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Home My WebLink AboutEHPR-4-11-10276.TIF � 4 ' A C� THIS IS NOT A PERMIT Case # EHPR-4-11-10276 �' y CATAWBA COUNTY HEALTH DEPARTMENT V ,�� ''C Plan Review Application for Environmental Services Ig�2 SM Environmental Health Plan Review - OSWP IMPROVEMENT NAME T A PPEAR O N PERMIT CLAYTON HOMES siTe A��RESS: 4158 HIGH VIEW CT, Claremont, NC Pir�: 376304840385 NAME of SUBDIVISION: CROSSING CREEK Lot # 14 & PT 1`_ Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.529 DIRECTIONS: ROCK BARN RD, RIGHT OXFORD SCHOOL RD, RIGHT DEAL ROAD, LEFT CROSSING CREEK, LOT 14 ON CORNER OF CROSSING CREEK AND HIGH VIEW CT APPLICANT OWNER CONTRACTOR CLAYTON HOMES LANDVESTCO HOLDING COM 1230 W CONOVER BLD 1381 GRAND OAKS LN CONOVER NC 28613 HICKORY NC 28602 828-465-3450 PRIMARY CONTACT: Applicant APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 28 X 52 EXISTING FACILITY TYPE: Mobile Home NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 3 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is ""NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: IP TO DESIGNATE REPAIR AREA DESCRIPTION OF DOUBLE WIDE MOBILE HOME EXISTING STRUCTURES ON SITE (IF ANY) PROPOSED FUTURE ADDITIONS NONE ORIMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 ********�**�**************************�*************�***************************�***********************�************* Minimum Setpacks Front: Side: Rear: Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE TOTAL FEES 04/06/11 15:27 � CATAWBA COUNTY Case # EHPR-4-11-10276 G Public Health Department a �. Subdivision CROSSING CREEK a Environmental Health Division - Plan Review v ryS '�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 L�� 14 & PT 15 �8 2 sM P1N# 376304840385 ApplicanUOwner CLAYTON HOMES, 1230 W CONOVER BLD, CONOVER NC 28613 Site Address: 4158 HIGH VIEW CT, Claremont, NC Property Size: SF 0.529 ACRES Directions: ROCK BARN RD, RIGHT OXFORD SCHOOL RD, RIGHT DEAL ROAD, LEFT CROSSING CREEK, LOT 14 ON CORNER OF CROSSING CREEK AND HIGH VIEW CT CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/06/ 11 15:27 �- n�� i n,n i !�,pr. 6. [V 1 �,[4PNi Cla.yton HomF;-f:onov�r ��No. (i]4��%fF�P, �P.�� •� ��t 4W�sa LvuN'.��X H��ALTH DEPARTMENT � Application �oz Envizonmental Services Page 1 � Improvement Peemit � AuthoriTation to Coastract ❑ Sepfic R,eparr ❑ Septic Malf�nction � Septic Ezpansion ❑ New Well permit 0 R,�placemeut W�]! ❑ VVeli Abandonm�nt ❑ Well �tcpair ❑ ��sting System Luspection (Pre-Ap�roval �tequired) ❑ Application is foe New Constracrion ❑ E�sting Facility [] property Address �/S� �'yli�/,•� Cow� � Snbdivision �� s, �y C/je� ��Z'e �►• o r� l� C ��`/� X.Ot # �� ACTe9 �On/$loCir/PhASe Driving Diroc�ions w Properry G N od.Q /L �1 0 _ oa,�1 T G C `' o.� C �.#" ��,r o.