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RBPR-09-2022-42227.TIF
A �� THIS IS NOT A PERMIT Case# RBPR-09-2022-42227 Q" -` - CATAWBA COUNTY HEALTH DEPARTMENT �v ill' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sw Residential Building Plan Review- Manufactured Home IMPROVEMENT- AUTH CONST- NEW WELL Applicant *CMII HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658 B:8284642662 C:8282171862 OTHF,R:8284464617F:828-464-4301 R712 n,CLAYTONHOMES.COM Contractor *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON), 1265 HWY 70,NEWTON NC 28658 B:8284642662 C:828217I862 OTI IER:8284464617F:828-464-4301 R712 a CLAYTONHOMES.COM Owner CHERYL MASON,9430 WILSON RD,HILDEBRAN NC 28637 NAME TO APPEAR ON PERMIT *CMH Homes, Inc. I dba OAKWOOD HOMES #712 (Newton) SITE ADDRESS: 1905 APRILS WAY,NEWTON NC 28658 PIN# 363805192644 NAME of SUBDIVISION: FERNWOOD ACRES SUB PHASE 2 Lot N 19 Section/Block __ PROPERTY SIZE: Square Feet Acres 2.01 DIRECTIONS: Right SW Blvd,Right W C ST, Left Sigmon Dairy RD,Right Aprils Way,End 1905 Aprils Way PRIMARY CONTACT: Applicant —SEWER TYPE: Septic Tank 1-----_, 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:: 32x76 #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 ch:q,p li,,,h,m 09/09/2022 16:59 Page I of? ~bA THIS IS NOT A PERMIT Case# RBPR-09-2022-42227 ti CATAWBA COUNTY HEALTH DEPARTMENT v ~J PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /g 2 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 CHERYL MASON,9430 WILSON RD,HILDEBRAN NC 28637 NAME TO APPEAR ON PERMIT *CMH Homes, Inc. / dba OAKWOOD HOMES #712 (Newton) SITE ADDRESS: 1905 APRILS WAY,NEWTON NC 28658 PIN# 363805192644 NAME of SUBDIVISION: FERNWOOD ACRES SUB PHASE 2 Lot# 19 Section Block PROPERTY SIZE: Square Feet Acres 2.01 DIRECTIONS: Right SW Blvd, Right W C ST, Left Sigmon Dairy RD,Right Aprils Way,End 1905 Aprils Way PRIMARY CONTACT: Applicant SEWER TYPE: Public Sewer GALLONS PER DAY: 480 WATER SUPPLY: Public Water 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:: 32x76 #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 Irapplication 09/09/2022 14:46 Page I of 3 g' CATAWBA COUNTY Case# RBPR-09-2022-42227 Public Health Department Subdivision FERNWOOD ACRES SUB PHAE d ,� Environmental Health Division PIN# 363805192644 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 8 2. sw NAME ON PERMIT: *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON) ( ), 1265 HWY 70,NEWTON NC 28658 *CMH Homes, Inc./dba OAKWI Site Address: 1905 APRILS WAY,NEWTON NC 28658 Property Size: Square Feet Acres 2.01 Directions: Right SW Blvd, Right W C ST, Left Sigmon Dairy RD, Right Aprils Way, End 1905 Aprils Way 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. r r Date: - z z Signature of Applicant or Agent 0.___.7 ife �G/....----- If you need further information or assistance please call 828-465-8270 AREA1 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 S750.00 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) ehapplicatron 09/09/2022 14:46 Page 2 of'3 G) catawba county public health Application for Environmental Health Services -:-gproTHIS_*NOT A PZRAIIT ,�.��-- Apvl_i. tiorkit;ralah .,;. vaunt Permit a a►athos1rattion to Conatract ` 13gew Septic ❑Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion 0 s System Inspection or Reconnection Nero Well 0 Replacement Well 0 Well Abandonment 0 Well Repair Property Address /9 0 5- Apr 1 I S Iva/ , dt/(w)vn, NC , 2-ie 6.-8 Acres 7, o e Subdivision Lot# Drivinj Directions to Property 1 $-�.Ilw.e $IuGl Tr_ own W C. cf T L S;5�0�, I.) ,ry (Z.,J‘ T A-pr�1') Ir4y1 C.ra �q°V- jpit1 S Describe work se 4- e /tti�^' Pi-) ,AZ/o.�l � (r j: S-to 71-f c Applicant Name A phcant Address 0 Axtio�u 0 t-toyvl_..S o F Aft(- +orn, Pone $ZFs- ( ..b t"'y _70`.,, 4iyf. � 1-ff(0,Se R'71'2-e a A ic 1A)a.)0 -( CS c-.ri Owner Name C (r4i . IMaSoN "Owner Address i 4 o c Z � � Apr l s rr.'mr 1 Avo w+�, AJ(:, z4/C `Phone _April Email Contractor Name QAjt WoDU p ! _ Contractor Address t Z. 5- l-1 w s Y `7 c w i,Nf"whin, AAPhone 0 Owner j Email J Z lb au wbuDi-(o►-►i ES L Name to Appear on Permit? ��licant 0 Contractor Who will be the Primary Contact? ❑Owner ha Applicant ❑Contractor Proposed New Constriction-Residential Primary Residence (New Residence ❑ Addition to Residence #of New Bedrooms st y #of 3 Project Description ,59 p 't/<.,J Dw 3 zx 7 Occupants to Sfx5 Structure Dimensions,also sp ions of decks&porches 31,E.6 p w Co)(Ca Feu-.,+ Docks 606(Choose One) ❑Basement wl �✓+r Space0 Slab If Basement,Will There Be Water Using Fixtures in Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes Q/No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement 0 Crawl Space 0 Slab if Basement,Will There Be Water UsingF' Retaining Wall>2' ❑ Yes Q'NoFixtures Basement ❑Yes 0 No Accessory Structure(;)Describe Plumbing ❑Yes a No Describe Plumbing Needed