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HomeMy WebLinkAboutRBPR-06-2016-24146.TIF `,„;3A TillS IS NOT A PERMIT Case # RBPR-06-2016-24146 L CATAWBA COUNTY HEALTH DEPARTMENT 0 Ll " • f 0 Fei tW rr r �•1 Y. � '!''� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •1842 sM Residential Building Plan Review - Manufactured Home o-f n r..A:.; IMPROVEMENT ` S 0 7 _, �U`�C kkiil Contractor 1/4-1 CLAYTON HOMES (BOBBI *LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 C:8282173168 JWHOLDER @HOTMAIL.COM Owner CYNTHIA RECTOR, 3726 RHONEY FARM RD, VALE 28168 C:828-244-4201 NAME TO APPEAR ON PERMIT CYNTHIA RECTOR SITE ADDRESS: 3726 RHONEY FARM RD, VALE NC 28168 PIN # 267701463999 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 0.81 DIRECTIONS: Hwy 10, turn right on Rhoney Farm Rd, property on right(long gravel drive) PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Change Out- DW 3 BdRM 28x68 w/ Decks: Front & Back 6x6 **Home must meet Appearance criteria: Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sf, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to the road and must face front of property. If this new home is replacement for an existing occupied home-that existing home must be removed from site within 30days 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF SW EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 14x48 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: DW 28x68 w/ 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: E9-ehappliemion 06/22/2016 1553 Page 1 ot4 OVA ). CATAWBACOUNTY Case if RBPR-06-2 0 1 6-24 1 46 ``z'„lip Public Health Department Subdivision 4 ; rq Environmental Health Division PIN# 267701463999 PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 IR•2 :. NAME ON PERMIT: ( CYNTHIA RECTOR), 3726 RHONEY FARM RD, VALE 28168 ( CYNTHIA RECTOR) Site Address: 3726 RHONEY FARM RD, VALE NC 28168 Property Size: Square Feet Acres 0.81 Directions: Hwy 10, turn right on Rhoney Farm Rd, property on right (long gravel drive) 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 ,�... r— and p�lE 1. �II f " to li '�lr i�lli li lliq f..` — ��ylll'fl uq�j M udgFEENAME, t a��lj�l�� �ulli-�l,..... -. lt'.i,�LL:�tl�l i r :ut�DATE_ IFEEAMOUNT._iE Improvement Permit Fee 06/22/2016 $150.00 0"`i.9il1ri LFu� II1 tln �i yr TOTAF .FS �l ''I Ii�'.. 'LnL515000 ,l FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 09-ehappl icati,m 1)6/22/2016 15:53 Page 2 of 4 • • �a$A •• THIS IS NOT A PERMIT Case # RBPR-06-2016-24146 • a a CATAWBA COUNTY HEALTH DEPARTMENT m Jari idea 11,114t sc � t; ti i{.1.0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL, SERVICES r•c . 1i /842 sm Residential Building Plan Review - Manufactured Home • �'Di' ' ;o' IMPROVEMENT O4 r: Contractor CLAYTON HOMES (BOBBI *LASAGE), PO BOX 132, TAYLORSVILLE NC 28681 C:8282I73168 JWHOLDER @HOTMAII•.COM Owner CYNTHIA RECTOR, 3726 RHONEY FARM RD, VALE 28168 C:828-244-4201 NAME TO APPEAR ON PERMIT CYNTHIA RECTOR SITE ADDRESS: 3726 RHONEY FARM RD, VALE NC 28168 PIN # 267701463999 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 0.81 DIRECTIONS: Hwy 10, turn right on Rhoney Farm Rd, property on right(long gravel drive) PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Change out single wide for double wide, 28x68, 3 bedroom, 6x6 front porch and 6x6 back deck. **Home must meet Appearance criteria: Screen or Remove Towing Tongue, Front Deck must be minimum of 36 sf, home must be masonry underpinned (can use vinyl if singlewide). Home must be parallel to the road and must face front of property. If this new home is replacement for an existing occupied home-that existing home must be removed from site within 30days 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Singlewide EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 14x48 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x68 Doublewide with decks #OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 06/22/2016 13.03 Page I of4 ��w CATAWBACOUNTY Case RBPR-06-2016-24146 ,,7 j t9®y Public Health Department Subdivision „ ® Environmental Health Division PIN/ 267701463999 ' PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 /842 sn NAME ON PERMIT: (CYNTHIA RECTOR), 3726 RHONEY FARM RD, VALE 28168 ( CYNTHIA RECTOR) Site Address: 3726 RHONEY FARM RD, VALE NC 28168 Property Size: Square Feet Acres 0.81 Directions: Hwy 10, turn right on Rhoney Farm Rd, property on right(long gravel drive) 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 an lab�eli{'g of all property lines and corners and making the site accessi. - .o that a complete site ev- . •• can be performed.42,Date: Ian 11, Signature of Applicant or Agent �s■a �! 