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Home My WebLink AboutEHPR-3-11-10036 (2).TIF �� C O� THIS IS NOT A PERMIT Case # EHPR-3-11-10036 � a CATAWBA COUNTY HEALTH DEPARTMENT c� �; :;: '�' Plan Review Application for Environmental Services 1 42 SM1 Environmental Health Plan Review - OSWP Q�� IMPROVEMENT - AUTH CONST - NEW WELL � �� NAME TO APPEAR ON PERMIT p� � . �;h� Julia Thornton s�TE A�DRESS: 3804 CROSSING CREEK DR, Claremont, NC Pin#: 376304841391 NAME of SUBDIVISION: CROSSING CREEK Lot # p7' � 5 Section/Block/Phase PROPERTY SIZE: Square Peet Acres 0.49 DIRECTIONS: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to Crossing Creek Rd / Lot on Left. APPLICANT OWNER CONTRACTOR Julia Thornton LANDVESTCO HOLDING COM (MOH SETUP) CLAYTON HOMES #81 2806 Oslow ST 1381 GRAND OAKS LN /CMH INC Hickory NC 28602- HICKORY NC 28602 1230 CONOVER BLVDCONOVER NC (828)612-2559 28613 828-465-3450 PRIMARY CONTACT: Contractor APPLICATION� ew onstruction DIM EXISTING STRUCTURE: EXISTING FACILITY_7_Y_P_E�A11.A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: N/A CALCULATED DESIGN FLOW: Public water availability is *UNKOWN* for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: SEPTIC TOO CLOSE TO PROPERTY LINE MUST MOVE Single Wide Mobile home - Must meet appearance code - Single roof / vinyl siding ** must have min. 36 sf front deck / must remove towing tongue/ must have vinyl underpin / must be parrell to road PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 1 PROJECT DESC: Single Wide Mobile Home PROJECT DIMENSION: 25 x 76 BASEMENT? No BASEMENT FIXTURES? No APPLICATION FOR WELL CONSTRUCTION/ABANDONMENTIREPAIR PROPOSED WELL TYPE: Individual Well ABANDONMENT TYPE: WELL REPAI REQUESTED? I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this pr e y. q-{epresentation by you of house or structure location should conform to applicable setbacks. � il Date: �' � 1 � �� Signature of Applicant or Agen ! An Environmental Health Specialist will contact yo� within 2 working days of application date. If you need further information or assist ce please call 828-466-7291 AREA2 *��*��*��********�************��*****�******��****�*�***�************�***********�*********************************�** 04/04/II 12:27 �qA CATAWBA COUNTY Case # EHPR-3-11-10036 Q . G Public Health Department `" � Environmental Heaith Division - Plan Review Subdivision CROSSING CREEK d " '� `�' PO Box 389, 100-A Southwest Blvd, Ne�vton, NC 28658 Lot# PT 15 r8 2 sw PIN# 376304841391 ApplicantJOwner Julia Thornton, 2806 Oslow ST, Hickory NC 28602- Site Address: 3804 CROSSING CREEK DR, Claremont, NC Property Size: SF 0.49 ACRES Directions: Hwy 70 to Rock Barn GRd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to Crossing Creek Rd / Lot on Left. Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE A to Construct (Repair) Fee 04/04/201 1 $150.00 $0.00 Improvement Permit Fee 03/25/2011 $150.00 $0.00 Well Permit & Inspection Fee 03/25/201 1 $300.00 $0.00 TOTAL FEES $600.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/04/11 1227 ;� �� THIS IS NOT A PERMIT � CATAWBA COUNTY HEALTH DEPARTMENT �, �; Application for Environmental Services Page 1 �84 �M Improvement Permit ❑ Authorization to Construct ❑ Septic Repair.�Septic Malfunction ❑ Septic Expansion ❑ New Well Permit 0 Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ,� Existing Facility ❑ PropeMy Address 3�� y ��S�J �='� �� lJ21 , Subdivision ' �� = � " � L � 1r11 � Lot # Acres � ection/B1ocWPhase Driving Directions to Property �'�D� � �2,�i ;� �i� . % D ��n �/LJ/�, j , � (!