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Home My WebLink AboutRBPR-07-2012-16002.TIF1842 SM THIS IS NOT A PERMIT Case # RBPR-07-2012-16002 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home EXS_SYSTEM Applicant FRANK MAY, LLC, 8260 PENINSULA LN, SHERRILLS FORD NC 28673 Owner F P MAY, LLC, 8260 PENINSULA LN, SHERILLS FORD NC 28673-9250 NAME TO APPEAR ON PERMIT Frank May, LLC SITE ADDRESS: 3090 LEE ST, CONOVER NC 28613 PIN # 376005191831 NAME of SUBDIVISION: Lot # 5-6 & 9-10 Section/Block PROPERTY SIZE: Square Feet Acres 0.63 DIRECTIONS: Hwy 10 to Bethany Church Rd / left Keisler Dairy Rd/ Left to Zebulon Left to Lee Street / 2nd Mobile home on right PRIMARY CONTACT: Applicant (SEWER TYPE: Septic TanK GALLONS PER DAY: ,360 CATER SUPPLY: Private Well_J r-ubiic water is **NOT"* available for this property. DESCRIBE WORK: Class A Double Wide / Must screen or remove towing tongue / must have minimum 36 sf deck on front / masonry underpinning / will be placed in same location as previous APPLICATION FOR: STRUCTURE TYPE: New Structure PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Single Wide mobile home EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 12 x 50 NUMBER OF EXISTING BEDROOMS: 3 PROPERTY EASEMENTS: none # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 36 x 56 Double wide with decks # OF NEW BEDROOMS:: 3 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 non -expiring 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 MINIMUM SETBACKS FRONT: 10 SIDE: 10 REAR: 10 MAX HEIGHT: FEENAME Existing Tank Check Fee TOTAL FEES DATE FEE AMOUNT 07/17/2012 $80.00 $80.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 07/17/2012 17:08 Pagel of3 THIS IS NOT A PERMIT Case # RBPR-07-2012-16002 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home EXS_SYSTEM Applicant FRANK MAY, LLC, 8260 PENINSULA LN, SHERRILLS FORD NC 28673 Owner F P MAY, LLC, 8260 PENINSULA LN, SHERILLS FORD NC 28673-9250 NAME TO APPEAR ON PERMIT Frank May, LLC SITE ADDRESS: 3090 LEE ST, CONOVER NC 28613 PIN # 376005191831 NAME of SUBDIVISION: Lot # 5-6 & 9-10 Section/Block PROPERTY SIZE: Square Feet Acres 0.63 DIRECTIONS: Hwy 10 to Bethany Church Rd / left Keisler Dairy Rd/ Left to Zebulon Left to Lee Street / 2nd Mobile home on right PRIMARY CONTACT: Applicant SEWER TYPE: N/A GALLONS PER DAY: WATER SUPPLY: N/A Public water is "`NOT" available for this property. DESCRIBE WORK: Class A Double Wide / Must screen or remove towing tongue / must have minimum 36 sf deck on front / masonry underpinning / will be placed in same location as previous APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Single Wide mobile home EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 12 x 50 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 36 x 56 Double wide with decks # OF NEW BEDROOMS:: 3 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 non -expiring 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. Day) 7 � 7— ).6 / Signature of Applicant or Agent ti1� l� An Environmental Health Specialist will contact you w(thin 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 10 SIDE: 10 REAR: 10 MAX HEIGHT: FEENAME Existing Tank Check Fee TOTAL FEES DATE FEE AMOUNT 07/17/2012 $80.00 $80.