HomeMy WebLinkAboutRBPR-05-2022-41042.TIF -AV) THIS IS NOT A PERMIT Case# RBPR-05-2022-41042
QIl‘,.i..t IL .•y CATAWBA COUNTY I IEALTI I DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL.SERVICES
/at sM Residential Building Plan Review- Building New
IMPROVEMENT AUTH_CONST- NEW WELL
Ia Reosio
Contractor *AMD BUILDERS LLC (MICHAEL DAVID),7990 LUCKY CREEK LN,DENVER NC 28037
C:7044586267 AMDBUILDERSLLC a GMAIL.COM
Owner MICHAEL DAVID,7990 LUCKY CREEK LN,DENVER NC 28037
NAME TO APPEAR ON PERMIT
"AMD Builders LLC (Michael David)
SITE ADDRESS: 3171 STONEMILL PATH,SHERRILLS FORT)NC 28673 PIN# 369803210323
NAME of SUBDIVISION: MOUNTAIN CREEK RIDGE Lot# 14 Section/Block
PROPERTY SIZE: Square Feet Acres 1.45
DIRECTIONS: Hwy 16 S
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Private Well
• -I:E WOR : 8/4/22 REVISE TO ADD NEW IP. HOUSE WILL ENCROACH ON SEPTIC AREA SHOWN ON EXISTING IP
New 4 bedroom Single Family Dwelling w/attached 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? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: vacant lot
NUMBER OF EXISTING BEDROOMS: s OF OCCUPANTS: 8
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 44x80'.8";5'2"x17'10";6'2"x16'4"
#OF NEW BEDROOMS:: 4
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
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
chnpplicaU.at 08/04/2022 14:16 I'agc 1 or 3
\T CATAWE/A COU T1' C•ai.c a RBPR-05-2022-41042
t Puhbc Health Department SuhdNision MOUNTAIN CREEK RIDGE
iwrrr+nmcht l Jicrleh Uivtxhmt PIN 3696 032.10323
' PO Uoa 384,I00-A Souttmest 1111.11,Newton.NC- 286511
NAME ON PERMIT: •AMD BUILDERS 11.(: ( DAVID),7990 LUCKY CREEK 1,N.DENVER NC 28037
'AMID Builders i-LO (Michael(D
Sfte Address: 3171 T()N1'.Mll,i PAT II.SIUERR1J,1.S FORD NC 28673
Property Wm: Square fcei ....... Acres 1.45.
Directions: Hwy 16 S
Competed appkcptions ant valid for a oerrod of 2 years Improvement Permits are valid:with complete site plan=60 months(5 years).with compte a plat
without expirafeon. M Authorization to Constryct win remgln vard qa long as the smprovernere Perrone Yalta.An Author;aeon to Construct issued TOT
septic rapes it valid for en months(5 years) Permits May be revoked if the information on this eppecabantstte plan Cleaners or it the intended use for the
prop000d facifty changes Panne;may be revoked if site oondnions are altered such that they effect permit aandilions of installation requirements
t here reed thin adatwoe',ion and oortty that the Ntkgmat;on provided herein e4 true.complete and Correct. etuthodzed nnunty and state ofIlIcaug are
granted rot of entry to conduct necessary inspections to detortnrrte compliance with applicapfe laws and rule. I understand feat I am solely
rosponaible for the proper identiticebon And tabelfatg of on property Gress and comers And making the snit ACcc Miele s0 that a complete sate evaluation
can tie performed.
The undersigned Is the owner or me property or repel agent of the owner.
Date:_ �t deg Signature or Applicant Orr Agent } Cyr 4 Le
If ytsu need further information or assistance plcasc cit1J 828-465.5270
AREA4
SETBACIIK& 30'buffer around South Fork Mtn Creek
•
FEINAME . FEE AMOUNT
Authartzation to Construct Fee(New/Expansion) o5/10/2022 $300.1tO
Fee
WeII Permit&Inspection Fee 05JIfii2022 S3()n.n+.t
Improvement Permit Fee 08/04/2022 $150.00
TOTAL FEES $750.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN ANDJOR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
t,•,.,•1,,,.,,.i (111111,10.4.7 14 I h rage 2 or
CATAWBA COUNTY
I00A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
(14---A41:81114:511
PHONE:828.465.8399
Thursday,August 4, 2022
www.catawbacountync.gov
PAYOR: `AMD Builders LLC
*AMD Builders LLC(David,Michael)
PAYMENTS
TRANSACTION NUMBER: TRC-44685927-04-08-2022
PAYMENT DATE: 08/04/2022
PAYMENT TYPE: Credit Card
293373622
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-22-410058 110.580200-663000 Improvement Permit Fee S150.00
TOTAL PAYMENTS: $150.00
RBPR-05-2022-41042
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 3171 STONEMILL PATI-I,SHERRILLS FORD NC 28673
Owner MICHAEL DAVID,7990 LUCKY CREEK LN,DENVER NC 28037
Contractor *AMD BUILDERS LLC,7990 LUCKY CREEK LN,DENVER NC 28037
C:7044586267 AMDBUILDERSLLCaGMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/04/2022 14:15 Page 1 of 1