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HomeMy WebLinkAboutRBPR-07-2017-27021.TIF'CHIS IS NOTA PERMIT Case # RBPR-07-2017-27021 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home C�i�_a'i�ll Contact 1er 'son j- Contractor IMPROVEMENT RONALD BAKER 11— C:82844975 C:8284d97512 *OAKWOOD HOMES 9712 (ELIOBERTO ALFONSO), 1265 70 HWY W, NEWTON NC 28658 B:8284642668 C:8282175480 0l'1-IER:8282171862F:828-464-4301 R712aCLAYTONHOMES.CC Owner JANET HARKEY, 102 CABIN CF, MAIDEN NC 28650 NAME TO APPEAR ON PERMIT JANET HARKEY SITE ADDRESS: 102 CABIN CT, MAIDEN NC 28650 PIN # 363606473871 NAME of SUBDIVISION: GLENWOOD ACRES PH III Lot 28 Section/Block PROPERTY SIZE: Square Feet Acres 067 DIRECTIONS: 102 Cabin Ct, Maiden PRIMARY CONTACT: `Cont` a� smi SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 28x76 Doublewide with 6x6 front & rear decks with 3 Bedrooms Lot #28 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 14x76, 3 Bedroom Singlewide EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 14x76 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x76 # OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE, CONVENTIONAL. OTHER: INNOVATIVE: ANY: Other described: FI) -ehapplic.niun 0724/2017 13:25 Pa -e I of CATAWBA COUNTY Case N RBPR-07-2017-27021 Public Ilealth Department Subdivision GLENWOOD ACRES PH III Environmental Health Division , 363606473871 PO Bos 389. 100-A Southwest Blvd. Newton. NC 28658 I INN NAME ON PERMIT: ( JANET HA 102 CABIN CT, MAIDEN NC 28650 ( JANET HARKEY) Site Address: 102 CABIN CT, MAIDEN NC 28650 Property Size: Square Peet Acres 0.67 Directions: 102 Cabin Ct, Maiden 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 AREA1 1, 7'--n— ,, L--- --v �FEENAMIE:, h�, I l , �-•,•4-• __—_� �:.�� _-FEE AMOUNT,C'• Improvement Permit Fee 07/24/2017 $150.00 ll'Il � � IpI��,jpITOTAL?FE,ESm... , l ll•�rll,li_,_�I, , _—"—Inli . � S150.0011: 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) 139 - chapphcduan 07/24/2017 13 25 Page 2 of Contact Person Contractor Owner THIS IS NOT A PERMIT Case # RBPR-07-2017-27021 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT RONALD BAKER II., C:8284497312 *OAKWOOD HOMES #712 (ELIOBERTOALFONSO). 1265 70 HWY W, NEWTON NC 28658 8:8284642668 0.8282175480 OTI-1ER:8282171862F:828-464-4301 R712cOCLAYTONHOMES.CC JANET HARKEY. 102 CABIN CT. MAIDEN NC 38650 NAME TO APPEAR ON PERMIT SITE ADDRESS: 102 CABIN Ch. MAIDEN NC 28650 PIN # 363606473871 NAME of SUBDIVISION: GLENWOOD ACRES PH III Lot k 28 Section/Block PROPERTY SIZE: Square Feet Acres 0.67 DIRECTIONS: 102 Cabin Ct, Maiden PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 28x76 Doublewide with 6x6 front & rear decks with 3 Bedrooms Lot #28 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 14x76, 3 Bedroom Singlewide EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 14x76 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x76 # OF NEW BEDROOMS:: 3 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE, ANY. Other described. E9-chayplicaliun 07/24/2017 1002 Page 1 of ,e CATANVBA COUNTY Case # RBPR-07-2017-27021 y Public Health Department GLENWOOD ACRES PH III < " Environmental I lealth Division Subdivision PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 PINk 363606473871 / 2 NAME ON PERMIT: (JANET HARKEY), 102 CABIN CT, MAIDEN NC 28650 (JANET HARKEY) Site Address: 102 CABIN CT, MAIDEN NC 28650 Property Size: Square 1'cct Acres 067 Directions: 102 Cabin Ct, Maiden 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 AREA1 FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/24/2017 $150.00 S150.00 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 - ch:ipphcsuun 07/24/2017 10.02 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit 9 Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) L Application is for New Construction ❑ Existing Facility ❑ / //� Property Address 00,2 Cab:, r_-1-r_-1-�/ Subdivision�/e�/tl>oad G5 rM /t A4 cir .. . .) G z k S-0 Lot # ;. �- Acres 10'1 Driving Directions to Property -M p,.