APACHE COUNTY Community Development Department P.O. Box 238 • St. Johns, AZ 85936 • Phone: (928) 337-7527 • Fax: (928) 337-7633

CONDITIONAL USE PERMIT APPLICATION

APPLICANT ___. ' I ('

Name _JC,L-roe.s «. IB:rx:treu, '-Df>pP I\ ba cqer Mailing Address po box 3 So 3

Sha, ,J Lo1._.1) {Px:2 5'.;S9osi

Contact Person Abciv-fu,, Co~rbi/)~ Phoneq~ B:°fJ a9SJ Fax _____ _

Email \) w f'ru.. vC9 ~,lhm l Com PROPERTY INFORMATION

Assessor's Parcel #_.,,,(¢~ Lof----- -'-'s "-'-d""--- -"Q5=---.,_l lo~ W.,,,· """'--­Township 10 Q Range :0 lj 'c Section i 5 Subdivision -------------Unit # ______ Lot # \ LP LU Address/Location 9 C.., \L O 3 ol~ ~

\ }er C\OC\

Existing Zoning ~B~tt~---------­Existing Land Use Rei3,',,de,rrl:,\ C&--1 Lot Size 3 , <) S eicres

CONDITIONAL USE PERMIT REQUEST Please provide a brief description of the request.

TD place u s;QccrvJ fe:; ·,den ce_

e:~~~,r:~i:~,q Temporary Use: _ Yes No

OFFICE USE ONLY

Received By ~ 4=____. Date {L{.,( 2-/ Receipt # )-Th1 lf (pcf Fee %0 Permit# l'O 1-0.., 3le Related Cases ------------App ea I Filed By ________ Date

----Receipt# ________ Fee

------

SUBMITTAL CHECKLIST

• Pre-application meeting with a staff planner.

• A non-refundable filing fee.

• Proof of Ownership.

_O Application, photographs, diagrams, site plans with the setbacks noted, drainage report and any other required information. Please be precise and detailed.

• Citizen Review Process as listed in ordinance Section 1106. A list of names and addresses of fill the property owners within 300 feet of subject property.

• Map to property.

• All required items need to be submitted to Planning & Zoning at least 30 days prior to the next scheduled meeting.

CERTIFICATION & SIGNATURE

Submittal of this application constitutes consent of the applicant in granting the Community Development Department access to the subject property during the course of project review. No further consent or notice shall be required.

I hereby certify that the information in this application is correct and agree to abide by the regulations of this jurisdiction.

Sig~ature of Applicant .

.._sA. rd.r\Qu. ~cl::nr)ff') Date \ , r UD, 6)0cY /

Signature of Property Owner (if not the applicant)

-------------Date ___ _

COMMISSION ACTION

D Approved D with Conditions D Denied

Resolution# ________ Date -----

Chairman Date -----

BOARD ACTION

D Approved D with Conditions D Denied

Ordinance # ________ Date -----

Supervisor Date 5/16/2019 -----

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Apache County Map

106-52-016T

106-52-016W

6/17/2021, 8:01:13 AM

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106-52-016H

106-52-016M

106-52-016L

106-52-016G

106-52-016P

-- County Roads c:J Apache County

N Roads

-- Passable

D Parcels

Flood Plain Zones

,____, A

D o

O'I N N M

0

0

106-52-016K

106-52-016]

106-52-016E

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0.03

106-52-016Q

1:2,257 0.03

0.05

106

106-22-0

0.06 mi

0.1 km

GIS Department GIS Proaram. Habitat Branch. Wildlife Manaoement Division. Arizona Game and Fish Decartment I

Apache County Public Health Services District P.O. Box 697 · 75 W. Cleveland St. Johns AZ 85936

CONSTRUCTION AUTHORIZATION

Phone (928) 337-7607 Fax (928) 337-7592

PERMIT#: SEP2021-097

Applicant Information

Name: JAMES & ANDREA COPPENBARGER

Address: PO BOX 3503

SHOW LOW, AZ 85902

Location Information

Parcel#: 106-52-016W

Latitude: 34.25952 °N

Longitude: 10978227 °W

Wastewater Source: Single-family residence

For an onsite wastewater treatment facility Type 4.02 through 4.22 General Permits

