HomeMy WebLinkAboutEHPR-03-2022-40332.TIF •4 ' • THIS IS NOT A PERMIT Case# El-1PR-03-2022-40332
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CATAWBA COUNTY HEALTH DEPARTMENT
y L:PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
=l- S" Environmental Health Plan Review-Septic Malfunction
AUTH CONST- SEPTIC MALFUNCTION
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Contractor LOOSE ENDS REPAIR (BRANDON MARTIN),6499 GEORGE HILDEBRAN SCHOOL RD,HICKORY
NC 28602
B:8282174138
Owner RONDALL AND RUTI I LAIL,2047 ROBINSON RD,NEWTON NC 28658
NAME TO APPEAR ON PERMIT
Ronda!! and Ruth Lail
SITE ADDRESS: 2047 ROBINSON RD,NEWTON NC 28658 PIN # 371110366566
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 30,056.40 Acres 0.69
DIRECTIONS: Hwy 10 toward vale,right onto Robinson Rd,home 4 miles on the left
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS P - DAY: 360 WATER SUPPLY: Public Water
• CRIBE WORK: 5/9/22 Revised to add drainfield also. Tank only,top has falling in
S •- • • 'N
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? Yes
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF single family home ,
EXISTING STRUCTURES
ON SITE(IF ANY) •
DIM EXISTING STRUCTURE: 78x30
NUMBER OF EXISTING BEDROOMS: 3 a OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
el apptieanon 05/09/2022 11:01 Page 1 of 6
CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Monday,May 9, 2022
18 42 94 www.catawbacountync.gov
PAYOR: Loose Ends Repair
Loose Ends Repair(Martin. )
PAYMENTS
TRANSACTION NUMBER: TRC-3 955 1 63 7-09-05-2022
PAYMENT DATE: 05/09/2022
PAYMENT TYPE: Credit Card
289522938
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-22-406158 I10-580200-663000 Authorization to Construct(Repair) $150.00
Fee
TOTAL PAYMENTS: $150.00
EHPR-03-2022-40332
CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction
SITE ADDRESS: 2047 ROBINSON RD,NEWTON NC 28658
Owner RONDALL AND RUTH LAIL,2047 ROBINSON RD,NEWTON NC 28658
Contractor LOOSE ENDS REPAIR,6499 GEORGE HILDEBRAN SCHOOL RD,HICKORY NC 28602
B:8282174138
••NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 05/09/2022 11:00 Page I of I