HomeMy WebLinkAboutRBPR-01-2022-39831.TIF A
�4' O 'fills IS NOTA PERMIT Case# I2I3PR-01-2022-39831
FY R2
d .=.x ar 3 CAI'AWI3A COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/842 tM Residential Building Plan Review- Building New
IMPROVEMENT- AUTH_CONST- NEW WELL
Contractor *SCII UMACHER HOMES OF NC,INC (RICIIARI)SMOTHERS),2715 WISE AVE NW,CANTON Okl
44708
B:7046623228 C:7045823894E:7046623299 KMERKaSCHUMACHERIIOMES.COM
Lien Agent STE WART TITLE GUARANTY COMPANY (JANE BARKLEY), 19 W HARGETT ST 507, RALEIGH NC
27601
13:888691)7384E:9194895231
Owner JARI2OD&SHANON ADAMS,7839 SAWGRASS LN,SI-IERRILLS FORD NC 28673-9422
11:7049964243 C:7049963758 HOME:7049964243 SIIANONnADAMSINVESTING.COM
NAME TO APPEAR ON PERMIT
Jarrod & Shanon Adams
SITE ADDRESS: 1601 BROWN CHAPEL I(D,CATAWI3A NC 28609 PIN # 470001098048
NAME of SUBDIVISION': Lot 4 Section/Block
PROPERTY SIZE: Square Feet Acres 12.716
DIRECTIONS: Hwy 150 to Sherrils Ford Hwy Right on Joe Johnson Rd right on long island left on brown chapel property on left
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
Y; 480 WATER SUPPLY: Private Well
DESCRIBE WORK: 7/25/22 REVISE TO SHOW PROPERTY SUBDIVISION HOUSE LOCATION UNCHANGED
PREVIOUS DESCRIPTION: 3/24/2022 Revised Future pool 18x30 with 4'concrete around the pool. New site
map.
Previous Description: New 40x106 SFR 4 Bedrooms attached garage no basement back porch 16x20 with
barn 36x36
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: 0 #OF OCCUPANTS: 5
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: SFR 40x106
#OF NEW BEDROOMS:: 4
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
et,applicaum, 07/26/2022 08:10 Page 1 of3
CA'I'AWBA COUNTY Case/) RBPR-01-2022-3983I
Public Health Department F 7- Subdivision
G . 't Environmental Health Division PIN/I 470001098048
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
r.
NAME ON PERMIT: (JARROD&SHANON ADAMS).7839 SAWGRASS EN.SHERRILI.S FORD NC 28673-9422
(Jarrod & Shanon Adams)
Site Address: 1601 BROWN CHAPEL RD.CA'IAWBA NC 28609
Property Size: Square Feet Acres 12.716
Directions: Hwy 150 to Sherrils Ford Hwy Right on Joe Johnson Rd right on long island left on brown chapel property on left
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
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
II you need further information or assistance please call 828-465-8270
AREA4
+++++++++++++++++++r**++++++*++*+t+*+**+**r+**+r+******+r*+**++*++*+*r+***+++****+++++*++++++++++++++++++++r
FEENAN1F •
. DATE FEE AMOUNT'
Authorization to Construct Fee (New/Expansion) 01/21/2022 $300.00
Fee
Improvement Permit Fee 01/21/2022 S150.00
Well Permit& Inspection Fee 01/21/2022 $300.00
Re-Trip or Redesign Fee 07/25/2022 $70.00
TOTAL FEES S829.00
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)
chnpplirmimi 07/252022 I'1.33 Page 2 of3
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2.019 Acres Total Area in Lots Zoned R-40•
Portion of PIN 4700-0109-8048 - 14.735' Acres :L.- Total Area
12.716 Acres ±:Remaining in Residual Tract after division
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CCATAWBA COUNTY
G 100A SOUTIiWEST BLVD
NEWTON,NOR II CAROLINA 28658 RECEIPT
. 1'1-IONI:: 828.465.R399
1b Monday,July 25, 2022
4'L 5M rvsv'v.cata 'hacountync.gov
I'AYOR:
Adams,Jarrod&Sharron
PAYMENTS
TRANSACTION NUMBER: TRC-44075200-25-07-2022
PAYMENT DATE: 07/25/2022
PAYMENT TYPE: Credit Card
292874383
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
07-22-409578 I Io-550200-663000 Re-Trip or Redesign Fee $70.00
TOTAL PAYMENTS: $70.00
121313R-01-2022-39831
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 1601 BROWN CI IAPEL RD,CATAWBA NC 28609
Lien Agent STEWART TITLE GUARANTY COMPANY, 19 W IIARGETT ST 507, RALEIGI I NC 27601
B:8886907384E:9194895231
Owner JARROD&SI IANON ADAMS,7839 SAWGRASS LN,SHERRILLS FORD NC 28673-9422
H:7049964243C:7049963758 SI-IANONnADAMSINVESTING.COM
"NO PEOPLESOFT ACCOUNT ASSIGNED•*
Contractor "SCHUMACI IER HOMES OF NC,INC,2715 WISE AVE NW,CANTON 01144708
8:7046623228C:7045823894F:7046623299 KMERKnSCI-IUMAClIER14OMES.COM
receipt 07/25/2022 14:31 Page I of I