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HomeMy WebLinkAboutRBPR-08-2022-41944.TIF C A �G TIHS IS NOT A PERMIT Case# RBPR-08-2022-41944 CAl'AWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 842 sM Residential Building Plan Review- Manufactured Home EXSSYSTEM RIAJi9(1 461,D Applicant *OAKWOOD HOMES#712. 1265 70 HWY W,NEWTON NC 28658 11:7047547097B:8284642668 C:8282175480 HOME:7047547097 OTI1ER:8282171862F:828-464-4301 R712 (ACLAYTONI IOMES.COM Contractor *OAKWOOD HOMES#712, 1265 70 HWY W,NEWTON NC 28658 H:7047547097B:8284642668 C:8282175480 IIOME:7047547097 OTHER:8282171862F:828-464-4301 R712 @CLAYTONHOMES.COM 411. ROBERT MAST IBURN,6345 VALWOOD RD,CONOVER NC 28613 NAME TO APPEAR ON PERMIT *OAKWOOD HOMES #712 SI E ADDS 6335 VALWOOD RD,CONOVER NC 28613 PIN# 374502566545 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet illeD0.97 DIRECTIONS: Left US 321,Right 12th st,Le' 've,Right Lee Cline RD,Right St Peters Church RD,Left Valwood PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well ES RIBE WOR : 9/2/22 INCORRECT ADDRESS APPLIED FOR REVISE TO 6335 VALWOOD RD PER DANNY ODDIE PREVIOUS DESCRIPTION: New doublewide 3 bedroom manufacture home w/6x6 front&rear decks 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 single wide will be removed EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: _ #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x68,6x6,6x6 #OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 09/02/2022 15:41 Page 1 of 3 .4453 a . CATAWBA COUNTY case# RBPR-08-2022-41944 .t.it 2 Public Health Department Subdivision Q . „1 Environmental health Division PIN# 374502566545 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /8. su NAME ON PERMIT: *OAKWOOD I TOMES#712 ( ), 1265 70 HWY W,NEWTON NC 28658 *OAKWOOD HOMES#712 ( ) Site Address: 6335 VALWOOD RD,CONOVER NC 28613 Property Size: Square Feet Acres 0.97 Directions: Left US 321, Right 12th st,Left 1st Ave,Right Lee Cline RD,Right St Peters Church RD,Left Valwood end at 6345 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. C � / Date: 2 Z Z Signature of Applicant or Agent0/t If you need further information or assistance please call 828-465-8270 AREA2 FEENAME DATE FEE AMOUNT Existing Tank Check Fee 08/11/2022 $80.00 TOTAL FEES $80.00 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) 09/02/2022 15:41 Page 2 of 3 (3 Catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT a�p�:o�tign�ice*. , .�W 0 Improvement Permit Li Authorization to Construct -` ; m� ew Septic 0 Septic Repair/Malfunction 0 Septic lRelocation 0 Septic Expansion Existing System Inspection or Reconnection 0 New Well r]Re lacement Well JWeil 'g4'd Abandonment 0l Repair Property (0 3 3, J Q(t,.>a o c Rd, (e n Q,e r Ames Subdivision Lodi Driving Directions to Property -r-(Z_ Rev440 514.v T_ L CAS- 3 Z-( / T p n j, j Z h YL )S Sf e _ C ,q• T L o ni-0 ,y <'o-, # �K li l r, '', `T(L. A.41, c L Y.g Describe work L t- �w R®1 . s,,�.G�3S Applicant Name ( +A 00 0 :t, ,a,..'-,es 0 F ?c-3+-On, Applicant Address l Z Co,S Id t�.,f 7Ot,a �,`vt,�•i- 4 Z�(oS-f� Owner Name one 24 . N ie q ' 2 f o 4 z— Email R.'71 Z7. o R-1C cJ D}-(�x•,-1 CS G.r't xo be.t pa r.