HomeMy WebLinkAboutRBPR-04-2022-40599.TIF �4l rah TIIIS IS NOT A PERMIT Case# RBPR-04-2022-40599
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- 14 /1 CATAWBA COUNTY HEALTH DEPARTMENT
v 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8 2 su Residential Building Plan Review- Building New
WELL
IMPROVEMENT-AUTH CONST- NEW
47017Z,
- -
Applicant *MICI IAEL CURRIN, 12546 MOORES CHAPEL RD.CI IARLOTTE NC 28214
C:7042134746 MIKESCUSTOMS86@GMA1L.COM
Owner *MICHAEL CURRIN, 12546 MOORES CHAPEL RD,CI IARLOTTE NC 28214
C:7042134746 MIKESCUSTOMS86@GMA11,.COM
NAME TO APPEAR ON PERMIT
*Michael Currin
SITE ADDRESS: 2838 WYANNT RI),CAIAWI3A NC 28609 PIN# 369803147719
NAME of SUBDIVISION: Lot# B Section/Block
PROPERTY SIZE: Square Feet Acres 12.52
DIRECTIONS: Off of Joe Johnson Rd,take dirt rd Wyant RD, 1st driveway on Left is maked 2852 Wyannt RD,go approx 350 ft out
and entrance is on Left
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLO • 360 WATER SUPPLY: Private Well
SCRIBE WORK: /20/22 REVISE TO ADD SINK TOILET AND WASHER TO 40X60 SHOP/GARAGE
PREVIOUS DESCRIPTION: New 3 bedroom Single Family dwelling 40x60 ; 40x60 shop/garage
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: united energy power
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF vacant lots
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 40x60;40x60 shop/garage
#OF NEW BEDROOMS:: 3
BASEMENT? No BASEMENT FIXTURES? No 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
ehapplication 06/20/2022 09:30 Page I or3
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CATAw RA(:nt•NTY Case II RI3PR-04-2022-40599
.1. , public Ilcalth Department Suhd+v'Nunn
Q1 Environmental Ilealth Division"mi PINfi 369803147719
l
PO Box)ti9.100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT: ('MICHAELCJRRIN), 12546 MOORES CI1APIi1.RD.CHARLOTTE NC 28214
('Michael Currin)
Site Address: 2838 WYANNI'RD,CAIAWIIA NC 28609
Property Size: Square Feet Acres 12.52
p
Directions: Off of Joe Johnson Rd,take dirt rd Wyant RD,1st dnveway on Left is maked 2852 Wyannt RD,go approx 350 ft out
and entrance is on Left
Completed applications are valid for a period of 2 years Improvement Permits are valid with complete site plane 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 applicationlsite plan changes or if the intended use for the
proposed facility changes Permits may be revoked it 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: W �� Signaturr nt'Applieant ur:\gent � &47 l
Il'you need further int.(rnmtinn or assistance please call 828-•165-8270
AREA4
♦
Ff:EVANI F;
DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 04/04/2022 SI50.00
Fee
Improvement Permit Fee 04!04/2022 St50.00
Well Permit&Inspection Fee 04:04i2022 S300.00
TOTAL FEES S600.00
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)
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