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HomeMy WebLinkAboutRBPR-07-2022-41603.TIF • • THIS IS NOTA PERMIT Case# RBPR-07-2022-4 1603 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig SM Residential Building Plan Review- Manufactured Home gem IMPROVEMENT- AUTH CONST- NEW WELL — 1J317ZAi C'nk - Applicant *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658 B:8284642662 C:828217I862 OTFIER: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:828217I862 OTHER:8284464617F:828-464-4301 R712@CLAYTONHOMES.COM Owner LANDVESTCO HOLDING COMPANY LP, 1381 GRAND OAKS LN,HICKORY NC 28602 B:8283244455 NAME TO APPEAR ON PERMIT *CMH Homes, Inc. I dba OAKWOOD HOMES #712 (Newton) SITE ADDRESS: 3080 MEDICINE BOW,CLAREMONT NC 28610 PIN# 375504846306 NAME of SUBDIVISION: WILDERNESS TRACE PH 5 tot# 157 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Oxford School Rd/Rest Home Rd!Wilderness Trace/Left Great Divide!right Medicine Bowl across from New Spirit Road PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: DW mobile home 28 x 44 w/6 x 6 front&rear deck 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 properly? o APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 44 w/6 x 6 front&rear deck #OF NEW BEDROOMS:: 3 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 eIapplicatn,n 07/13/2022 15:22 Pane 1 of 3 4' =� THIS IS NOT A PERMIT Case# RBPR-07-2022-41603 � )-' CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES SM Residential Building Plan Review-Manufactured Home IMPROVEMENT- AUTH CONST- NEW WELL Applicant `CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658 B:8284642662 C:828217I862 OTHER:8284464617F:828-464-4301 R712@CLAYTONHOMES.COM CLAYTONHOMES.COM Contractor 'CMH HOMES,INC./DBA OAKWOOD HOMES#7I2(NEWTON), 1265 HWY 70,NEWTON NC 28658 B:8284642662 C:8282171862 OTHER:8284464617F:828-464-4301 R712CCLAYTONHOMES.COM Owner LANDVESTCO HOLDING COMPANY LP, 1381 GRAND OAKS LN,HICKORY NC 28602 B:8283244455 NAME TO APPEAR ON PERMIT *CMH Homes, Inc. / dba OAKWOOD HOMES #712 (Newton) SITE ADDRESS: 3080 MEDICINE BOW,CLAREMONT NC 28610 PIN# 375504846306 NAME of SUBDIVISION: WILDERNESS TRACE PH 5 Lot# -157 Section/Block_ _. PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Oxford School Rd/Rest Home Rd/Wilderness Trace/Left Great Divide/right Medicine Bow/across from New Spirit Road PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: DW mobile home 28 x 44 w/6 x 6 front&rear deck 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? APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: vacant lot #OF NEW BEDROOMS:: 3 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 ch�ipplica�ion 07/08/2022 12:40 Page I of3 CATAWBA COUNTY Case fl RBPR-07-2022-41603 • t Public Health Department Subdivision WILDERNESS TRACE PH 5 �, Environmental Health Division PIN# 375504846306 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1 w NAME ON PERMIT: 'CMH HOMES,INC./Dl3A OAKWOOD HOMES#712(NEWTON) ( ), 1265 HWY 70,NEWTON NC 28658 'CMH Homes, Inc./dba OAKW( Site Address: 3080 MEDICINE 130W,CLAREMONT NC 28610 Property Size: Square Feet Acres 0.46 Directions: Oxford School Rd/Rest Home Rd I Wilderness Trace!Left Great Divide!right Medicine Bowl across from New Spirit Road 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 application/site 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 AREA2 FEENAML DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 07/08/2022 $150.00 Fee Improvement Permit Fee 07/08/2022 $150.00 Well Permit& Inspection Fee 07/08/2022 S300.00 TOTAL.FEES $600.00 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) ehapplication 07/08/2022 12:40 Page 2 of 3 catawba county public health Application for Environmental Health Services THIS IS,I4tOT A PERMIT Application is for: Dew Construction ❑Existing Facility Eomprovement Permit EAuthorization to Construct New Septic 0 Septic Repair/Malfunction []Septic Relocation 0 Septic Expansion ❑ xisting System Inspection or Reconnection [ New Well 0 Replacement Well ❑Well Abandonment 0 Well Repair Property g v P �'Address � NA c Gj g a t.J C( a.-c^r^,�,.