¢0 92-1 /�-� 1I lCOd:rJ i'si- Nems e.J 17:5Jci- NAME TO APPEAR ON PERMIT? Z Owner Applicant Contact Information ecAion/Block/Phase T� 56,4-L D Aum 'T2 0,4 1 ❑ Applicant QrContractor 4141• 2irkC_ T� o,a10 Name meS ��ionnE�--ae�:Ca✓' 4- Address yZGS f,�wy 7L L,Je s .1c n/awls i nlL Phone yzy_ c/Gt/_La Cell Phone Owner Contact Information I Name JA, -f /,(,or L.e ti Address /0,1 C� 6' ✓ C.1- Ma:d, Phone Contractor Contact Information Name Address /265- gyslt7a t✓<s4-- Phone "k- U64 - � Cell Phone �✓ad✓-i, Cell Phone 7oy-rl60-t-248 4'2-%-N'(9-75/Z WHO WILL BE THE PRINIARY CONTACT? ❑ Owner ❑ Applicant R Contractor Description of Existing Structures on Site 3 6adino. 5 N # of Bedrooms *j 3 Structure Dimensions /4x-7 to # of Occupants 3 Basement ❑ Yes RNo Basement Fixtures ® Yes ,bio 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. ® Yes 6 No Does the site contain any jurisdictional wetlands? ,kYes ® No Does the site contain any existing wastewater systems? ❑ Yes '4 No Is any wastewater going to be generated on the site other than domestic sewage? )(Yes No Is the site subject to approval by any other public agency? 11 Yes ANo Are there any easements or right of ways on this property'? Describe Existing water supply in use hd Individual Well U Community Well U Semi -Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes JR�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 Other ❑ Any CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT „v ,,k Application for Environmental Services sed Facility Type primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *j 3 Project Description oqf y 76 taw In) (e XG e /o r( / iZruw :c1c Structure Dimensions 'Lv)(7to # of Occupants 3 Basement ❑ YesI�Q:Nci Basement Fixtures ® Yes '5�,No U Accessory Structure(s) Describe # of New Bedrooms *j' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*f Total # Bedrooms *j' 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.) ❑ 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 ❑ No Describe Page 2 Calculated Design Flow, Commercial f 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. f 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 tmnsfetrable. 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. 1 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 perforated. Signature of Owner or AgenK�Wo- Date 7-cZ I 1-7 Printed Name of Owner or Agent 2ov,-V 6A -%e.- 7L 0 0 �i 01 Catawba County Environmental Health N _ r,Z56.80 to C C) l Im 00 M -:)S,).,39 0 N ^yA Q%- e4 re4 00 ^h h .1G GN' 81.3 235.73 Parcel: 363606473871, 102 CABIN CT MAIDEN, 28650 Eli 9 1 in=50ft This map/report product was prepared from the Catawba County, NC Geospaaal 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 INC 07/20/2017 Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 363606473871 Owner: HARKEY JANET Parcel Address: 102 CABIN CT Owner2: City: MAIDEN, 28650 Address: 102 CABIN CT LRK(REID): 901384 Address2: Deed Book/Page: 2176/0509 City: MAIDEN Subdivision: GLENWOOD ACRES PH III State/Zip: NC 28650-9199 Lots/Block: 28/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 42/72 Elementary School: MAIDEN Legal: LOT 28 28 PL 42-72 GLENWOOD PL 42- Middle School: MAIDEN 72 High School: MAIDEN Calculated Acreage: .670 School Map Tax Map: Township: NEWTON State Road #: 2005 Tax[Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: MAIDEN