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HomeMy WebLinkAboutRBPR-08-2016-24570.TIF �ytiA G THIS IS NOTA PERMIT Case # RBPR-08-2016-24570 d CATAWBA COUNTY HEALTH DEPARTMENTo*,1331D fEI � "�' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �`' + /842 SM Residential Building Plan Review - Manufactured Home 4 .G1-ygo 44'' IMPROVEMENT { ro, :sE Owner GARY PROPST, 3849 FRANK PROPST VALLEY TRAIL, VALE NC 28168 C:7046163686 NAME TO APPEAR ON PERMIT GARY PROPST SITE ADDRESS: 3849 FRANK PROPST VALLEY TR, VALE NC 28168 PIN # 269703447461 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 0.97 DIRECTIONS: HWY 10 OFF NEW HOPE CHURCH RD TO PLATEAU RD TO HOPE RD, LEFT ONTO FRANK PROPST VALLEY TRAIL, LOT ON LEFT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Changing out mobile homes. SW 16x76 with decks: front& back 4x8 Prior home was 4 BdRms. 4 BdRm Permit on file. 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 Old 4 BdRm SW Removed - Home burnt down EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: SW 16x76 w/decks: front & back 4x8 #OF NEW BEDROOMS:: 3 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. 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 E9-chapplication 09/06/2016 10:24 Page I of4 Y G THIS IS NOTA PERMIT Case # RBPR-08-2016-24570 CATAWBA COUNTY HEALTH DEPARTMENT N] • r CI PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES :'' } 78411 SM Residential Building Plan Review - Manufactured Home U U U x IMPROVEMENT , f. VQV QQf wL/1rc . Owner `-CARY PROPST, 3849 FRANK PROPST VALLEY TRAIL, VALE NC 28168 NAME TO APPEAR ON PERMIT GARY PROPST SITE ADDRESS: 3849 FRANK PROPST VALLEY TR, VALE NC 28168 PIN # 269703447461 NAME of SUBDIVISION: Lot d Section/Block PROPERTY SIZE: Square Feet Acres 0.97 DIRECTIONS: HWY 10 OFF NEW HOPE CHURCH RD TO PLATEAU RD TO HOPE RD, LEFT ONTO FRANK PROPST VALLEY TRAIL, LOT ON LEFT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Changing out mobile homes. SW 16x76 with decks: front & back 4x8 Prior home was 4 BdRms. 4 BdRm Permit on file. 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 Old 4 BdRm SW Removed - Home burnt down EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: SW 16x76 w/decks: front& back 4x8 #OF NEW BEDROOMS:: 3 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. 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 89-ehappl ication 08/23/2016 13:51 Page 1 of 4 „-t5A • CATAWBA COUNTY Case 4 RBPR-08-2016-24570 - Public Health Department Subdivision GIY Environmental Health Division PINit 269703447461 el PO Box 389. I00-A Southwest Blvd. Newton. NC 28658 18.2 ,. NAME ON PERMIT: (GARY PROPST), 3849 FRANK PROPST VALLEY TRAIL, VALE NC 28168 ( GARY PROPST) Site Address: 3849 FRANK PROPST VALLEY TR, VALE NC 28168 Property Size: Square Feet Acres 0.97 Directions: HWY 10 OFF NEW HOPE CHURCH RD TO PLATEAU RD TO HOPE RD, LEFT ONTO FRANK PROPST VALLEY TRAIL, LOT ON LEFT 17111111M1711111117 qT3li 1� ,gig 7nOBr LInFEENAMESk. ]III )a DATE:jp,i, lIFEEAMOUNT Improvement Permit Fee 08/23/2016 $150.00 Irl Ni� � p9�';TOTAL.FEEs (�NIIi1iIrIfl'I`I}titiIIIIIfIillllhi,iI ��I!iif!'” IIII„'till''"" sl so 0o��'� ' , ,42,!l�1�i �I't 1�' aui11191W11CJ�:r_. • ..ulll iLmaiWIu1PB"ii a ;:vtiBitluottix riIl11Wu'^NWitsi," wltl 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) P9-chappl ication 08/23/2016 13:51 Page 2 or 4 v1gA •G THIS IS NOT A PERMIT Case # RBPR-08-2016-24570 CATAWBA COUNTY HEALTH DEPARTMENT ❑F Dov • v0 !'`� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •lr. ,1 1842 5M Residential Building Plan Review - Manufactured Home } o_ 'o h IMPROVEMENT r - •'o� fo•fix Owner GARY PROPST, 3849 FRANK PROPST VALLEY TRAIL, VALE NC 28168 NAME TO APPEAR ON PERMIT GARY PROPST SITE ADDRESS: 3849 FRANK PROPST VALLEY TR, VALE NC 28168 PIN # 269703447461 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 0.97 DIRECTIONS: HWY 10 OFF NEW HOPE CHURCH RD TO PLATEAU RD TO HOPE RD, LEFT ONTO FRANK PROPST VALLEY TRAIL, LOT ON LEFT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 2007 SINGLEWIDE MOBILE HOME 16X76 3 BEDROOM 2 BATH 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? 