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Home My WebLink AboutRBPR-07-2012-16038.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2012-16038 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT Applicant KEVIN CARTER, 3531 BRIDLE PATH DR, VALE NC 28168 H:8286386923C:8282175480 Contractor OAKWOOD HOMES #712,1265 70 HWY W, NEWTON NC 28658 B:(828)217 -1862C:(828)464 -2662F:828-464-4301 Owner ZABRINA MALTRY, 5 ELKWOOD AV, ASHEVILLE NC 28804-3101 NAME TO APPEAR ON PERMIT Kevin Carter SITE ADDRESS: 3531 BRIDLE PATH DR, VALE NC 28168 NAME of SUBDIVISION: CRABTREE MEADOWS t'10 1 t'N 0A Sl �_�l kxx PIN # 267701277286 Lot # 4 Section/Block A PROPERTY SIZE: Square Feet Acres 0.85 DIRECTIONS: Hwy 127 to Hwy 10 go Right / go 7 miles to Bridle Path Dr / go to end - lot on left PRIMARY CONTACT: Contractor GALLONS PER DAY: SEWER TYPE: Septic Tank WATER SUPPLY: Community Well Public water is **NOT"" available for this property. DESCRIBE WORK: Change out Single Wide Mobile Home Class B / Must have min 36 sf deck / must screen or or remove towing tongue / ok to be placed in same location of previous per Sue Ballback (Zoning) due to location of septic and creek / must have masonry underpinning APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Mobile Home DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: PROPERTY EASEMENTS: none New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS:(0 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 x 76 mobile home with decks (total 26 x 76) # 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: 30 SIDE: 15 REAR: 30 MAX HEIGHT: E9 - chapplication 08/01/2012 08:07 Page l of THIS IS NOT A PERMIT Case # RBPR-07-2012-16038 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT Applicant KEVIN CARTER, 3531 BRIDLE PATH DR, VALE NC 28168 H:8286386923C:8282175480 Contractor OAKWOOD HOMES #712,1265 70 HWY W, NEWTON NC 28658 B:(828)217 -1862C:(828)464 -2662F:828-464-4301 Owner ZABRINA MALTRY, 5 ELKWOOD AV, ASHEVILLE NC 28804-3101 NAME TO APPEAR ON PERMIT Kevin Carter SITE ADDRESS: 3531 BRIDLE PATH DR, VALE NC 28168 PIN # 267701277286 NAME of SUBDIVISION: CRABTREE MEADOWS Lot # 4 Section/Block A PROPERTY SIZE: Square Feet Acres 0.85 DIRECTIONS: Hwy 127 to Hwy 10 go Right / go 7 miles to Bridle Path Dr / go to end - lot on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: WATER SUPPLY: Community Well Public water is **NOT** available for this property. DESCRIBE WORK: Change out Single Wide Mobile Home Class B / Must have min 36 sf deck / must screen or or remove towing tongue / ok to be placed in same location of previous per Sue Ballback (Zoning) due to location of septic and creek / must have masonry underpinning APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Mobile Home DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: PROPERTY EASEMENTS: none New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 x 76 mobile home with decks (total 26 x 76) # 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. nn Date: rl-d4-11_ Signature of Applicant or Agent -J�%a,-_ 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: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/25/2012 $150.00 $150.00 119 - chapphcnuon 07/25/2012 16:48 Pagel of 3 N THIS IS NOT A PERMIT CATAWBA COUI',TTY ]HIIEAIL'ICH DEPARTMENT Application for Environmental Services Page 1 Ig4L sm 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 lCoinstruction� ] Existing Facility Property Address �� 3/ % d. /•� �A i t� subdivision s- Lot # Acres Section/Block/Phase Driving Directions to Property ^J f 7 D � l L /'J4' � 1� L _ CL NAME TO APPEAR ON PERMIT? Owner Applicant ❑ Contractor Applicant Contact Information 0 I Name � :,► Gam,-{e.