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Home My WebLink AboutRBPR-03-2022-40476.TIF w* THIS IS NOTA PERMIT Case# RBPR-03-2022-40476 !~ Ill ►3 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES I8 9, Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST P o.{)ti-( 6 (I rC,7) Contractor *MIKE PALMER HOMES,INC. (MICHAEL PALMER),6211 DENVER INDUSTRIAL PARK RD, DENVER NC 28037 B:7042576422 C:7045169227F:7049730002 MIKEPALMER@MIKEPALMERHOMES.COM MIKEPALMERHOMES.COM Land Owner CURTIS TAYLOR,2372 W NICOLE LN,DENVER NC 28037 Owner ANSELMA MARTINEZ,4618 SAWGRASS CT,DENVER NC 28037 NAME TO APPEAR ON PERMIT *MIKE PALMER HOMES, INC. (MICHAEL PALMER) SITE ADDRESS: 4618 SAWGRASS CT,DENVER NC 28037 PIN# 460601062998 NAME of SUBDIVISION: PEBBLE BAY PH 1 Lot# 75 Section/Block PROPERTY SIZE: Square Feet Acres 1.25 DIRECTIONS: Hwy 16 S to Bus Hwy 16S LeftCampground RD LeftCatawba Burris RD Left Pebble Bay Right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: -s)Community Well DESCRIBE wOR— 6/24/2022 Revised the property has a community well �-----.----- , Previous Description: New 4 bedroom Single Family Dwelling 54x82 12x12'6 screen porch 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: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 54x82; 12x12'6 porch #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: ehapplication 06/24/2022 08:41 I'age I of 3 �$ e CATAWBA COUNTY Case# RBPR-03-2022-40476 u(.. Public Health Department ET •Z Subdivision PEBBLE BAY PH 1 d 'i Environmental Health Division PIN# 460601062998 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 su NAME ON PERMIT: *MIKE PALMER HOMES,INC. (MICI IAEL PALMER),6211 DENVER INDUSTRIAL PARK RD,DENVER NC 28037 *MIKE PALMER HOMES, INC. Site Address: 4618 SAWGRASS CT,DENVER NC 28037 Property Size: Square Feet Acres 1.25 Directions: Hwy 16 S to Bus Hwy 16S LeftCampground RD LeftCatawba Burris RD Left Pebble Bay Right 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 If you need further information or assistance please call 828-465-8270 AREAS "EENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 03/22/2022 $300.00 Fee Improvement Permit Fee 03/22/2022 $150.00 Well Permit&Inspection Fee 03/22/2022 $300.00 .........................._... TOTAL FEES $750.00 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) ehapplieation 06/24/2022 08:41 Page 2 of 3 catawba county public health AUTHORIZATION OF REFUND Date: 6/27/2022 Case #: RBPR-03-2022-40476 Applicant: Mike Palmer Homes Inc Refund Amount: S300 Refund Reason: 4618 Sawgrass Ct on community well, private well not needed Authorizing Signature: Received By Staff: r 1/1 - Date: !i bg f» catawbacountync.gov Environmental Health Cciowbc County Government Center 25 Government Drive PO Box 389 I Newton NC 28658 828.465.8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. P+ Date: 6/27/2022 Make Payment To: �8wCQ6 Voucher No(s) Mike Palmer Homes Inc Eel t T 6211 Denver Industrial Park Rd d v Denver, NC 28037 v ,��` 1�34' ATTACHMENT Prepared by: Julia English Description Amount Refund for well 4618 Sawgrass Ct, on community well, private well not needed $300.00 Sub-Total Food Tax Sales Tax Total $ 300.00 For Accounting Use Fund Cost Center Object Project Amount Only 110 580200 663000 Tota I The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) C�g'A CATAWBA COUNTY ��" 100A SOUTFIWEST BLVD '44NEWTON,NORTII CAROLINA 28658 RECEIPT . ! PHONE:828.465.8399 1 Monday,June 27,2022 1 g 4 2 5M www.catawbacountync.gov PAYOR: *MIKE PALMER HOMES, INC. *MIKE PALMER HOMES,INC. PAYMENTS TRANSACTION NUMBER: TRC-42409464-27-06-2022 PAYMENT DATE: 06/27/2022 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-22-404001 110-580200-663000 Well Permit&Inspection Fee ($300.00) TOTAL PAYMENTS: ($300.00) RBPR-03-2022-40476 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4618 SAWGRASS CT,DENVER NC 28037 Land Owner CURTIS TAYLOR,2372 W NICOLE 1,N,DENVER NC 28037 Owner ANSELMA MARTINEZ,4618 SAWGRASS CT,DENVER NC 28037 Contractor *MIKE PALMER HOMES,INC.,6211 DENVER INDUSTRIAL PARK RD,DENVER NC 28037 B:7042576422C:7045169227F:7049730002 MIKEPALMER rr MIKEPALMERIIOMES.COM ACCOUNT:7327 receipt 06/27/2022 14:38 Page I of I