Nearest Welt Lot Eva i:on: •-Approved Disapproved_ Sketq of Lot Evaluation Skte - System Design - IFinal t 7c2jig 1 YS f , 1 (,. \ 2 a `D . 1 I ?'o C y t Permit Date 411./— / 1- ■- 7-- t 1 (Lot Evaluation and Improvenent ,'e t vo . afte 3,6 mon hs) Owner/Agent d�,.//� ,j/,� / Oj Sanitarian '�t/A, !/ -Lt.--21- Installed By � c qa� Date /o f sanitariang,„_ ✓d j _ (Note any changes/information in re or by sket / / back) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz. S PS U Space S PS U Soil S PS U III Loads: Sandy Clay, Silt, Clay, Silty Clay .6-;4 P/a Clays: Sandy, Silty, Clay .4-.2_ WHITE-OFFICE COPY YELLOW-OWNER/AGENT COPY