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HomeMy WebLinkAboutEHPR-12-2022-42968.tif $� THIS IS NOTA PERMIT Case# EIIPR-I2-2022-42968 3411 CA'I'AWBA COUNTY I IEAI:1'1 I IDI',PAR'I'MENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 SM Environmental Health Plan Review-OSWP EXS_SYSTEM Applicanl FI,ORI?N('IO CAI,I)ERON,9175 COOKSVILIJ? RD,VAIJ'.NC 28168 C:8282264416 NAME TO APPEAR ON PERMIT Florencio Calderon SITE ADDRESS: 9175 COOKSVII.I.I?121).VALE NC 28168 PIN # 266803002002 NAME of SUBDIVISION: Lot# 4 Section/Block PROPERTY'SIZE: Square Feet 82,328.40 Acres 1.89 DIRECTIONS: hwy 10 west,turn right on Cooksville Rd,3 miles.At stop sign straight 2 miles on left. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Existing System Inspection for migrant housing. 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF migrant housing EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 60x47 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: ehapplication 12/07/2022 16.59 Page I of 3 , ,ice• CATAWBA COUNTY Case# EHPR-12-2022-42968 (......,,,f. Public Health Department Subdivision < ; Environmental Health Division J .__ PIN# 266803002002 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 /42 .. NAME ON PERMIT: (FLORENCIO CALDERON),9175 COOKSVILLE RD,VALE NC 28168 (Florencio Calderon) Site Address: 9175 COOKSVILLE RD,VALE NC 28168 Property Size: Square Feet 82,328.40 Acres 1.89 Directions: hwy 10 west,turn right on Cooksville Rd,3 miles.At stop sign straight 2 miles on left. 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 AREA1 ************************************************************************************************************ SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) chapphcauom 12/072022 16:59 Paget of 3 trk'i cat bca, county ' THIS iS NOT A PERMIT f''''''' Application for Migrant Housing Property Address: !11 5 O)V 111t _12,,c1 _ A___---- \)ut-e, ,NC 2..ii(o (Ciilyi (ZIP) Applicant Name: \-,-ii (5_pa11 i C. WO -V\ Fay rvv/A(s .1-nc• Applicant Address: 13$9,_---_--__coo V_-�k•e.� Vdlei) one: Ctzs LZ(e' `-lq)(e Owner Name: ELaftagio rot — --- — —Owner Address: GI15 Coo 'i ill_e_ Rd _\k t..._N C ZO ne: q.to3 .4 49j -2.01-48 Driving Directions to Property: t[t) l0 W-es4- itY(.6-_, 'Y rah -_._ oil._C.00�FSr/1I 1-e ° -6 m Le. L5±OE 5;_n9 ii__ 0 5-I-rsii�llt __,,_- AAA e ors !-F-F . Water Supply: 'Individual Well`" D Community Well D Public Water *Water sample application required Structure Dimensions: Basement: dyes 0No Basement Plumbing: Ft Yes ❑No Number of Bedrooms: 3 Maximum Number of Occupants: _CO Any room that will be intended for sleeping of the time of construction of for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will he r_ontirmed by rooms identified on floor pions as a bedroom at the lime of building permit issuance.This may prevent the need tot septic system expansion in the future. Calculate Design Flow: , 3 1_.54—(This value will be determined by EH staff) The applicant shall notify the local health department upon submittol of this application if any of the following apply to the property in question.If the answer to any question if"yes,"the applicant must attach supporting documentation. Yes No Does the site contain any jurisdictional wetlands? Yes No Does the site contain any existing wastewater systems? ❑Yes No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes flo Is the site subject to approval by any other public agency?❑Yes No Are there any easements or right-of-ways on the property? Describe_ ______ -- —__ -- Completed applications are valid for a period of 2 years. 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 or 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 the le I agent of the owner. Signature of Owner or Legal Agent: - ‘°t‘'*". Date: /2 _ 6 72 Printed Name of Owner or Legal Agent:rtoiev c o Cut.acY o1'_. 