HomeMy WebLinkAboutEHPR-11-2021-39289.TIF •
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.�$A • THIS IS NOT A PERMIT Case# EHPR-l1-202 1-39289
d „ CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 sM Environmental Health Plan Review-OSWP
IMPROVEMENT
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Applicant DAVID ROSE,4250 MILL CREEK RD,WINSTON SALEM NC 27106
C:3366827083 DAVIDROSE723@GMAIL.COM
Owner CONSUELO ROSE,4250 MILL CREEK RD.WINSTON SALEM NC 27106
C:2196135823
NAME TO APPEAR ON PERMIT
David Rose
SITE ADDRESS: 3557 MELICA DR,TERRELL NC 28682 PIN # 461712874452
NAME of SUBDIVISION: HIDDEN HARBOR Lot# 6 Section/Block
PROPERTY SIZE: Square Feet 43,124.40 Acres 0.99
DIRECTIONS: 1-77 exit 36,NC-150 W to Greenwood Rd,turn left on Melica Drive,home is on the right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
RI E WOR . 9/27/22 revise house size to 87 x 62, pool 16 x 36 concrete area between house and pool 28.3 x 62 See new
site plan
PREVIOUS DESCRIPTION: IP only
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? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
W STRUCTURE DIM.. house size 87x62,pool 16 x 36
#OF NEW 4
BASEMENT? Yes BASEMENT FIXTURES? Yes 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:
ehap pin;al.n 09/27/2022 14:01 Page I of3
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NAME ON PERMIT: I I)\\II)RIt'sl I 1.,S0\III I 1 RI I i, kl). \1 ts. .,\I I \I\(
David Rose)
Site Address: " \11IIl \DR. IIRRIII
Property Size: „ ;;.j 0.; 43.124 40 , 0 99
Directions 177 exit 36 NC 150 W to Greenwood Ho turn nett on Metc:a I;nvt' horde is on the rntht
Completed appbcntmns ate vela]fora pec,bd of 2 year% Inprc,ver,w.nt Perm.t•an,vavd w tr,unrp•ete s.te pWn-40,rxartts,S v•s. wen%,tat ele ri
=wrthoat esp.ratinn An AUthorzaton tO Construct w 'erne n va'a1 as ir^p as•hr'nyttomrti•rt Pw^:.t%valid An Atithc•nta'K•^:, -, „sl'ssard'c4
septic•epa'n va•d'or 6C nice les t5 years; Pet m,ts'ray tfe tevcrei if the,'drxntaf.rn•rn ys 4t,t•"eat:n1.1,!e Pan tlsat-Q.%,-.' ••• .,.,•-'Icy„se�,•:hr
p'OPcie4•a. tr c^antes Perm is"av be•evo.ed 1 s e_;,nnd{'ns aWI.atried sitr.h that hint eec m re 't ct:nO',cn{n, nslx ,'•.r••r 7:"Is^w.•nt't
nave'Pan tn.%aOPhia14m anacelA,teat foe•rfo'malion prcr•oeti s 'i r t:anp Me dnJ .or•ect A,.r'or teal tR'atrly and rive ctt.c a!s a'r
O'antea OI e'try to rona.,ct nermssa,y nspac:ha^S'O(tote,nlmr..^-;,ha'kSe w t"appl lame laws turn'urea u"Oetstand that i am Well
'P%ponsibie tot!hi!proper+denttt.C.At'on and.alMUnQ of a.•fxoPes, 'Vs and cren^'s,st':1 l'i.I n)!'IC sill aCCisS ble an It a'gtnplrtr S,!.'eva acre•'
can be pericrn•r:1
The undrost9ned'a the owner of 1^e property of legal agent all'he owner
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AREAS
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Improvement Permit F ee i 1 n'+>u>I I;tl tl.,
it)I tl FI i% S15I1.1HI
FEES ARE: NON-RI:F1-NI)A111,1.:
ON(.1.:A SITE VISIT IS Mi.t1)1•: OR
11'ORk O\ :1 PLAN It1,:V11•:11" II.AS ('0E1N11•;ti('I•:1)
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
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