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 VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16X76 #OF NEW BEDROOMS:: 3 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 Uansferrable. 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 c rrect. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws an rules. I un.- at I am sol y responsible for the proper identificatio and labelingof all property lines and corners and making the site accessib o that a ser, e rte ev�a. can be performed. i/ Date: '-23--/ Signature of Applicant or Agent / 7 An Environmental Health Specialist will contact you within working +ay; of a (cation date. If you need further information or assistance lease call 828-466-7 91 AREA2 E9-chapplication 08/23/2016 11:45 Page 1 of 4 OA \ CATAWBA COUNTY RBPR-08-2016-24570 ,�s Case?'>.#®i Public Health Department Subdivision d *r —;, Environmental Health Division 269703447461 PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 PIN# /80/ NAME ON PERMIT: (GARY PROPST), 3849 FRANK PROPST VALLEY TRAIL, VALE NC 28168 ( GARY PROPST) Site Address: 3849 FRANK PROPST VALLEY TR. VALE NC 28168 Property Size: Square Feet Acres 0.97 Directions: HWY 10 OFF NEW HOPE CHURCH RD TO PLATEAU RD TO HOPE RD, LEFT ONTO FRANK PROPST VALLEY TRAIL LOT ON LEFT • FEENAME• '`. , DATE FEE AMOUNT Improvement Permit Fee 08/23/2016 $150.00 TOTAL FEES $150.00 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-ehapplicstion 08/23/2016 11.45 Page 2 of 4 isideikm Lilt CATAWBA THIS IS NOT A PERMIT _couxri CATAWBA COUNTY HEALTH DEPARTMENT Lin „o„„�e,�' Application for Environmental Services Page 1 Improvement PermitAuthorization to Construct❑ Septic Repair 111Septic Malfunction [7]Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment Well Repair ❑ Existing System Inspection (Pr Approval Required) ❑ Application is for New Constructiontru—✓_cttion Existing Facility ❑ Property Address 3 /t2'9 ' ( PIS() 4 4/`u l-ef (( Subdivision vale . Li in/b.? Lot# Acres S•c ion/Bloc Pha • Drivi . Directions to Propert U14 NI $ 1 / /41 'i /4 WNW - /1 A:1I / 4 ANAWI , 1G 1 . F NAME TO APPEAR ON PERMIT? ► ironer H Applicant ❑ Contractor _ Applicant Contact Information Name { Q Address �3 A J' i G✓(�� �, T() l� ��t l �i� j� ��al 'L, I”- O Phone ')011_ 6)1 (c . (� 5 Cett Phone Owner Contact Information Name Address Phone Cell Phone 3t/-6,7bi Ij0'S 6 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor Description of Existing Str ures on Site Aglirkell /42'at1 iom # of Bedrooms *t3 Structure Dimensions � � # of Occupants"' Basement Elqst Yes No Basement Fixtures Q Yes "'C� The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the propertyin estion. If the answer to any question is"yes", applicant must attach supporting documentation. 0 Yes o Does the site contain any jurisdictional wetlands? ....eYes � '�bb Does the site contain any existing wastewater systems? Yes L•ty Is any wastewater going to be generated on the site other than domestic sewage? Yes 4 Is the site subject to a oval by any other public agency? I7 Yes o Are there any ements or right of ways on this property? Describe Existing water supply in use Individual Well ❑ Community Well L Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** L. Yes ceo 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 0 Conventional 0 Innovative 0 OtherAny A���A A THIS IS NOT A PERMIT ran `u ,=,` � CATAWBA COUNTY HEALTH DEPARTMENT } Application for Environmental Services Page 2 .