�l� t1/�AS 1.,„ ,.r,, Lt „_O n�Address (z3 .}lax _ 3.44 C vote r N C Z IfG#3 ' ' .Email ' Contractor Name Q Alt tti u 0 j i Orr1 S Contractor Address t Z G1 l4wj '7 a w ,Nt wt . vn, ^/(, Z r'3` Phone z fi- L4%u- Z Z Name to 1 Email 4 7!Z-4)0A-k.Wou6#-leer,ES. c'M AApear on Permit? Q gApplicant a Contractor Who will be the Primary Contact? ❑Owner [Applicant a Contractor Proposed New Constrn on-Residential Primary Residence New Residence 0 Addition to Residence #of New Bedrooms•i 3 #o Project Description �e - U P A D vi f Occupants L Structure Dimensions,also specify dimensions of decks&porches Z 8 X Log Dui • co X` l=ru,.�} (Choose One) ❑Basement tea 1 Space `►�'GK 6F�O Q,G,� �v1c- 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ago Retaining Wall>2' ❑ Yes t No Accessory Dwelling t#of New Bedrooms*t #of Occupants (Choose One) ❑Basement Structure Dimensions (,]Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' .0 Yes ❑ No Accessory Structure(:)Describe Plumbing 0 Yes 0 No Describe Plumbing Needed Structure(s)Dimensions ' (Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water UsingFixtures In Basement Yes Retaining Wall>2' fl Yes 0 No ❑ 0 No Multi-Family Residence #of Apartments ##Bedrooms per Apartment's Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement Retaining Wall>2' ❑ Yes a No a Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug 0 Unknown Well Repair Requested 0 Yes a No Describe i Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes a No Environmental Health Catawba County Government Center,25 Government Drive I P0. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 1 EHAdmin@CatawbaCountyNC.gov Bidding Mina,Wel on Site Describe #of Bedrooms* Structure Dimensions #of Occupants Basement .Yes 0 No Basement Phmmbing 0 Yes C3 No I! Individual Well 0 Shared Well-Number of Connections 0 Community Well {3 County/City/Township Water Line Is a public water supply available?** 0 Yes 0 No Ceinmeraliti d Proposed New Construction Wig/Change orll e Food Service Specify Type #Seats Dining Area(Sq.Ft) #Employees per Shift #of Shifts Church #of Seats Daycare 0 Yes 0 No #of Children #of. Commercial KitchenYesEmployees per Shift #of Shifts 0 0 No Residential Kitchen �Yes .Q No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial (This value will be deteiptined by FH stall) The Apphcsnt shall notify the local health department upon submittal of this application if any of the followingapply to the o question. If answer to any question is"yes",applicant must attach supporting pP y pr petty in p documentation. Yes q Does the site contain any jurisdictional wetlands? D Yes Does the site contain any existing wastewater systems? !�3 Yes Is any wastewater going to be generated on the site other than domestic sewage? Is the site subject to approval by any other,public agency? ❑Yes o Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) O Accepted CD Alternative fl Conventional D Innovative ©Other E,�' '�S --cr 0 Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by Eil Staff.