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Home My WebLink AboutRBPR-04-2018-29033.TIF s4A �'"� THIS IS NOTA PERMIT Case# RBPR-04-2018-29033 F e.(� � CATAWBA COUNTY HEAC171 DEPARTMENT ❑� ID y� 6�oyfyf, VV ��/ K PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �� 1tl Is Residential Building Plan Review- Manufactured Home -�F�p�, {C '�,� 4 . EXS_SYSTEM Da or 'S!i • Applicant CLAYTON IIOMES (ELIZABETII OSIER]IOLZ),260 JORDAN BRANCI I RD.MARS HILLS NC 28754 8:8284186374 C:8287750951 Owner ANDREW RIDDLE, 1872 HAGAN DR.CIAREMONT NC 28610 Paid By CLAYTON HOMES (ELIZABETH OSTERHOI Z),260 JORDAN BRANCH Id),MARS I[ILLS NC 28754 11:8284186374 C128775115151 _ NAME TO APPEAR ON PERMIT ------7,-----..,(-----Clayton Homes (Elizabeth Osterholz) 1 SITE ADDRESS: 1872 HAGAN DP CI AREMONT NC 28610 Pte} 376120715900 COUNTRY VILLAGE SUBDIVIola 6 Section/Block NAME of SUBDIVISION( PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: US 321 bus S,L on NC-10,Lon Bethany Church rd,Ron boggs rd,L on hagan Drive home on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Existing System check"Existing MH 28x60 3 Bedroom will be removed"New 3 Bedroom 28x48 MH 6x6 front and back decks 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 properly? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF MH 28x60 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 28x60 NUMBER OF EXISTING BEDROOMS: 3 4 OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x48 w/6x6 decks on front 8 back /1 OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 05.02:201S MS55 Page I oil y,A • THIS IS NOT A PERMIT Case# RBPR-04-201 ft-29033 G .47 '',!i- CATAWBA COUNTY HEALTH DEPARTMENT 0 4' ......� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ..E5.!.4 :rem, Ig, 2 SM Residential Building Plan Review- Manufactured Home :re* fo n rt EXS_SYSTEM ❑ ` Contractor CLAYTON ON I TOMES (I LIZARF I'11 OS'1 ERHOLZ),26II JORDAN RRANCI I RD.MARS I ILLI S NC 28754 B.8284186374 C:8287750951 _ On ner ANDREW RIDDLE. 1872 HAGAN DR,CLAREMONT NC 28610 Paid By CLAY ION HOMES (ELIZABETH OSTERI IOLZI,260JORDAN BRANCII RD.MARS TITLES NC 28754 8:8284186374 C:8287750951 NAME TO APPEAR ON PERMIT SITE ADDRESS: 1871 HAGAN DR,CLAREMONT NC 28610 PIN# 376120715900 COUNTRY VILLAGE SUBDIVImtg 6 Scctinn/elock C NAME of SUBDIVISION: — PROPLRTYSIZE: square Feet Acres 046 DIRECTIONS: US 321 bus S,L on NC-10,Lan Bethany Church rd,Ron boggs rd,Lon hagan Drive home on the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Existing System check—Existing MH 28x60 3 Bedroom will be removed— New 3 Bedroom 28x48 MH 6x6 front and back decks 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? Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF MH 28x60 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 28x60 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x48 wlfix6 decks on front 8 back #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED. ALTERNATIVE. CONVENTIONAL OTHER: INNOVATIVE: ANY. Other described' 05,0 l Qa Is 09:26 Pnua I of 44$1% THIS IS NOT A PERMIT Case# RBPR-04-2018-29033 t CAPAWBA COUNTY I IEAI:I H DI:TARI MENT 0' r!n• 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL.SERVICES 1842 su Residential Building Plan Review- Manufactured Home ',(147:ft, o EXS SYSTEM tEiancr Contractor CLAYTON IIflMFS (II.I/ABEIHOSIIIt1101.z1.260 JORDAN BRANCII RU,MARS HILI S NC 28754 IY:8284186374 C:8287750951 thine]. ANDREW'RIDDLE. 