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9 - chap plication 07/17/2012 16:30 Page 1 of 3 THIS IS NOT A PERMIT CATAWBA COUNTY HEAL'T'H DEPARTMENT c Application for Environmental Services Page 1 1842 M Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) Application is for New Construction Existing Facility ❑ PropertyAddress ScRQ 4Z,-�k' Subdivision Lot # q Acres Section/Block/Phase Driving Directions to Property Fes► CL .4 NAME TO APPEAR ON PERMIT? Owner XApplicant El Contractor OApplicant Contact Information WName I m I Address P� �,u.,v lr �; 5_ r� , �.-� .C.�a; /�_ �f�G 7.- Phone 8�� _� / _ �� Cell Phone Owner Contact Information Name Z I Address Q I Phone I Cell Phone VContractor Contact Information W Name Address = Phone I Cell Phone Z WHO WILL BE THE PRIMARY CONTACT? 00wner Applicant ❑ Contractor ZDescription of Existing Structures on Site.fao�-G�cv..,�s�L Q # of Bedrooms *'1 47 Structure Dimensions 1,�2 of Occupants F► Basement ❑ Yes X No Basement Fixtures ❑ Yes ANO Planned Future Additions or Improvements (Building Permit NOT requested at this tim ) ODescribe /��G•fa/ //�ics� /"/.�islL� ��.ti� U. Proposed Future Structure Dimensions a�� X.3'� # of Bedrooms *'I if applicable ? Are there easements or right-of-ways recorded on thisro p perty [:1Yes No Describe Is'a public water supply available on or adjacent to the above property ** ❑ Yes ;&No Check type availableCommunity Well E]Semi-PublicWell ❑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 EVALUATION PROCEDUES) THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT a Application for Environmental Services Page 2 IS 42 w Proposed Facility Type ❑ Primary Residence ❑ Ne,, Residence ❑ Addition to Residence # of New Bedrooms *'I 25� Project Description Structure Dimensions 16 of Occupants Basement ❑ Yes No Basement Fixtures ❑ Yes Z -,No ❑ Access1. ory Struct1. ure11 (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 * j Structure Dimensions ❑ Food Service SpecifyTYpe...., # 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 T 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. j 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 REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 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 that an Improvement Permit issued as a result of this information is valid for 5 years or may be non -expiring under certain specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferablr- Signature of Owner or Agent Printed Name of Owner or AgentA�J .� Date A I 1 inch = 50 feet 5 �c Qql� 0902 .3 0618 Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map 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 product or the use thereof by any person or entity. Selected Parcel Number: 3760-05-19-1831 Prepared for: to [l 1 _ �too 1964 1964 CY)S'4 --_,. N� co TURD 180 S (— ,.30_97 Y - 10 _ � � 3105 _1.831-_ P ZLI qT 29-76 --6---- 180 -6--._._-180 '6 �E S 7- 180 M 3093____ r 8 0696 (��~�ti`.3087----- 180 3087___180 a ms Z m NLj THIS IS NOT A LEGAL DOCUMENT Date: 7/17/2012 Time: 3:52:00 PM F-1 683 (V6 — d - CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel I D : 3760-05-19-1831 Name: F P MAY LLC Name2: Address: 8260 PENINSULA LN Address2: City: SHERRILLS FORD State: NC Zip: 28673-9250 Account: 159760155 