— Proposed Facility Type Lb( ❑ Primary Residence "New Residenrc. n A Alition to Residence # ofI'TAw Bedrooms *'i 3 3' q )18 Project Description 45 W Structure Dimensions Lin' 762 # of Occup-Ants " 3 Basement E Yes er No Basement Fixtures ® Yes ® No H 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 H Multi-Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions U Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area (Sq. Ft.) U Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts (J 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 n Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled IT Bored ❑ Dug n 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. 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 perform . z / Signature of Owner or Agent ,tk- Date ✓ / 1,6 Printed Name of Owner or Agen �� Catawba County Environmental Health to tO tz, \ 0 N.......„ __ . o o., , ,4 r ry 17°.88 14111111111111111 r 118.22 ilk . 136.07 OL . • 1 (� / � ;�73 (28• C � 1/4 hn 91m1 m ..4 c105,-----NN • • 148 r?, o nt 68 Aa • SO .------ -C (158) Parcel: 269703447461, 3849 FRANK PROPST 1in=50ft VALLEY TR 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 08/23/2016 Parcel Report Page 1 of I • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 269703447461 Owner: PROPST GARY LEE Parcel Address: 3849 FRANK PROPST VALLEY Owner2: TR Address: 3849 FRANK PROPST VALLEY TRL City: VALE, 28168 Address2: LRK(REID): 700196 City: VALE Deed Book/Page: 3336/1015 State/Zip: NC 28168-6750 Subdivision: Lots/Block: / School Information: School District: COUNTY Last Sale: Plat Book/Page: 36/113 Elementary School: BANOAK Middle School: JACOBS FORK Legal: PL 36-113 Calculated Acreage: .970 High School: FRED T FOARD Tax Map: 009AJ 02017 School Map Township: JACOBS FORK State Road #: 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: $0 Zoning2: Land Value: $9,700 Zoning3: Assessed Total Value: $9,700 Zoning Overlay: DWMH-O Year Built/Remodeled: / Small Area: PLATEAU Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710268600J Building Details 2010 Census Block: 4014 WaterShed: 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. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=269703447461&typ=P 8/23/2016 *'*Op. Permit and/or Cert. Op. Required (Must be completed prior to final) A CATAW1 A COUNTY HEATH DEPARTMENT (704) 465-8270 Lbt Eval. X Improve. Permit K _Repair Permit Cert. of Comp. Permit Oper. Permit Owner/Agent Phone $i - zzo ) Address Zi4O (2.t . ow_ e l Api 4o-L Subdivision HiCt -Orly Section/Block/Phase Lot# Lot Size HI I Directions: 10 t..J le 4... {L 0 06:L.-) t -t CIIf L. Frr k.. pyres U► - t'y l(X3vca Cw Le Facility: House Mobile Home Ol Business . Other: Tax'Map # /9 J--.1----,,4 /- Multi-family_ Other . Zoning Approval # Bedrooms f Seats Employees . Application Rate • 'V GPD Flow 110 Hot Tub or Spa yesta Special Fixtures . 100% Repair Area yes/no REPAIR NOTICE: Basement yes/0 Basement Plumbing yes/no . REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private y Public . DAYS FROM DATE OF PERMIT. Type of System: Trench y Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank /e'X) l 1 Pump Tank Nitrification Field: Total Square Feet IF /240 Depth of Stone / Z Bed Size Trench Width 334 Total Length of All Trenches 'WO Number of Trenches Individual Trench Length/0000(.1 /10d //o)/ Feet on Center 'j Maximum Trench Depth Cy Distance of Nearest Well SO Lot Evaluation: Approved -s/no (Void After 24 months) Topoo7- 5 % Slope Sketch of lot Evaluation Site - System Design - Final Texture 0,47.41 DO NOT INSTALL Structure geer/nt WHEN WET Clay Min. , ''/ Soil Wetness 0.5 Soil Depth 7 - " i Restric. Hoz. at.. "---1 Available space o Overall Cl Comments: i qiiiiiiiiiil b 1 � f — (Z �� 3Yt�j io- — Septic Tank Contractors } U0411HUST contact the 1 _ — ,. �^^'k "l Sanitarian BEFORE I . i changing permit. 1 **NO GUARANTEE OR W IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Datf . /U //a iffir 41 (Improvement Permit vo' • fter 60 months) el Owner/Agent. I I % 15 ',I 1 i Sanitarian�/, .� /7:157 _ Installed By . !. 1 -c-E-t,.../.!,- Date . Sanitaria �/t (N. e 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. White-Office Blue-Bldg Insp.Comp. `* ' s' Yellow-Owner/Agent Green-Bldg.Insp.I.P.