�L G U I Address 3 5- 3 1 (. �iE Pryfe. /l/_C- 2�% a 1. I Phone 3 g- S 'L 3 I Cell Phone Pzs _ 21 7 — r W P, o R -LL) Owner Contact Information Name 1� Address i ® I Phone I Cell Phone 1 la' Contractor Contact Information Name Ala Address / Z� �`� y 7n i ✓ /U�^- /l✓� �� Phone L� _ t,,r aF 7� l2_ I Cell Phone ria"O WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant Contractor Description of Existing Structures on Site rvt v 6,-).e ® # of Bedrooms *'I Structure Dimensions # of Occupants Basement ❑ Yes �] No Basement Fixtures ❑ Yes [A No Planned Future Additions or Improvements (Building Permit NOT requested at this time) cc Describe ® Proposed Future Structure Dimensions # of Bedrooms * j if applicable Are there easements or right-of-ways recorded on this property ❑ Yes [;ONO Describe Is"a public water supplyav Mable on or adjacent to the above property ** F1 Yes El No Check type available Community Well EA 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 EVALUATION PROCEDUES) , THIS IS NOT A PERMIT CATA BA COUNTY HEALTH D EPAE TMl❑NT '" ss Application for Environmental Services Page 2 1842 sM1t Proposed Facility Type ❑ Primary Residence P: --New Residence ❑ Addition to Residence # of New Bedrooms *T UC Project Description 16-) Structure Dimensions) % # of Occupants �_ ( �e'5' Basement ❑ Yes 21 -No Basement Fixtures ❑ Yes ZJ-No \\ ❑ Accessory Structure(s) Describe # of New Bedrooms * j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*'l Total # Bedrooms "I 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 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 constriction 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. i 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 conforra to applicable setbacks. ® CHANGE WORD ORDER )R:EQUIRING REDESIGN AND/OR R)J'TRIP 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 Vo ransfer b ''// Signature of Owner or Agent �tucv go,OCL Printed Name of Owner or Agent !J kwh A bO us 0 Date ;7-95 I,;� I inch = 50 feet 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. Wi THIS IS NOT A LEGAL DOCUMENT Selected Parcel Number: 2677-01-27-7286 Prepared for: 40g�s4 7 4. 8,6 L, `, 4,, �� ' °t. 1162.08,� Date: 7/25/2012 2 2q 77.-411 3 �� 3 05, 676 II trim e: / "'"-5 � M )l .50 41 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2677-01-27-7286 Name: MALTRY ZABRINA Name2: Address: 5 ELKWOOD AVE Address2: City: ASHEVILLE State: NC Zip: 28804-3101 Account: 209957 Calc Acreage: 0.85 Tax Map: 012AB 11004 LRK: 13191 Deed Book: 2823 Deed Page: 0566 Subdivision Name: CRABTREE MEADOWS Subdivision Block: A Lots: 4 Plat Book: 21 Plat Page: 269 Building Number: 3531 Street Name: BRIDLE PATH DR Site Zip: 28168 Township: BANDY'S Fire Code: COOKSVILLE City Code: COUNTY State Road: 2589 Total Bldgs Value: Land Value: $10,100 Total Value: $10,100 Year Built: Year Remodeled: Last Sale Date: 3/22/2007 Last Sale Amount: $12,000 Neighborhood: 89 Watershed: WS -III Protected Area Watershed Split: NO Voter Precinct: P2 E911 District: COUNTY Zoning: R-40 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: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 1007 Small Area Plan: PLATEAU Agricultural District: