HomeMy WebLinkAboutRBPR-07-2014-19589.TIFTHIS 09NOT APERMIT Case# PBPR-07-201419589
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Manufactured Home
IMPROVEMENT - AUTH CONST - EXPANSION
_
MARGARET CLINE, 05)lWALKERS FERRY RD, CHARLOTTE NC 28214
H:704-394-6892 C:704-363-7731 HOME: 704-3 94-6892
Paid By LEMMONZ)RENTALS, PDBOX lQ46iCHARLOTTE NC 28218
NAME TO APPEAR ONPERMIT
Margaret Cline
S|TEADDRES8: 5ll2VVlCKD0RDLN, DENVER NC28087 PIN# 460603327458
NAME oySUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot# 185 Section/Block
PROPERTY SIZE: Square Feet Acres 0.69
DIRECTIONS: 16S / left on Catawba Burris Rd/ right on Bankhead Rd / right on Sally Brook/ Right on Wickford Ln
PRIMARY CONTACT: '::Owner SEWER TYPE: Septic Tank
GALLONS � SUPPLY: Private Well
(DESCRIBE Hnn�ewW|be3bedrnon`nNOT 4bedrooma.ea��1O/�
~ —�
DW mobile home 26x G0/(change out) Must meet appearance oriteha. Screen orRemove Towing TonQue.
Deck must be38aqft deck on front, Must be masonry underpinned Must be parallel to road and must face
front cfproperty °°°withcovered screened porch onlake side°°
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? Yen
Is any of the wastewater going to be generated on the site other than domestic sewage? No
|sthe site subject toapproval byany other public agency? Yeo
Are there any easements or right-of-ways on this property? No
APPLICATION FOR*
STRUCTURE TYPE:
FACILITY TYPE: Mobile Home
DESCRIPTION OF SVVmobile home
EXISTING STRUCTURES
ONSITE (IF ANY) \
DIM EXISTING STRUCTURE: 13x60
NUMBER DFEXISTING BEDROOMS: 2
New Structure
PRIMARY RESIDENCE
OTHER DESCRIPTION:
#OFOCCOPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE O|D0:: 28x80
#DFNEW BEDRODMS<=
Desired system types (Improvement Permit or toCoostmct)
:
ACCEPTED:
ALTERNATIVE:
OTHER: INNOVATIVE:ANY: YES
Other described:
CONVENTIONAL:
F,9 - chapplicatioll 09/10/2014 11:02 Pagel of4
A CATAWBA COUNTY case# RBPR-07-2014-19589
4 Public Health Department CRESCENT LAND AND TIMBE
p Subdivision
Environmental Health Division
U' 'r PIN# 460603327458
:M PO Box 389, 100-A Southwest Blvd, Newton, NC 2865$
Igg2
NAME ON PERMIT: ( MARGARET CLINE), 9511 WALKERS FERRY RD, CHARLOTTE NC 28214
( Margaret Cline)
Site Address: 5112 WICKFORD LN, DENVER NC 28037
Property Size: Square Feet Acres 0.69
Directions: 16S / left on Catawba Burris Rd/ right on Bankhead Rd / right on Sally Brook/ Right on Wickford Ln
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, compl e and correct. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable law and rules. 1 understand that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site a cessi le so tha omp site evaluation can be performed.
Date: C) — j o �- Q. Signature of Applicant or Agen
An Environmental Health Specialist will contact you within 2 wor ing days of pplication date.