/ �t/ _��C1"� � � �� , iZ� � ��c� � �.�9L !i'c5� � �i �� _ p � �� -�� k' !R-� - � W � NAME TO APPEAR ON PERMIT? wner ❑ Applicant ❑ Contractor O Applicant Contact Information U Name � �'� W Address � L 7�, l�ric (o ,�. � L�i �� v� ni ,(' , Z� � O m . � Phone ��— 2 2/- Q' �, Cell Phone � Owner Contact Information � Name '� ��f� � - n � l c� �/ � Address 'Z �� „�� x IC /�G �r ; � - tv � � � Phone � z.. Z Ll c_ b �' Cell Phone � Contractor Contact Information � Name � Z _ D�t/ U� 1�� Address / L 3 :� � �3.�vG �,/� Q- /� � . w . ' � - ��.1 �� . v L - 2 I IU 1 � = Phone � � �- f �—, � �f � Cell Phone � 2 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant !� Contractor Description of E�sting Structures on Site / Z '/ -� �u°'� �� Q # of Bedrooms *�' � Structure Dimensions �� # of Occupants �_ � Basement ❑ Yes �No Basement Fixtures ❑ Yes ❑ No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) OG Describe � Proposed Future Structure Dimensions # of Bedrooms *�' if applicable ? Are there easements or right-of-ways recorded on this property ❑ Yes ❑ No Describe Is a public water supply available on or adjacent to the above properiy ** ❑ Yes � No Check type available ❑ Community Well � Semi-Public Well ❑ County/City/Township Water Line Existing water supply in use .� Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EV PROCEDUES) ` a� G THIS IS NOT A PERMIT � � a CATAWBA COUNTY HEALTH DEPARTMENT `' '°° � A p plication for Environmental Services Pa ge 2 1 842 w Proposed Facility Type ❑ Primary Residence �New Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description Structure Dimensions # of Occupants Base ment ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms * j' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plu mbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit* j' Tota # Be * j' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Emp per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial j Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. �'If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. W CHANGE WORK ORDER REQUIltING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) a I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental � Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand 0 that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the proposed facili �. An Autborization to Construct issued by this department is valid for m (5) five years from the date issued and is no transferabl� � Si ature of Owner or A ent ''� �� _ � g � Printed Name� of Owner or Ag t � R— Date G / ' Z� -- � � .��' Cp� CATAWBA COUNTY, NC � �, 100-A South West Blvd pLAN RECEIPT r-� Newton, NC 28658- U ,i �� ' (828)465-8399 Monday, April 4, 2011 1g42 sM www.catawbacounrync.gov P�an �ase: EHPR-3-11-10036 �nvoice Number: INV-4-11-273725 Environmental Health Plan Review Invoice Date: 04/04/2011 Site Address: 3804 CROSSING CREEK DR, Claremont, NC APPLICANT OWNER CONTRACTOR Julia Thornton LANDVESTCO HOLDING COM (MOH SETUP) CLAYTON HOMES #81 2806 Oslow ST 1381 GRAND OAKS LN /CMH INC Hickory NC 28602- HICKORY NC 28602 CONOVER NC 28613 (828)612-2559 828-465-3450 r081@clayton.net Fee Name Fee Amount Authorization to Construct (Repair) Fee Adjustable $150.00 Total Fees Due: $150.00 PAYMENTS PAYER: Jimmy Parker Clayton Homes Inc Date Pay Type Check Number Amount Paid ChangE 04/04/2011 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 ��lan rcc�ipt 04/04/201 I 122� .y��'� THIS IS NOT A PERMIT Case # EHPR-3-11-10036 � � �" � CATAWBA COUNTY HEALTH DEPARTMENT U �� ''C Plan Review Application for Environmental Services 1g�2 5M Environmental Health Plan Review - OSWP � 1. �; IMPROVEMENT - NEW WELL �� j� l,1 � �� NAME TO APPEAR ON PERMIT Julia Thornton siTE A��RESS: 3804 CROSSING CREEK DR, Claremont, NC Pir�: 376304841391 NAME of SUBDNISION:CROSSING CREEK Lot # PT 15 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.49 DIRECTIONS: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to Crossing Creek Rd / Lot on Left. APPLICANT OWNER ONTRACTOR Julia Thornton LANDVESTCO HOLDING COM (MOH SETUP) CLAYTON HOMES #81 2806 Oslow ST 1381 GRAND OAKS LN �CMH INC Hicko NC 2 602- HICKORY NC 28602 1230 CONOVER BLVDCONOVER NC (828)612-2559 28613 828-465-3450 PRIMARY CONTACT: Contractor APPLICATI N'FOR'� � nstruction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Se tic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE N1A � CALCULATED DESIGN FLOW: Public water availability is *UNKOWN" for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: Single Wide Mobile horne - Must meet appearance code - Single roof / vinyl siding ** must have min. 36 sf front deck / must remove towing tongue/ must have vinyl underpin / must be parrell to road P ROPERTY EA none PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 1 PROJECT DESC: Single Wide Mobile Home PROJECT DIMENSION: 25 x 76 BASEMENT? No BASEMENT FIXTURES? No APPLICATION FOR WELL CONSTRUCTION/ABANDONMENT/REPAIR PROPOSED WELL TYPE: Individual Well ABANDONMENT TYPE: WELL REPAI REQUESTED? I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 ******************************************************�*�*******************�***************�*�*�********************* 04/O1/I 1 11:50 ��' C� THIS IS NOT A PERMIT Case # EHPR-3-11-10036 �" �� y CATAWBA C�UN�'Y HEALTH DEPARTMENT v -.,�. ^C Plan Review Application for Environmental Services I842 SM Environmental Health Plan Review - OSWP IMPROVEMENT - NEW WELL NAM T APP ON PERMIT Julia Thornton SITE ADDRESS: 3804 CROSSING CREEK DR Claremont, NC Pin#: 376304841391 NAME of SUBDIVISION:CROSSING CREEK Lot # PT 15 Section/Block/Phase PROPERTY SIZE: Square Peet Acres 0.49 DIRECTIONS: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to Crossing Creek Rd / Lot on Left. APPLICANT OWNER CONTRACTOR Julia Thornton LANDVESTCO HOLDING COM 2806 Oslow ST 1381 GRAND OAKS LN Hickory NC 28602- HICKORY NC 28602 (828)612-4455 PRIMARY CONTACT: Contractor APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY 7YPE: N/A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water availability is *UNKOWN" for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: Single Wide Mobile home - Must meet appearance code - Single roof / vinyl siding ** must have min. 36 sf front deck / must remove towing tongue/ must have vinyl underpin / must be parrell to road PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: PROJECT DESC: Single Wide Mobile Home PROJECT DIMENSION: 25 x 76 BASEMENT? No BASEMENTFIXTURES? No APPLICATION FOR WELL CONSTRUCTION/ABANDONMENT/REPAIR PROPOSED WELL TYPE: Individual Well ABANDONMENT TYPE: WELL REPAI REQUESTED? I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a norrexpiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this pr er y. fl�r p esentation by you of house or struct re location should conform to applicable setbacks. Date: ��' ZS ( � Signature of Applicant or Agent � � An