HomeMy WebLinkAboutEHPR-05-2021-37733.TIF OK
• THIS IS NOTA PERMIT Case# EI-IPR-05-2021-37733
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8. 2 sM Environmental Health Plan Review- Repair
AUTH CONST- REPAIR- RELOCATION
1,11(41/2, geoi -t41
Owner TERRY FREEMAN,7058 COBBLEFIELD LN,DENVER NC 28037
C:980-939-2120
NAME TO APPEAR ON PERMIT
Terry Freeman
SITE ADDRESS: 7058 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603027953
NAME of SUBDIVISION: COBBLESTONE
Lot# 5 Section/Block ---
PROPERTY SIZE: Square Feet 43,560.00 Acres 1
DIRECTIONS: Pebble Bay Dr to Burris Rd,left onto Cobblefield Ln
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Private Well
E WORK: 8/16/22 revised to relocation/repair to relocate exiting drainfield for pool installation and repair crushed infiltrator
chambers
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?
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: **NO STRUCTURE SELECTED**
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 60x60
NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
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