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HomeMy WebLinkAboutRBPR-09-2022-42226.TIF -$A THIS IS NOT A PERMIT Case# RBPR-09-2022-42226 rC' • �" ti CATAWBA COUNTY HEALTH DEPARTMENT - PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 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: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@CLAYTONHOMES.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: 3118 MEDICINE BOW,CLAREMONT NC 28610 PIN# 375504846417 WILDERNESS TRACE PH 5 NAME of SUBDIVISION: Lot# 158 Section/Block PROPERTY SIZE: Square Feet Acres 0.46 DIRECTIONS: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left Great Divide,Right Medicina Bow PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 4 bedroom Dbl wide Manufacture home w/6x6 front&8x8 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? 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? No 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28x68 #OF NEW BEDROOMS:: 4 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 ehapplication 09/09/2022 14:22 Page I of 3 CATAWBA COUNTY Case# RBPR-09-2022-42226 t~�(...,.IR 'L Public Health Department Subdivision WILDERNESS TRACE PH 5 • Z —3 Environmental Health Division 5, PIN# 375504846417 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON) ( ), 1265 HWY 70.NEWTON NC 28658 *CMH Homes, Inc./dba OAKWI Site Address: 3118 MEDICINE BOW,CLAREMONT NC 28610 Property Size: Square Feet Acres 0.46 Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School,Left onto Rest Home, Right Wilderness Terrace,Left Great Divide,Right Medicine Bow 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 th e owner of the property or legal agent of the owner. Date: / c- Z 2_ Signature of Applicant or Agent "--Z Cl -� If you need further information or assistance please call 828-465-8270 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 09/09/2022 $300.00 Fee Improvement Permit Fee 09/09/2022 $150.00 Well Permit& Inspection Fee 09/09/2022 $300.00 TOTAL FEES $750.00 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) Awpphca'ion 09/09/2022 14:22 Page 2 of 3 A ��e�sU� catawba county puolic health Application for Environmental Health Services THIS IS OT A PERMIT Application is for: ew Construction ❑Existing Facility j ❑Improvement Permit E Authorization to Construct RiNew Septic ❑ Septic Repair/Malfunction ❑Septic Relocation ❑ Septic Expansion O xisting System Inspection or Reconnection Q New Well ❑ Replacemgqjnt Well ❑Well Abandonment ❑ Well Repair Property Address 3 I i R ,MeG k-ii& 60c.,) / (la re ,,--j- NL, Z,(o/0 Acres , 53 Subdivision I Lot# Driving Directions to Property OkeiJk E on 1,-) ( f 4 St -I'I_ A)(— I G I 7- le Ox-0E-d S c.k/, TL pAto (2-es4- 4-(vi e 2.) , T1— 6, 1c1 ,r eess 1-Pce / TL Cam.-evfi- D u0e, 'T e N1lJ ,( <w e.v.) Describe work 'e� - tAe lie b) 8 W Applicant Name a A-Kwo3`p lion-es o7- /(J-t„t}uet Applicant Address jet (2GS' 1. .,y 7°w 1 A)et* , AJC, 2 k-651-- Phone cCZfr - cf ti-Z&L L Email CfCtH„V. 0d6l,e.Q, o/4KWWDliOvr(GS. Co" '► Owner Name L-,aAicf Vis'frc o K.(d' _ Owner Address 13 s( G r-o%,vj oil-rS liN Phone Email Contractor Name 1Lt. 0 g ovv)l-s Contractor Address ('Z Gs- Fi vi 7o ) t ,,,,e w f v.-.,A )C ( Z. gb Si( Phone $2 Sr- ' (Y- Z 6C 2— Email El to Appear on Permit? Owner I , pplicant ❑Contractor Who will be the Primary Contact? ❑Owner ❑✓Applicant ❑Contractor Proposed New Construct' Residential Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *t #of Occupants 3 Project Description 5e i- LA p of- Ak..! DI GJ Structure Dimensions,also specA,dimensions of decks&porches Z r, (g- p►^) (ij 1(6 / 4- ,k,(, .,- (Choose One) ❑Basement Cra l Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes 0 No Retaining Wall>2' El Yes I "No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions_ Plumbing El Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t__ #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement, Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Well Construction/Abandon nt/Repair Proposed Well Type gIndividual Well 0 Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes 0 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 I Fax: (828) 465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Structure Dimensions #of Bedrooms * #of Occupants • Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well ❑Shared Well—Number ofections 0 Community Well 0 County/City/Township Water Line Is a public water supply available?** ❑ Yes o Commercial 0 Proposed New Construction ❑ Existing/Change of Use ❑ Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare 0 Yes ❑No #of Children #of Employees per Shift #of Shifts _ Commercial Kitchen ❑Yes ❑No Residential Kitchen ❑Yes ❑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 t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If f he answer to any question is"yes",applicant must attach supporting documentation. ❑Yes �B"�o Does the site contain any jurisdictional wetlands? ❑Yes C�TNo Does the site contain any existing wastewater systems? ❑}des o Is any wastewater going to be generated on the site other than domestic sewage? es o Is the site subject to approval by any other public agency? ❑ Yes No 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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other EKArny *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 EH Staff. ** If No, a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. 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 th wner. Signature of Owner or Legal Agent -- 6:719(('/.: Date Printed Name of Owner or Legal Agent_ l 0 C ''L catawba county Geospatial Real Estate Search MAKING. LIVING, !UTTER. Information Services 177.11 R-40 co 6528 0 r- • o CO 5"a 60/ z 0 oC I G /( 6417 i (O t� 217 O CTY ✓cy�4 `— • /r( R 191.40 6306 N wt 1 in=40ft s Parcel: 375504846417, 3118 MEDICINE BOW CLAREMONT, 28610 Owners: LANDVESTCO HOLDING COMPANY LP, Owner Address: 1381 GRAND OAKS LN Values - Building(s): $0, Land: $9,300, Total: $9,300 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 09/09/2022 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 375504846417 Owner: LANDVESTCO HOLDING COMPANY LP Parcel Address: 3118 MEDICINE BOW Owner2: City: CLAREMONT, 28610 Address: 1381 GRAND OAKS LN LRK(REID): 403900 Address2: Deed Book/Page: 3040/1364 City: HICKORY Subdivision: WILDERNESS TRACE PH 5 State/Zip: NC 28602-8800 Lots/Block: 158/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 62/73 Legal: LOT 158 158 PL62-73 WILDERNESS TR PL Elementary School: OXFORD 62-73 Middle School: RIVER BEND Calculated Acreage: .460 High School: BUNKER HILL 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. a 1? OC Building Details �r>��. WaterShed: WS-IV Protected Area Lf c-t{C _f' 1..-1cs�c A Voter Precinct: P27/Voting Map Parcel Report Data Descriptions `(J " u� List all Owners Deed History Report Assessment Report �,J I<,tie ¶Lj. 1, .,; 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.