� � 4 � w Q NA1ti1E TO APPEAR ON PETtMI?? ❑ Ownet ❑ Applicant Contractot O Applicant Coa�act Ynformatio�a V �Tame �, ,,,, � f � AddresS Z a•�• ��' �� .,� o r, c�- iv L / � I� Phone L�- ��S 3 SD Cell Phone Z�- / 7-Z/ o � Owner Contact Informa6on s Name � ai� vcs-�C �,�ia/c�.:� G 0 7 /�iv� �. �P ,l�z��. G � address / �ita.�� !�s L � � . �f /v e o � O Phone L�. �_ y�y S Coll Phoo.e � Comc�actor Co�atart Iuformatiou � Name ..�.-� r� c S � Addless L 3 4 ,.i o v Cr- v eQ GCJ �,.i ov�,r- N C G! .� I � Phone �� ` _� Cell Phone o �- � �-zi Z W�O'GVII;L BE TSE IPRYNLL�,RY CONTACT? ❑ Ovvner ❑ Applicant ❑ Contractor � T3escription of Existing Structures �n Site Do µb le. �J; �.e Q � of Bcdrooms '"T �3 Saucture bi.me�n.sions ��5`L # of Occupaau 3 1� Basemeflt ❑ Yes � No Basement Fixtures ❑ Yes [� No � Planned Future Addicions or Tmprovements (Building Pernait NOT requested at this trme) O Describc o � , Proposed �ture S�ueture Dimensions # of $edrooms '�t if applicable ? Are there enscments or right-of-ways recorded �r► ihis property Yes No Describe Is a public watcr supply availablc on or adjacent to che above property ** ❑ Yes No Check type avail3ble ❑ Community Woll [] Semi-Public Wall ❑ Cowory/Ciry/Township �Vater Linc Exining water suppiy in nse Individual Well Communiry Well Semi-pubJic Woll ❑ County/CiryrT'ownship Water Line ❑ I'WOULD LI�CIE TO SCHEDULE A COMBINED k�,A,GGING ANI� SOIL EVAL�TATION (SEE COMEINED EVALUATYON PAOCEDUES) ~A(11'. El. (li��l� L;L4PNI �,�c..Vt7f1 Hanl�;-COnOVi;r 1;_'�NO. FIi4J:iG�• �P.�'� `�I� � c;A7CAWBA COUNTY HEAY,Tg DEPAR7'MENT � Applxcatior� �'or En��ixonmental SeTvices page z Proposed �'acility Type ❑ Pr;.aaary Restdence [] New Residcace ❑ A,ddition to Rcsidence # of New Bedrooms '�'� project Description Structure D'unensions # of Occupants Basement ❑'Yes ❑ No Basemen,t Fixtw�es ❑ Yes I,] No Accessory Strueture(s) T,?�;cribe # of New $edrooms '� if applicable Structure Dunensio�s # of Occupants Acc�ssory DweJlmg ❑ Yes [] No Plumbiug ❑ Yes ❑ IvTo Describe Plumbuag Needed ❑ Mnlu-Fami}y ktesidencc n Unirs �Bedrooms per Unit"�' Tota] # Bcdroozns �'t Stcucture Dimcnsions ❑ Food Servtce Specify # SeatS �'loor Spac� -Enure �'ood Service Facility (Sq Ft) # Employees per Shift # of S�i.fts Dining Area (Sq. Ft) Basiness Specific Type o£�usiness RetaiJ Floor Space � of Employecs per 5hi,ft # of Shifts ❑ Other Fa.�iliry Type Spccify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Spec ify Occupancy Applicatiod for Well Cous[rucdon/AbaadonrneAt/Repair Proposed Well Type ❑ TndividusJ Well ❑ Serni-Public WeU ❑ Community �Vell Abaadonment Type ❑ Drilled ❑ Bor�d ❑ Du g ❑ 'Unknown Wcll Repair k�quested ❑ Yes ❑ No Describe Calculated Design Flo�, Commcrcial f Addfrtional information tnap be required to d�ttrmine desi�e 41ow fl�om certaln faci�iti�es. Th�s value will be �etccmintd d�ring consultation with oa- site stat�: "A.ny room that vvill be iatended for slceping