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HomeMy WebLinkAboutRBPR-07-2016-24389.TIF IgA N THIS IS NOTA PERMIT Case # RBPR-07-2016-24389 ET all d y 4' CATAWBA COUNTY HEALTH DEPARTMENT 09. r�o or "t�' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 :n Residential Building Plan Review - Manufactured Home G • •13 •' 'n k 7 T rc IMPROVEMENT •- a - Applicant IZZI MOBILE HOME MOVERS (DAWN TEMSON), 1308 CHATFIELD RD, SHELBY NC 28150 B:7044871885 DT72@BELLSOUTH.NET Owner JONATHAN KILLIAN, 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 C:828-291-9785 NAME TO APPEAR ON PERMIT Jonathan Killian SITE ADDRESS: 4433 HICKORY LINCOLNTON HWY,NEWTON NC 28658 PIN # 361803121102 NAME of SUBDIVISION: LULA MAE P WILLIS PROPERTY Lot# 3 Section/Block PROPERTY SIZE: Square Feet Acres 0.91 DIRECTIONS: 321 S/Rock Ford Rd/left Hickory Lincolnton Hwy/ 1/2 mile lot on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: 2016 DW Mobile Home 28 x 60 - Home must meet appearance criteria ---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*existing SW home must be removed before the completion of the new dwelling set- up & before Certificate of Compliance can be issued 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 SW mobile home & shed EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 60 w/6x6 front&4x4 rear decks #OF NEW BEDROOMS:: 2 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 07/28/2016 13:39 Page 1 of 4 fig' • CATAWBA COUNTY Case# RBPR-07-2016-24389 G Public Health Department Subdivision 2 LULA MAE P WILLIS PROPER' d ^"^'•rIII „ Environmental Health Division PIN# ' PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 361803121102 /8. w NAME ON PERMIT: (JONATHAN KILLIAN),4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 ( Jonathan Killian) Site Address: 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Property Size: Square Feet Acres 0.91 Directions: 321 S/Rock Ford Rd/left Hickory Lincolnton Hwy/ 1/2 mile lot on 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 andcbrrect. 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.l am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessiele,/i/o that a omplete site evaluation can be performed. Date: 17-04•, O/(; Signature of Applicant or Agent l //l,l,/ 0/11 / 9Li An Environmental Health Specialist will contact you withi 5 `working days of application date. If you need further information or assistance lease call 828-466-7291 AREA2 EENAME DATE FEE AMOUNT. Improvement Permit Fee 07/28/2016 $150.00 TOTAL FEES $150.00 L_:. M_.. 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 07/28/2016 13:39 Page 2 of 4 C eT wB e THIS IS NOT A PERMIT COUNTYl ,A LL , • CATAWBA COUNTY HEALTH DEPARTMENT North u,�. Application for Environmental Services Page 1 Improvement Permit El Authorization to Construct 7T Septic Repair❑ 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 (-I.14 \—\ (cc'i\ Lk reCArk �n �I(.'x� Subdivision t\e,.tern NC. _Qx((-6-1 Lot# Acres Se tion/BI Phase Driving Directions to Property ,o l oQfr Fati _ l`r.) N iC L;i\Cnh4 1n 1[2 Jac ilr Lo On :cJn+ J U NAME TO APPEAR ON PERMIT'?)1 Owner Applicant ❑ Contractor Applicant Contact Information Name �-C\ 1 �m5�r ��� S cnotJ,l(' Rcne mac PTS Address C 1^G4 :eld Rd 3he tb% (AC. )81 S Phone al_47 1- 1a 5 Cell Phone Owner Contact Information Name lOf\Q-F1Q(1 ` : \\ ' Address 9L. AA ctecL ,-"(.0 -on 1-�(,•a 1\C2�un rye , Phone "-yr_ en�� Cell Phone Contractor Contact Information Name - -he� may', Address I�US C\-Nrkic c tot) \1C.02 Phone 'fly-(_ ts45 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner [Applicant ❑ Contractor Description of Existing Structures on Site ,Siu,) 1) rip ye fp DA/eC'I #of Bedrooms *j' 02 Structure Dimensions ' x40 #of Occupants _2) Basement ❑ YcsNo Basement Fixtures Q Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. C Yes rNo Does the site contain any jurisdictional wetlands? )4Yes IptNo Does the site contain any existing wastewater systems? ID Yes *NNo Is any wastewater going to be generated on the site other than domestic sewage? sjit Yes hNlo Is the site subject to approval by any other public agency? 