System Specifications

Authorized Design Flow: 450 gallons per day

Number of Bedrooms: 2

Number of Fixture Units: 14

Design Documents That Are the Basis for This Authorization

18] Notice oflntent to Discharge

18] Site Investigation Report

18] Site Plan

~ List of Materials, Components, and Equipment

18] Construction Quality Drawings

D Draft Operation & Maintenance Manual D Other: ___________ _

Construction is Authorized Under the Following General Permits

~ 4.02 Septic tank/conventional disposal D 4.08 Wisconsin mound

D 4.03 Composting toilet D 4.09 Engineered pad system

D 4.04 Pressure distribution system D 4.14 Sewage vault

D 4.05 Gravelless trench D 4.17 Cap system

Reviewing Agency Notes

THE SPECIFICATIONS LISTED BELOW ARE MINIMUM REQUIREMENTS. IF THE INSPECTOR CANNOT VERIFY THE MINIMUM REQUIREMENTS, THE SYSTEM WILL BE DISAPPROVED. APPROVED TO CONSTRUCT AN ONSITE WASTEWATER TREATMENT SYSTEM consisting of a 1,000-gallon septic tank, a distribution box and 2 trenches each 55 feet long, 3 feet wide and 3 feet deep containing 11 Arc 36HC Infiltrator chambers in each trench. Leach trenches shall be installed parallel to the su,face contour. There shall be at least 5 feet of undisturbed soil between the trenches.

All ADEQ setbacks must be observed. Construction Authorization Addendum attached.

Construction Authorization Stipulations: This Construction Authorization is issued in accordance with Arizona Administrative Code Title 18, Chapter 9, Article 3. The Applicant is authorized to construct the facility at the location specified herein based on the listed design documents under the terms and conditions of the checked General Permit numbers and the requirements of Arizona Revised Statutes Title 49, Chapter 2. The Applicant has two years from the approval date of this document to complete construction and submit the Request for Discharge Authorization form and any additional required documents specified in A.A.C. Rl 8-9-A309(C) or the checked General Permits. Construction shall conform with the approved design documents.

t-G&/~-Title Approval Date

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N . MASTER BEDROOM

12'·6" X'17'02" 1i-6" x 14'-9'' (Al., T BATH)

365'

i 36~

i

3659

56'

Liv'.JNG .20•-·10" x-12'-9''

INF.ORMATION ON THIS liTERATURE MA} VARY !:ROM Tl1E ACTUAL HOME, WE RESl:~VE THE R1Grrr: TO MAKE .CHANGESAT-ANYµIME', WITHOUT NOTICE. QR OOLIGA TK'.iN. . . . . J .

3659 .

-591:

BEDROOM#2 10'-to" X 10'-5"

BEDROOM #3 10'-10" X 12'-9"

36S9E

MODEL AF2856E TOTAL AREA: 1493 SQ.FT. 3 BEDROOM,.2!3ATH REVISED 08/26/2020

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Customer Verification List Unit: 157-00P-H-A005053AB

28x56 3 BED, 2 BATH, FRT &REAR Page: 1 of 3

Sell To: 0543P-:Z. Order No.: SR007311 Rev 3

Model Year: 2022

Retailer P.O.:

Floor Size: 56'0" X 26'8"

Brand: American Freedom

Model No.: AF2856E

Order Type:

Ret. Cust.: Energy Zone:

Wind Zone:

Roof Load:

Stock

3

1

3

Sales Person: Dan Hilfiker

Construction Type: HUD

Bill To: 0013P-:Z.