Structure(s)Dimensions (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using F' Retaining Wall>2' 9 Yes No �g rxtures]n Basement 0 Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment'►t Total#Bedrooms in Structure''t #of Occupants Structure Dimensions (Choose One) 0 Basement Q Cr,w1 Space ❑ Slab If Basemen Will There Be Water Us' Fixtures In Basement Retaining Wall>2' ❑ Yes @ No t' ❑Yes 0 No ' Well Construction/Aband,�on�nt/Repair Proposed Well Type ice"Individual Well 0 Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored 0 Dug 0 Unknown Well Repair Requested 0 Yes Q 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 Strictures on Site Describe #ofRedtooms'� Structure re Dimensions #of Occupants Basement 0 Yes 0 No Basement Plumbing 0 Yes 0 No 0 Individual Well Shared Well-Number of ectionsu 0 Community Well 0 County/City/Township Water Line Is a.public water supply available?*_ 0 Yes of • Commercial 0 Proposed New Conelruedon 0 Ethan/Chill' (4'0* ClIttPair Food Service Specify Type #Seats Dining Area(Sq.Ft) #Employees per Shift #of Shifts Church #of Seats____ _ Daycare[ Yes 0 No #of Children #.of Commercial Kitchen Yea 'rnployeea per Shift #of Shifts 0 No Residential Kitchen {]Yes 0 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 pro in question. If answer to any question is`yes",applicant must attach supporting documentation. ley ❑Yes a o Does the site contain any jurisdictional wetlands? O Yes ElirNo Does the site contain any existing wastewater systems? �o Y s' l o Is any wastewater going to be generated on the site other than domestic sewage? 0-Yes Cs Is the site subject to approval by any other public agency? O Yes Drho Are there any easements or right of ways on this Describe If applying for an ImprovementproP� 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 Er-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 EH Staff. **If No,a well permit must be issued with the Authorization to Construct. RET)UP TO THEYROPERTY ANDLORJYS REDESIGN WILL INCu R eN ADDTT7 NAL cur (SEE FE Environmental Health soil/site evaluations -� ��`�����D El for ironall undergroundrequire digging,augering,and/or probing into the ground.Property owner/applicant is responsible marking 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 S with complete plat=without expiration. An Authorization to Construct will remain valid as longas the Improvement ( years s )'va .An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may e revoked thinfoPrmation 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 h�read this application and certify that the information provided herein is true,complete and correct. Authorized county and state offigranted 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 or legal agent of the owner. Signature of Owner or Legal Agent /1-1 ; Z ttt C o Date "1 - C Printed Name of Owner or Legal Agent___D Gi Y'l n y C C I C{' C • Catawba county Geospatial Real Estate Search MAKING. LIVING. bE,TER. Information Services „JA 1.73A se. 4 g 4886 • PQ .��' srQ� 0 i r 47. 4�► r�-- Q � 1.60A G o� 3766 R-20 4..‘ \ •(*).?•N R-20 ,� .� ice' Q, C Y 2.01A `\ 2644 \ \ N . k ,:. - 4O 2.48A �\ f) 7�Y 1520 ,, . / �h . Sam . \ v. /„,,,, 4/0"/NN N we lin=80ft S Parcel: 363805192644, 1905 APRILS WAY NEWTON, 28658 Owners: MASON CHERYL P, Owner Address: 9430 WILSON RD Values - Building(s): $0, Land: $16,300, Total: $16,300 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: 363805192644 Owner: MASON CHERYL P Parcel Address: 1905 APRILS WAY Owner2: City: NEWTON, 28658 Address: 9430 WILSON RD LRK(REID): 30686 Address2: Deed Book/Page: 3315/0639 City: HILDEBRAN Subdivision: FERNWOOD ACRES SUB PHASE 2 State/Zip: NC 28637-8203 Lots/Block: 19/ Last Sale: $10,000 on 1983-01-01 School Information: School District: COUNTY Plat Book/Page: 17/159 Elementary School: STARTOWN Legal: LOT 19 PLAT 17-159 Calculated Acreage: 2.010 Middle School: MAIDEN Tax Map: 047N 10004 High School: MAIDEN Township: NEWTON School Map State Road #: 2109 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoning1: R-20 Building(s) Value: $0 Zoning2: Land Value: $16,300 Zoning3: Assessed Total Value: $16,300 Zoning Overlay: DWMH-O Year Built/Remodeled: / Small Area: STARTOWN 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 #: 3710363800J If available, Building Permits for this parcel. Septic 2010 Census Block: 2008 links are not permits. 2010 Census Tract: 011702 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. .� p ()c Building Details 1 Vt WaterShed: L c -—m 1-1(A) d Voter Precinct: P34/Voting Map t L-} Parcel Report Data Descriptions x� �� List all Owners Deed History Report Assessment Report k),„D L S 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 Environmental Health Pco raj h 'NC5O y6 p 161 ., 2,� • Parcel: 363805192644, 1905 APRILS WAY 1in=80ft NEWTON, 28658 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