Environmental Health Specialist will contact you rthin working days of application date. If you need further information or assis nce please call 828-466-7291 AREA ***************�****************************************************�*****�*****�****�*********�**************�******* 03/25/I I 13:39 �gA � CATAWBA COUNTY Case # EHPR-3-1 1-]0036 � G Public Health Department Subdivision �"' a Environmental Health Division - Plan Review CROSSING CREEK � 6"iE '�" PO Box 389, 100-A Southwest Blvd, Newton, NC 2R658 Lo� PT I S Ig 2 � PIN# 376304841391 Applicant/Owner Julia Thornton, 2806 Oslow ST, Hickory NC 28602- Site Address: 3804 CROSSING CREEK DR, Claremont, NC Property Size: SF 0.49 ACRES DireCtions: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to Crossing Creek Rd / Lot on Left. Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 03/25/2011 $l 50.00 Well Permit & lnspection Fee 03/25/201 1 $300.00 TOTAL FEES $450.00 CHANGE WORK ORDER REQUIRING REDESIGN ANDIOR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/25/11 13:39 _�� , THIS IS NOT A PERMIT �' � CATAWBA COUNTY HEALTH DEPARTMENT � �� Application for Environmental Services Page 1 U , , �jp t 1 84 2 sn, . , Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit 0 Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ E�sting System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Egisting Facility ❑ Property Address J�� C�D 55 �� L� �k �C O�Z . Subdivision � (7�-%iYlD rV�� ,� _C , ,'� � ( 11 Lot # Acres ) Section/Block/Phase Driving Directions to Property `� �� W� � 0 0 1Z�✓ — fI ) V�• .��'/j9fl� f� v-+� o�.l�C. � IRO. o/� � �4 �-�G � I b ,0�19 Z . / ♦ . �1� Q. nS S � L'Q.� � k' ~ � � L �� o-� t- • W a NAME TO APPEAR ON PERNIIT? ❑ Owner �Applicant ❑ Contractor O Applicant Contact Information U Name � � "—' �D,.�/ W Address �L e S L� Sf - iG .C. L��ovv m Cell Phone � Phone . j�, ti _ -y S� = Owner Contact Information � Name L, �, Gp Z Address d „. � G)L' F. � l�� L Q ph L _ t� ,(� Cell Phone � Contractor Contact Information W Name o.,. �S v� • � Address " �..� , � , C�.v t� ✓�C1Z ,,✓�L, L b l � � t7 v�✓D (/CGL Z. = Phone � � j - ?j �/S� Cell Phone F� Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant � Contractor Description of Existing Structures on Site Q # of Bedrooms * j' Structure Dimensions # of Occupants � Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) � Describe � Proposed Future Structure Dimensions # of Bedrooms *�' if applicable Z Are there easements or right-of-ways recorded on this property ❑ Yes No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes .� No Check type available ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Existing water supply in use [� Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALU PROCEDUES) �� THIS IS NOT A PERMIT � � � CATAWBA COUNTY HEALTH DEPARTMENT `' °° � Application for Environmental Services Page 2 I842 w ' . Proposed Facility Type � Primary Residence � New Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description �� L �ip �jl� Structure Dimensions �}'� �� # of Occupants � Baseme ❑ Yes � No Basement Fixtures ❑ Yes �'] No ❑ Accessory Structure(s) Describe # of New Bedrooms *� if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedrooms *� St ructure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial �' Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 house plans as a bedroom at the time of building pernut issuance. This may prevent the need for septic system size increase in