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ATHIS IS NOTA PERMIT Case# RBPR-01-2021-36580
CATAWBA COUNTY I IEALTI-I DEPARTMENT
0PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
842 SM Residential Building Plan Review- Building New
EXS_SYSTEM
&111PIZZ Re ig ski
Owner GI,ENN PATTISHALL,4271 RAINBOW 11ILLS DR,HICKORY NC 28602
C:828-485-8430
NAME TO APPEAR ON PERMIT
Glenn Pattishall
SITE ADDRESS: 4271 RAINBOW HILLS DR, HICKORY NC 28602 PIN # 370020719623
NAME of SUBDIVISION: RAINBOW HILLS Lot# 68 Section/Block
PROPERTY SIZE: Square Feet Acres .730
DIRECTIONS: W NC 10 right Zion Church Rd,left James Farm Rd,right Rainbow Hills dr property on left before Daisy Ln
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WORK: 6/16/22 REVISE APPLICATION. NO GARAGE AT THIS TIME. COVERED PATIO 18 X 15, TOTAL CONCRETE
AREA WILL BE 24 X 25 WITH RETAINING WALL ON EDGE OF CONCRETE AREA. NEW AREA WILL
REMAIN INSIDE EXISTING EXISTING PATIO AREA. CAN MEET JUSTIN KEISLER WITH JUNEBELLE
HOMES. CALL FOR APPT. 828-291-5311
PREVIOUS DESCRIPTION: Cover existing patio 20 x 20 and detached garage 25 x 26. Site plan submitted
was reviewed by zoning to assure setbacks maintained.
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: Accessory Structure OTHER DESCRIPTION:
DESCRIPTION OF residence
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 58 x 70
NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: OVERED PATIO 18X15,CONCRETE 24 X 25/RETAIN WALL
BASEMENT? Yes BASEMENT FIXTURES? No PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
06/17/2022 12:38 Page 1 of3
p,A • • 'TIES IS NO'I'A PERMIT Caso# R13PR-01-2021-36580
Ink I:
CA1'AWBA COUNTY HEAL;I'I-I DEPARTMENT
14 AI
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/i7 sw Residential Building Plan Review- Building New
EXS_SYSTEM
611671 ))
Owner GLENN PATTISIIALL,4271 RAINBOW HILLS I)R,HICKORY NC 28602
C:828.485-8430
NAME TO APPEAR ON PERMIT
Glenn Pattishall
SITE ADDRESS: 4271 RAINBOW l ilt,ES OR,HICKORY NC 28602 PIN# 370020719623
NAME ofSUBIDIVISION: RAINBOW HILLS Lot N 68 Section/Block
PROPERTY SIZE: Square Feet Acres .730
DIRECTIONS: W NC 10 right Zion Church Rd, left James Farm Rd,right Rainbow Hills dr properly on left before Daisy Ln
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
ESCRIBE WORK: over existing patio 20 x 20 and detached garage 25 x 26. Site plan submitted was reviewed by zoning to
assure setbacks maintained.
SITE INFORMATIOK
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: Accessory Structure OTHER DESCRIPTION:
DESCRIPTION OF residence
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 58 x 70
NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 20x20 covered patio,25x26 detached garage
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
ehaphlicalinn 01/22/2021 10:22 Page 1 or3
I CATAWVBA COUNTY (3C1 q R131'R-01-2021-36580
lr
t.�1 Public Ilcalth Department Subdivision RAINBOW HILLS
•• (.....
/ Environmental health Division PIN# 370020719623
) PO Box 389,100-A Southwest Blvd.Newton,NC 28658
w
NAME ON PERMIT: (GLENN PATTISIIAI.I.),427I RAINBOW IIII.I.S DR,HICKORY NC 28602
(Glenn Pattishall) .
Site Address: 4271 RAINBOW I III.I,S I)R,HICKORY NC 28602
PropertySize: Square Feet Acres .730
Directions: W NC 10 right Zion Church Rd,left James Farm Rd,right Rainbow Hills dr property on left before Daisy Ln
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=80 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 80 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 nght 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: 6/17/2022 Signature of Applicant or Agent �.,�
If you need further information or assista c please call 828-465-8270
AREA1
FEENAME DATE FEE AMOUNT
Existing Tank Check Fee 01/22/2021 $80.00
TOTAL FEES S80.00
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)
66/16/2022 I6.i1S I'atic 2 of 3
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