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Home My WebLink AboutRBPR-04-2018-28884.TIF /A THIS IS NOT A PERMIT Case# RRPR-04-2018-28884 7C7 ie CATArAAp COUNTY HEALTH DEPARTMENT •.ocu f�.0 n PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •.1 (IN..' 1842 s Residential Building Plan Review-Modular oM'/•n .o j P }QV �1 --� ( IMPROVEMENT AUTH_CONST Oityol •• P 5 <Q-K`. (Tuner TIIOMAS GRACE,10 I YONS CT.GRANITE PAI.I.S NC 28630 0828-578-9294 NAME TO APPEAR ON PERMIT Thomas Grace SITE ADDRESS: 4363 GRACE CHURCH RI).NEWTON NC 28658 PIN# 360804603745 NAME of SUBDIVISION: Lot 4 1-2 Section/Block PROPERTY SIZE: Square Peer Acres 2.04 DIRECTIONS: Hwy 10 W/left Blackburn School Rd/right Grace Church Rd/property on left 0.1 miles PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 _- _ \\ WATER SUPPLY: Public Water DESCRIBE WORK: •3/2/18Revised to add IP per RR J Revised to AC for pump tank to existing drain field 1 story off frame modular dwelling/existing septic system sized for 3 bedrooms/CAPR-03-2015-058549 paid for water connection 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? Yes 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 vacant lot EXISTING STRUCTURES ON SITE OF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: C OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 60 including front 8 back porch R OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct). ACCEPTED. ALTERNATIVE: CONVENTIONAL: OTHER. INNOVATIVE'. ANY. Other described- ,1131i _ .., 05N2.201a 08.40 Paye I of4 fr • THIS IS NOT A PERMIT Case# RBPR-04-2018-28884 . I gi' "f ' --I CA1AW BA COUNTY HEALTH DEPARTMENT ❑ � tem spa � ,r ' T kit mow' PLAN REVIEW APPLICA'T'ION FOR ENVIRONMENTAL SERVICES 4' }}} 842 sm Residential Buildin• Plan Review- Modular T''c.�## '• a I .+0 I' • fir: �� r 5 P/f TO C AUTH_CONST . r Owner THOMAS GRACE. 10 LYONS CT,GRANITE FALLS NC 28630 C:828-578--9294 NAME TO APPEAR ON PERMIT Thomas Grace SITE ADDRESS: 4363 GRACE CHURCH RD.NEWTON NC 28658 PIN # 360804603745 NAME of SUBDIVISION: Lot# 1-2 Sectioldlilock PROPERTY SIZE: Square Peet Acres 2.04 DIRECTIONS: Hwy 10 W/left Blackburn School Rd/right Grace Church Rd/property on left 0.1 miles PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK:, 4/25/18 Revised to AC for pump tank to existing dra fi dJ fltory off frame modular dwelling /existing septic system sized for 3 bedrooms/CAPR-03-2015-058549 paid for water connection 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? Yes 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 vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28 x 60 including front&back porch #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: eltapplication 04/252018 11:41 Page 1 of 4 CATAWBA COUNTY Case a RE3PR-04-2018-28884 Public Health Department Subdivision '�■ w�i Environmental Health Division PRO 360804603745 0• PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (THOMAS GRACE). 10 LYONS CT.GRANITE FALLS NC 28630 (Thomas Grace) Site Address: 4363 GRACE CHURCH RD.NEWTON NC 28658 Property Size: Square Feet Acres 2.04 Directions: Hwy 10 W/left Blackburn School Rd/right Grace Church Rd/property on left 0.1 miles Completed applications are valid far a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements 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. The undersigned is the owner of the property or legal agent of the owner. Date: (1/016/i6-- Signature of Applicant or gent --"N— If you need further information or assistance please call 828-466-7291 AREA2 1441*****Mt*******44*884*8*8**8*4*4**41444#44*******•*4*8*8*Fit*8*8**8*48*88*******1414*.***448*8*8484/414 [- I I I N yMr DATE FII AMOUNT i Existing Tank Check Fee 04/12/2018 $80.00 Authorization to Construct Fee(New/Expansion) 04/25/2018 5220.00 Fee f IOI I FEES 5300.00 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) ehapplication 04/25/201S 11:41 Page 2 of4 /f4?Z CATAWBA COUNTY a n�/� IOOA SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT +� a►e PI-IONE: 828.465.8399 \U `11) :vd� '`C Wednesday,April 25, 2018 842 SM www.catawbacountync.gov PAYOR: Grace.Thomas PAYMENTS TRANSACTION NUMBER: TRC-3481369-25-04-2018 PAYMENT DATE: 04/25/2018 PAYMENT TYPE: Credit Card 203111315 INVOICE NUMBER FEE NAME FEE AMOUNT 04-18-352210 Authorization to Construct Fee (N $220.00 ew/Expansion) Fee TOTAL PAYMENTS: 5220.00 12B PR-04-2018-28884 CASE TYPE: Residential Building Plan Review WORK CLASS: Modular SITE ADDRESS: 4363 GRACE CHURCH RD,NEWTON NC 28658 Owner ll1OMAS GRACE. 10 LYONS Cl.GRANITE FAILS NC 28630 C:828-578-9294 " NO PEOPLESOFT ACCOUNT ASSIGNED" receipt 04/252018 11:40 Page 1 of 1