the future. �'If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. Note: You must obtain Zoning approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. � CHANGE WORK ORDER REQUIItING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) a I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental 5 Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand c that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain 0 V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the propose '.._ An Authorization to Construct issued by this deparhnent is valid for m (5) five years from the date issued and is ot trans able ~ I � � Signature of Owner or Age - � Printed Name of Owner o Agent � i+� � ��'�Z- Date ,� - 2 S-1( � � Catawba County, North Carolina N Thrs map product was prepared jrom the Cu�awba County, NC, Geographic L�jormutron System. Catawba County has mude substantiul eJjorts m ensure �lre accuracy oflocation and labeling injonnatian ' caunined on this map. Cntawba Counry promotes and recommends the independent verification ojany . ' � dnta contarned on this map product by the icser. The Counry of Catnwba, its employees, agents und personr�e/ disc(aim, and shall not be held (iable jor any and al! damnges, loss or lrabiliry, whether direct, indirect . or consequential which arises or may arise from �his mup product or the use thereojby any person or entiry. LEgBild Selected Parcel Number: 3763-04-84-1391 1 inch = 60 feet Prepared for: ;� +��--_._� � t � ` ' 0 ;� � . �:}� � i 13: , � o0 ; � � � �_ �� . � N � �, � M � $ 2��9�;� . � � �' � �� 9 � �- - � ,., ^ � �, � � r - - � o - �= . . w � , =7 g , � � t- . . .1_��9 S _ R-30 ''�;J � � � �.3 . $ � :.--- -.�. �, � �fi � � 0 � _ �f� . 59 : � �••-' '� � �,� 6 � , �- ` � � � �� 7 .�.�. : �� ;� �- � 4 �,�' . ;� c,,,, � � . �� c�, �. � �= � ,� _, , o � r � t-- � 5. 9 , 4 �� . � . � � , 33 �3 � _� � R-30. : � U ! c�' "`''= c � � 3 8� '-° N� s ; N Z'� � �0 6$ . �'�9 : � . � , -: 391: � � � �r.. � ,�. � � � � �� , f � � � : f - 45 �, ; 21:�15 . : �. N� o , - : ; , �p5 ! co �� . � ..�. � 6 f� . . � ,r� . :; ..48� � . � .�} .__»__--� _� r �^ . ; ; , �� ::�, �� ,` � � rf f �� ' � � ' � � . '� `� ` �'�? � � � 5 � p � �, - • 4 � - .r 2. '� 5 � : . �` r . : � - g2 .5 �J�� 52 � ,� � • �S `� � , � � � '�� q� � � � T , w 4 :� � ' � 4�D � � 10 �� 105 � 3 � R 0 + �. � . THIS IS NOT A LEGAL DOCUMENT � t � Tuesday, March 22, 2011 10:35 AM 4 ' S{ � � _ j ` � , � l , � _---- � CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) ParcellD: 3763-04-84-1391 . ' Name: . LANDVESTCO HOLDING COMPANY LP Name2: Address: 1381 GRAND OAKS LN Address2: City: HICKORY State: NC � Zip: 28602-8800 . Account: 159765200 Calc Acreage: 0.49 Tax Map: 2515 01015 • LRK: � 66909 Deed Book: 3040 Deed Page: 1364 Subdivision Name: CROSSING CREEK Subdivision Block: Lots: PT 15 Plat Book: 23 Plat Page: 248 Building Number: .3804 Street Name: CROSSING CREEK DR Site Zip: 28610 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Totaf Bldgs Value: Land Value: $10,200 � Total Value: $10,200 . Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: WS-IV Protected Area � Watershed Split: NO Voter Precinct: P27 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N. Zoning Overlay: DWMH-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL � School Split: NO P&Z Case Number: Census Tract 2010: 010101 Census Block 2010: 3022 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Tuesday, March 22, 2011 10:35 AM I � �$A C � CATAWBA COUNTY PERMIT �, �� ZONING AUTHORIZATlON (R) F.