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Home My WebLink AboutRBPR-04-2022-40580.TIF U THIS IS NOT A PERMIT Case# RBPR-04-2022-40580 / CATAWBA COUNTY HEALTH DEPARTMENT dTR PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 SM Residential Building Plan Review-Accessory Structure ~OVEMENT- RELOCATION Applicant ALEXANDER CESPEDES,4510 GRAYBIRCH DR,MAIDEN NC 28650 C:7044609354 Contact Person ALEJANDRA CESPEDES,, C:7042145238 Land Owner KEY RENTAL COMPANY LLC, 1459 N ASPEN ST,LINCOLNTON NC 28092 NAME TO APPEAR ON PERMIT Alexander Cespedes SITE ADDRESS: 4510 GRAYBIRCH DR,MAIDEN NC 28650 PIN# 365602984132 NAME of SUBDIVISION: BRECKENRIDGE Lot# 31 _ Section/Block PROPERTY SIZE: Square Feet Acres 0.95 DIRECTIONS: Hwy 16 to Buffalo shoals rd R on buffalo shoals to East Cliff on R take E CLiff to Graybirch go R lot 31 on the R PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well gseC rI EWORK: ,8/18/2022 REVISED; IP TO RE-DESIGNATE REPAIR AREA FOR 10 X 20 STORAGE BUILDING NOT INCLUDED ON ORIGINAL SUBMITTAL. NO ADDITIONAL CHARGE PER MM Existing system check for 2 storage buildings 8x10 wood storage building 10x12 storage building***Double wide 34x66 with 4 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? 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Double Wide 34x66 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 3 ----- ------ PROPOSED CONSTRUCTION NEW STRUCTURE DI — 10X20 No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 08/18/2022 16:21 Page 1 of3 _y16: CATAWBA COUNTY Case# RBPR-04-2022-40580 Public Health Department -, Environmental Health Division l 2 Subdivision PIN# BRECKENRIDGE d �l �I1 365602984132 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 18. ,„ NAME ON PERMIT: (ALEXANDER CESPEDES),4510 GRAYBIRCH DR,MAIDEN NC 28650 (Alexander Cespedes) Site Address: 4510 GRAYBIRCI I DR,MAIDEN NC 28650 a Size: Square0.95 Property 1tY Feet Acres Directions: Hwy 16 to Buffalo shoals rd Ron buffalo shoals to East Cliff on R take E CLiff to Graybirch go R lot 31 on the R 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. I Date: e ( - 2 _ Signature of Applicant or Agent At -b� \^ k-;S If you need further information or assistance please call 828-465-8270 AREA6 ************************************************************************************************************ SETBACKS: Must be 5'from home FEENAME DATE FEE AMOUNT Existing Tank Check Fee 04/01/2022 S80.00 TOTAL FEES $80.00 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) a6 r,,i,,:ni,,n 08/18/2022 16:15 Page 2of3 Catawba County Environmental Health .4492 al ol w 69.55 250.21 ... l ___--Pt.-- 154 60 2_ o \\:.--------\\ N •4510 rn w N 1 250.2a 03 0 7 p E N .0 t I Parcel: 365602984132, 4510 GRAYBIRCH DR 1 in=40ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/18/2022