If you need further information or assistance please call 828-466-7291
AREA1
MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT:
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee (New/Expansion) 07/24/2014 $300.00
Fee
Improvement Permit Fee 07/24/2014 $150.00
TOTAL FEES $450,00
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
F9 - chapplication 09/10/2014 11:02 Page 2 of 4
I84 sM
Owner
THIS IS NOT A PERMIT Case # RBPR-07-2014-19589
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Manufactured Home
IMPROVEMENT - AUTH CONST - EXPANSION
MARGARET CLINE, 9511 WALKERS FERRY RD, CHARLOTTE NC 28214
H:704-394-6892 C:704-363-7731 HOME: 704-394-6892
Paid By LEMMOND RENTALS, PO BOX 18465, CHARLOTTE NC 28218
NAME TO APPEAR ON PERMIT
Margaret Cline
SITE ADDRESS: 5112 WICKFORD LN, DENVER NC 28037 PIN # 460603327458
NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot # 165 Section/Block
PROPERTY SIZE: Square Feet Acres 0.69
DIRECTIONS: 16S / left on Catawba Burris Rd/ right on Bankhead Rd / right on Sally Brook/ Right on Wickford Ln
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Private Well
DESCRIBE WORK: DW mobile home 26 x 60 / (change out) Must meet appearance criteria, Screen or Remove Towing Tongue,
Deck must be 36 sq ft deck on front, Must be masonry underpinned Must be parallel to road and must face
front of property ***with covered screened porch on lake side***
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:
New Structure
PRIMARY RESIDENCE
FACILITY TYPE: Mobile Home OTHER DESCRIPTION:
DESCRIPTION OF SW mobile home
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 13 x 60
NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 26 x 60
# OF NEW BEDROOMS:: 4
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
E9 - chapplication 07/24/2014 14:25 Page 1 of 4
IgA CATAWBA COUNTY Case # RBPR-07-2014-19589
�Q U� Public Health Department Subdivision CRESCENT LAND AND TIMBE
Emdronmental Health Division PIN# 460603327458
184PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
2 �
NAME ON PERMIT: ( MARGARET CLINE), 9511 WALKERS FERRY RD, CHARLOTTE NC 28214
( Margaret Cline)
Site Address: 5112 WICKFORD LN, DENVER NC 28037
Property Size: Square Feet Acres 0.69
Directions: 16S / left on Catawba Burris Rd/ right on Bankhead Rd / right on Sally Brook/ Right on Wickford Ln
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. Author' ed county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with appl abl la and rules. I unders n that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the si Wes, xhat-�mpi-eW)je evaluation can be performed.
Date. )L� Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of app 'cation date.
If you need further information or assistance please call 828-466-7291
AREA1
************************************************************************************************************
MINIMUM SETBACKS FRONT: so SIDE: 15 REAR: 30 MAX HEIGHT:
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee (New/Expansion) 07/24/2014 $300.00
Fee
Improvement Permit Fee 07/24/2014 $150.00
TOTAL FEES $450.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9 - chapplication 07/24/2014 14:25 Page 2 of
THIS IS NOTA PERMIT
cru rY,CATAI
�u.. CA TAWBA COUNTY HEALTH DEPARTMENT
Application for Enviromnental Services Page 1
Improvement Permit U/ uthorization to ConstructSeptic Repair LJ Septic Malfunction El
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, 9 t .kc_N0, � Subdivision
l/V<1-t,'F K) . C - Lot # Acres
Section/Block/Phase
Driving Directions to Property t --C r-, -,
NAME TO APPEAR ON PERMIT? 12 Owner ❑ Applicant ❑ Contractor l
Applicant Contact Information
Name YN Av S V, L_,1 �;.- k .
Address �< I t v-� -k\_k �
Phone --I C) \- --, 2-: .Ck
Owner Contact Information
Name
Address
Phone
Contractor Contact Information
Name
Address
�6
Cell Phone
Cell Phone
Phone \ I Cell Phone
WHO WILL BE THE PRIMARY CONTACT?�9 Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on Site
# of Bedrooms * e Structure Dimensions t& # of Occupants
Basement ❑ Yes o Basement Fixtures 0 Yes No
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the prverty in question. If the answer to any question is "yes", applicant must attach supporting documentation.
M Yeses V No Does the site contain any jurisdictional wetlands?
El Yes''V No Does the site contain any existing wastewater systems?
0 Ye `u No Is any wastewater going to be generated on the site other than domestic sewage?
EM Yes No Is the site subject to approval by any other public agency?
In Yes�No Are__t�ere any easements or right of ways on this property? Describe
Existing water supply in use Individual Well ❑ Community Well ❑ Semi -Public Well
E:1County/City/Township Water Line Is a public water supply available? ** ❑ Yes
\[] No
If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s):
(systems can be ranked in order your preference)
0 Accepted 0 AlternativeConventional 0 Innovative ❑ Other /Any
u*;
qC
THIS IS NOT A PERMITtiTI' — --- �CA�'AWBA (COUNTY BEAL'�H DEPARTMENT�� F9orin enrnlnn""-R Application for Environmental Services Page 2
NIN Proposed Facility Typ
Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *t
Project Description V to_.- ZNn A -m h
Structure Dim ions e� (2 6 # of Oc upants
Basement ❑ Yes_�E No Basement Fixtures EJ YeNo
❑ Accessory Structure(s) Describe ik--J
# of New Bedrooms *t if applicable Structure Dimensions
# of Occupants Accessory Dwelling ❑ Yes ❑ No
Plumbing ❑ Yes ❑ No Describe Plumbing Needed
Multi -]Family Residence # Units
Total # Bedrooms *t
Food Service Specify Type
#Bedrooms per Unit*t
Structure Dimensions
# 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/AbandonmentlRepair
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.
