HomeMy WebLinkAboutRBPR-03-2022-40528.TIF �A 6: THIS IS NOTAPERMIT Case# RBPR-03-2022-40528
CATAWBA COUNTY HEALTH DEPARTMENT
119 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\842 SM Residential Building Plan Review-Building Addition
AUTH CONST- NEW WELL - EXPANSION - ABANDONMENT
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Contractor *ROBY,INC.,ANDREW (TRAVIS HASTON),PO BOX 221416,CHARLOTTE NC 28222-1416
B:(704)334-5477 C:7045790843F:(704)332-6351 JOSIE.VEGTER@ANDREWROBY.COM
Owner JEFFREY CHANDLER,4551 KISER ISLAND RD,TERRELL NC 28682
C:336-669-1271
NAME TO APPEAR ON PERMIT
*Roby, INC., ANDREW (Travis Haston)
SITE ADDRESS: 4551 KISER ISLAND RD,TERRELL NC 28682 PIN# 461602573467
NAME of SUBDIVISION: GABRIEL ACRES Lot ti 3&4 Section/Block
PROPERTY SIZE: Square Feet Acres 0.78
DIRECTIONS: Highway 150E right on Kiser Island Rd lot on right
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
(aLLONS PER DAY) 720 WATER SUPPLY: Private Well
DESCRIBE WORK: AC Septic Expansion****Accessory Dwelling with 2 Bedrooms that will be connected via covered walkway to
main house(total 6 bedrooms with home and ADU)
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? 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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: ACCESSORY DWELLING
FACILITY TYPE: Accessory Dwelling OTHER DESCRIPTION:
DESCRIPTION OF SFR 38x56
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 34x36
#OF NEW BEDROOMS:: 2
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: YES INNOVATIVE: ANY:
Other described: PPBPS
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
APPLICATION FOR WELL ABANDONMENT
ABANDONMENT TYPE: �~ —
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