HomeMy WebLinkAboutRBPR-03-2022-40292.TIF ,41$A • THIS IS NOT A PERMIT Case# RBPR-03-2022-40292
<E341 CATAWBA COUNTY HEALTH DEPARTMENT
1,I� iyf PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\84 SM Residential Building Plan Review- Manufactured Home
EXS SYSTEM
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Applicant *CMI-I HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658
B:8284642662 C:8282171862 OTHER:8284464617F:828-464-4301 R712@CLAYTONHOMES.COM
Contractor *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658
B:8284642662 C:8282171862 OTHER:8284464617F:828-464-4301 R712 a CLAYTONHOMES.COM
Owner BETTY FRYE,PO BOX 544,NEWTON NC 28658-0544
NAME TO APPEAR ON PERMIT
*CMH Homes, Inc. / dba OAKWOOD HOMES #712 (Newton)
SITE ADDRESS: 3656 BRIDLE PATH DR,VALE NC 28168 PIN# 267701365695
NAME of SUBDIVISION: CRABTREE MEADOWS Lot# 4 Section/Block B
PROPERTY SIZE: Square Feet Acres 0.46
DIRECTIONS: TR on SW BLVD TR W C st
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 240 WATER SUPPLY: Community Well
• -IBE WORK. 6/28/22 changed to community well per Danny Oddie Existing system check*** New Single wide 16x66
with 2 bedrooms 6x6 front deck deck with rear steps
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 vacanct lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16x66,6X6 front deck and rear steps
#OF NEW BEDROOMS:: 2
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
:h.,ppiicni„n 06/292022 14:08 Page 1 of3
4o tyl, CATAWBA COUNTY Case fl RBPR-03-2022-40292
1.11 i Public Health Department Subdivision CRABTREE MEADOWS f Envtrontncntal Health Division PENT 2137701365895
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
I:rY
NAME ON PERMIT: 'CMH HOMES.RJC:/DBA OAKWOOD HOMES#712(NEWTON) ( ),1265 HWY 70,NEWTON NC 28658
eCMH Homes,Inc./dba OAKUM
Site Address: 3656 BRIDLE PATH DL VALE NC 28168
Property also: Square Feet_.-- Acres 0.46
Directions: TR on SW BLVD TR W C st
Completed appticationa are valid for a period of 2 years.Improvement PermtU are valid:with complete site plan eo months(5 years);with complete plat
=without expiration. An Auttwnzatton to Construct will remain valid as lout as the Improvement Permit is veld An Authorization to Construct issued for
septic repair is valid for 60 months{5 years).Permits may be revoked if the information on this applicationisite pan changes or if the Intended use for the
proposed foolery changes.Permits may be revoked if site concelons are eared such that they effect permit oondibons or installation requirements
I have read this application and Certify that the information provided herein Is true complete and correct Authorized county and stets officials are
granted right of entry to conduct necessary Inspections to determine compliance with applicable laws and nees. I understand that I am solely
response*fa the proper identlfeetion and labeling of ate property ones surd comers and making the site acoasibie so that a corrpi f.site evaluation
ten be performed.
The ireersigned is the owner of the property or legal agent of the owner
Z Signature of Applicant or Agent
If you need further information or assistance please call 828-465-8270
AREA1
DATE pEE AMOUP4t
Existing Tank Check Fee 03/04/2022 $80.00
TOTAL FEES • • 586.00
•
FEES ARE NQN.REFUNDAPLE
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)
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