HomeMy WebLinkAboutRBPR-01-2022-39760.TIF 44 Yeri CATANBA COUNTS'
Case if RI3PR-01.2022-39760
y i. Public Health Department Subdivision WILDERNESS TRACE PH 2f Environmental Health Division PINM
375504835460
PO Ran 189,100-A Southnecst Blvd.NevAun,NC 28658
NAME ON PERMIT: 'CLAY CON 110MES OF CONOVER ( MATT VAl1GIIN). 1230 CON(1VI-.R I31.VU W.CONOVER N('28613
'Clayton Homes of Conover ( M
Site Address 2931 WILDERNESS IRAt'E,C I.AREMONT NC 28610
Property Size: Square Fen _ _ Macs 0.46
Directions: Conover Blvd E,Straight onto Rock Barn.NC16 N to Oxford School, Take Rest Home Rd to Wilderness Trace
Completed appbcabons ere valid for a period or 2 years Improvement Permits are vabd vnth complete sale plan•60 months(5 years).with complete plat
•wethoui expiration An Authorrgation to Construct will remain vald as tong as the Improvement Permit Is veld An Authorijaton to Construct Issued for
septic repel'le valid for 60 months(5 years) Permits may be revoked if the Information on this appilration/sete plan clumps or a the attended use far the
oroposed readily changes Permute may be revoked if sits condemns are altered such that they effect permit conditions or Installabon requirements
1 have read this epplicatron and certify that the Information provided herein is true.complete and correct Authori2ed county and state ohiaals are
granted right of entry to conduct necessary Inspections to determine compliance with applicable laws arid rules I understand that I am eatery
respons,bie for the proper identAtcation and labeling of all properly lines and corners and making the site accessible so that a complete sale evaluation
can be performed
f he,indensgned is the owner of the properly or legal agent of the owner
Daft:: tic Z2 Signature of-Applicant or Agent _ C
If)ou need further information or assistanc please c 28-465.8270
AREA2
F'EENAME man FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 01/12/2022 S150.00
Fee
Improvement Permit Fee 01/12/2022 SI50.00
Well Permit&Inspection Fee 04/19/2022 S300.00
COTAI.FEES S6011A0
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)
04i 1wno22 It 47 Pap 2 or 1