t 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 comers and making the site
accessible so that a complete site evaluation can be performed.
I.
Signature of Owner or Agent/*4-*--'4.1 Date ——�
,s
Printed Name of Owner or Agent NCI(dAlt- 0A • i (��$\
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 uses. 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 of may arise from this map product or the use thereof by any person or entity
Selected Parcel Number: 4606-03-32-7458
Prepared for:
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CATAWBA COUNTY NC - Parcel Report
Information Regarding
Selected Parcel(s)
Parcel IQ: 0
4606-03-32-7458
Name:
CLINE MARGARET M
Name2:
Address:
9511 WALKERS FERRY RD
Address2:
City:
CHARLOTTE
State:
NC
Zip:
28214-3349
Account:
Calc Acreage:
0.69 -
Tax Map:
017 X 34165
LRK:
17977
Deed Book:
1098
Deed Page:
0097
Subdivision Name:
CRESCENT LAND AND TIMBER CORP
Subdivision Block:
Lots:
165
Plat Book:
16
Plat Page:
22
Building Number:
5112
Street Name:
WICKFORD LN
Site Zip:
28037
Township:
MOUNTAIN CREEK
Fire Dist:
SHERRILLS FORD
City/Tax:
State Road:
2682
Total Bldgs Value:
$1,900
Land Value:
$138,700
Total Value:
$140,600
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood:
129
Watershed:
WS-IV Critical Area
Watershed Split:
NO
Voter Precinct:
P41
E911 District:
COUNTY
Zoning:
R-30
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay: CRC-O,WP-O,FPM-O
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2):
0
School District:
COUNTY
Elementary School:
SHERRILLS FORD
Middle School:
MILL CREEK
High School:
BANDYS
School Split:
NO
P&Z Case Number:
Census Tract 2010: 011504
Census Block 2010: 4018
Small Area Plan:
SHERRILLS FORD
Agricultural District:
Printed: Thursday,
July 24, 2014 01:25 PM
CRESCENT LAND 8 TIMBER CORP.
(THOMAS BEATTY)
AND DWG. NO. 103
q,4ot— C, MTN. ISLAND M. I. — 324
B u
60, LOT IN5D
G \�r DW6.
CONT. 0
A,BEpT M.LVCIZLY NO. C. r. 34
1
LOT 51111
Ao0 Po GOA 7293tt-200 22
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COON
LOT 152
PIS
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j ACRE &
1z'
o�tober s / °PF gG�N s J ¢ o \ 3y'� SAU -A
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A —S56 -08'W-15.62'
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-76 34'
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19,1 GEOGRAPHIC LOCATION
-'ap scaleMf—
LAKE NORMAN
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
MAP OF
NOTE: DUKE POWER COMPANY TO CRESCENT LAND RECREATION LOTS
8 TIMBER CORP. DEED BOOK 947, PAGE 632.
DATED MAY 1, 1969. SECTION 34
BJ ILDING SETBACK LINES ARE 30 FEET FROM LOT''52-15', " 159-165
ROAD RIGHT OF WAY LIMIT, 50 FEET FROM CONTOUR MOUNTAIN CREEK TOWNSHIP
ELEV. 760 U. S G.S. SEA LEVEL DATUM, AND CATAWBA COUNTY, N.C.
15 FEET FROM SIDE LOT LINE. SCALE: I"= 100 AUGUST 29, 1975
WWWggq ALL STREET CORNER RADII ARE 20FEtT. MISC. BOOKNO.283 DWG No C.F. 34-J
0 100 200
PROPERTY LINE DISTANCE$ ARE COM PUT E 0 TO 3QO 40TO
POINT OF INTERSECTION AT STREET CORNERS- FEET
7- )