0 Yes =lino Are there any casements or right of ways on this property? Describe Existing water supply in use R Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Ycs IZ(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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other ZAny C ATAwr A THIS IS NOT A PERMIT COUNTY - CATAWBA COUNTY HEALTH DEPARTMENT „„„,�� Application for Environmental Services Page ( n�5,"c� Proposed Facility Type �f `'� [g Primary Residence in New Residence�`� El Addition to Residence # of New Bedrooms *t_ - 2 13 4)(4 Project Description c't) ' - ' Structure Dimensions X # of Occupants Basement ❑ Yes [ No Basement Fixtures ® Yes -NA No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed LI Multi-Family Residence#Units #Bedrooms per Unit*t Total# Bedrooms *j' Structure Dimensions Li Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Arca (Sq. Ft.) Lf Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts ❑ Other Facility Type Specify If Church# of Scats Kitchen n Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well ❑ Community Well Abandonment Type n Drilled ❑ Bored ❑ Dug ❑ 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 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent ( P 't. /��/),i Date D;& Printed Name of Owner or Agent 2/9cJr) j) . .)1 cATAWBA Geospatial Real Estate Search --iiiiscalefsk Information Services (355) co - — — 1;42:95— s to rn of 7.09 nr INGLE DR U ,r (244) 0 (172 0 88 ? 211.1: r aw a �° Nn LJI Y� 43 7 0 9' 12929 24 F z J 372. r p 1.1 LO ICI n a ; H d o r4 - -- (1D5) 8 -tit �; • N ti 9 (375) 'v • `v aca �® 9/ _� I ®o 105z 00.00 'i. #a105.27c to In (189 A •Fi I N w+e 1in=100ft S Parcel: 361803121102,.4433 HICKORY LINCOLNTON HWY NEWTON; 28658 , Owners: KILLIAN JONATHAN HOWARD, null Owner Address: 4433 HICKORY LINCOLNTON HWY Values- Building(s): $2,500, Land: $10,700, Total: $13,200 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 07/05/2016 Catawba County Environmental Health (244) •! 23 4 0 (172) a 199.88 (166) ry — 211.18 •4415 :44D5 129.29 243.84 L 372.60 O O N J Q v3 0 • (105) z •4433 (375) ....r. ,n 105.27 (10 ) .4447 Parcel: 361803121102, 4433 HICKORY 1 in=60ft LINCOLNTON HWY 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 07/28/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 361803121102 Owner: KILLIAN JONATHAN HOWARD Parcel Address: 4433 HICKORY LINCOLNTON HWY Owner2: null City: NEWTON, 28658 Address: 4433 HICKORY LINCOLNTON HWY LRK(REID): 91556 Address2: null Deed Book/Page: 1802/0310 City: NEWTON Subdivision: LULA MAE P WILLIS PROPERTY State/Zip: NC 28658-9734 Lots/Block: 3/ null School Information: Last Sale: School District: COUNTY Plat Book/Page: 30/142 Legal: LOT 3 3 PL 30-142 PL 30-142 Elementary School: BLACKBURN Middle School: JACOBS FORK Calculated Acreage: .910 High School: FRED T FOARD Tax Map: 006 J 02019A Township: JACOBS FORK School Map State Road #: 1008 TaxNalue 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: $2,500 Zoning2: null Land Value: $10,700 Zoning3: null Assessed Total Value: $13,200 Zoning Overlay: 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 #: 3710361800J Building Details 2010 Census Block: 4008 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 fo,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. I SO ejrciT:9,ot-- 2 IwzrnZ setio6 rbv, 78ADO ksr. -1-Th (oxo yxy http://gis.eatawbacountync.gov/nomap/parcel_report.php?key=361803121 102&typ=P 7/28/2016 l4'°(ii - / N? 04956 CATAInySA COUNTY HEALTH DEPAR %TIENT y� (704) 465-8270 / Lot Eval. 1° Improve. Permit X Repair Permit Cert. of Comp. Permit Oper. Permit_ ' Owner/Agent 73- 14-0,,,,,0 v T14-0,,,,, 14, V1 ( (i n.N Phone 1r' -Z 4'ar w - Address (Zr t aox 3600 Subdivision .f ,y,�� , _ i NGWrota QC Section/Block/Phase 1 Lot#_ Lot Size (0t`Z0 tic Directions: t0 w U OO LOT cm., as 4. d+-fPraKaiv—..l-e 1l V2 vv.i 1e toe evN.e.z Cc.- 2c+ . '-1433 n CLC4Y j (_.M.Jtel.. Ra. Facility: House_ Mobile Home K Business_ Other: Zoning Approval/no #/6,370 Multi-family_ Other . Tax Map # ork R.. (o3 - 2- l 9 Bedrooms Z Seats Employees . Application Rate • 40 GPD Flow z94=7 Hot Tub or Spa yeses Special Fixtures . 100% Repair Area yes/no REPAIR NOTICE: Basement yestr6, Basement Plumbing yes/no . REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private PPublic_ . DAYS FROM DATE OF PERMIT. Type of System: Trench 20 Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank GOdd /Cia-/ Pump Tank N---- i Nitrification Field: Total Square Feet -76 Depth of Stone l Z " Bed Size ,i i Trench Width cO Total Length of All Trenches -260 Number of Trenches 3 Individual Trench Lengths 7/ 67/ 6 7/ / Feet on Center 9 Maximum ench Depth Zy Distance of Nearest Well .Sd Evaluation: Approved 'no (Void After 24 months) Topo > 2- % Slope Sketch of lot Evaluation Site - System Design - Final Texture fi%y u-/ t Structure ' A47 V 1 Clay Min. / 'e- /. 1 1,(ei Soil Wetness �j Soil Depth ;75 ; " Restric. Hoz. at —" pri crA5 io Available space e/no p V NP(5 � , Overall Class U C Comments: tide 1 0( 7--- 5� 41A.4 rtY 3167 Septic Tank Contractors MUST contact the ) Sanitarian BEFORE ) changing permit. 1 /,/Y &N�o/'cI, ) /fn.,, **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVE THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date // C.-5Z— (Improveme t Permit v�y fter� e60 months) Owner/Agent /-' Sanitarian !/grvt, � �7 Y�� Installed B Date it-S:---17 Sanitarian4v"te /6�`�'�-5 (Note any changes/information in red or by sketch on back) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL $25 CHARGE.