HomeMy WebLinkAboutEHPR-05-2016-23931.TIF 13A THIS IS NOT A PERMIT Case # EHPR-05-20 1 6-23 93 1
Q f:•►. CATAWBA COUNTY HEALTH DEPARTMENT 0 - •`rod+ •0
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES - ;• a - •
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Applicant _JO NNE BATTAGLIA, 2 LAKE SHORE DR, WATERVLIET NY 12189
C:5187281183Th
NAME TO APPEAR ON PERMIT
Joanne Battaglia
SITE ADDRESS: 1524 MARSHBROOKE LN, CATAWBA NC 28609 PIN # 460901085275
NAME of SUBDIVISION: AUTUMNWOODS PHASE 1 Lot# 10&11 Section/Block
PROPERTY SIZE: Square Feet 68,824.80 Acres 1.58
DIRECTIONS: Hwy 150, left Sherrills Ford Rd, right Island Point Rd, right Eulalia Ln, continue on Marshbrooke Ln, on corner of
Marshbooke Ln and Conestoga Crossing
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: IP for purchase, property combination
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 OF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 70 X41
#OF NEW BEDROOMS:: 3
BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
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
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