HomeMy WebLinkAboutRBPR-01-2022-39756.TIF ,,• CATAH BA Cot• I N Case a R I3PR-01-20Z2-39756
• .• Public!lealth Department
t 1 pa Subdivision WILDERNESS TRACE PH 2
• et I n.irunmental Health Division
1 PINE 375504834365
I: IN I Rita)89, Inn-A southwest Hlsd,Newton,NC 211658
NAME ON PERMIT: *CLAY CON IIOMES OF CONOVI:R ( MA7T VAU(iIfN), 1230('ONUVER N1,VI)W.CONOVER NC 211613
'Clayton Homes of Conover (M
Site Address: 2917 WILDERNESS TRACE„C1.AREMONT NC 28610
Property Size: Square Feet__ -, — Acres ____ 0.47 _.
Directions: Conover Blvd E.Straight onto Rods Barn.NC16 N to Oxford School,Take Reel Home Rd to Wktemess Trace
Computed applications aN valid for a period Of 2 years Improvement Permits ere valid with complete site plan•im months(5 years) with complete pot
•without expirabon An Authorization to Construct will remain veld as long as the Improvement Peru se valid An Authonzston to Construct issued for
septic repay is valid for b0 months(5 years).Permits may be revolted if the inforrrwbon an thu applicationfsite plan changes or A the intended use for the
proposed facility changes Permit'may be revoked d 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 ra true.complete end correct Authorized county and slate°tribe's ere
granted right of entry to conduce necessary inspections to determine compliance with applicable laws end rules I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site eccesarde so that a complete rite evaluation
can be performed
The undersigned di the owner of the property or legal agent 01 the owner
I)etc: J`t<(P' per, Signature of Applicant or Agent
If you need further information or assislanc please call ft_ -465.(1
AREA2
Ff:F:NA►1F: pATI J EE AMOUNT
Authorization to Construct Fee(New/Expansion) 01/12/2022 5150.00
Fee
Improvement Permit Fee 01/12/2022 S150 00
Well Permit& Inspection Fee 01)12/2022 %;Ho Hu
TOTAL FEES S600,00
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)
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