Loading...
HomeMy WebLinkAboutRBPR-09-2016-24705.TIF y1$A �G THIS IS NOTA PERMIT Case # RBPR-09-2016-24705 - CATAWBA COUNTY HEALTH DEPARTMENT El, •o• a fEl - PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sM Residential Building Plan Review - Manufactured Home kr D o• Le m.cl EXS_SYSTEM v '19; Applicant HARRY CASH, 1160 30TH ST SW, HICKORY NC 28602 C:828228805I Contractor SEAGLE MOBILE HOME SERVICE, 204 CEDAR WOODS RD,TAYLORSVILLE,NC NC 28681 B:828-994-2597 C:8288510004F:828-327-4217 Owner SKYWAY PROPERTIES WEST (MIKE MOORE), 1505 SKYWAY DR, MONROE NC 28110 C:7049687875 NAME TO APPEAR ON PERMIT Skyway Properties West (Mike Moore) SITE ADDRESS: 308 S MCLIN CREEK RD 16, CONOVER NC 28613 . PIN # 374112858418 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 2.25 DIRECTIONS: S Mclin Creek Rd/accross from Emmanuel Church Rd/Mobile Home Park on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 1982 SW mobile home 14 x 70 w/6 x 6 front deck & (2) 3 x 3 rear 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? 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? 140 APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF mobile home park/ lot 16 vacant EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 14 x 70 #OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 09/12/2016 12:20 Page 1 of d /C• • \ CATAWBA COUNTI' Case# RBPR-09-2016-24705 .). L Public Health Department Subdivision Q ; 0:`, ,'�, Environmental Health Division SINN 374112858418 �. . PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 /842 sx NAME ON PERMIT: SKYWAY PROPERTIES WEST (MIKE MOORE), 1505 SKYWAY DR, MONROE NC 28110 Skyway Properties West ( Mike Moore) Site Address: 308 S MCLIN CREEK RD 16, CONOVER NC 28613 Property Size: Square Feet Acres 2.25 Directions: S Mclin Creek Rd/accross from Emmanuel Church Rd/Mobile Home Park 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 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 r ponsible for the proper identificattiern,and labeling of all property lines and corners and making the site acces .b so that a core ete site ev tion n be performed. Date: I —J ) — 1 cd, Signature of Applicant or Agent YYf L\l. An Environmental Health Specialist will contact you within 5 worki a ays of a ication date. If you need further information or assistance please cal 28-466-n 1 AREA2 .; REENAME DATE - FEE AMOUNT 1 Existing Tank Check Fee 09/12/2016 $80.00 TOTALFEES $50.00 . 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-ehapplication 09/12/2016 12:20 Page 2 of 4 If 0 CATAWBA THIS IS NOT A PERMIT cou�r` — CATAWBA COUNTY HEALTH DEPARTMENT Non„a„o„.e : Application for Environmental Services Page 1 Improvement Permit n Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ] New Well Permit❑ Replacement Well ❑ Well Abandonment D Well Repair ❑ Existing System Inspection (Pre-Approval Required) * Application is for New Construction 111 Existing Facility X Property Address JO ? s -mcl/n/ CrQeM( R� Subdivision . �1e CL,DOuQ.r, YUC ai1aI3 Lot# GAcres —IJ Section/Block/Phase Driving Directions to Property -- -__- ( Y1/4:_6,/vP C (1 42.1 VC„--k comics S S-I�C�+n ei tel[ td m14 plcc(l f13 t 3 us cS thea . EMlinuei Chwith Pei Altos /84 ' NAME TO APPEAR ON PERMIT? downer ] Applicant ❑ Contractor Applicant Contact Information Name /—{ A & cy igykCA k c Address /I L" .D 3/..,-.1--1,) 4t 5 U1 pi '-cjl`. on, NG r7c16-b 2- Phone ca �_ arzcs.- stS ell Phone Owner Contact Information Name SA yLt)i3 y — /A L / e M U o R --Q._ Address Phone ?0(_i — et b- - 7u7 3Cell Phone Contractor Contact Information Name / Address / Phone Cell ?hone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner dApplicant ❑ Contractor 'Description of Existing Structures on Site /f' , . oV b - a L # of Bedrooms *i• Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes a No — The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property j,,wi question. