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Home My WebLink AboutRBPR-10-2021-39140.TIF A THIS IS NOTA PERMIT Case# RBPR-10-2021-39140 , CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES sM Residential Building Plan Review-B ' 'pg New NEW WELL EXS_SYSTEM (1311 J)3 ) & S( / u ct ' S h►S s sks 1� ,n . �7 Y /' *Removed Contractor/Contact *SCHUMACHER HOMES OF NC,INC (RICHARD SMOTHERS),2715 WISE AVE,NW,CANTON OH 44708 B:7046623228 C:7045823894F:7046623299 KMERK@SCIIUMACIIERHOMES.COM Applicant DEVARTA MONROE, 128 RAMSEUR RD, C:2527238546 DEVARTAMONROEOGMAIL.COM Contractor MADISON HOME BUILDERS (RYAN PRUETT),301 10TH ST NW F-105, NC 28613- H:8284648870 C:8282440968 HOME:8284648870 OTHER:(282)464-8870 RYAN4i@MADISONHOMEBUI LDERS.COM Land Owner ANTAIJAH EASTER, 133 GIBBS CIR,MAIDEN NC 28650 NAME TO APPEAR ON PERMIT Devarta Monroe SITE ADDRESS: 134 GIBBS CIR,MAIDEN NC 28650 PIN# 363611764749 NAME of SUBDIVISION: Lot N Section/Block PROPERTY SIZE: Square Feet Acres 1.76 DIRECTIONS: From salem church rd you would need to make turn on Gibbs circle and drive to the home at the end on the left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well RIBE WOR . 2/14/2023 Revise to use existing system on property no change in home size, location or number of bedrooms. 12/21/22 Revised 47x62 SFR 3 Bedrooms. New site map received. Existing mobile home will be removed. New address is 134 Gibbs Cir. Previous Description: IP/AC/WELL** New 42x36 SFR 3 Bedrooms attached garage no basement 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: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF mobile home to be taken off EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 47x62 home with attached garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: _Ia;plirun; 02/14/2023 14:11 Page 1 of3 vT,=r CATAWBACUIIr'ft' t-asek RBPR-10-2021-39140 1 "� Public Health Department Subdivision onm et Envi 7 rental Health Division +� PO Box 389, 100-A Southwest Blvd,Newton,NC 21108 PINM 363611764749 trft NAME ON PERMIT: (DEVARTA MONROE). 128 RAMSEUUR RI), (Devarta Monroe) Sirs Address: 134 GIBBS CIR,MAIDEN NC 28650 Property She: Square Feet Acres 1.76_ Directions: From Salem church rd you would need to make turn on Gibbs circle and drive 10 the home at the end on the left APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO Completed applications are valid for a penod of 2 years.Improvement Permits are valid with complete site plan_80 months(5 years),with complete War o without expiration. An Authorization to Construct will remelt valid as long as the Improvement Permit is valid.An Authorization to Constrict'slued for septic repair Is valid for 80 months(5 years).Permits may be revoked if the Information on the applicatwn/sie plan tmanges or d the intended use for the proposed facibty changes.Permits may be revoked d site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,Complete and correct Authorized county and state onluals are granted right of entry to conduct necessary inspections to determine compliance with applicable laws anti rules. I understand that:am solely responsible la 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 The undersigned is the /o(wnner poff the property or legal agent of the owner r� / `6' _ ___ Signature it(Applicant or Agent ..--)244.444, If you need further information or assi. once p a.. 4. 