Proximity Printed: Wednesday, July 25, 2012 04:31 PM qxv +a ?U� Mn A C� CATAWBA COUNTY HEALTH DEPARTMENT COMPLETION PERMIT OWNER OR CONTRACTOR: DATE: ADDRESS: PHONE: LOCATION: PERMIT # NQ -256:5 &%' � MOO - SUBDIVISION: OelLOT: SECTION OR BLOCK: LOT SIZE: House ( ) Mobile Home ( 4 -<Business ( ) Other Flow Rate: gpd Bedrooms:—_I Bathrooms: Special Fixtures: Other: Basement - Yes ( ) No ( Fixture in basement -Yes No ( ) ------------------------------------ --------------------------------------------------------- - Garbage Disposal Unit: Yes ) No Water Supply: Private ( ) Public TANK SIZE: gallons Distance from septic tank or nearest so( NITRIFICATION FIELI(�10 0 pollution: Number of lines: FINAL APPROVAL OF THIS SEPTIC TANK SYSTEM SHALL IN Length and width of lines NO WAY BE TAKEN AS A QUARANTEE THAT THE SYSTEM WILL (a) Bed System A_X *>I FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF (b) Trench System 3611 x TIME. or Trench Sys. 30" x DATE INSTALLED: -0 Total Sq. Ft. Depth of Stone' INSTALLED BY: REMARKS: SANITARIAN: V SITE AND SEPTIC TANK LAYOUT In, -1 1 PPAT TP nFPARTMPNIT C Q ® y 1 (l, ' `tj i<ww 111' lel U . - �7 U 1 PERMIT FE/ �� __-_ Q) F.`Li__—.LD ArT_E_R 36 MO`iTHS_ CATAWBA COUNTY HEALTH r IMPROVEMENT PE X OWNER OR CONTRACTOR: DATE: p , ADDRESS: PHONE: LOCATION: i �fJ �✓L. L_..4�'� ��G� /� l rf%G� /-C{ ./J iif �7 �'� � ./��G �� l'�/.'I t6 �%�� " '� • ✓.•'��%fir l� w'1.. f = ,,�- , '�` -,jL (/ � . r,Y�, '� fJyt�_. .. �A; u SUBDIVISION. % 1 LOT �� SECTION OR BLOCK: LOT SIZE: Notified to ck with Zon?;g--`Business ( ) No ( ) Zoning Approval # ,Z7 .f`iaC1 House ( ) Mobile Home (( ) Other ( ) Flow Rate: gpd Bedrooms: Bathrooms: _� Special Fixtures: Other: Basement - Yes ( )No ( ") fixtures in Basement. - Yes ( ) No ( ) Pump System Yes( ) No ( ). ----------------------~ _--------- -----—=----------------------------------- Garbage Disposal Un' Yes ( ) No (L F' Water Supply: Private ( ) Public TANK SIZE: eO, C,' e-= gallons :°'` Comments/Special Instructions: NITRIFICATION FIELDe, Number of Lines ,�y Length and width f Lines Q System must be installed as shown. Any (a) Bed System r;,t' _ j'/�, a changes will be made only with prior Health (b) Trench System _ '1..-X J Department approval. If unforeseen problems or Trench System 30" X �_ arise during installation, contractor must ' Total Square Foata g- a J11e t of ------------------��---P-L--_ ��Qi��----------------------------------------------------- call Health Department. CERTIFY THAT I, HAV/EJ, REVIEWED AND AGREE TO THE PRO ISIO S 0 IS IT. �: - PS - U Owner/Agent Sanita ian Final approval of this septic tank systemt�6&1 - o w b,4/taken as a guarantee that the system will function satisfactorily given pe 'od o time. A AND SEPTIC T r P 4 i Site Factor: Slope and Landscape Position Soil Drainage Soil Depth Restrictive Horizon Available Space Other (Specify) Soil Characteristics: Repair,Area Required: Yes ( ) S - PS - U No ( ) it I N Copy Group Soil Texture Class Application Rate Sandy Clay Fine Silt Loam Loams Clay Loam Silty Clay IVa Clays *RPa CVRf PM -- Sandy Clay Silty Clay Clay aYP al I nwt-d 0.4-0.2 nnly in -,oil CTnun III. �I epartment (Healt 5oii - S - U S - PS - U S - PS - U III S - PS - U S - PS - U S - PS - U S - PS - U No ( ) it I N Copy Group Soil Texture Class Application Rate Sandy Clay Fine Silt Loam Loams Clay Loam Silty Clay IVa Clays *RPa CVRf PM -- Sandy Clay Silty Clay Clay aYP al I nwt-d 0.4-0.2 nnly in -,oil CTnun III.