HomeMy WebLinkAboutRBPR-06-2015-21818.TIF -.If?' a - • THIS IS NOT A PERMIT Case # RBPR-06-2015-21818
-71 CATAWBA COUNTY HEALTH DEPARTMENT O • 1o• C• f D
� I�,.1.1 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES :
1842 sM A2esidentia1 Build' W. °.• 'ew - Building New o. rD• U
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�IMPROVEMEN , AUTH_CONST- EW WELL D -
Applicant CHRISTOPHER PEARCE, 13219 PONTCHATRAIN AV, CHARLOTTE NC 28273
C:980-225-2116 GKW617 @AOL.COM
Owner CHRISTOPHER PEARCE, 13219 PONTCHATRAIN AV, CHARLOTTE NC 28273
C:980-225-2116 GKW617@AOL.COM
NAME TO APPEAR ON PERMIT
Christopher Pearce
SITE ADDRESS: 7819 LUCY LN, SHERRILLS FORD NC 28673 PIN # 460604814060
NAME of SUBDIVISION: MOZON LITTLE HEIRS Lot# 3 Section/Block
PROPERTY SIZE: Square Feet Acres 0.48
DIRECTIONS: Hwy 150 to Lake Norman, turn right on Slanting Bridge Rd,turn left on Keistler Storwe RD turn right on Lucy LN, lot on
left.
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: *Revised 6/16/16 -Applied for new IP/AC. Received revised survey.
59x65 Single family dwelling with basement
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? No
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: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 59x65
#OF NEW BEDROOMS:: 3
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: YES ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: REPLACE WELL?: NO
E9-ehapplication 06/16/2016 11:57 Page 1 of 4
sB , CATAWBA COUNTY Case# RBPR-06-2015-21818
JAL; Public Health Department Subdivision MOZON LITTLE HEIRS
d , H^C Environmental Health Division NM NM 460604814060
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
/842 ki
NAME ON PERMIT: (CHRISTOPHER PEARCE), 13219 PONTCHATRAIN AV,CHARLOTTE NC 28273
( Christopher Pearce)
Site Address: 7819 LUCY LN, SHERRILLS FORD NC 28673
Property Size: Square Feet Acres 0.48
Directions: Hwy 150 to Lake Norman, turn right on Slanting Bridge Rd, turn left on Keistler Storwe RD turn right on Lucy LN, 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 law d rules. I understand hat I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site acce-- •I- so jYat a co '•le •• can be performed.
Date: 61/6p(y Signature of Applicant or Agent r _r^ _ 41#117
An Environmental Health Specialist will contact you within 5 working days of applicati. date.
If you need further information or assistance please call 828-466-7291
AREA1
TEENAMEI�ii I II6 '110111IIN1ll ill id.Ij;ali 1,,I:t 's "�fyi.,∎ I�IDATE t 10 `F EIAMOUNTi�
Authorization to Construct Fee (New/Expansion) 06/25/2015 $150.00
Fee
Well Permit& Inspection Fee 06/25/2015 $300.00
Authorization to Construct Fee (New/Expansion) 06/16/2016 $150.00
Fee
Improvement Permit Fee 06/16/2016 $150.00
1 :vY ix 1 Ip ti i,lll tlu�;� lr 1 i� . yi i 1 t-•^ I I I 5561'601
�'���{a��� ��oTALFe�ES �u�,l,iil(la�.�� ����IWCIr,�l�i�I�t,��!�ruP�`�11JIo�G r�{I Ilillllll��,.
u4` ,:t in WHINN9l`n' 5' "rtwnmauhrxh0- Q1il 4.ltl1111Mt iPi1110 ' cv7 r",.4:
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)
1
E9-ehappl ication 06/16/2016 11:57 Page 2 of 4
it A c'p CATAWBA COUNTY
; 1O ,SOUTHWEST BLVD RECEIPT an '14 NEWTON,NORTH CAROLINA 28658
d 1-7 11toii H PHONE: 828.465.8399
U el-, Iran '-< Thursday, June 16, 2016
� 11 !'y
1842 Shl www.catawbacountync.gov
PAYOR:
Pearce, Christopher
PAYMENTS
TRANSACTION NUMBER: TRC-693083-16-06-2016
PAYMENT DATE: 06/16/2016
PAYMENT TYPE: Credit Card
INVOICE NUMBER FEE NAME FEE AMOUNT
06-16-329514 Authorization to Construct Fee $150.00
(New/Expansion) Fee
0°1,613295:1 4'1fflhiIIIINrq, M Illk'PIils y 'i*Impr,,ovementlperrniiFee.4. !"IN firI°tl'i.; '"'sf5o!00
TOTAL PAYMENTS : $300.00
RBPR-06-201 5-2 1 8 1 8
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 7819 LUCY LN, SHERRILLS FORD NC 28673
Applicant CHRISTOPHER PEARCE, 13219 PONTCHATRAIN AV,CHARLOTTE NC 28273
C:980-225-2116 GKW617 @AOL.COM
Owner CHRISTOPHER PEARCE, 13219 PONTCHATRAIN AV, CHARLOTTE NC 28273
C:980-225-2116 GKW617 @AOL.COM
** NO PEOPLESOFT ACCOUNT ASSIGNED **
06/16/2016 11:55 Page 1 of l
receipt 8