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HomeMy WebLinkAboutEHPR-06-2016-24186 (2).TIF • v?3A CMG THIS IS NOT A PERMIT Case # EHPR-06-2016-24186 't CATAWBA COUNTY I-IEALTI-I DEPARTMENT 0 Ls nr z.g 0'cv`� "' ` yl !'�' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' �' 4 3i �84Z s�� Environmental Health Plan Review - OSWP • IMPROVEMENT .-i-iir:L . t Applicant MELVIN ELROD, 101 E TRACE DR, NEWTON NC 28658 Contractor *OAKWOOD HOMES#712 (ELIOBERTO ALFONSO), 1265 70 HWY W, NEWTON NC 28658 B:(828)217-1862 C:(828)464-2662F:828-464-4301 R712 rr CLAYTONHOMES.COM Land Owner DONNA FLETCHER, 1504 OLD CARRIAGE,NEWTON NC 28658 NAME TO APPEAR ON PERMIT SITE ADDRESS: 2593 BRADFORD LN, MAIDEN NC 28650 PIN # 365801477058 NAME of SUBDIVISION: BRADFORD ESTATES Lot 1,2,3 Section/Block PROPERTY SIZE: Square Feet 64,904.40 Acres 1.49 DIRECTIONS: Hwy 16 South, Right onto Providence Church Rd, Right onto Bud Arndt Rd, Left onto Bradford Ln, Lots are on the Right. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: IP Only for Combination of all 3 lots together` New Modular 28x72 w/ Decks Front& Back 6x6 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 Vacant Lots EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: Modular 28x72 w/Decks Front& Back 6x6 #OF NEW BEDROOMS:: 4 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: 09-ehapplication 06/28/2016 13:24 Page I o14 .A-8A CATAWBA COUNTY Case I/ EHPR-06-2016-24186 11.2` Public Health Department Subdivision BRADFORD ESTATES < .�" Y Y Environmental Health Division PIN# 365801477058 wt- PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 Jg.2 NAME ON PERMIT: Site Address: 2593 BRADFORD LN, MAIDEN NC 28650 Property Size: Square Feet 64,904.40 Acres 1.49 Directions: Hwy 16 South, Right onto Providence Church Rd, Right onto Bud Arndt Rd, Left onto Bradford Ln, Lots are on the Right. 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 ne essary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identificatio• and -beling�of- property lines and corners and making the site accessible- o t a co e site evaluation can be performed. Date: / Z� Signature ofApplicant or Age An E vironmental Health Specialist will contact you ttfim 5 wor"ing days of application date. If you need further information or assistance please call 828-466-7291 AREA1 '1Pllill('th i I 7k'T lI f ttE I��II I ( t U; II ro. 1.- i� t l Mm--•�FEFNAME r�����-u _a., �t��t. Y.:t' ,1 !...� r 1�.!:!�-Ilw�.naa, DATE. .r.9'';'.1 FEE AMOUNT; Improvement Permit Fee 06/28/2016 5150.00 i,' I t ....�. ..x�Aler', IJI _-.iJu.� I'r Iir - , 1.. -_ m',t�nlil�'I,I TOTAL FEES lu, ��� ii!I I�, 5150 00 gllr�li�Itlt� ��...a�d-.. ._..i.-..nL..��...�uoG-!lu'L tt� t �i � -_ ,, I 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-ehnpplicatiun 06/28/2016 13:24 Page 2 of CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT .the.,--, ,--- , Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct ❑ Septic Repair L Septic Malfunction ❑ Septic Expansion ❑ New Well Permit [ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection((((Pre-Approval Required) ❑ Application is for New Construction Existing Facility ❑ Property Address-160 c� SY a ( _c=u-nC Subdivision rY ,' r\ IOC ,-;--S-(0c Th Lot# Acres S ction/Block/Phase Driving Directions to Property . >i F % a ., r Lan All °f —1-2 o r\ 3c,-0 arr - o 4-o .3,rc _ orA L e or--„r T>-. - Lo-k-- o r r-.