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Home My WebLink AboutRBPR-07-2013-17648.TIFSBA CO 1842 sM THIS IS NOT A PERMIT Case # RBPR-07-2013-17648 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT 0 0 Applicant EILEEN MARTIN, 1607 GLIMMERING SANDS LN, NEWTON NC 28658 H:828-896-5275 HOME: 828-896-5275 Parcel Owner CHRISTOPHER TRAVIS, PO BOX 817, CONOVER NC 28613 C:828-612-5406 NAME TO APPEAR ON PERMIT Eileen Martin SITE ADDRESS: 5511 BUDDY ST, CONOVER NC 28613 PIN # 374409063902 NAME of SUBDIVISION: HOUSTON Lot # 11 Section/Block PROPERTY SIZE: Square Peet Acres 0.35 DIRECTIONS: SPRINGS RD TO HOUSTON MILL RD / LEFT BUDDY ST / LOT ON LEFT PRIMARY CONTACT: Applicant SEWER TYPE: GALLONS PER DAY: 240 WATER SUPPLY: DESCRIBE WORK: 1997 SW mobile home / MEETS APPEARANCE CRITERIA; MUST FACE FRONT OF PROPERTY; MUST BE UNDERPINNED; MUST HAVE 36 SQ.FT. DECK ON FRONT; AND TONGUE MUST BE REMOVED OR SCREENED / okay for home to be set vertical on property because of septic location - see attached septic permit —existing septic system was sized for 3 bedroom - new home only has 2 bedrooms 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Mobile Home DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 2 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM -r 144X64_____1' # OF NEW BEDROOMS.: Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: F9 - ehapplication 07/24/2013 10:23 Pagel of4 SBA CATAWBA COUNTY Case # RBPR-07-2013-17648 ti�4 c t, Gy Public Health Department Subdivision HOUSTON Environmental Health Division PIN# 374409063902 1842 sM PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 NAME ON PERMIT: EILEEN MARTIN, 1607 GLIMMERING SANDS LN, NEWTON NC 28658 Site Address: 5511 BUDDY ST, CONOVER NC 28613 Property Size: Square Feet Acres 0.35 Directions: SPRINGS RD TO HOUSTON MILL RD / LEFT BUDDY ST / LOT ON LEFT Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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 Iabelin of all property lines and corners and making the site accessible so that a com9let� fit , vaLuation can be performed. Date: Signature of Applicant or Agent _��/ 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: 45 FEENAME DATE FEE AMOUNT Improvement Permit Fee 07/10/2013 $150.00 TOTAL FEES $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) }:9 - ehapplicatirui 07/24/2013 10:23 Pale 2 of 4 linos,00um IPA 1842 SM THIS IS NOT A PERMIT Case # RBPR-07-2013-17648 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Manufactured Home IMPROVEMENT LD 0 Applicant EILEEN MARTIN, 1607 GLIMMERING SANDS LN, NEWTON NC 28658 H:828-896-5275 HOME: 828-896-5275 Parcel Owner CHRISTOPHER TRAVIS, PO BOX 817, CONOVER NC 28613 C:828-612-5406 NAME TO APPEAR ON PERMIT Eileen Martin SITE ADDRESS: 5511 BUDDY ST, CONOVER NC 28613 PIN # 374409063902 NAME of SUBDIVISION: HOUSTON Lot # 11 Section/Block PROPERTY SIZE: Square Feet Acres 0.35 DIRECTIONS: SPRINGS RD TO HOUSTON MILL RD / LEFT BUDDY ST / LOT ON LEFT PRIMARY CONTACT: Applicant SEWER TYPE: GALLONS PER DAY: 240 WATER SUPPLY: DESCRIBE WORK: 1997 SW mobile home / MEETS APPEARANCE CRITERIA; MUST FACE FRONT OF PROPERTY; MUST BE UNDERPINNED; MUST HAVE 36 SQ.FT. DECK ON FRONT; AND TONGUE MUST BE REMOVED OR SCREENED / okay for home to be set vertical on property because of septic location - see attached septic permit **`existing septic system was sized for 3 bedroom - new home only has 2 bedrooms 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? 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: # OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16 x 70 # OF NEW BEDROOMS:: 2 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: L-) - chapplicatinn 07/10/2013 12:36 Page t of yA CATAWBA COUNTY Case# RBPR-07-2013-17648 , F' Public Health Department Subdivision HOUSTON v �� Environmental Health Division PIN# 374409063902 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Ig 2 sM NAME ON PERMIT: EILEEN MARTIN, 1607 GLIMMERING SANDS LN, NEWTON NC 28658 Site Address: 5511 BUDDY ST, CONOVER NC 28613 Property Size: Square Feet Acres 0.35 Directions: SPRINGS RD TO HOUSTON MILL RD / LEFT BUDDY ST / LOT ON LEFT Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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 acce sable so that a co. tete site evaluation can be performed. Date:/ /� Signature of Applicant or r 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: 45 FEENAME Improvement Permit Fee TOTAL FEES DATE FEE AMOUNT 07/10/2013 $150.00 $150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 1-1) - chaphlication 07/10/2013 12:36 Page 2 of4 C ®TAWB e THIS IS NOT A PERMIT COUNTY 1 , CATAWBA COUNTY HEALTH DEPARTMENT North Coroilno Application for Environmental Services Page 1 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 ❑ Property Address � 5 ) 11 _ o Subdivision C) of to V' y ; 0 � %1 (� Lot # d Acres Section/Block/Phase Driving Directions to Property ��i►i ci iO U(_ (Ztl �Q4 NAME TO APPEAR ON PERMIT? F-1OwnerApplicant F-1 Contractor Applicant Contact Information Name �,r.Y Address �C,309 33 Phone Owner Contact /I)-nformation Name Address d )q Phone 4 Contractor Contact Information Name Address Phone WHO WILL BE THE PRIMARY CONTACT? Cell dne Cell Phone Cell Phone ❑ Owner . Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *f Structure Dimensionsh( 'X �7 1) # of Occupants &Q— Basement ❑ Yes 5� No Basement Fixtures ❑ Yes W No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes' -til- No Does the site contain any jurisdictional wetlands? " ® Yes ❑ No Does the site contain any existing wastewater systems? ❑ Yes_ --O No Is any wastewater going to be generated on the site other than domestic sewage? Yes ❑ No Is the site subject to approval by any other public agency? ❑ YesNo Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -tic Well County/City/Township Water Line Is a public water supply available? ** N Yes ❑ No If applying for an Improvement 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 0 Any CATAWBA THIS IS NOT A PERMIT COUNTY�-- : -CATAWBA COUNTY HEALTH DEPARTMENT No,w �v o Application for Environmental Services Page 2 Proposed Facility Typ ❑ Primary Residence N w Residence ❑ A di ion to Res'dence # of New Bedrooms *t oZ Project Description �� (yr�r�.� �� a�i��%o J Structure Dimensions 9 vo of Occu ants Basement ❑ Yes No Basement Fixtures ❑ Yes❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence #Units #Bedrooms per Unit* j Total # Bedrooms *T 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 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. fi 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. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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. Agent of Owner or Signature A Y a Date// / g g Ma;j P oPrinted Name of Owner or Agent .� A e `ti , t A) ` y Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geospatial Information System N 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: 3744-09-06-3902 1 inch = 40 feet Prepared for: 5499 112".36 0 112.14 1)Y 5508 21 THIS IS NOT A LEGAL DOCUMENT nl I . ?8 14 2.2 12 \. o. �0-1.1 3902 N ►� �. 5511 1 n 0 5523 . `t 2 8 9 ~- 1'18.55 fir, Fr 110. 80 - - I 80 55 ` 22 Date: 7/10/2013 5528 Time: 11:47:05 A� CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: ' 3744-09-06-3902 Name: TRAVIS CHRISTOPHER R Name2: TRAVIS KIMBERLY L Address: PO BOX 817 Address2: City: CONOVER State: NC Zip: 28613-0817 Account: Calc Acreage: 0.35 Tax Map: 1507 01041 LRK: 400122 Deed Book: 2940 Deed Page: 1271 Subdivision Name: HOUSTON Subdivision Block: Lots: 11 Plat Book: 33 Plat Page: 115 Building Number: 5511 Street Name: BUDDY ST Site Zip: 28613 Township: CLINES Fire Dist: ST STEPHENS City/Tax: State Road: Total Bldgs Value: Land Value: $9,100 Total Value: $9,100 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: Watershed Split.- plit:Voter VoterPrecinct: P33 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010201 Census Block 2010: 1034 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Wednesday, July 10, 2013 11:47 AM -Pw (F .,o ***Op. permit and/ Cert. Op. Required (Must be completed prior to final) 05983 CA'rAFkW1BA C:0UWr?'X `HE:,MI[-wrM D0P'An2 r MIs NT (704) 465-8270 Lot Eval. Improve. Permit Repair Permit Cert. of Comp. Permit Oper. Permit Owner/Agent K . u /+,LCf_ /"S4n Phone Address Subdivision ,j _ Sectio /Phas_#-+ +- Lpt Size. t Dire tions: �Q 6hSo �J Facility: House Mobile Home Business Other: Tax Map # Multi -family! Other Zoning Approval # / Bedrooms Seats Employees Application Rate &�A( GPD Flow 34an Hot Tub or Spa yes/&o Special Fixtures 100% Repair Area ff�/no REPAIR NOTICE: Basement yes Basement Plumbing yesAr ). REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private Public DAYS FROM DATE OF PERMIT. Type of System: Trench_�(_ Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank 1 ons Pump Tank Nitrification Field: Total Square Feet q oo Depth of Stone %Z Bed Size Trench Width 3.-c+' Total Length of All Trenches 360 Number of Trenches Individual Trench Length�•5/�/ IV/15/ Feet on Center 9" Maximum Trench Depth 36 � Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) Topo % Slope Sketch of lot Evaluation Site - System Design - Final _Texture ,- Structure Clay Min. Soil Wetness Soil Depth Restric. Hoz. at Available space yes/nol I l Overall Class S PS U 1 l Comments: Na Septic Tank Contractors MUST contact the Sanitarian BEFORE changing permit. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date %3 "gam (Improvement Permi void after 60 months) Owner/Agent �� at, Sanitarian Installed By Date 'K 943 Sanitari '�S (Note any cffinges/information in red or by sketch on b,&ck) *******IF A PERMIT HAS TO BE REDESIGNEb"AND%OR RETRIPS MADE TO THE PROPERTY. THERE********