HomeMy WebLinkAboutRBPR-01-2022-39746.TIF = ('ATAWBA(701 NTV Case NI R13PR-01-2022-39746
40 •} Public Health Department
1e Subdivision WILDERNESS TRACE PH 2
s Enviranmemal Health Divlsnm rI IM
375504833380
•/ Pt)Itnx 310 100-A Southwest Blvd,Newton,NC 211658
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NAME ON PERMIT: 'CLAY![)N HOMES OF CONOVER ( MATT VAUCiUIN), 1230 CONOVER BLVI)W.CONOVER NC 28613
'Clayton Homes of Conover (M
SiteAddraas: 2905 WILDERNESS I'RA('I..CI.ARI?MONT NC 28610
Property Sine: Square Fed Acres 0.46
Directions: Conover Blvd E,Straight onto Rock Barn,NC18 N to Oxford School,Take Rest Home Rd to Wilderness Tiace
Completed apocations are valid nor a period of 2 years Improvement Permits are rand was complete site Wan•60 months(5 years),with complete Wet
•without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid An Authonzebon to Construct issued for
septic repair a valid for 60 months(5 years) Permits may be revoked if the information on this application/site plan changes Or d the intended use for the
proposed tacitly changes Perm;ts may be revoked J site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and cent fy that the information provided herein s true.complete and Correct Authonzed county ono state arrivals are
granted ngf4 of entry to conduct necessary inspetbons to determine compliance with applicable laws and rules 1 understand that I am sooty
responsible for the proper identification and labeling of all property tines and corners and making the We accessible so that a complete ante evalualfon
Can be performed
The underspney Is the owner of the property or legal agent of the owner
Date n
` 1 'as Signature of Applicant or Agent __
If you nccd further infnnnatian or assistanc plea - 5•8270
AREA2
FFEN'AMI j FEE AMOUNT
Improvement Permit Fee 01/10/2022 SI30.00
Authorization 10 Construct Fee (New/Expansion) 01/10/2022 SI50,00
Fee
Well Permit& Inspection Fee 04/19/2022 $300.00
TOTAL FEES S408.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS C()M M ENCE I)
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
clwMdn atn n Der 19r2022 14 49 rage Ion
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