Calc Acreage: 0.63 Tax Map: 074N 02018F LRK: 38614 Deed Book: 3009 Deed Page: 1571 Subdivision Name: Subdivision Block: Lots: 5-6 & 9-10 Plat Book: 29 Plat Page: 76 Building Number: 3105 Street Name: SANDFORD ST Site Zip: 28613 Township: NEWTON Fire Code: CLAREMONT RURAL City Code: COUNTY State Road: Total Bldgs Value: Land Value: $10,200 Total Value: $10,200 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 117 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P22 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CLAREMONT Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 011401 Census Block 2010: 1057 Small Area Plan: CATAWBA Agricultural District: Printed: Tuesday, July 17, 2012 03:52 PM CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N° 3549 DATE: 7 OWNER /V, ADDRESS BUILDING CONTRACTOR SUBDIVISION LOCATION LOT SIZE HOUSE ( ) MOBILE HOME LOT # '�/" BLOCK OR SECTION (0- BUSINESS ( ) OTHER ( ) FHA -VA LOAN ( ) SEPTIC TANK: (SIZE /'Sj v GALS) WATER SUPPLY: NO. BEDROOMS NO FIXTURES INDIVIDUAL PUBLIC GARBAGE DISPOSAL UNIT:YES NO ( ) IF WELL, TYPE: BORED DRILLED,,-,,DUG— AUTO RILLED�-DUGAUTO WASHING MACHINE: YES ( ) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: z�Ge,f" SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES ' SEPTIC TANK �NSTALLED BY: 2) LENGTH�A� WIDTH OF LINES PERMIT FEE a) BED SYSTEM (-y CERTIFICATE OF COMPLETION BY: b) TRENCH SYSTEM ( ) "/,j 3) DEPTH OF STONE IN LINES REMARKS: ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE: YES ( `f NO ( ) 2) NITRIFTCATION LINES: DATE INSTALLED: L/ YES (NO ( ) - 0 2 O w SEPTIC TANK LAYOUT HE" '.TH 06PARTMENT COPY AME OF OWNER DDRESS OF OWNER _� AME OF CONTRACTOR OCATION UBDIVISION CATAWBA COUNTY HEALTH DEPARTMENT IMPR/OV�E?J 'dT nE/RMIT FOR SEPTIC TANKS H" (DATE 4/_. LOT NO. (f OT SIZE FHA, VA LOAN OUSE ( ) MOBILE HOME ( BUSINESS ( ) OTHER ( ) 0. BEDROOMS ( ) NO. FIXTURES ( ) ARBAGE DISPOSAL UNIT: YES ( ) NO ( ) LUIT3ING UNDER BASEMENT FLOOR: YES ( ) NO ( ) IZE OF TANK /� ) G CJ LIQUID GALLONS ITRIFICATION FIELD: 1. Number of lines 2. Length and width of lines: a. Bed System 7< *yj f t . b. Trench systed ft. 3. Total Depth of stone inches ROUNDWATER INTERCEPTOR DRAIN: (IF REQUIRED) &TER SUPPLY: PRIVATE ( ) PUBLIC (�)� WNER NOTIFIED TO CHECK ZONING: YES ( ) NO ( ) WNER AGREES WITH LAYOUT: YES (L) -- NO ( ) WNER AGREES WITH SPECIAL INSTRUCTIONS: YES (-�NO ( ) 0 WNER OR CONTRACTOR SIRATUR V.;w"',,, ERMIT FEE $, r1 ERMIT VOID AFTER 36 MONTHS OROVEMENT PERMIT ISSUED BY ANITARIAN ADDRESS e it No. 12941 J_ ?- . PHONE SECTION OR BLOCK SEPTIC TANK LAYOUT i SEPTIC TANK CONTRACTOR MUST FOLLOW ALL DETAILS OF THIS PERMIT (LAYOUT) HEALTH DEPARTMENT COPY )IL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE ( ) UNSUITABLE ( ) ITE FACTORS: SLOPE (%) S- PS - U SOIL TEXTURE (12-48 IN.) S - PS - U SANDY, LOAMY, CLAYEY SOIL STRUCTURE (12-48 IN.) S - PS - U SOIL DEPTH (IN.) S - PS - U RESTRICTIVE HORIZONS (IN.) S - PS - U (IMPERVIOUS STRATA, ROCK) SOIL DRAINAGE - GROUNDWATER S - PS - U (EXTERNAL - INTERNAL) 7. SOIL PERMEABILITY S - PS - UNDER 60 MIN. - OVER 60 MIN. 8. OTHER S - PS - (SPECIFY) 9. SOIL SERIES: A. CECIL ( ) B. HIWASSEE ( ) C. MADISON ( ) D. APPLING ( ) E. PACOLET ( ) F. FLOOD PLAIN ( ) G. 2-1 CLAY SOIL H. OTHER -SPECIFY