�,r>c, , Acres 3 Subdivision Lot# Driving Directions to Property T(Z- 1Z 4.4,'D i_ t s 3 L/, T e C„n 6/U rori S rc.:sY -ji i, ,4 Tl /Jr W, / 7 2 /Lc /6, /L o (>4) SC Csu! J C Ito, -/et,„y K� Describe work c''-t ss, t i i'L As' c g k,.) Applicant Name Q AKA Qo o Korn eS u F fV? t- t on, Applicant Address (Z(D 5- h( low //V<< }kr), CZ 2 K(O SI( Phone W 2 K- �(b t{ - 2(0 6 z- IEEmail 2-7 t Z e Owner Name L A-\d, tie sr C Owner Address l 3 li I ( a A-k S LA- / c e �., / /t/C Phone Email Contractor Name 0,A-K wuuO 1-10rr)4S Contractor Address I Z G r 1-1w 1 -7 o w 1--#wt-u 7, A/C, Phone crtr- q(ou- 2(0G7___ Email 7/Zd) 04ewou0i- or,)E : C�,r►, Name to Appear on Permit? ❑Owner E 1�pplicant ❑Contractor Who will be the Primary Contact? 0 Owner aApplicant 0 Contractor Proposed New Construction-Residential Primary Residence ©'New Residence ❑ Addition to Residence #of New Bedrooms`t 3 #of Occupants Project Description S e F — w d g,), '1 61)(e t 1c. Structure Dimensions,also spely dimensions of decks&porches W.h Ile ar Deck (Choose One) 0 Basement le a rawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ;rj Yes 0 No Retaining Wall>2' .❑ Yes D'{lo Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes 0 No Describe Plumbing Needed (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure`t #of Occupants Structure Dimensions (Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' 0 Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type 0'Individual Well ❑Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored 0 Dug ❑ Unknown Well Repair Requested 0 Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes ❑No Environmental Health Catawba County Government Center,25 Government Drive I PO.Box 389,Newton, NC 28658 Phone: (828)465-8270 Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov '4"LcilnraalRc1QVe THY Inform �Z services Real Estate Search si /Thlt, to 30.20 20.59 .5-21,-(.........±11. _ 207.10 ' 169.451 v l Fi65 * \� 115. 208.51 vu 75j�) /44� 015� e. vi-3611.1f4) I lit? le4.40 Sb0 .4 S 61'69'4( C ( . 1 g N SP �. g. 191.40 Lk 113.22 , - `\i, Q� a? 11 32' s t t w w N w+E s 1 inr•8O t Parcel: 878504846528, 3156 MEDICINE BOW CLARE ONT, 28610 Owners: LANDVESTCO HOLDING CA 'ANY LP, Owner Address: 11 °PAN° &KS HIV values •fluitdingls):$O, Wild: $9;800, Total 89,300 no mopfrapctt proud yobs ta.bn4ip'e the�►CWrs�jr e{ !�USA� _ vuetY ,n°nt uh asps ron � trt4d bn tti�s.n p i Irr�, . wba tYy s mid sum r orts ose Ps+Iwu peAdont fl iI d D ![q Pe►dt t1O r•The comply catA'!itii. 1ptd1# gd ond tussf sa a� �II ss" N J(��Pf 01 Ut1 ifc my � ' ') do(1d d or U �i OF may Ccungr NC 19/1717fyi Catawba County Environmental Health • .3115 g 1E4.40 .3118 30I co 158 a NEW SPIRIT 191.40 0 co oo 37 .3090 V p` o to cr; 157 o p 3083 99.36 198.16 78.18 •3042 cid a 21.59 156 75,71 205.91 83.51 •3004 Parcel: 375504846306, 3080 MEDICINE BOW lin=50ft CLAREMONT, 28610 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 2021 Catawba County NC 07/08/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: - 1 owners Parcel ID: 375504846306 Owner: LANDVESTCO HOLDING COMPANY LP Parcel Address: 3080 MEDICINE BOW Owner2: City: CLAREMONT, 28610 Address: 1381 GRAND OAKS LN LRK(REID): 403899 Address2: Deed Book/Page: 3040/1364 City: HICKORY Subdivision: WILDERNESS TRACE PH 5 State/Zip: NC 28602-8800 Lots/Block: 157/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 62/73 Elementary School: OXFORD Legal: LOT 157 157 PL62-73 WILDERNESS TR PL Middle School: RIVER BEND 62-73 High School: BUNKER HILL Calculated Acreage: .460 Tax Map: School Map Township: CLINES State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoning1: R-40 Building(s)Value: $0 Zoning2: Land Value: $9,300 Zoning3: Assessed Total Value: $9,300 Zoning Overlay: DWMH-O,WP-O Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710375500J If available, Building Permits for this parcel. Septic 2010 Census Block: 1017 links are not permits. 2010 Census Tract: 010101 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details C WaterShed: WS-IV Protected Area ije.d coovrN. S 300,00 Voter Precinct: P27/Voting Map Parcel Report Data Descriptions Minor Subdivision: P&Z Case Number: N,..) LOClvyU0 Mobile Home Park: E911 District: COUNTY 1 List all Owners Deed History Report Assessment Report 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. ©2022,Catawba County Government, North Carolina.All rights reserved. 1J HOMES • ( z.... 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