Dealers Network, LLC

Dealers Network, LLC

8632 E. APACHE TRAIL

MESA, AZ 85207

Quality Home Center, Inc

Quality Home Center, Inc

2150 E. Adams

Show Low, AZ 85907

Shipping Agent: Stone & Son Transport LLC FOB: Factory

Feature Option

ROOFLOAD OP043044

FLOORJST OP001673

FRAMETYPE OP001601

OTHER OP001602

ROOFINS OP035005

FLOORINS OP041332

EXTWALLINS OP036001

BASEMLDG OP001635

CABINET OP003313

DRYWALL OP001644

WINTREAT OP043167

OTHER FM000017

OTHER OP041492

OTHER OP041890

OTHER OP041993

DOORS OP042064

UTILITY OP002812

OTHER OP041991

FURNACE OP009031

WH OP023057

OTHER OP001922

OTHER OP041397

OTHER OP042066

TVJACKS OP003403

CEILINGOTH OP042741

GFIRECEPT OP003405

SMOKEDETCT OP041745

OTHER OP001657

OTHER OP003415

OTHER OP038021

OTHER OP042710

Variant

Whiskers

Thunder

Wh ite

Description

Construction 40# ROOF LOAD PER SF

2 X 6 FLOOR JOISTS

Frame FOUNDATION READY

DETACHABLE HITCH

Insulation R48 RF INSUL/SF (NIA SW HOMES)

R22 FLOORS INSULATION PER SF

2"x6" Walls w/ R-19 Insulation

Interior BASEBOARD INSTALLED T-OUT

O/H UTILITY CABINETS WITH ROD

T&TT-OUT

VALANCE PER WINDOW

2" FAUX BLINDS T/O

ROUNDED DRYWALL CORNERS

OPTIONAL DINING ROOM CABS

PLANTATION SHUTTER

Interior Doors 2-PANEL WHITE INT DOORS - STD

UTILITY DOOR

ARCH DOORWAY

Plumbing/Heating FURNACE,GAS,56K BTU AUTO

WATER HEATER, GAS, 40 GAL

PLMB/WIRE FOR GAS & ELEC DRYER

WHOLE HOUSE SHUT OFF VALVE

PLUMB FOR ICEMAKER -STD

Electrical TV JACKS AND RECEPTS, 4 MAX

O/H CEILING LIGHT, BEDROOM-STD

EXTERIOR OUTLET

SMOKE/CO COMBO W/BATTERY

BLOCK/WIRE FAN- L/R & MBED-STD

200 AMP SERVICE

50A J-BOX W/AC ROY T-STAT WIRE

PLUMB WASHER & DRYER

Quantity

1,493

1

1,493

1,493

168

10

4

2

2

Feature Option Variant Description Quantity

Floor Covering

LINO OP041551 Quarry Stone Autumn ELEMENTS FLOOR TILE - STD

CARPET OP043158 Rainy Day MACRAME/T ACTILE 20/24/28x50-58

FOYER OP041551 Quarry Stone Autumn ELEMENTS FLOOR TILE - STD

CARPETPAD OP041977 7/16 CARPET PAD - STD

Roof OVRHANG OP001620 12" FRONT & REAR OVERHANG

DORMERS OP002720 LARGE PRISMATIC DORMER

SHINGLES OP031017 Dual Black DLX ARCHITECTURAL SHINGLES-SF 1,493

OTHER OP002904 SKYLITE, 24" x 24"

