HomeMy WebLinkAboutEHPR-01-2016-22995 (2).TIF YA T THIS IS NOT A PERMIT Case # EHPR-0 1-20 1 6-22995
Tr Ai
31 CATAWBA COUNTY HEALTH DEPARTMENT D D . o .'. .a
'•? PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 'v 1
1842 sM Environmental Health Plan Review - OSWP .D .- G -o
trde
• IMPROVEMENT
, _OA , ran .
Owner *TRAVIS SCHMUKER, 1640 OLD CONOVER STARTOWN RD,NEWTON NC 28658
H:602-722-2096 HOME:602-722-2096
Paid By MARY HAMES, 1640 OLD CONOVER STARTOWN RD, NEWTON NC 28658
NAME TO APPEAR ON PERMIT
*Travis Schmuker
SITE ADDRESS: OLD CONOVER STARTOWN RD, NEWTON NC 28658 PIN # 373010363331
NAME of SUBDIVISION: Travis James, Edward Schmuker Lot# 1 Section/Block
PROPERTY SIZE: Square Feet 94,263.84 Acres 2.164
DIRECTIONS: Radio Station Rd, right on Old Conover Startown Rd, property on right at Schmuker Farms gate
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WORK: IP only for property subdivision
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 81x59 w/attached Garage
#OF NEW BEDROOMS:: 4
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: YES ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
E9-ehapplicatioo 02/26/2016 08:26 Page 1 of4
�g CATAWBA COUNTY Case a EHPR-01-2016-22995
.Ai tn,.% Public Health Department Subdivision
2 Travis James, Edward Schmuke
., Environmental Health Division PIN# 373010363331
'6- PO Box 389, 100-A Southwest Blvd, Newton.NC 28658
tg.'1. _�
NAME ON PERMIT: ( *TRAVIS SCHMUKER), 1640 OLD CONOVER STARTOWN RD,NEWTON NC 28658
( *Travis Schmuker)
Site Address: OLD CONOVER STARTOWN RD,NEWTON NC 28658
Property Size: Square Feet 94,263.84 Acres 2.164
Directions: Radio Station Rd, right on Old Conover Startown Rd, property on right at Schmuker Farms gate
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.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 5 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
r`[EEENAMEr-= % 911'l�E gx tt} 34 ' 1rlal lt,r DATE �4S1 L FEE`AMOUNT'
wrot - - - _.,�w,,.�e. r k-.,�..� � E,.,,, n,a �t:� ,,r --- - 412
Improvement Permit Fee 01/08/2016 $150.00
F� TOTALFEESIE °,6ea r 1Nemtl 'sOd : i��1=1srvrs,, `.515000':I
� 2 AC . 1 i t 5Fy m ' EEW y'
,.,..gem:.. da, .zs., »,s ,.� _x.,a,�:wtN F», L,5»,�;_.v _.-.� » •.11.a4k.,.k:.21
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)
IN-ehapplication 02/26/2016 08:26 Page 2 of 4