�' NAME TO APPEAR ON PERMIT? Owner Applicant ❑ Contractor Applicant Contact Information Name _ .. r -� _ s ( USG& J _- _ la _ Address . i L ' r s� L C r Phone -� 6 - Lib(4,,,Q , Cell Phone Owner Contact Information Name AA • I L . Address Phone Cell Phone Contractor Contact Information Name r C rte -g-__ Q_.5 ape (, r a, - Address Phone Cel Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor Description of Existing Structures on Site #of Bedrooms *-1. Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the prop question. If the answer to any question is "yes", applicant must attach supporting documentation. O Yes o Does the site contain any jurisdictional wetlands? O Yes o Does the site contain any existing wastewater systems? ❑Yes o Is any wastewater going to be generated on the site other than domestic sewage? ® Yes o Is the site subject to approval by any other public agency? O Yes �Io Are there any easements or right of ways on this property? Describe Existing w ter supply in use ❑ Individual Well ❑ Community Well Li Semi-Public Well 1 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 yo r preference) ❑ Accepted ❑ Alternative Conventional ❑ Innovative ❑ Other ❑ Any CATA A THIS IS NOT A PERMIT COUNTY 17C� CATAWBA COUNTY HEALTH DEPARTMENT _,. —N Application for Environmental Services Page 2 Proposed Facility Type /� Primary Residence 14 New Residence ❑ Addition to Residence # of New Bedrooms *t 1 r Project Description !7�-1- et.., tr,d-EW Cl-e Cr10 +'P V,()rn2 • Structure Dimensions #of Occupants Basement ❑ Yes o Basement Fixtures ® Yes ® No U Accessory Structure(s) escribe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes n No Plumbing ❑ Yes ❑ No Describe Plumbing Needed H Multi-Family Residence#Units #Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions H 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 ❑ Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well n Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ 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 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 C p ' d o ��(✓''V-a'e- Date Printed Name of Owner or Agent m ! s o I, Curve Id Radius Arc Length TablChord Ch Bear General Info .d Cl 244.51' 96.92' 96.29' S 03°3T10"W ' Catawba Co.Zoning-R-40 ._C2 244.51'.._ 39.41-39.36'__ -S_12°19'33''-E - ! DWMH-O overlay - —_ Small Area-Balls Creek Balls Crk .Line Table Flood Information FIRM Vic;nlly Map i Id Beanng Distance 3710365800J NO Scale.) L1 S 16°53'58"E 53.49' ! L2_ _.._N 04°51'5T'W..- 35.34'__ , C/ Type of Survey This plat represents a surrey of an existing parcel d land Kump Investments, Inc.\\` d)Flood o— ora• late•ar:elsofland l Dbk. 3125, Pg. 1170 j • L-3688' I�• f+ LEVEN@ 1i2“Rebar I POB Point of Beginning ,� f • Point I�\may 1f2"RebarR a E. iron Pm Settwra�l 1 S 82°50'28°E 207.93' - r " Reference Trees • iron Pin Found Z Parcel ID Iron Pin Found ° ” an'�l 2593 Bradford Ln.-365801477058 ° set in Cmaete Z • Found Nal and/or cn al �J 2601 Bradford Ln-365801467968 Q, - 2611 Bradford Ln-365801467877 Stone * 1 Concrete Monument $ � - ,1 "-bar/base -..:," 4 . :` Power Pole 1/2°Rebar _ s 1 I.4Sp r;Li. Boundary or Parent --.•:-.. ::: or Adjoining Tract Z 7 4:Donald c3._ --Fence Line I 4 or/ �' aol.ck Centerline o &Tie Line LT y r, 1--3688 ;t e —Right of Way Lines■LT n 0 era•... oxo=F Margaret Amdt Reitzel 'Not"° v Dbk. 1294, Pg. 492 112"Rebar, SURVEY NOTES: .L2 1.THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TIME REPORT WHICH MAY REVEAL ADDITIONAL _ CONVEYANCES,EASEMENTS,RIGHTS OF WAY,OR __ _" \ BUILDING RESTRICTIONS LINES NOT SHOWN. 