**If No,a well permit must be issued with the Authorization to Construct. RETRIP TO TILE PROPERTY AND/OR SYSTEM EDESIGN WIL .aCUR N n . �P GLcEE FE St"`ARDITr.Fj Environmental Health soil/site evaluations require digging,angering,and/orprobinginto the for marking all underground utilities,including but not limited to:under gable,telephone,gas, owner/applicant nes,anirrigation is responsible systems/sprinkler systems.Catawba County Environmental Health is not responsible fond power,r damage to unmarked utilities. and 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 prope o legal agent of the owner. Signature of Owner or Legal Agent ( .:L- _ c4, Date Z Z-Z Printed Name of Owner or Legal Agent 4,1 Ci y l t o 1 (/ C t(� E- €.4 Catawba county Geospatial Real Estate Search MAKING. IIYIMG. IITTFR. Information Services 151.41 -•& 1--,orni.,.j Ic\ico c----\ ..) —9 0 Oo v 5N (150) CURLEE RD o CO w N w+e 1 in=60ft S Parcel: 374502566545, 6335 VALWOOD RD CONOVER, 28613 Owners: MASHBURN ROBERT DARRELL, Owner Address: 6345 VALWOOD RD Values - Building(s): $800, Land: $14,800, Total: $15,600 This mapireport 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 09/01/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 374502566545 Owner: MASHBURN ROBERT DARRELL Parcel Address: 6335 VALWOOD RD Owner2: City: CONOVER, 28613 Address: 6345 VALWOOD RD LRK(REID): 26809 Address2: Deed Book/Page: 2629/0971 City: CONOVER Subdivision: State/Zip: NC 28613-8756 Lots/Block: / Last Sale: School Information: Plat Book/Page: School District: COUNTY Elementary School: OXFORD Legal: Middle School: RIVER BEND Calculated Acreage: .970 High School: BUNKER HILL Tax Map: 0317 01001 Township: CLINES School Map State Road #: 1519 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: OXFORD Zoningl: R-20 Building(s) Value: $800 Zoning2: Land Value: $14,800 Zoning3: Assessed Total Value: $15,600 Zoning Overlay: Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-12-18 Building Permit Address Search for this parcel. Firm Panel #: 3710374500K If available, Building Permits for this parcel. Septic 2010 Census Block: 1010 links are not permits. 2010 Census Tract: 010201 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: Voter Precinct: P33/Voting Map Parcel Report Data Descriptions 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. • .CATAWBA '.COUNTY. •HEALTH• DEPARTMENT, ' A., 3 • . NEWTON';; , NORTH; 1CAROLINA L GL 1747. f' 0 • ' ' . . GO P;LETION ;,PERMIT FOR.- _S,EPTIC ,TANKS`• PERM_I�T . 'N° 10'15•- - • DATE;::,- 41//:,../..,(kf. . • OWNER IgtgitA11 °i:" M4,•6'etf -'. ADDRE•S'S. ' , • • • • • , • iBUILDING' CONTRACTOR; ' ' SUBDIVISION • I LOCATION _ � f P LOT: # I LOT SIZE • • BLOCK- OR SECT ION ' _ - - • • ' 9 , (: ); HOUSE , :MOBILE HOME BUSINESS ( ') OTHER -(,`')• `FHA-VA LOAN` ' {: ;)- .. SEPTIC. TANK;: •(SI'`ZE. • 19.00 GALS) WATER SUPPLY:' • ` •• • I- • • _ ;NO:, BEDROOMS • NO FIXTURES • - INDIVIDUAL ,c + PUBLIC r ' GARBAGE DISPOSAL UNIT YES• ( NQ - ( F WLL ) IE , TYPE;: BORED • DRILLED •f DUG • : AUTO WASHING MACHINE; Y S'' ( ). NO ( ') DISTANCE FROM -SEPTIC- TANK OR NEAREST - ,• 'NITRIFICATION FIELD: :OP. . SQ:FT: -POLLUTION .68 :- I. _ 'FT r ' '. • .I) NUMBER OF LINES SEPTIC TANK NS'AL.E,D BY ' • . 2) LENGTH;,_AND. WI'D.T1i • OF 'LINES b.