County Fire District: MAIDEN RURAL Zoningl: R-20 Building(s) Value: $500 Zoning2: Land Value: $10,100 Zoning3: Assessed Total Value: $10,600 Zoning Overlay: Year Built/Remodeled: / 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 #: 3710363600J Building Details 2010 Census Block: 4038 WaterShed: 2010 Census Tract: 011702 Voter Precinct: P20 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report Page 1 of 1 �l 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 venficabon 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/repos product or the use thereof by any person or entity. © 2017, Catawba County Government, North Carolina. All rights reserved. ep (;tf6aas 4- irly�,� ["05"' http://gis.catawbacountync.gov/nonlaplparcel_report.plip?key=363606473871&,tN,p=P 7/20/2017 • CATAWBA COUNTY Case # WLS2007-01364 Pubh? Health Department I' V Environmental Health Division Subdivision GLENWOOD ACRES Pit III \'\ PO Box 389. 100-A Southwest Blvd, Newton, NC 28658 SecUBUPh/Lot N PH 111 28 �� • . i (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PINii 363606473371 Applicant/Owner: JANET HARKEY Site Address: 102 CABIN CT MAIDEN NC Property size: SF 0 67 ACRES Directions: BUS 321 S TO RED LIGHT IN MAIDEN/ TAKE RT/ 1ST LT TAKE LFT ON C ST/ TURNS INTO D ST/ rCONTINUE TOWARD SALEM CH RD/ RT ON HIGH RIDGE CIR/ LFT ON CABIN DT/ DRIVEWAY ON RT V EXISTING SEPTIC SYSTEM INSPECTION REPORT ��•// Site/System Diagram Type of Facility: house Mobilc [ionic X 4 Bedrooms I Business Speafv Other Specify ,,/ Proposed Additions / Accessory Structures: 12' 4 L1, �j(',{-1 DJ-L�G�. 00C'jn- Approved —X— Not Approved _ Reason Evidence of system malfunct ion: YES NO � System Type/Description Authorized State Agent NL�-.�QA.'DATE llJl C U NOT FOR LOAN APPROVAL cgdrnim 4v'nnn.Vtvtsmn. m� Form E Basement Plumbing CATAWBA COUNTY HEALTH DEPARTMENT Multi -family_ . Other: Tax Map or Pin Num -30 'VjV - q 7 -.5y r Zoning Approval 11-& 3 aployees . Application Rate GPD Flow Basement yes ao . 100% Repair Areaes ao Water Supply: Private Well Public_ Semi -Public_ •a garrpititkiM tliM►tirlttisirr►MtttiNiitilgkMitgiittttptittqqqtiqN Pump/Panel— Panel_ LPP_ p,r�(w tone Septic Tank Size 1(j00 Pump Tank Size Nitrification Field: Total Square Feet [ Depth of Si Z �1 Bed Size Trench Width/ � Total Length of All Trenches 3 06, Number of Trenches y / e ' Trench Length/J�l `��Y / Feet on Center Maximum Trench Depth Distance of Nearest Well S� *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION' ►t►iitkiitkt►t►tit►rrtrktttiiiiiiitktt►tititttt►iri►t►lik►l►t►ki��It►ittJ►tttitiittttitt►tt�tttttitttt►rii►iikittttlkttit I � Topo - %Slope I �t�,� % r A• ^ Q arm f i tQ Texture Structure Soil mess Soil Depth _gb t . Restric. Hoz. ae—= i �2*1- Available �� Overall Class U1 Comments. I I I US I ' 'filter Required User required whet- ank is more than 6 eches deep.. *"NO GUARANTEE OR WARRANTY iS Ilvirt tail Ut(ULVEN AS TO THE. Pb-RFORMANt.n7R LENGTH OF TIME THIS SYSTEM WILL FUNCTION" iitp iiia p1 qp iHr►►►►• M! NlN►t►l►q ori qH H►M i t t H i! k k r t tt t t skq a s MY q►r►H► i r i'►f►q lei►t►t►►►N tt H rt q H r►tt i►kq *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) rive years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet stale and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from know ossible sources of contamination. No volume of water is guaranteed at any site the Health Department. , Permit Date EHS fir— Owned Septic Ta' � J d By i r n Date EHS r Well Iastafled B;. �J tCr? W Grout ro Date 29 `9`? Well H A v a Date Sample Collected Date of is Rest Its EHS „ m White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Buildtneppe7 i n Auth - ti t Ao Construct