HomeMy WebLinkAboutEHPR-05-2022-40991.tif Y'A �G THIS IS NOTA PERMIT Case# EHPR-05-2022-40991
v , CATAWBA COUNTY HEALTH DEPARTMENT
, PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\8 2 sM Environmental Health Plan Review-OSWP
IMPROVEMENT
5111 J7z I?t°v�
Owner *D&E PROPERTIES,I.1,C (KEITH ESTES),7717 WINDY PINE CIR,DENVER NC 28037
13:7045303798 MARK @ DELLINGERBSI.COM
NAME TO APPEAR ON PERMIT
*D&E Properties, LLC (Keith Estes)
SITE ADDRESS STORYBROOK LN,SHERRILLS FORD NC 28673 PIN# 369701182992
BDIVISION: STORYBROOK PH 1
Lot 4t 10 Section/131°a
PROPERTY SIZE: Square Feet 582,832.80 Acres 13.38
DIRECTIONS: Hwy 16,left on Business 16,left on Mt Beulah,right on Little Mountain, 1/4 mile on right
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: IP only for subdivision
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 60x60
#OF NEW BEDROOMS:: 3
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: YES INNOVATIVE: ANY:
Other described: 25%reduction
6.gq•r,:a:.•.. 05/11/2022 13:46 Page 1 of3