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HomeMy WebLinkAboutRBPR-06-2022-41297.TIF gA THIS IS NOT A PERMIT Case# RBPR-06-2022-41297 d I CATAWBA COUNTY HEALTH DEPARTMENT C°J PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 sM Residential Building Plan Review-Modular IMPROVEMENT-AUTH CONST- NEW WELL &IA,» Contractor *SILVERPOINT HOMES (MARK*WEAVER),2125 E MAIN ST,LINCOLNTON NC 28092 B:7042403336 C:8284612716F:7042403339 MARKW a SILVERPOINTI IOMES.COM Owner JESSE FREEMAN,3656 PROVIDENCE MILL RD,MAIDEN NC 28650 NAME TO APPEAR ON PERMIT Jesse Freeman SITE ADDRESS: 2367 HENDRIX RD,MAIDEN NC 28650 PIN# 365803427373 NAME of SUBDIVISION: Lot tl 1 Section/Block PROPERTY SIZE: Square Feet Acres 29.73 DIRECTIONS: NC 16,Right onto Providence Mill RD,Left onto Hendrix RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well SCRIBE WOR 6/28/22 revised back to original plan.. no basement per Jesse Freeman 6/27/2022 REVISED TO BASEMENT WITH BASEMENT PLUMBING, USED AS A WORKSHOP AREA. NO DETACHED GARAGE AT THIS TIME.WILL HAVE FUTURE CARPORT 26 X 26 IN SAME LOCATION. New 3 bedroom 2 full baths Off frame Modular home will have a detached garage 30x40 SITE INFORMATION Do any of the following apply to the property for which this application is applied? lithe 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? Yes Property Easements Description: 60'access to 2383 Hendrix APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66x30;20x20 patio #OF NEW DROOMS:: 3 No CI:ySEMENT FIXTUR > No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ci.vpiic:nnai 06/28/2022 10:20 Page 1 of3 i Julia English From: Jesse Freeman <jfree0523@gmail,com> Sent: Tuesday,June 28, 2022 9:35 AM To: Julia English Subject: Re: 2367 Hendrix Rd Revision This is an external email. l'lease be cautious before clicking any links or attachments. If you have questions about this email, please send them to suspiciousemail(a catawbacountvnc.gov We have decided to stick with the original plan. There will be no revision at this time. Thanks On Mon, Jun 27, 2022 at 1:31 PM Julia English <JENGLISH@catawbacountync.gov> wrote: Please sign and date application revision and return by fax or email. Julia English Administrative Assistant II PO Box 389125 Government Drive,Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax https://www.catawbacountync.gov/county-services/environmental-health/ We want to hear from you. Please take a minute to take our customer service survey. English $A - • THIS IS NOTA PERMIT Case# RBPR-06-2022-41297 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18. 2 SM Residential Building Plan Review-Modular IMPROVEMENT-AUTH CONST- NEW WELL &f ? 1f k�'t1, SICK — — Contractor *SILVERPOINT HOMES (MARK*WEAVER),2125 E MAIN ST,LINCOLNTON NC 28092 B:7042403336 C:8284612716F:7042403339 MARKW@SILVERPOINTHOMES.COM Owner JESSE FREEMAN,3656 PROVIDENCE MILL RD,MAIDEN NC 28650 NAME TO APPEAR ON PERMIT Jesse Freeman SITE ADDRESS: 2367 HENDRIX RD,MAIDEN NC 28650 PIN# 365803427373 NAME of SUBDIVISION: Lot# 1 _ Section/Block PROPERTY SIZE: Square Feet Acres 29.73 DIRECTIONS: NC 16,Right onto Providence Mill RD,Left onto Hendrix RD PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well SC IBE WORK: 6/27/222 REVISED TO BASEMENT WITH BASEMENT PLUMBING, USED AS A WORKSHOP AREA. NO DETACHED GARAGE AT THIS TIME.WILL HAVE FUTURE CARPORT 26 X 26 IN SAME LOCATION. New 3 bedroom 2 full baths Off frame Modular home will have a detached garage 30x40 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? Yes Property Easements Description: 60'access to 2383 Hendrix APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 66x30;20x20 patio #OF NEW BEDROOMS:: 3 ASEMENT? Yes ASEMENT FIXTURES?.? Yes PLUMBING REQUIRED? Desire system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO 06/27/2022 11:01 Page 1 of 3 � �� CATAWBA COUNTY Case# RBPR-06-2022-41297 Public Health Department T.:, 't' '2� Subdivision Q - Environmental Health Division PIN# 365803427373 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JESSE FREEMAN),3656 PROVIDENCE MILL RD,MAIDEN NC 28650 (Jesse Freeman) Site Address: 2367 HENDRIX RD,MAIDEN NC 28650 Property Size: Square Feet Acres 29.73 Directions: NC 16,Right onto Providence Mill RD,Left onto Hendrix RD Completed applications are valid for a period of 2 years.Improvement Permits are 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.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this applicationtsite plan changes or if the intended use for the proposed facility changes.Permits may be revoked if 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 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. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 06/08/2022 $150.00 Fee Improvement Permit Fee 06/08/2022 $150.00 Well Permit&Inspection Fee 06/08/2022 $300.00 TOTAL FEES S600.00 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) chapplk coo 06/27/2022 11:01 Page 2 of 3