at the rirae of coarnuctioa or for fim�e considerauon should be noeed as a bedroom and counted on all applicauons. The number of bedroams w11 be confirmed by rooms idenrified on house plzns as a bedroom az the tim of b�ilding permit issuancca. Tbis may preveni the ne�d for septic ryscem size inaeas� in tbe fuhue. tIf s�ucturo is plumbed but no bedrooms, caleulated desi�n flow is roquir�d. " If No, a well peffiit mtuc be issued witi� the Authoriu.tion Yo Consffuet Note: You must obtaia Zon.i�g approval prior to locaang a home or st�ucture on Lhis property. Any rcpresentarion by you of bouse or rnucture loea�ion should conform io applicable setbacks. w �.xG� woRx oxD�� QYr�trnt� x�n�sYGN �,rmiox x�rxx� �xa[. �avcu� a�v � ADDITION�.X. CHA.RGE (SEE FEE SCSEDUL�) W a T undtrstand that this is a formal applicnIIOn for Environmental Services and authorizc Catawba Counry Environmental ,�`, Health employe►s to go on this ptoperry for evaluatiau purposes. I cerdfy thc 3bove informalion to be corroc[ and und;xsYand 0 that an Improvement Permit issued �s a resvlt of thit iafocmarion is valid for S years or may be non-expnring under certain V spaifi�d condiuons. Improveu�,onc Pcrmics and Well Perm.iu are �ausferrabl�, but may be revoked if this information, sice W glans or intended use changes for the propos°d fac' �. Ari Ruthorization to Co�stzuct issutd by t�is department is valid for � � (�) fivo years from the dnu: issued an,d is not e le � Signatuxe of Ownes or Agent � Pri.ntcd Namo o� Owner or Agent �,., �,, ,Q. ,� �'� c� Date -��// Catawba County, North Carolina N Thrs map producl was prepared jrom the Catawba Connry, NC, Geographrc lnjormation System. Catawba Counry has made substantia/ efforts to ens�tre the accuracy of /ocatron and labeling rnformation contained on this map. Catawba Counry promotes and recommends the independent verifrcation oJarry data contained on this map producl by the user. The Counry ojCatawba, its employees, agents and personnel disclaim, and shall not be held liable jor anv and all damages, loss or (iabiliry, whether drrect, indirect or consequential which arises or may arrse from this map product or the use thereojby arry person or entiry. Legend Selected Parcel Number: 3763-04-84-0385 1 inch = 40 feet Prepared for: , � � �� M � �... o �` 1 4 0 2. 38 �' a� � u� co 6�. 5 9 . � ao . � � � 4 �, � � , � �- 5.94 5 �- , f � J/^ � V � 1 N � ,� • � r-- N , o � � , 21.� 5 4 � N 5 � � 0 5 . � • 4 c� 8 � � , � 13 � � 6 � •4 0 4 5 THIS IS NOT A LEGAL DOCUMENT Wednesday, April 06, 2011 03:22 PM � CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel I D: 3763-04-84-0385 Name: LANDVESTCO HOLDING COMPANY LP Name2: Address: 1381 GRAND OAKS LN Address2: City: HICKORY State: NC Zip: 28602-8800 Account: 159765199 Calc Acreage: 0.53 Tax Map: 2515 01014 LRK: 66908 Deed Book: 3040 Deed Page: 1364 Subdivision Name: CROSSING