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
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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