1872 PAGAN UIt.CLARLMON T NC 286111 Paid By CLAY I ON 11091 LS (ELI/ABICI'110Sf]in'[in J).260 JORDAN BRAN(II RI).MARS HILLS NC 28754 B1828.1186374 048287750951 NAME TO APPEAR ON PERMIT SITE ADDRESS: 1872 HAGAN DR.CIAR1'MONI NC 28610 PIN# 376120715900 NAND-.of SI''IIDIVISION: GOUNINY VILLAGE SUBDIV Iat1h 6 AMSection'Block C PROPER I Stir: square Acres 046 DIRECTIONS: US 321 bus S I on NC-1Q L on Bethany Church rd, R on boggs rd L on hagan Drive home en the right PRIMARY CONTACT: Applicant SEWER TYPE: Septic lank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Existing System check"Existing MH 28x60 3 Bedroom will be removed" New 3 Bedroom 28x48 MH 6x6 front and back decks SITE INFORMATION Do any of the following apply to the properly 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? N� APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF MH 28x60 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 28x60 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2 _. PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x48 #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct)'. ACCEPTED: ALTERNATIVE. CONVENTIONAL'. OTHER. INNOVATIVE' ANY. Other described. aoaaalx vn M1ya of ATA(TB4 COI NTS' Cane RHPR-04-2018-2o 90 3 3 rt, br uealll UeparLowni I¢I1/I f me In III Dulmn brbmrrsmd COUNTRY VILLAGE SUBDIV ��!!/ PIN6 376120715900 V A_ / I O Il ;49 Igli A x est 01 d.Na aon NC 28653 Jft4 NAME ON PERMIT: Site Address: 1872 II AGAN 1)I1,C1 ARFAION I NC 28610 Property Size: Squat.Peet Acres 0.46 Directions: US 321 bus S.L on NC-10,Len Bethany Church rd.R on boggs rd,Len Kagan Drive borne on the right Completed applications are valid for a period of 2 years.Improvement Permits are validwith complete site plan=60 months(5 years):with complete plat wit lout expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid An Authorization to Construct Issued for septa repair is valid for 60 months(5 years).Permits may be revoked if the information on this applicat on site plan changes or if the intended use for the proposed facility charges Permits may be revoked it site conditions are altered such that they effect permit conditions or installation requirements I have read this appliralmn and refry that the information providec boffin is true,complete and correct Authoreed county and state officials are granted right of entry to conduct necessary'nspectiiens to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper ident Icagdn and labeling of all properly lines and corners and ma'sing the site accessible so that a complete site evaluation can be oedor tied 7 he urde's.Tied is the owner of the property or legal agent or the owner. Da , ,r. ., __ aignolut o Applivait et gaunt rttc� to, 6t ..:' C-i. Ilgrt nzydfilrtl. inlonnztionora, t please callS28-466-729 I (1 AREA2 FF.FiNAME I)ATF FEE AMOFCT Existing Tank Check Fee 01 10,20IS $80 00 'FOFAI.IES $80.00 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) 01 20Is 1111 P.rsc2an THIS IS NOT A PERMIT CATAWBA CATAWBA COUNTY HEALTH DEPARTMENT rsn Application for Environmental Services Pi f4 31tet - 7-r_11 - 590D Application is for: New Construction f Existing Facility ._ ❑ Improvement Permit ❑ Authorization to Construct ['New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair Property Address IX i kac4•x 0 I,, ' Subdivision (1; kn Vi (teice (,l"%i illoilf i‘' ( Tti (e (d Lot St Acres . y/p Drivipg Dir�ections to Property u S 3 o i e,kS. J L) 0,� C -ID ® o -'1 �C. lI , e L rL tri cn ?,v ,- fu g% no payjt ,\ ()r (it ke P� Applicant Contact Information Name (Pe<(!Tit ii"W Address 12 50 EL iIUvZ✓ lel v 2 VI , (( iIt'-CC/ iS (r(3 Phone 3(7,c- 115Li 551 fu r7:(Le LL.. Cell Phone Owner Contact Information Name 1-12.1 c re vv El<Li tg( Address ik7-j, 1-1x.c..- n I) .&ek'/iwnf- 2b@(0 Phone 823'-404- 23'15- _ Cell Phone Contractor Contact Information Name I License# Address Phone Cell Phone Name to Appear on Permit? ❑ Owner Applicant ❑ Contractor Who will be the Primary Contact? ❑ Owner .