CREEK Subdivision Block: Lots: 14 & PT 15 Plat Book: 23 Plat Page: 248 Building Number: 4158 Street Name: HIGH VIEW CT Site Zip: 28610 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Total Bldgs Value: Land Value: $11,000 Total Value: $11,000 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P27 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-O Zoning District: COUNTY Split Zoning Dist: N SplitZoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010101 Census Block 2010: 3022 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: PR-21-2011 01�18 PM RICNARD,HARWEL 828 324 4455 p, 1 J� AtlK£ HDNE�'CUT1 801 �� , s� c��R-3�,�- �� rrC Pis t�eo �'1'ING,• P.A. ww� w. HoHrnurr / Q� e / sr p�9 eo2� u eovrn wuH arACer-sure �uu na� �I ae�o P.O. Boa 110� N�Wbn. H.0. 2e�y8 PAonr. 570-6l4�0708 NC P�$ �,7Hg � ! RERTVY 7NA7 MtS k�i IWi Dr+A:M N+Dw MY ��g'ERVISIChV FfMU �q AC7LLll SL�pVEY M,bE �� ' � l�O �� Q UMDGI NY 3LPERySpA7 rDr�.£p CC1C'NMGN F'6TDADES IN BOOX J0r0. iAOC IJ6t k PUt � 8 BJOX tJ � 7<B: 7K�► 7HE 60WaNRk4 MOf 9uR1iYED v)E MD�CA7fD .�9 aa�� IROw �S T'/DAAa72W M BOOM MGE TNnT JYI[ R.�nO M PA�9fpN pq POSrrpNLL AGr7lRACY p � �s �.�nc .wo rxar :ws uv u'� �e �eawRaa�s or - n+c arura.ans roa :..wo awe�+�rro• « Ho o�tnou�w �r r�,�o !e. �seo) • � �' n+rs �srx ar or naru. . • I/ n � YI NRY AfAP Kor ro eaar � u �s 8 � N07ES: � n+r nuitvosF or .ws sva�r �s r � s�voc ua�aar rve �m i.. n�ecc� �% JIBJ-Da-es..p�BS S. 71ttt tVRK1' MA4 PFRiQR.MCD WlTHOVf THE BD�'EI7f 0/ � trt�.E 9FARCM. M9 F�tpp�� µ1Y � DE SLHJaT' 1b RlWIiS 0/ IW19 ON FASEYEMS I�OT SS}ON7u NEREpN. J. PROPERfY ADOAES� s158 1qOHNEw cr, � c�,u¢cvour, u.c. :ee�o. �. cwNC�, �rm „ owa�c ca+a�+n �r h r�a i c�nro ou�s tx, wucoer, N c. aeow-aaoa. � � L07 13 i L07 1B � �R�raw 5 BI' SO I' p t' �h*eew 5'�� --1C � � �.00' �� 8 SB� � � nE ONLY �/�'nmw cn � L11 ,'l�r.p1J!'Aau sR 1!t'Rm.! - fl77KiM L1 �•�.� K ,'"-.�� EPT1C EASEMENT ARE4 LOI 14 �' ACRES/Q,Of{,09 SO.fT. � . `� a/a ncw � �. r � ."% LOT ] 3 in�rew �8 � v � � ;:`�.i +� . x 1 <s�d �n�,m�. K, � a�._ _ _ _ � \ y s�NM'ot ` N e � 1?),p�_� ` }l�bta�a � ��9 Oueenoo Li e t�'63'�' 41 ' I 5 !'074 ,9T �9 s 4vt�pp S .1 � S 24'00'03'W 7D.1a� � 68't W lB 8 t9'S29 � W b3,0T' L7 N e� ' E 3.OD' � 81'tY ' B �. 9• ` B N OB'11' 80�00' L10 N 1• T` w 11 N 1B 6388' � pp� . Cune Rsdlua I.snglh Da��e Cnora dro�a Be�r. C1 d 7B 1 S.se� 19'dEyp• 1 3' N8Y' `W 9VAf E1' � LANDVESTCO HOLDING COMPANY LP �orwTnrr, srx �uar+ Hflv cr, cu+r�avr, N,o. seeio w►w.eon�cut a��+ev ttv., ur.we� co,. roe a�u., ��eJ-a-es-n:ea ��°scom � 1f� PFLWWIY IS Wf Pl � !PlGLL M1000 N17N+D wRE1 ��7 A/CM�Rw L1� TC! ►RO�OrtY s r� aa'mYt Ilau ii/WD �ADI OAfO W..10-!ot t e I r fC' f81L1 /NW nwq / 7f}OSie�oo J �fE0. 70W-fJM • PObRNC IqON frx'C N7TLD) JOB /r r10sQlea.e�C O woN S[r ��crNe au� a-qs-as pur eooK a� jwc a+a x c�wrur�a ��} F7LE� L- f-L �c�o�d�: y�� f,,� �� ; �