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HomeMy WebLinkAboutRBPR-09-2021-38904.TIF THIS IS NOT A PERMIT Case# RBPR-09-2021-38904 CATAWBA COUNTY HEALTH I)IPARTMENT Art `•' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES / • sw Residential Building Plan Review- Building New IMPROVEMENT- AUTH CONST- NEW WELL Phil).) R& d Contractor *SCHUMACHER HOMES OF NC,INC (RICHARD SMOTHERS),2715 WISE AVE NW,CANTON()II 44708 B:7046623228 C:7045823894F:7046623299 KMERK«SCIIUMACIIERHOMES.COM Owner JOHN PRIME, 1656 N NC 16 HWY,DENVER NC 28037 C;2035095096 PRIMESALESJOHN@GMAIL.COM NAME TO APPEAR ON PERMIT John Prime SITE ADDRESS: 3546 MT PLEASANT RD,SI IERRILLS FORD NC 28673 PIN# 460701271312 NAME of SUBDIVISION: Lot U A Section/Block PROPERTY SIZE: Square Feet _ Acres 3.73 DIRECTIONS: Hwy 16 S to Hwy 150 East;Left on Little Mountain RD;Right Mt Pleasant half mile lot on the right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 12/6/22 revise to add circle driveway. reissue permits New 1 Story 4 bedroom Single Family Dwelling w/attachecd garage 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? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: driveway 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 64x50; 12x16 porch to OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO elapplicatnm 12/062022 16:00 Page 1 of 3 CATAWBA COUNTY Case RBPR-09-202 1-3 8904 - t 111(( Public Health Department Subdivision ifi,t Environmental)[earth Division PIN# 460701271312 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (JOAIN PRIME), 1656 N NC 16 11 WY,DENVER NC 28037 (John Prime) Site Address: 3546 MT PLEASANT RD,SIIERRILLS FORD NC 28673 Property Square quare Feet Acres 3.73 Directions: Hwy 16 S to Hwy 150 East;Left on Little Mountain RD;Right Mt Pleasant half mile lot on the right. Completed applications are valid for 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: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA4 SETBACKS: 50'from 60 contour line FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 09/24/2021 $300.00 Fee Well Permit&Inspection Fee 09/24/2021 $300.00 Improvement Permit Fee 12/06/2022 $150.00 Authorization to Construct Fee(New/Expansion) 12/06/2022 $300.00 Fee TOTAL FEES $1,050.00 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) eliapplicao..n 12/06/2022 16:00 Page 2 of 3 gA .... • CATAWBA COUNTY ill t 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT .44•4 0art • fi ' PHONE:828.465.8399 Tuesday,December 6,2022 I g 42 sM www.catawbacountync.gov PAYOR: Prime,Carolyn PAYMENTS TRANSACTION NUMBER: TRC-52711417-06-12-2022 PAYMENT DATE: 12/06/2022 PAYMENT TYPE: Credit Card 298330372 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 12-22-415584 110-580200-663000 Improvement Permit Fee $150.00 12-22-415584 110-580200.663000 Authorization to Construct Fee(N $300.00 ew/Expansion)Fee TOTAL PAYMENTS: $450.00 RBPR-09-202 1-3 8904 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 3546 MT PLEASANT RD,SHERRILLS FORD NC 28673 Owner JOHN PRIME, 1656 N NC 16 HWY,DENVER NC 28037 C:2035095096 PRIMESALESJOIIN cJGMAIL.COM Paid By CAROLYN PRIME, 1390 IIILLDALE LN,IRON STATION NC 28080 **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor *SCI.IUMAC1IER HOMES OF NC,INC,2715 WISE AVE NW,CANTON OH 44708 B:7046623228C:7045823894F:7046623299 KMERK thSCI IUMACI IERHOMES.COM receipt 12/06/2022 16:32 Page 1 of 1