HomeMy WebLinkAboutRBPR-11-2021-39429.TIF ..1$A � THIS IS NOT A PERMIT Case# RBPR-1 1-202 1-3 9429
1-7a CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8. 2 sM Residential Building Plan Review- Building New
AUTH CONST
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Applicant JOSEPH ADAMS,2204 METCALF DR,SI IERRILLS FORD NC 28673
C:9739453016 JOEY.ADAMS3016@GMAIL.COM
Owner GERARD ADAMS, 112 CAMP LN,MOORESVILLE NC 28117
C:973-27-7674
NAME TO APPEAR ON PERMIT
Gerard Adams
SITE ADDRESS: 9122 THACKERY LN,SHERRILLS FORD NC 28673 PIN# 462801183864
NAME of SUBDIVISION: NORTHVIEW HARBOUR PH 6 Lot# 155 Section/Block
PROPERTY SIZE: Square Feet Acres 0.79
DIRECTIONS: Hwy 150 E,L at Sherrills Ford Rd, Rat Island Point Rd,L on Northview Harbor,R on Crofte,R on Thackery, Lot 155
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GAL R DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WOR : 10/13/22 REVISION TO SITE PLAN TO SHOW LOCATION OF RETAINING WALLS.
PREVIOUS DESCRIPTION: New 74x86 SFD with 4 Bedrroms, Basement with Plumbing
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? No
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: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 74x86 SFD 4 BDRS, Basement with Plum
#OF NEW BEDROOMS:: 4
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
cI applicat 10/13/2022 12:30 Page 1 of 3
..rv . CATAWBA COUNTY Case# RBPR-1 1-202 1-39429
tr .t. ,y Public Health Department Subdivision NORTHVIEW HARBOUR PH 6
d "'l�, Environmental Health Division PIN# 462801183864
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT: (GERARD ADAMS), 112 CAMP LN,MOORESVILLE NC 28117
(Gerard Adams)
Site Address: 9122 THACKERY LN,SI IERRILLS FORD NC 28673
Property Size: Square Feet Acres 0 79
Directions: Hwy 150 E,L at Sherrills Ford Rd,R at Island Point Rd, L on Northview Harbor,R on Crofte,R on Thackery,Lot 155
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
AREA5
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FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 11/29/2021 S300.00
Fee
TOTAL FEES S300.00
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)
chapplicati.rn 10/13/2022 12:30 Page 2 of 3
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