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes trey Does the site contain any jurisdictional wetlands? ilYes r >6 Does the site contain any existing wastewater systems? © Y,esjo Is any wastewater going to be generated on the site other than domestic sewage? YesIs the site subject to approval by any other public agency? ® Yes Id No Are there any easements or right of ways on this property? Describe Existin ater supply in use n 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): V (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other ❑ Any CATAWBA THIS IS NOT A PERMIT couNTY CATAWBA COUNTY HEALTH DEPARTMENT ��e,,,,�a ' Application for Environmental Services Page 2 Pro sed Facility Type Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description / I-1 A D perk a - 3 �,` / — 6 A of %. Structure Dimensions�� # of Occupants �9 Basement _ Yes No Basement Fixtures ® Yes 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 I— Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ 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 ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ 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 corners and making the site accessible so that a complete site evaluation can bye performed. �q Signature of Owner or Agent /1�fi U I k �/ r 4 Date - Printed Name of Owner or Agent • � �/ • a Catawba County Environmental Health e9 {193) 1.. •7 tr 8 5( . •302 a9 4)6. 010 . 011 pis i) 44,4,111fr ♦ 4 IIIIIP .12 . x 16 01 a17 013 270 �� 018 0����\1 4 Mb e19 iGN 2, r�.�7.3 /77 1 ,. .... ..... .. ....., *14 �- id I 015 Parcel: 374112858418, 308 S MCLIN CREEK RD 1 in=50ft CONOVER, 28613 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 09/12/2016 • Catawba County Environmental Health 1 V ^. y ^O \fi) ce / %B9 e (193) / �o: % . n�tih o o (178) 1030 ' J ile ;72 ' so rY / • 1 ccw 4, V Z AI g h , iii, Ili. 1 soma 11 • t I (20;. , /... 0 4&P —n III • 011111111111111 --... /1.-------- -ry 11111111.1 D 0 I I _ /7 Parcel: 374112858418, 308 S MCLIN CREEK RD 1 in=80ft CONOVER, 28613 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 09/12/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374112858418 Owner: SKYWAY PROPERTIES WEST LLC Parcel Address: 308 S MCLIN CREEK RD Owner2: City: CONOVER, 28613 Address: 1505 SKYWAY DR LRK(REID): 33784 Address2: Deed Book/Page: 3321/1062 City: MONROE Subdivision: State/Zip: NC 28110-3007 Lots/Block: / Last Sale: School Information: School District: COUNTY Plat Book/Page: Legal: Elementary School: CLAREMONT Middle School: RIVER BEND Calculated Acreage: 2.250 Tax Map: 059N 01017A High School: BUNKER HILL Township: NEWTON School Map State Road #: 1739 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: CONOVER Zoning District: CONOVER County Fire District: All in City Zoningl: EM-1 Building(s) Value: $56,900 Zoning2: Land Value: $70,800 Zoning3: Assessed Total Value: $127,700 Zoning Overlay: Year Built/Remodeled: 1959/ Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710374100J Building Details 2010 Census Block: 1012 WaterShed: 2010 Census Tract: 011300 Voter Precinct: P8 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,arid 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. )er Lane- ffi sht,, Coltruer M not (Q lftnd to m r'"'at- Cb n neei 561R1 , 0c�Pu Sc0 Lel-ishan s as-+w Sra Xtpul th„Adtkf1lavede.� � re ��kd P http://gis.catawbacountync.gov/nomap/parcel_report.php?key=374112858418&typ=P 9/12/2016