� � Manufactured Home � .�►. (� ;' �� P. O. Box 389 Phone: 82$-465-8380 PERMIT NO: ZONR-3-11-16385 I OOA Southwest Blvd FAX: 828-465-8484 APPLIED: 03/25/2011 r� Ne�vton, North Carolina 28658 ISSUED: 03/25/2011 I$ L� !i SM www.catawbacountync.gov EXPIRES: 09/21/2011 Catawba County Internet Citizen Access Portal: energov.catawbacountync.gov/cap/ APPLICANT OWNFR CONTRACTOR Julia Thornton LANDVESTCO HOLDING COM 2806 Oslow ST 1381 GRAND OAKS LN Hickory NC 28602- HICKORY NC 28602 ****** NO CONTRACT012S ASSIGNED ****`* P�oPERTY iD#: 376304841391 STREET ADDRESS: 3804 CROSSING CREEK DR, Claremont, NC LOT# PT 15 PROJECT DESCRIPTION: Single.Widz Mobile home - Must meet appearance code - Single roof / vinyl siding ** must have min. 36 sf front deck / must remove towing tongue/ must have vinyl underpin / must be parrell to road COMMENTS: FLOOD ZONE? OWNER TYPE: Residential (Private) 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: �enta] FLOOD PLAIN STRUCTURE? No REQUIRED SETBACKS FRONT: 30.00 REAR: 30.00 CORNER: SIDE: 15.00 MAX HEIGHT: 15 FEE DESCRIPTION DATE FEE AMOUNT - Residentia Zoning Fee 03/25/2011 $25.00 TOTAL FEES $25.00 The aoalicant herebvi certifies that all information and attachments to this Certificate of Zonin� Com�iliance are true and correct and acknowledees that this �ermit was issued on the basis of the information reauired herein The applicant further acknowledges that any construc[ion, alteration or addition which differs from this application shalt be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply �vith all existing deed restrictions pertaining to thc property. Issuance ofthis permit is not certification of such compliance and does not relieve Applicant of the duty to comply. *�`This Zoning Authorization (K) Permit shall e�cpire-si months from the date of issuance unless a building permit is secured and remains activ �� 9�-��i . - �' �� ..�C �- zC� APPLICANT NANIE (PRINTED) PL ANT UP.E ZONING APPROVED BY � COMYANY NAME ***** ZONING FEES ARE NO1V-REFUNDABLE ***** E��" °1 � 03i25/2011 13:49 Page 1 of I 3� c �ss; � �r �; � � ��ATAWBA CO�JN ALTH DEPARTMENT � \ � � r + Telephone: (7�4) 46�5�- }'!�D: + (704) 465-8200 _ � � � � Improve. Permit Authorization to Construct �\Repair Permit_Oper. Permit System Type _> Owner/Agent �jL��t� ✓� �CZf ;.t,'�. f l Phone H. � �� Address Subdivision /��%�S/�� ►'� � S ct'on/Block/Phas `� Lot#� L S'ze D'rections: '�,:.� ;.. .�CUv < �,�' �,4 ��- c - �.� �C� �� - c>� r�� ; � Facility: House Mobile Home Business . Other: Tax Map # -' Multi-family Other . Zonirig Approval # � � # Bedrooms # Seats # Employees . Application Rate �� GPD Flow 3_ t�_ Hot Tub or Spa yes/no Special Fixtures . 100� kepair Area yes/no Basement yes/�� Basement Plumbing yes/no / ' Water Supply: Private Well � Public 4-'" r ��``�� r L,� b srwrw**wwwwrw�*arrtt,r�i.t+«wr*wrwrw*,r**rr+rt«►a.rr�►++rtww«,tww,►wrwrtair+*rarr.t�tww,t,ewwwwwt♦ *w tr♦ i T�rpe of Syatem: Trench ^ Bed Pump _Pump/Panel Panel LPP Other- - Tank Size: Septic Tank Size �U�� Pump Tank Size Nitrification Field: Total Square Feet �(,' Depth of Stone �L �/<<�c Bed Size i � Trench Width �3 Total Length of All Trenches ��C- Number of Trenches � Individual Trench Length �-� (�� / l�% / / Feet on Center %� Maximum Trench Depth �E� � � Distance of Nearest Well *DO NOT ZNSTALL WHEN WET+ wtia,►wwwww+wwwwirrtrr+raar+wwtw�*wwrWrtai�*+�tt.�a+aiwwawtw*w.