❑'Applicant ❑ Contractor Existing Structures on Site? L] Yes 0 N Ifyes. describe 2Ssx(�d met7LCI ft(,i4' - 3 E3R- #of Bedrooms * 3 #of Occupants ti Structure Dimensions b>Sx(rd Basement ❑ Yes f715lNo Basement Plumbing ❑Yes 2-No Existing Water Supply? E Individual Well ❑ Community Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑No 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 Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank? ❑ Yes ❑ No t CATAWBA L �1L�VV 1JL� THIS IS NOT A PERMIT '^t N CATAWBA COUNTY HEALTH DEPARTMENT 4 ra, K Application for Environmental Services Proposed New Construction - Residential Primary Residence ,New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description riIflctiC CU) 6-G rrICfrA([ )CG/1(c W� Zb/may mChtkjC )fp}rl Structure Dimensions ?E'isle #of Occupants Basement ❑ Yes _111-No Basement Plumbing ❑ Yes_'No Accessory Structure(s) Describe _ Structure Dimensions Plumbing ❑ Yes n No Describe Plumbing Needed Accessory Dwelling ❑ Yes ❑ No #of New Bedrooms *t # of Occupants Proposed New Construction - Commercial Food Service Specify Type tl Seats Floor Space-Entire Food Service Facility(Sq. Ft.) #Employees per Shift #of Shifts Dining Area(Sq.Ft.) Business/Other Specify Type Structure Dimensions Retail Floor Space It of Employees per Shift # of Shifts If Church#of Seats Commercial Kitchen ❑ Yes ❑No If Daycare, # of Children If Multi-Family Residence,#of Apartments #Bedrooms per Apartment*t Total ft Bedrooms*t Other fnfommtion Calculated Design Flow, Commercial t (This value will be determined by LH staff) 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. O Yes 21No Does the site contain any jurisdictional wetlands? .3 Yes ❑ No Does the site contain any existing wastewater systems? O Yes ,0 No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes 0 No Ts the site subject to approval by any other public agency? ❑ Yes -01No Are there any easements or right of ways on this property? Describe 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 ❑ Conventional ❑ Innovative 0 Other ❑ Any *Any room that will he intended for sleeping at the time of construction or for future consideration should he noted as a bedroom and counted on all applicatiens.The number of bedrounrs will he coninned by rooms identified on floor plans as a bedroom at the time of building permit issuance. This nmy present the need for septic system expansion in the future. I' If structure is plumbed but has no bedrooms,calculated design flow will he determined by EH Staff. ** If No,a well pencil must be issued with the Authorization to Construct. RETRIP TO TIFF PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL.CHARGE(SEF.FRE SCHEDULE! Conipleted applications are valid fur a period of 2 years. Improvement Permits arc valid:with complete site plan 60 months(5 years): with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid. Permits may he revoked if the information on this application/site plan changes or if the intended use for the proposed facility Chang s. Permits may he revoked if site conditions are altered such that they effect permit conditions or installation requirements. I have igad this application and certify that the information provided herein is tme, 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 accessihle so that a complete site evaluation can he performed. The undersigned is the owner of the propsRyy or I al agcpt of the owner- 1 Signature of Owner or Legal Agent S(L [CC- ( kttotr Date y �3c�rS Printed Name of Owner or Legal Agent C(u I/1/i . h CLcEq)J (i n.3kiEC(Z CATAWBA Geospatial Real Estate Search tsri _lik Information Services & 200 a e �. 