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 Improvement Permit Fee 06/22/2016 S150.00 1 -TOTAL FEES -: t -$150.00, u; FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • E9-clmpplication 06/22/2016 13:03 Page 2 of 4 • CAT(. ( * THIS IS NOT A PERMIT . • cat.NT Val: CATA'WBA COUNTY HEALTH DEPARTMEN-I - em, - Application for Environmental Services Page 1 Improvement Permit,(% Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) D.- . �/ Application is for New Construction ❑ Existing Facility. . . Property Address& �7LP C�IA/A�a :r:// 6 . Subdivision AifA //,,G�..��� l .1. Lot# ' Acres t tarK,3 • Section/Block/Phase Driving Directions to Property f ' wL1 I d 'V � Qp$S 32. ' - Cgt S s 1917 - rid � Aie • •as at_• r • a • : •An s a .a.'. iirL. S /I fa . 14 AS .. as ' •A Ii - 1 •ll • _L/ 0L%.t"- I; l NAME TO APPEAR ON PERMIT? %Owner ❑Applicant ❑ Contractor - - - ;11;' " • S6aWl Applicant Contact Information Name 0 latThhi b eI • beld01 — 8-247-3Thca Address 2 (° i act co Ccytvecm.c' Zit 3 - .. , Phone g2.A-Z h- 31CD8 i Cell Phone E.3,33-L .-oats: t . Owner Contact Information Name gPc mt Address .S 72t o Rlnei-Yy-Frii r 'Rd Vaal-tofc- 2$ko8 Phone 8Z ? 1 201 I'Cell Phone•MA. .- Contractor Contact Information Name . • Address . Phone • I Cell Phone • WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor Description of Existing Structures onSite_IRS 423 ,SV1 boccie #of Bedrooms *j 3 Structure Dimensions i 4.4 Kg #of Occupants 3 Basement ❑Yes Nt. No . Basement Fixtures. C Yes !''.No _ • The Applicant shall notify the local health department upon submittal of thic application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must atta.ch supporting documentation.- ®Yes 1No Does the site contain any jurisdictional wetlands? Yes *No . Does the site contain'any existing wastewater systems? . - ., 0 Yes /No Is any wastewater going to be generated on the site other than domestic sewage?•115 Yes kiNo Is the site subject to appt oval by any other.public agency? - . 0 Yes No Are there any easements or right of ways on thic property? -Describe- • 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 your preference) Ext sitnri • ❑Accepted El Alternative ❑ Conventional ❑Innovative ❑ Other StCM 4 Any CATAWBA THIS IS NOT A PERMIT , ruu4-rt CATAWBA C®iTNTY HEALTH llEPARTMEllTT , „ 1 - Application for Environmental Services Page 2r. V-2 Proposed Facility Type Al l� jTPrimaryResidence klf New Residence ❑ Addition to Residence, # C9 \ Project Description e `ar - old n( s Lai-cid o- LA.V Me1antA.friPP,1th--) Structure Dimensions , • ibg #of Occupants 3 , Basement ❑Yes in No Basement Fixtures ® Yes RI-No , .. • ❑ AccessorjStructure(s) Describe .. #of New Bedrooms *j'if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑Yes [j No, . - Plumbing ❑ Yes ❑No Describe Plumbing Needed ,. ❑ MuIti-Family Residence#Units #Bedrooms per lJwttt Total#Bedrooms s j`: . Structure Dimension's '' ' - °- - .. ` • ❑ Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (SgFt) #Employees per Shift #of Shifts ! Dining Area_(Sq.Ft), • • ❑• Business Specific Type of Business `• - - . . Retail F1oorSpace #of Employees per Shift ; • #of Shifts . ❑▪ Other Facility Type Specify - - If Church#of Seats Kitchen Dyes-❑No, ' If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair _ Proposed Well Type ❑ Indivirdnal Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored • ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑No Describe - Calculated Design Flow, Commercial j' - 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 plane as a bedroom at the time • of building permit issuance. This may prevent the need for septic system size increase in the fume. 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. SYS 1'EM REDESIGN AND/OR RETRIP WIT,T.INCUR AN ADDITIONAL CHARGE(SEE FEE St nEDULE}i: Improvement Permits issued as a result of this information are valid for 5 years or maybe 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 maybe revoked if the information on this application, site plans dr intended use changes for file 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-ruTes. .