HomeMy WebLinkAboutRBPR-03-2022-40525.TIF .�$• • TI11S IS NOT A PERMIT Case# RBPR-03-2022-40525
CATAWBA COUNTY HEALTI i DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8 s" Residential Building Plan Review- Building New
IMPROVEMENT-AUTH CONST- NEW WELL
011b/7z 1 1-Sed -
Applicant GAVIN IIOUCHINS,3400 MT PLEASANT RD,SI IERRILI.S FORD NC 28673
C:704408742I
Land Owner JOHN F JR IVESTER,PO BOX 2457,HUNLERSVILLE NC 28070-2457
NAME TO APPEAR ON PERMIT
Gavin Houchins
SITE ADDRESS: 3400 MT. PLEASANT RD,SHERRILLS FORD NC 28673 PIN# 460701289905
2
NAME of SUBDIVISION: Section/Block
PROPERTY SIZE: Square Feet _-- Acres 11.940
DIRECTIONS: from Newton take Hwy 16 so 150,take 150 and travel east until you come to little mountain rd,take left onto
little mountain rd drive to Mt pleasant rd and make a right onto Mt pleasant rd the accross to the property is 100 ft past
dockside lane
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 720 WATER SUPPLY: Private Well
SCRI=E '0 K: 10/18/2022 new site plan of 9/8 shows property subdivision.Acres and lot#changed to reflect subdivision.
Must record deed.
10/14/22 Revised home will have 4 bedrooms and accessory dwelling will have 2 bedrooms for a total of a 6
bedroom system.
9/8/22 Received new site map
Previous Description: New 106x110 SFR 5 bedrooms with attached garage"' With accessory dwelling 26x4
0 with 1 bedroom
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: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 106x110,40x26
#OF NEW BEDROOMS:: 6
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES
OTHER: INNOVATIVE: ANY.
Other described:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
10;182022 ICI 41 Page I of4
,stir CATA�1'BACOUNT' Subdivision
ub RBPR-03-2022-40525
• fi i i Public Health Department Suhdn ision
lip.,q ft Environmental Health Division PING 460701289905
*Est PO Box 389, 100-A Southwest Blvd,Newton.NC 28658
NAME ON PERMIT: (GAVIN HOUCHINS),3400 MT PLEASANT RD.SHERRILLS FOR!)NC 28673
( Gavin Houchins)
Site Address: 3400 MT.PLEASANT RD,SI IERRI L S FORD NC 28673
Property Size: Square Feet Acres 11.940
Directions: from Newton take Hwy 16 south to Hwy 150,take 150 and travel east until you come to little mountain rd.take left onto
little mountain rd drive to Mt pleasant rd and make a right onto Mt pleasant rd the accross to the property is 100 ft past
dockside lane
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=80 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: 1 1/12/2022 signature ofApplicant or Agent
If you need further information or assistance please call 828-465-8270
AREA4
SETBACKS: 30'From the 760'contour line
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 03/25/2022 S500.00
Fee
Improvement Permit Fee 03/25/2022 S150.00
Well Permit& Inspection Fee 03/25/2022 S300.00
TOTAL FEES 5950.00
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)
..I.q•p6,.n," 10/19/2022 to.39 Page 2 o14
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