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 Catawba County Environmental Health (62) 2394 0 "p (628) N.0 eiNCr .9175 Abg\ •9177 •9173 ■ s� 2002 ■ 096411111014 9944 s0 4 rho (Ni e�y 3 .75 49.„ ?� 2 40 ' 40.00 50.2 6099 4 `O 4057 Parcel: 266803002002, 9175 COOKSVILLE RD 1 in=80ft VALE, 28168 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 12/06/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 266803002002 Owner: CALDERON REYNALDO Parcel Address: 9175 COOKSVILLE RD Owner2: CALDERON MARTHA City: VALE, 28168 Address: 9175 COOKSVILLE RD LRK(REID): 101090 Address2: Deed Book/Page: 2911/0243 City: VALE Subdivision: State/Zip: NC 28168-8880 Lots/Block: 4/ Last Sale: $186,000 on 2008-05-09 School Information: School District: COUNTY Plat Book/Page: 65/153 Elementary School: BANOAK Legal: LOT 4 COOKSVILLE RD PL 65-153 Middle School: JACOBS FORK Calculated Acreage: 1.890 High School: FRED T FOARD Tax Map: Township: BANDYS School Map State Road #: 1105 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: COOKSVILLE Zoningl: R-40 Building(s) Value: $202,900 Zoning2: Land Value: $13,600 Zoning3: Assessed Total Value: $216,500 Zoning Overlay: WP-O Year Built/Remodeled: 2008/ Small Area: PLATEAU 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 #: If available, Building Permits for this parcel. Septic 2010 Census Block: 1011 links are not permits. 2010 Census Tract: 011802 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-III Protected Area Voter Precinct: P2/ 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. • CATASIBA COUNTY /-/ ,.r,,,Public Health Department Case# WLS2007-01585 Y, 1 (. ` t Environmental Health Division Subdivision ;'119,( l?/ PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 Sect/BUPh/Lot# 4 \•„1;-.e- (828)465-13270 FAX(828)465-8276 TDD(828)465-8200 PIN# 266803002002 Applicant/Owner: TRAVIS NORMAN S\11106 Site Address: 9175 COOKSVILLE RD VALE NC Property Size: SF 1.89 ACRES • Directions: •\ HWY 10 W/RIGHT ON COOKSVILLE RD/GO 3 MILES/STOP SIGN/GO STRAIGHT 2 MILE ON LEFT Catawba County Health Department Operation Permit C-. o ki v 11., P.- (3) i (Jo r, ne.(+t ,►.• ST6 16b 10w1_ f . i T.--/ Be a.., - - System Code .� System Type: Description: DS 5 0 e.`J t'-1 • " Types V and VI systems expire in 5 years. (In accordance with Table a) Owner must contact health department 6 months prior to exiration for permit renewal. PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule.1961. II. Monitoring: As required by Rule. 1961. III. Maintenance: As required by Rule . 1961. Other: L / Subsurface system operator required? Yes No If yes,see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: This system has been installed in compliance with applicable North Carolina General Status Rules for Sewage Treatment and Disposal,and All conditions of the Improvement Permit and Construction Authorization. System Installer Installation Vale Aut o izeci 5tatef agent Date of Operation Permit lssurance Form F c\Tirlenwr{\FonnAArWMPArin • .•,r,^,,;p. . CATAWBA COUNTY *,` .','� ,Public Health Department Case# W1S2007-01585 i:y v) Environmental Heal.,,h Division Subdivision \�� ` /~' PO Box 389, 100-'A Southwest Blvd,Newton,NC 28658 Sect/BUPh/Lot# •.,:s,i.. ' (828)465-'4270 FAX(828)465-8276 TDD(828)465-8200 PIN# 4 266803002002 Applicant/Owner TRAVIS NORMAN PSite Address: 9175 COOKSVILLE RD VALE NC °s � Property Size: SF 1.89 ACRES 1 Directions: HWY 10 W/RIGHT ON COOKSVILLE RD/GO 3 MILES/STOP SIGN/GO STRAIGHT 2 MILE ON LEFT / Improvement Permit Permit Valid For: Five years v No Expiration Facility(Residential): House / House X Mobile Home Multi-Family Bedrooms 3 New? ✓ Addition? Projected Daily Flow 3G o g.p.d Water Supply Private Well? I/ Public? Semi-Public? — Basement: Y Basement Plumbing: Y HotTub/Spa: N Special Fixtures(explain): Proposed Wastewater System: '5 5- Fe_°)"`'*"".% Type: ail Proposed Repair: 2_S 5. f e-.i.L.