• ` •- -.�I (Q 6' PERMIT ,FEE• $ c • j • , • `A) BED; SYSTEM t4") - CERTIFICATE OF _' MPLETfON .,BY: —• 1 YSTEM� �-, =- {-• , /t. -''' tr. � - =,b.3_TRENCH S: :( .)� �� .- .- 3) •DEPTH ..OF •STONE :IN-LINES %'Z ' .REMARKS : -, • • :.. ,. ' •_ -.. ADEQUATE `FALL (;GRADE) ON -• - • i - • 1) BUILDING (HOUSE) SEWER LINE.: . ' ,YES ( • NO K. �• _ 2) .:NITRIFICATION 'LINES;: , • DATE .INSTALLED• ,:: - • -_ • •'_�.�-- : i .,..-. °.-. , , , . .Y•ES ;('X) NO; :(: )• • • . ' . . _ _ :••T - . 0 ' SEPTIC TANK LAYOUT - • w 1 0' •o' j` a' I _, • 1 i Y NEALTH;DEPARTMENT•C01* . • _ • - • ��r ,..® ScA'FAWS,F,COU:I*'4X •HEALTEi' DEPARTMENT' o/ '� : • .:4 ! '/ • ' . .,31 P.ROVEME T• PERMIT F R'iSEPTIC'TANKS // flit ,• 14. .-1.<? .;.(... ;...;5. (. .. 61.. . l:(_ .g..,. ,• - • •ADDRESS`.OF. `OWNER R' , PHONE .. . . _-. ..•. •NAME OF CONTRACTOR ' ` .. �_ ' _• . ". ADBRESS . • . .. LOGi4TY'OIJ j . 1 ' ....5., -. :7,' i / , i • , } -:'SUBDIVISION - • r .,• : LOT NO. -. ' - • . SECTION ,OR.•BLOCK'-: ' .l .• . ` • .. . 'YinSIZ•E - "''FHA, LO),N ,epi VA , , . Septic TankContrac tor cru l st follow 'a11. ROUSE C.) MOBILE HOME B 06' U (.SINESS: .•),•'OTHER ( ). • Details of`_tfiis permit (layout)--I'•: --• -. KO'. BED'ZOOMS' (i )•.NO:. FIXTURES ( ',) - . - •SEPTICI'TANK_-LAYOUT I . GARBAGE DISPOSAL •UNIT: YES •( ) NO ( ) > ' PLUMEING UNDER BASEMENT FLOOR YES ( ) NO ",(")'` ''.• ` r. ti • 1 SIZE ..OF TA 1K 110'O f 'LIQUID••CALLONS '°' ". - NITRIFICATION 'FIELD: • _ ," • ' ' 1: .Number of lines • • ` 2 'Length and Width• of lines • y . - _,'.` a Bed iSysteai 4.6. • x /. 0 _. ft. 3 . . . b. ' Trench -system',. • f,t,. . ' • - .1• - ... 3 . .-To,ta1 Depth:•of ..s.tone. 1.Z 11..nc1'1es. .3' ` • 1Y . ' GROUNDWATER INTERCEPTOR DRAIN: 1-: r -t- - . : • r.- (IF''REQUIRED)` - .. • : • �%gro'te v- - a��- • y ' •.: 'EATER SUPPLY: P1RIVATE QC) PUBLIC`:( ) y • , i .;OWNER NOTIFIED TO. .CHECK •ZONING YES QQ NO •.( .) ':( � ' lOWNER-AGREES'WITH LAYOUT; .�ES~ ;-?...NOS'('•)---•-. - =:k- �.V. �,.- . . ..' - .. .: =_ v OtJNIER AGREES WITH .SPECIAL INSTRUCTIONS:.•YES1- Go NO ( )' ,� . 'OWNER OR CONTRACTOR SIGNATURE. • - '' ` • • PERMIT.'.FrEE" . . .. - PERMIT• VOID AFTER=-36 MONTHS • -- • .5 = 1 - '_ .- . . 4. `•T PROVEt:ENT PERMIT ISSUE : t % - t• -EALT I;`jDEPT ,COPY`'. • • . SOIL ,CLA•SSIFICATIO'I ;SUITABLE':('•.)y''PROVISMIONALLY',S,UIrTA3LE •.('f)' UNSUITABLE' ,(t:•)t- : . ,:SITE. FACTORS . • . . .: 1 '-;SLOPL •(a): ., %. - S: - PSZr:: U.•' 1., ••:SO.•IL,:PERMEAB`IL+ITr S• - PS'„-4.12;. 2:• SOIL', TEXTURE. ,(12'-4;8�IK:;), •• S - .P.S' .•'U: :UNDER 60. ►1IN._- 'OYER;r60-Mitt-. . . . ' ' - . SANDY„ :LOAMY,.CI XYF-Y. :• ' - : 8::-. :OTHER . - • . S --_-.PS ,U- - 3. SOIL"STRUCT,URE (12�4.8 2N.), : S,•- :PS'- U, ,(SPECIFY.).. " - • • .�"- . •' - .4 _ SOI.L- •DEPTII cIN ) ;Si- 'PS ..0 :9:. ...SOTIT SERIES: I ':- 5': :RESTRICTIVE HOPIZONS (IN",) ,. . S• - 'PS -:+U.-' A.,; CEGIL ( ) "B: )-i01.-.. SEE."•(`) • ' . - � :(- • ITi ERV PIOLS STRATA ROCK) ,. , ' •C,•. ' MADISON'.(.") D., APPLING ( . ' -:6,. $o L DRAINAGE. GROUNDWATER• - ' '' S •:PS U E•: PACOLET,,'( ,) F. FLOOD PLAIT( C..).,; '(EXTERNAL ' I•NFERN'AL) '.• G. 2 i CLAY SOIL H.•�OTHER SPECIFY