11 828-4 -8270 AREA6 FEENAMI; PATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 1025/2021 S150.00 Fee Improvement Permit Fee 10/25/2021 $150,Ixi Well Permit&Inspection Fee 10/25/2021 5300.Ix) Improvement Permit Fee 12/21/2022 $1 Si)00 Existing Tank Check Fee 02,14/2021 $841,00 TOTAL FEES $830.00 ew- FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCE)) SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) or 14R023 14.11 No 2 of BA CATAWBA COUNTY �}+ 100A SOUTHWEST BLVD ` NEWTON,NORTH CAROLINA 28658 RECEIPT 119 0 7 PHONE:828.465.8399 �1 Tuesday, February 14,2023 1$4 2 sM www.catawbacountync.gov PAYOR: Monroe,Devarta PAYMENTS TRANSACTION NUMBER: TRC-57668563-14-02-2023 PAYMENT DATE: 02/14/2023 PAYMENT TYPE: Credit Card 301120622 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 02-23-418351 110-580200-663000 Existing Tank Check Fee S80.00 TOTAL PAYMENTS: $80.00 RBPR-10-2021-3 9140 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 134 GIBBS CIR,MAIDEN NC 28650 'Removed Contractor/ContadISCHUMACHER HOMES OF NC,INC,2715 WISE AVE NW,CANTON OH 44708 B:7046623228C:7045823894F:7046623299 KMERK@SCHUMACHERHOMES.COM Applicant DEVARTA MONROE, 128 RAMSEUR RD, C:2527238546 DEVARTAMONROF.OGMAIL.COM "NO PEOPLESOFT ACCOUNT ASSIGNED" Land Owner ANTAIJAH EASTER, 133 GIBBS CIR,MAIDEN NC 28650 Contractor MADISON HOME BUILDERS,301 10TH STNW F-I05, NC 28613- H:8284648870C:8282440968 RYAN@MADISONHOMEBUILDERS.COM receipt 02/14/2023 15:27 Page 1 of 1 ` L CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERIfIfi N° O 11 c 9 DATE : 7, 3 /--,p4 OWNER14\j/J-4.411-0icE412_,v-m,d_g44,1_ADDRESS BUILDING CONTRACTOR SUBDIVISION LOCATION LOT # LOT SIZE POCK OR SECTION HOUSE ( ) MOBILE HOME (j`"BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE (gP �GALS) WATER SUPPLY: NO. BE�RObMS NO F XTURES rN_DIVIDUAL PUBLIC GARBAGE DISPOSAL UNIT:YES ( ) NO ( 3- IF WELL, TY : BORED DRILLED DUG AUTO WASHING MACHINE : Y ,.S 0 1,NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: etePair SQ.FT . POLLUTION: FT. 1) NUMBER OF LINES 7 SEPTIC TANK INSTALLE BY: W 2) LENGTH AN DT3 OF LrINES ) 57- I C9 p PERMIT FEE $ _ /2i a) BED Sig ) CERTIFI • E • r OMP — b) TRENCH SYSTEM (t)---------- •, ..,ih 3) DEPTH OF STONE IN LINES 1 REMARKS`: ADEQUATE F (GRADE) ON: / 1) BUIL OUSE) SEWER LINE: YES 0 ( ) 2) NIT CATION LINES: DATE I MD : 7J i ) — '4 YES ) NO ( ) ` SEPTIC TANK 4 f H3+:41 ( 0 0 r I �t a k. H O 17 a I 1 c ARTAENT COPY 1 ir # - .... i �� I .iPERMIT NO.O�019'3 b V_ PERMIT FEE: V pgRMIT VOID AFTER 36 MC`'-uS CATAWBA CO8 TY DEPARTMENT IMP T PERMIT OWNER OR CONTRACTOR: ) ?iii -7 ..a DATE: 7- -16 ADDRESS: 5---; Pi', *:E: ed., --- - LOCATION: iI ' r jed 1.74".F.,a1-.• 62,c266--2 4.._ -,t,04,7,s, .."Clie..4.4-e_A ---- SUBDIVISION: � LOT fl SECTION OR BLOCK: LOT SIZE -^��4 Notified to check with Zoning Yes ( ) Zoning Approval 0 `!nGLG � House ( ) bile Home ( ) Business ( ) Other ( ) Flow Rate: Bedrooms: ,3 Bathrooms: 3. Special Fixtures: Other: , Basement - Yes ( ) No ( ) - fixtures in Basement - Yes ( ) No ( Pum ystem Yes( ) NC ( ) �---------- Water Supply: Private ( ublic ( ) `--- Garbage Disposal Unit Yes ( ) No ( L4-f t p! y= TANK SIZE• t (j gallons Comments/Special Instructions: NITRIFICATION FIELD: Number of Lines Length and width of Lines System must be installed as shown. Any (a) Bed System ! changes will be made only with prior Health (b) Trench System 1D" x ( ii 7 A /df) Department approval. If unforeseen problems or Trench System 30" X arise during installation, contractor must Total Square Footage %lag-Sid-Et=. call Health Department. I IFY T I HAVE REVIEWED AND AGREE TO THE PRO ISI)IS ON rPERMI� V-"► od e17 Owner/A nt Sanit- f an Final approval of this septic tank system shall in nary be taken as a guarantee that the system will function satisfactorily for any given pe d of time. 1 SITE AND SEPTI 1 1 ! I ( I frill / r,tee•_Li:, / ( . J ) . Health Department Copyl Site Factor•• Soil Group Soil Tex Class Applir,ation Rate Slope and Landscape Posit on S - PS - U Soil Drainage S - PS - U Sandy Clay Soil Depth S - PS - U III Fine Silt Loam 0.6-0.4 Restrictive Horizon S - PS - U Loams Clay Loam Available Space S - PS - U Silty Clay Other S - PS - U (Specify) , Sandy Clay Soil Characteristics: S - PS -- U .IV Clays Silty Clay 0.4-0.2 Repair Area Required: Yes ( ) No ( ) Clay *Bed systems are allowed only in soil Group III.