-R. -N. Permit Conditions: Owner or Legal Representative ignature: _ - Date: Date: Authorized State Agent: 6 _.,r( Date: j Z/ Zo/6 7 The issuance of this permit by the H h Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and additional attachments( Vi ). Proposed Wastewater System: j an a• Type: Wastewater Flow _3.6 o g.p.d New Repair Expansion Soil LTAR: . 3 g.p.d./ft2 Type of Facility: 3 Q e 14-�o- Basement: Y Basement Plumbing: Y HotTub/Spa: N Special Fixtures(explain): Wastewater System Requirements I Tank Size: Septic Tank 0 O t) gal Pump Tank gal Grease Trap gal Drainfield: Total Area: 9 b O sq ft Total Length: 30 0 ft Maximum Trench Depth 2_4 I in Trench Width 3' ft Minimum Soil Grayer i L" in Minimum Trench Seperation CI , ft Distribution: Distribution Box Serial Distribution ✓ Pressure Manifold LPP Other Additional --�S--e_cificattions: �-k`4P ..I I '^r}.1 .0 5e. f-. m:n . '. so'4 re., G.�.1.nd: iact W�(.� t I. o ^ pi,fis-f ►51C1..-• 1.,«O ItTnS4• i11 t.,c.$ a.N e.nt-..ve * D. ,.o+ T...J.-%dfw2 t P:Ik. outer sys4--^1 Authorized State Agent: g ._p` Date: (2.. I L, /o 7 Permit Expiration Date: I L(Lo 111., I have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: 1,1 'yyt,� U Illy¢ Date: �L I ()7 Form B r.\7-„k,n n r pfm m,vwcsm m.rnr ' /, ' , C,ATAWBA COUNTY y' `cA Case# WLS2007-01585 /* �..\, Public Health Department I. 1 Environmental Healrh Division Subdivision \''\,"\ I j PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 SecUBL/Ph/Lot# 4 --� y� (828)465-'8270 FAX(828)465-8276 TDD(828)465-8200 PIN4* 266803002002 Applicant/Owner TRAVIS NORMAN Site Address: 9175 COOKSVILLE RD VALE NC Property Si SF 1.89 ACRES Directions: HWY 10 W/RIGHT ON COOKSVILLE RD/GO 3 MILES/STOP SIGN/GO STRAIGHT 2 MILE ON LEFT ® Improvement Permit ® Authorization To Construct D Well Permit SITE PLAN NI t C. o�trs..;11e. fLo< < N 0 OD 4O' 3 e R.14 0%,'L I4 ' 1 It k- -.. c,1(- 7. t o � � M 7s'/--. ------------- `1' a 0 tet.k, /3,4 , 7r, � • '"N Scale V System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. i g - i L ' z., ' o7 —Author @ d State gent Date Form C r•Vi d ema t kkFe,mNIV LSaaa.n,r This is a true copy ROBERT 4. MWIWJJt'JAX. PLI.,: Prepared by and return to: Robert A. Mullinax-Robert A. Mullinax, PLLC,Attorneys, P. O.Box 148, Newton, NC 28658-0148 (mhb) ******** ********************** ,* cck4.4..k******:(..{..1..i.-I*******„******************* NORTH CAROLINA ) EASEMENT FOR SEPTIC TANK DRAIN FIELD ENCROACHMENT CATAWBA COUNTY ) THIS EASEMENT made this the 22nd day of June 2023, by and between Reynaldo Calderon and wife, Martha Calderon, whose mailing address is 9175 Cooksville Rd. Vale, NC 28168 hereinafter referred to as parties of the first part, and Reynaldo Calderon and wife, Martha Calderon, 9175 Cooksville Rd. Vale, NC 28168 hereinafter referred to as parties of the second part. WITNESSETH: Whereas, the parties of the first part are the owners of Lot 3 Plat Book 65, Page 153, Catawba County Registry, and the parties of the second part are the owners of Lot 4 in Plat Book 65, Page 153, Catawba County Registry, described in a deed recorded in Book 2934, Page 74, Catawba County Registry. Whereas, a septic tank is located on Lot 3 that serves both Lots 3 and 4.The drain field for the septic tank flows onto and encroaches onto Lot 4. The parties of the first part and second part have agreed to grant an easement to give use and access to both Lots 3&4 for the location, maintenance, and upkeep of the septic drain field. NOW, THEREFORE, for valuable considerations, the receipt of which is hereby acknowledged,the parties hereto do hereby give,grant and convey to each other, their heirs and/or successors and assigns, a perpetual right and easement to construct and maintain over, across and upon Lot #3 & #4, septic tank drain fields, and to go upon said lands whenever the same is 1 reasonably necessary for the purpose of inspecting, maintaining, and repairing said septic tank drain fields, provided that in constructing and repairing said septic tank drain fields, said parties shall interfere as little as is reasonably