0 a / s s 40 1 7 ) 18/tt / 2,0 ,O° i fw w4r— 1 in=50ft s Parcel: 376120715900, 1872 HAGAN DR CLAREMONT, 28610 Owners: RIDDLE ANDREW LEE, RIDDLE MELINDA RIFE Owner Address: 1872 HAGAN DR Values - Building(s): $0, Land: $8,000, Total: $8,000 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 04/20/2018 4/3Q/2018 Parcel Report Parcel Report-Catawba County NC Parcel Information: Owner Information: -2 owners Parcel ID'. 376120715900 Owner: RIDDLE ANDREW LEE Parcel Address'. 1872 HAGAN DR Owner2: RIDDLE MELINDA RIFE City: CLAREMONT, 28610 Address: 1872 HAGAN DR LRK(REID): 24285 Address2: Deed Book/Page: 3012/0309 City. CLAREMONT Subdivision: COUNTRY VILLAGE State/Zip: NC 28610-8229 SUBDIV School Information: Lots/Block:6/C School District: COUNTY Last Sale: Elementary School: CATAWBA Plat Book/Page: 16/255 Middle School: RIVER BEND Legal: LOT 6 CO VILL PL 16-255 High School: BUNKER HILL Calculated Acreage: .460 School Map Tax Map:025AY 10003 Township. CATAWBA State Road#: Tax/Value Information. Tax Zoning Information: Rates(pdf) Zoning District: COUNTY City Tax District:All in County Zoningl: R-20 County Fire District: CLAREMONT Zoning2. RURAL Zoning3: Building(s)Value: $0 Zoning Overlay.WP-O Land Value: $8,000 Small Area: CATAWBA Assessed Total Value: $8,000 Split Zoning Districts:/ Year Built7Remodeled'. / Zoning Agency Phone Numbers Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel#: 3710376100J Building Details 2010 Census Block: 2027 WaterShed:WS-IV Protected Area 2010 Census Tract: 011401 Voter Precinct: P5 Agricultural District: Parcel Report Data Descriptions Minor Subdivision: P&Z Case Number: Mobile Home Park: E911 District. COUNTY List all Owners Deed History Assessment Report Report 2(18 c County GowernMent. am ne MI righis rPServe ,,. .. F'vC r �� 1l ' I rrk ' J�{SIG- y� C/r LX �t C/-\ {^rI IJ + / 7,-)k) d`3x i o 3 ESf, t-. ;ll ro sy i-- —3 6 k _3�O J ,; / K C 3 13K X = x 1-f )tl l,; k t� fr�n( � 19qz_1( J,<ks http igiscatawbacountync.gov/noma p/parcel_report.php?key=376120715900&typ=P&dept=pz 1/1 �..:ff'� tif COUNTY(((111 )))H'EALTH DEPART CATAWBA• l7 ;, t�fi5-R270 _ ___ll/ Completion Permit_ 2067 Improvement Permit Repair Permit_ �G, Lot Evaluation J n �_��'/�n 4 ., r, IIgirS -G/Lc Phone___ ff Address Subdivision I al - - __ _ Se ion/Block -_ Address__ _ Q _ _ Ut recti ons: JU �� \ _'t.�p.X--f O. �isL BTS gA4/gLP- - t S� i _ ___r4422, ,s fir'- J -s".i ,/ �� _ .. , Other Zoning. A prova •Facility: douse _ Mobile Home Business _ ._ /no lt,t5C4-il _ . 100% Repair Area `es/no Multi-family.__ Seats_ . . OPD Flow Application Rate__ __ Seats —__ Eecial mployees_ , REPAIR NOTICE: REPAIRS MUST BE WITHIN Beds°°ms,3 DAYS FROM DATE OF Hot Tub or Spa ves/no SP Basement Plumbing ves/I7. 30 DAYS OR __ Basement vls/® . PERMIT. * Water Supply: Private�_ Public_ **www******w*****w*********wx**w*******w*w*Ol:ler*(SDecifv lw*********w*******w*******w**x* Type of System: Trench x Bed System_. _ Tank Size: Septic Tank__./A e Pump Tank Q� Depth of St.one_tZ Bed Size______ Nitrification Field: Total Square Feet. 3o O __ Number of Trenrhes _ Total Length of All Trenches__ / /' Trench Width 3 r} Maximum Trench Dept Individual Trench Length-L /15/ 75/-Ly/ Feet' on Center__ Distance ** Nearest Well_—— Lot Evaluation: Approved yes/no (Void After 24 months) ***w****ww*w****w*****"*Sketch*of*lot Evaluation Site- System*Design***Fina*********wwx ToPo__�-% Slope Texture _ - _ Structure_ Clay Plin. _ I ��'(85 Soil Depth r� FFF�� Soil Depth_ . `Q Res[ri c. Noz. at Available space yes/no Overall Class S PS Uh �� Comments: • ! 1 �IM00 , r P�eOtfruk� � rho blk� ldp— fuK, sc.J4( ,,t k'em nix -(o ii