�rw�.,rw,rtrrrt*sa:r+rirri+wwwwww,►w�+wt Topo � Slope � � /�� , Texture � �`� ` `U �1 � ^ � �" ( ' � � / ` � ` � � Structure � � � � � r � �� , `-= � �' ,� y L i �" �Z`- Clay Min. � � � (�� Soil wetness ° � J ��' ( �;�� '`�� Soil Depth " � � � � , �� . � � �� \�, / V Restric. Hoz. at /` ' - Available space yes/no � �� ? � j ! I� ) � �� ' ''/ lY J�`' ` � / J } �� Overall Claes S PS U � v � � � J ! G�%' �' / � 1 U /� I � � Comments: � � ,n^/��/� � , � ►�5�� l f � � � � �'.:��l�� . J ' % 1 �"� � � m i , � � '� �� L f� l�l SG'�u � �L'C• � �. z � � 1�� S (. � i�"`� �v � � l� �r . Cc.c1. / l` h <<.�-fi. G�� ('�1 � �� Y --_._— \ f ! � � ( ' � � �� 1 , i j � + �� w�� i , � � � h � , - �. , ` -- — _ __ -_____ ___ , --- � (•� ;s, ��.�E.t� ��..�. � ----__-- - _ ----- ---�-- — - **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THZS SYSTEM WILL FUNCTION** •ww+rrrirrwww++t��+��waiwww�aw+r. •Improvement Permit has no expization date and ia tranaferable, but may be revoked if aite plans or intended uae changea for the proposed facility. An Authorization to Conatruct ia valid for (5) five years from date isaued and ia not traneferable. Permit Date - _ _ �`� Owner/Agen , �: 5anitar ✓ �---- Installed By V �, t ! i'� -�_ Date ,�� - �� Sanitar� ...r � . White - Office Blue - Ruildmg in�pection Operation Permie Yellcwv -.O�ier/Agent Green - Building Inspectioq Authorizanon to Construct ,.� - - �� ATA A C OUNTY`� H�AL�� DEPARTMENT _ � Telephone: (704) 465-8270 TDD: (704) 465-8200 N� ' � � � � Improve. Permit Authorization to Construct�Repair Permit_Oper. Permit�System Type oS t�� Owner/Agent � l2 �1 h, l.� (.(.c%K� �K• Phone l Address Subdivision /�055ln(' /r Section/B1 ck/Ph�se Lo #L� Lot Size irections: �� C � �- ( - �a� �.. - � , � � C�.� - Facility: House Mobile Home Business . Other: Tax Map # Z�l " � r Multi-family Other . Zoning Approval # �� # Bedrooms �# Seats # Employees . Application Rate � GPD Flow ��j Q Hot 'I�b or Spa yes/�pecial Fixtures . 100� Repair Area yes/no �-- Basement yes/� Basement Plumbing yes/no water Supply: Private Well '� Public rr►,wta,rwr+tw,r,►r�wtrtrata*�*w�rwf+tt.►wtwwrwrt.rtttwwwta*wwwwwrw�wa 7�+pe of System: Trench�Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size 1�CU.� Pump Tank Size ' Nitrification Field: Total Square Feet Depth of Stone �z �� Bed Size Trench Width `t"�• Total Length of All Trenches- Number of Trenches � r �� Individual Trench Length�/ �� / f�/ / Feet on Center Maximum Trench Depth�.��i Distance of Nearest Well ^T �� 't *DO NOT INSTALL WHEN WST+ ++wrrrr��ra,rt�.►ar►��.,►w«a«+r+«w«++►r,rw+,rrw,rw.rrrww*t�r,rr�iitwii+iwttaw�►+�awwv�wwwwtttt+tt�.,rratrarr,►rw Topo % Slope � Texture � n �(� � Structure � �� I � ! �, Clay Min. � ^--_ �_ �(j Soil Wetness " � � �'`s. � ----. � Soil Depth " � d� n _ , -'�- ,�i Restric . Hoz . at " � I ��(,�Y'� ►Ce.J)�� ! Available space yes/no� � r Overall Class S PS II � .-� -- —._ Comments : � . , �-- ---� -� --^ � I ` � j � ; � j � � o wl � �5 `�. I I I � I �� ' i � � l 7 j � i c�n � • — -- -- — . ---•., 4 � I �� ` � C � V I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ♦�iM�M�k�ki0rittArM�Mii�4iiWiiMA*i�F�fi�tiAi�Y*�Miiiiiti�M�kMi«At#iiAiiitAiiAABW�MiiM�ii�Ft�►itittiiititt�it�F1Y *Improvement Permit has no expiration date and ia tranaferable, but may be revoked if eite plana or intended use changee for the proposed facility. An Authorization to Conatruct ia valid for (5) fiv ]ye re from date isaued and ia not tranaferable. Permit Date /D / .5 . 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