Exterior SIDING OP043372 SMARTPANEL

TRIM OP002725 LAP BETWEEN COLUMNS

OTHER OP000200 Mercurial MAIN BODY COLOR

OTHER OP000201 Linen Ruffle TRIM COLOR

OTHER OP000202 Gibraltar Gray ACCENT COLOR

OTHER OP002729 ONE EXTERIOR COLUMN 2

Windows

MBATH OP041199 BATHROOM WINDOW PER PRINT

EXTERIOR OP041180 VINYL WINDOWS THROUGHOUT

Exterior Doors FRONTDOOR OP001624 3-0 X 6-8, 6 PANEL FRONT DOOR

REARDOOR OP001623 2-8 X 6-8 , 9LITE DOOR

Kitchen CABINET OP043119 TIMBERWOLF HW DOORS & FRAME

CABOTHER OP043065 SOFT CLOSING HINGES

CTRTOP OP009070 Calcutta Marble LAMINATE

BCKSPL OP042297 Multi Color (sv10) FULL MOSAIC BACKSPLASH PER UF 9

ARTIC WHITE WITH DARK LINEAR RIBBON

SINK OP042291 SS FARMHOUSE SINK W/ ACCESS

FAUCET OP041920 PULL OUT FAUCET WITH SPRAYER

CEILINGLT OP038029 RECESSED CAN LIGHT

5 total

OTHER OP001555 RECESSED CAN LIGHT 4

OTHER OP001638 ADJ SHELVES O/H KITCHEN CABS 1

OTHER OP009003 CENTER SHELF IN CABINETS

OTHER OP041928 DRAWERS W/ HD FULL EXT GUIDES

OTHER OP042055 SM FURNITURE ELEMENTS ISLAND

SET ISLAND AT 45" FROM STOVE COUNTER AND 55" FROM SINK COUNTER

OTHER OP042313 UK2 - CABINET HARDWARE

OTHER OP042745 CRESCENT EDGE T/O

OTHER OP042767 CHANDELIER, 3 LIGHT 1

OTHER OP043337 NICKLE PENDANT LIGHT 2

Master Bath CTRTOP OP009070 Calcutta Marble LAMINATE ~: BCKSPL OP041658 Multi Color (sv10) 6" DECR BKSP IPO STD TILE-BATH

2X4GREY

SINK OP041990 FLOATING DOUBLE LAVY

TUB OP042009 36" X 72" DROP-IN TUB

SHOWER OP030004 60" SHOWER IPO FG TUB/SHOWER

TOILET OP042740 TOILET, ELONGATED

Feature Option Variant Description Quantity

VANITYLT OP001658 TULIP LIGHTS OVER LAVY

MEDCAB OP042742 MEDICINE CABINET - STD

OTHER OP041018 TOWEL BAR/ TISSUE HOLDER

OTHER OP041994 SUITE DREAMS BATHROOM SUITE

OTHER OP042739 S/L FAUCET W/ CHINA LAVY-STD

OTHER OP043199 BEVELED MIRROR - STD

Hall Bath CTRTOP OP009070 Calcutta Marble LAMINATE

BCKSPL OP041658 Multi Color (sv10) 6" DECR BKSP IPO STD TILE-BATH

2X4GREY

SHOWER OP041194 1 PIECE TUB/SHOWER

TOILET OP042740 TOILET, ELONGATED

VANITYLT OP001658 TULIP LIGHTS OVER LAVY

MEDCAB OP042742 MEDICINE CABINET - STD

OTHER OP041018 TOWEL BAR / TISSUE HOLDER

OTHER OP042739 Sil FAUCET W/ CHINA LAVY-STD

OTHER OP043199 BEVELED MIRROR - STD

Appliances RANGE OP042988 SSTEEL OVAL BURNER GAS RANGE

REFER OP042986 SSTEEL25CFBTMFRENCHREFER

DISHWSHR OP042990 SSTEEL DISHWASHER

MICROWAVE OP042989 SSTEEL SPACESAVER MICROWAVE

OTHER OP043023 SSTEEL GAS APPLIANCE PACK

Shipped Loose Material OTHER OP000006 Whiskers 1 GAL INT. PAINT - SHIP LOOSE 5

Inflation Protection Plan DISCLOSURE OP043544 IPP DISCLOSURE ,;i

This .home is subject to an Inflation Protection Plan (/PP) at the time of >•~t •.~

invoicing. The quoted amount includes an /PP surcharge of 4% above . · · io .

our base price. The final invoice price will be adjusted in accordance

with /PP, but Retail Sold homes will not exceed the quoted price.

' t•q•ostod By, SIGNEDX DATE

Apri l 7, 2021 2:21:52 PM

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