79.79' 226 46 2.ADJACENT LANDOWNERS WERE DETERMINED FROM N O6°38'52"W ST3,p602 W CURRENT TAX RECORDS. Ronald L. Reitzel 1/2"Rebar t 100.69' \, 3.A"NCGS"HORIZONTAL CONTROL MONUMENT WAS Dbk. 2655, Pg. 1181 s 16°54'10"F NOT TIED DURING THIS SURVEY li Joyce R. Everett �1r2"Rebar ', Dbk- 2817, Pg. 1481 , Boundary Evidence for-Dbk.2958, Pg. 1559 Grantee-Karen Fletcher Scott, Donna Evelyn Surveyors Certification Fletcher Leagon and John Eric Fletcher 1,Donald G.Bolick,Professional Land Surveyor,certify that this plat was Surveyed/{o-r' Elrod drawn under my supervision from an actual survey made under my supervision: That the boundaries not surveyed are clearly indicated as drawn from information found in the references shown hereon; That the ratio of precision as calculated & Oakwood Homes is in excess of 1111x100 unless otherwise noted; This Map meets the requirements of the Standards of Practice for Land Surveying in North Carolina,(21 NCAC 56.1600) Caldwell Township Catawba County North Carolina Witness my ongi I signature,keens umber and seal this ay of ,201i A D Signature tea / i47 4 e Date: 6/21/2016 Area by D.M.D. Professional Land Surveyor L-3688 SUn'Veyecbby; Donald G. Bolick 133 Lowman Drive SE Graphic Scale One Inch=One Hundred Feet Valdese,N.C. 28690 Tel. 828 874-2761 s _.,y rY 9 t + r�"`S� _.- I sAr.,k_,_1_i,n�s_ email<donbolick @charter.net> , °-_- ,.; N 1 :g* :1- j Professional Land Surveyor L-11688 100 50 0 100 200 300 Catawba County Environmental Health I ply 4 ill'� T Ro \is\\\ ,t 72.67 S0 20798 So 9 '90�, 166.29 v, 96.87 252 \\n1 Ott. �Ja'�'II w 188.99 39.5 $ , %,r AI O O AO, Qr \cp 0 to Ala, 11111 , 1411 4 to 20617 i1 m w N it8 r ii 1 J- 1 r 226 53 ® ` Parcel: 365801467968, 2601 BRADFORD LN 1 in=60ft MAIDEN, 28650 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 06/28/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 365801467968 Owner: FLETCHER DONNA EVELYN Parcel Address: 2601 BRADFORD LN Owner2: FLETCHER JOHN ERIC City: MAIDEN, 28650 Address: 1504 OLD CARRIAGE DR LRK(REID): 201067 Address2: null Deed Book/Page: 2958/1559 City: NEWTON Subdivision: BRADFORD ESTATES State/Zip: NC 28658-8911 Lots/Block: 3/ null Last Sale: School Information: School District: COUNTY Plat Book/Page: 56/164 Legal: LOT 3 3 PL 56-164 BRADFORD EST PL Elementary School: TUTTLE Middle School: MAIDEN 56-164 Calculated Acreage: .470 High School: MAIDEN Tax Map: null School Map Township: CALDWELL State Road #: null Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $0 Zoning2: null Land Value: $9,300 Zoning3: null Assessed Total Value: $9,300 Zoning Overlay: DWMH-O Year Built/Remodeled: null/null Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710365800J Building Details 2010 Census Block: 1000 WaterShed: null 2010 Census Tract: 011601 Voter Precinct: P20 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=365801467968&typ=P 6/28/2016 'p' CATAWBA COUNTY �0 OOA SOUTHWEST BLVD rT NEWTON,NORTH CAROLINA 28658 RECEIPT ...,gyp eaPe4 PHONE: 8_8.465.8399 U 1 vdsv, ''C Tuesday, June 28, 2016 1$[}Z sm www.catawbacountync.gov PAYOR: *OAKWOOD HOMES #712 *OAKWOOD HOMES #712 (Alfonso, Elioberto) PAYMENTS TRANSACTION NUMBER: TRC-708651-28-06-2016 PAYMENT DATE : 06/28/2016 PAYMENT TYPE: Check 2193 INVOICE NUMBER FEE NAME FEE AMOUNT 06-16-329904 Improvement Permit Fee SI50.00 TOTAL PAYMENTS : S150.00 EHPR-06-2016-24186 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 2593 BRADFORD LN, MAIDEN NC 28650 Applicant MELVIN ELROD, 101 E TRACE DR, NEWTON NC 28658 Land Owner DONNA FLETCHER, 1504 OLD CARRIAGE,NEWTON NC 28658 Contractor *OAKWOOD HOMES #712, 1265 70 HWY W,NEWTON NC 28658 B:(828)217-I862C:(828)464-2662F:828-464-4301 R712 a CLAYTONHOMES.COM ** NO PEOPLESOFTACCOUNTASSIGNED ** receipt 06/28/2016 13:24 Page 1 of 1