HomeMy WebLinkAboutEHPR-3-11-9827.TIF �A Cp THIS IS NOT A PERMIT Case # EHPR -3 -11 -9827
t CATAWBA COUNTY HEALTH DEPARTMENT
Plan Review Application for Environmental Services
Environmental Health Plan Review - OSWP
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eapfs NAME TO AP AR ON IT
aniel Corona
SITE ADDRESS: 5487 BUDDY ST, Conover, NC Pin#: 374409060986
NAME of SUBDIVISION:HOUSTON Lot 4 9 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.349
DIRECTIONS: SPRINGS RD/ HOUSTON MILL RD/ GO PAST HARDWARE/ 1ST LEFT/ 2ND ST
APPLICANT NER \ CONTRACTOR
Daniel Corona RICK TRAVIS 1 ,
3574 Ole Country LN PO BOX 817
Clareont NC 28610- CONOVER NC 28613-
(704)903 -3637
PRIMARY CONTACT: Applicant _ APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: Mobile Home
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Public Water
CALCULATED DESIGN FLOW:
Public water IS available for this property.
PUBLIC WATER TYPE AVAILABLE: County /City /Township Water
DESCRIBE WORK: change out mobile home * Must have 36 SF Deck / Must Screen or remove towing tongue / Must underpin /
mobile home to be paralle with road.
PROPOSED FUTURE ADDITIONS Double Carport 24 x 48
OR IMPROVEMENTS:
PROPERTY EASEMENTS: none
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS
PROJECT DESC: Double Wide Mobile Home
PROJECT DIMENSION: 26 x 48
BASEMENT? No BASEMENT FIXTURES? No
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non - expiring date, but may be revoked if this information, site plans or intended use changes for the proposed
facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828 - 466 -7291
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Minimum Setbacks: Front: 30 Side: 30 Rear: 15 Side St: Max Height:
03/16/11 08:51
� • CATAWBA COUNTY Case # EIWR -3 -11 -9827
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/ c \ Public Health Department Subdivision
i Environmental Health Division - Plan Review HOUSTON
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*' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 9
1842 s„ PIN# 374409060986
Applicant/Owner Daniel Corona, 3574 Ole Country LN, Clareont NC 28610 -
Site Address: 5487 BUDDY ST, Conover, NC
Property Size: SF 0.349 ACRES
Directions: SPRINGS RD/ HOUSTON MILL RD/ GO PAST HARDWARE/ 1ST LEFT/ 2ND ST
FEE NAME DATE AMOUNT BALANCE DUE
Existing Tank Check Fee 03/15/2011 $80.00 $0.00
TOTAL FEES $80.00 $0.00
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
03/16/11 08:51