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HomeMy WebLinkAboutEHPR-05-2022-40992.tif )A • THIS IS NOT A PERMIT Case# EHPR-05-2022-40992 „ O CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES t8 2 SM Environmental Health Plan Review-OSWP IMPROVEMENT 5(liljt Owner *D&E PROPERTIES,LLC (KEITH ESTES),7717 WINDY PINE CIR,DENVER NC 28037 B:7045303798 MARK@DELLINGERBSI.COM NAME TO APPEAR ON PERMIT *D&E Properties, LLC (Keith Estes) SITE ADDRES STORYBROOK LN,SHERRILLS FORD NC 28673 PIN # 369701182992 NAME of SUBDIVISION: STORYBROOK PH 1 Lot# 11 Section/Block 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 the 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 ric:,,,1;;::;::•r 05/11/2022 13:48 Page 1 of3