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 atio 'Signature of Owner or Agent / Date (o'20/Ice, Printed Name of Owner or Agent I a 4111e.. 828-2) 7-3kog Catawba County Environmental Health \ ---''r 109.91 1160 110.00 0 �1Q ti • . `fl9 90 D O • • O 'O. i 99.93 100.00 I 0 , o 111011 A co)o� r# * :6 - • .. • C • 6ii Z..-- °O La 1\1�y\ ' H 0 co T vp ?y �O • N o till as Parcel: 267701463999, 3726 RHONEY FARM 1 in=60ft RD VALE, 28168 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 06/22/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 267701463999 Owner: RECTOR CINTHIA H Parcel Address: 3726 RHONEY FARM RD Owner2: null City: VALE, 28168 Address: 3726 RHONEY FARM RD LRK(REID): 13168 Address2: null Deed Book/Page: 1865/1298 City: VALE Subdivision: null State/Zip: NC 28168-8983 Lots/Block: null/ null Last Sale: $6,000 on 1993-07-01 School Information: School District: COUNTY Plat Book/Page: Elementary School: BANOAK Legal: null Middle School: JACOBS FORK Calculated Acreage: .810 Tax Map: 012AB 07006 High School: FRED T FOARD Township: BANDYS School Map State Road #: 1002 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: COOKSVILLE Zoningl: R-40 Building(s) Value: $1,300 Zoning2: null Land Value: $9,400 Zoning3: null Assessed Total Value: $10,700 Zoning Overlay: WP-O Year Built/Remodeled: null/null Small Area: PLATEAU Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710266600J Building Details 2010 Census Block: 2024 WaterShed: WS-III Protected Area 2010 Census Tract: 011802 Voter Precinct: P2 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable tot any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/repod product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. (3 lam ac0 cicti/ds- http://gis.catawbacountync.gov/nomap/parcel_report.php?key=267701463999&typ=P 6/22/2016 -_ -_ 3' a W 06284 ***Op. Permit and/or Cert. Op. Required (Must be completed prior to 'nal) CATAWSA COUNTY HEALTF-I DEPAfl ME.NT (704) 465-8270 Lot Eval._Improve. Permit X Repair Permit Cert. of Comp. PermitOper. Permit Owner/Agent Jicc '-OLDS Phone-gZ7— imico Address FL.--r vc, R.,o'L G5-7 Nf C,k-o L' 7.:740 --c- Subdivision ' Section/Block/Phase Lot#_ Lot Size - rt.- a-c- Directions: 140JY 10 vii °ai-1 Ki{6n(ftv Ft C-C> "r-ha j i_LE _fl 40 T Qi-1 2Lc-$-T Facility: House_ Mobile Home A Business_ . Other: Tax Map # 1 z f("CS - 7 -Cv Multi-family_ Other . Zoning Approval # -t4 S U (0 7 0 Bedrooms 3 Seats Employees . Application Rate •1( GPD Flow 3 6, 0 Hot Tub or Spa yes Special Fixtures . 100% Repair Area yes/no REPAIR NOTICE: Basement yes no ,%asement Plumbing yes(o). REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private /1 Public_ . DAYS FROM DATE OF PERMIT. Type of System: Trench Bed Pump Pump/Panel Panel_LPP Other Tank Size: Septic Tank 5 000 . CrEtcwd Pump Tank Nitrification Field: Total Square Feet 900 Depth of Stone 128 Bed Size Trench Width 3(1, 11 Total Length of All Trenches 3001 Number of Trenches Individual Trench Length 7S/ 75/ -7 55/7 5/ Feet on Center Maximum Trench Depth36 `/. Distance of Nearest Well Sol-f- Lot Evaluation: Approved yes/no (Void After 24 months) Topo (, -(6 % Slope Sketch of lot Evaluation Site - System Design - Final _ _.. Texture C.c„!f-Y Structure C-�.A'Y' Clay Min. (--/ Soil Wetness ,J/a- " Soil Depth '-/z " -r Restric. Hoz. at ta, /W R Available space e/no 5 t_019r Overall Class CU Comments: ` ed. G � - Y LrNG-s 3k 5 , / V K:6-� s Ys-rS-- ra / --" — _ �!1� Lo--r L-/, � - - — — ``-' 157JJcL 30 w 7ie�rP Ltd — — — I * C62 V6 ,Ji/rTL1 R-L. -e-E-424-1K, P Septic Tank Contractors MUST contact the Sanitarian BEFORE I changing permit. I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date QGT d - fC l3/ / 5-? 3 (Improvement Permit • d` r er 60 months) Owner/Agent _I II ,I4 �� Sanitarian (J? 5C Olari— F. S. Installed ay Su-1 ccL F32o-r«rr~c.- S Date to- 2:0-?-7 Sanitari�( • ',if (Note any changes/information in red or by sketch on bac *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL $25 CHARGE. White-Office Blue-Bldg. Insp. Comp. Yellow-Owner/Agent Green-Bldg. Insp. I .P.