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gA �G THIS IS NOTA PERMIT Case# RI3PR-03-2022-40560
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CATAWBA COUNTY I-IEALTH DEPARTM1:N I'
v71 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICE'S
184 sM Residential Building Plan Review- Building New
AUTH CONST- NEW WELL
`1I111)) P4'it1t S<� -
Owner *MORGAN&RACIIEI,WILLIAMS,PO BOX 733,NEWTON NC 28658
C:828-612-4658 6MCWILLIAMS@GMAIL.COM
NAME TO APPEAR ON PERMIT
*Morgan & Rachel Williams
SITE ADDRESS: 2660 HUNTERS RIDGE DR,VALE NC 28168 PIN# 268802568598 ~—
NAME of SUBDIVISION: Lot it Section/Block
PROPERTY SIZE: Square Feet Acres 7.39
DIRECTIONS: Providence Ch Rd off W NC 10,Take 1st rd on L,Bakers View,next left on Hunters Ridge
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLON AY: 360 WATER SUPPLY: Private Well
CRIBE WORK: /14/22 ORIENTATION OF HOME HAS CHANGED. OK PER SUE BALLBACH DUE TO TOPO, SIZE OF
PROPERTY AND DISTANCE FROM ROAD
9/2/22 Revised to have a basement
Previous Description: New 54x116 One Story SFD, 3 Bedrooms
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? Yes
Property Easements Description: 25'Easment Own both properties Book 3720 @ pg 1974
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: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 54x116 SFD,3 Bdrs,No Basement
#OF NEW BEDROOMS:: 3
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
L::r. 09/14/2022 09:15 Page 1 or 3
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/• CATAWBA COUNTY Case It RBPR-03-2022-40560
/c Public Health Department Subdivision
Tij ' Environmental Health Division PIN# 268802568598
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
8 SM
NAME ON PERMIT: (*MORGAN& RACI IEI,WILLIAMS),PO BOX 733,NEWTON NC 28658
(`Morgan&Rachel Williams)
Site Address: 2660 HUNTERS RIDGE DR,VALE NC 28168
Property Size: Square Feet Acres 7.39
Directions: Providence Ch Rd off W NC 10,Take 1st rd on L, Bakers View,next left on Hunters Ridge
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.
02_ 22 -�
Date: Signature of Applicant or Agent —��
If you need further information or assistance please 28-465-8270
AREA1
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 03/30/2022 S150.00
Fee
Well Permit&Inspection Fee 03/30/2022 S300.00
Re-Trip or Redesign Fee 09/14/2022 $70.00
TOTAL FEES S520.00
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)
rL:rpli:nu.,,, 09/14/2022 09:15 Page 2 of 3
4,A
• CAI'AWBA COUNTY
i[7.4
''}� 100A SOUTHWEST BLVD
` NEWTON,NORTH CAROLINA 28658 RECEIPT
C) O PHONE:828.465.8399
Thursday,September 22,2022
1842 sM www.catawbacountync.gov
PAYOR:
Williams,*Morgan&Rachel
PAYMENTS
TRANSACTION NUMBER: TRC-47706554-22-09-2022
PAYMENT DATE: 09/22/2022
PAYMENT TYPE: Credit Card
295373893
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
09-22-412538 110-580200-663000 Re-Trip or Redesign Fee $70.00
TOTAL PAYMENTS: $70.00
RBPR-03-2022-40560
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 2660 HUNTERS RIDGE DR,VALE NC 28168
Owner *MORGAN& RACHEL WILLIAMS,PO BOX 733,NEWTON NC 28658
C:828-612-4658 6MCWILLIAMS@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 09/22/2022 13:23 Page 1 of 1