possible with plants and natural growth upon the lands of the parties hereto, make level the ground above said drain fields, and to the extent reasonably required restore the same to its previous condition, which right and easement shall be appurtenant to and run with the property of the parties hereto. The properties upon which the aforesaid rights and easements are granted are Lot 3, Plat Book 65, Page 153, Catawba County Registry being identified by the Catawba County Tax office as PIN 2667-01-09-0984 and, Lot 4, Plat Book 65, Page 153, Catawba County Registry being identified by the Catawba County Tax office as PIN: 2668-03-00-2002. TO HAVE AND TO HOLD said rights and easements to the said parties hereto and their heirs and/or successors and assigns in interest, for the purposes and subject to the conditions aforesaid. The parties hereto warrant that they are the owners of the within described property and have the right to convey the within easement. When reference is made to any of the parties, the singular shall include the plural and the masculine shall include the feminine or neuter. IN WITNESS WHEREOF,the parties hereto have executed this Deed of Easement the day and year first above written. Ra- eil4 E�AL} Re naldo Calderon KC& (SEAL) Martha Calderon NORTH CAROLINA, CATAWBA COUNTY. ` n 0-W , a Notary Public, do hereby certify that Reynaldo Cal on and Martha Calderon personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes expressed therein. Witness my hand and notarial seal, this the Z day of -4)-j. i LC , 2023. 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REYNALOO CALDERON00.08 atl0 rite,MARTHA CALDERON \ 11 O.ed Beek 2934 Page ARIL 5d \ Property AaWest:9177CeMslffrRaae Vole,N.C.78169 NC P/N#2667-01-09-0984 WA TEPSNEO r.A55/RCA 7ION.NB-PI PRO FCC ITO AN:,: Lot 3 Plat Book 65-153 REYNALDO CALDERON and wire,MARTHA CALDERON REYNALDD CALDERON end rife.MARTHA CALDERON DN.!Hook 2934 Page 0074 LEGEND en 'Anne eh SnM1"p ,\ ••% NIP • T3. T. IOW Pea Ilrf Am* \1 PP Peer Pole `yd Sewer lM \ PRel 4,nFr LNe \ I- roe,*lti EIf WO \\`\` Nn ax L. L✓O Tww.ade Ler abed.Ow E.' Oereee w..PenceM A re/SNfv CI<55/RCA LION:415-Ia PROTEC TED AREA ® .......... 'Exhibit Map"A" M" "i.ta1 SEP0KD0ABE7fL0/SEWfR EASEIENTBEftiEENPARCH WWII, iy ;rawer Yan REYNALDO CALDERON and wife,MARTHA CALDERON 4% WWI. Lots 3& 4 Plat Book 65-153 Yw.rr o NC P/N#1667-01-09-0984 N.C.PIN#2668-03-00-2001 ROAD ❑ COOASVILLE 72 BANOYS TOWNSHIP CATAWBA COUNTY,NORTH CAROLINA sR.ros Scale:1'"60' 07. mBy:OCR. Ogle.4-28-2023 Fief d Book.No.#pl/Ne211CAL0917Ser5 SITE DARRIN L. REID, PL5 Surveying and Planning 0' 30• 60' 120• 60' 1B0' 2729 GETTYSBURG PLACE I CLAREMONT,N.C.28610 VICINITY MAP-NOT TO SCALE GRAPHICAL SCALE:r=so' (828)459-9699 i Julia English From: Michelle Lail Sent: Thursday, June 22, 2023 5:11 PM To: Julia English Subject: RE: 9175 Cooksville Rd Julia, Has the deed been recorded? I cannot provide legal advice (especially to a land owner). I do feel that they need to make reference to 'see exhibit A' for description or they need to include the metes and bounds from the survey. Also,the need to make sure that the survey is legible. I tried to zoom in and the calls were fuzzy at best. Thanks, Michelle From:Julia English Sent:Thursday,June 22, 2023 4:58 PM To: Michelle Lail<MichelleLail@CatawbaCountyNC.gov> Subject: 9175 Cooksville Rd Would you be able to map this septic easement with the attached documents? I'm not see the description of the size... does the map suffice? As long as they record it with the deed? Julia English Administrative Assistant II PO Box 389 125 Government Drive, Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax https://www.catawbacountync.gov/cou ntv-serviceslenvironmental-health/ We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tamese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol Catawba county MAKING. LIVING. snug. 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