HomeMy WebLinkAboutEHPR-10-2021-38942.TIF .I�B • THIS IS NOT A PERMIT Case# EHPR-1 0-202 1-3 8942
I CATAWBA COUNTY HEALTH DEPARTMENT
y PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1 SM Environmental Health Plan Review- OSWP
REPLACE WELL
fI/iLi17I
Owner SHANE WHALEY,5158 TALMAGE ST,CATAWBA NC 28609
C:5617220732
NAME TO APPEAR ON PERMIT
Shane Whaley
SITE ADDRESS: 5158 TAI,MAGE ST,CATAWBA NC 28609 PIN# 378001167521
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 71,438.40 Acres 1.64
DIRECTIONS: E NC 10 Hwy to Murrays Mill Road,Head east on Murrays Mill Road,left on Loftin Dr,Right on Talmage St,first house
on left
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
CRIBS WO • 6/16/22 DRY WELL NO PUMP WILL BE INSTALLED Replace well
ORMATION
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? No
Are there any easements or right-of-ways on this property? Yes
Property Easements Description: 60 foot private right of way al the road
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF Residence
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 3
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:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: YES
ehapplicawm 06/16/2022 16:36 Page 1 n13
4'A CATAWBA COUNTY
'Q' I0OA SOUTHWEST BLVD
�' + NEWTON,NORTH CAROLINA 28658 RECEIPT
k.) AKI!olOscv PHONE:828.465.8399
Thursday, June 16,2022
1$4 2 SM www.catawbacountync.gov
PAYOR:
Whaley,Shane
PAYMENTS
TRANSACTION NUMBER: TRC-41777676-16-06-2022
PAYMENT DATE: 06/16/2022
PAYMENT TYPE: Credit Card
291333630
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
06-22-407974 110-380200-663000 Re-Trip or Redesign Fee $70.00
TOTAL PAYMENT'S: $70.00
EHPR-1 0-202 1-3 8942
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 5158 TALMAGE ST,CATAWBA NC 28609
Owner SHANE WHALEY,5158 TALMAGE ST,CATAWBA NC 28609
C:5617220732
•M NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 06/16/2022 16:27 Page 1 of 1