HomeMy WebLinkAboutEHPR-05-2022-41084.TIF $A G PHIS IS NOTA PERMIT Case# EFIPR-OS-2022-41084
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COUNTY HEALTI I DEPARTMENT
vPLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Ig Environmental Health Plan Review-OSWP
IMPROVEMENT
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Applicant TIM DOCKERY,7838 OREN STEPHENS RD, HICKORY NC 28602
C:8284030592 TDSHDOCKERY@GMAIL.COM
GMAIL.COM
NAME TO APPEAR ON PERMIT
Tim Dockery
SITE ADDRESS: 7844 OREN S'I'EPI IENS RD,HICKORY NC 28602 PIN# 277003126409
NAME of SUBDIVISION: Lot M 1 Section/Block
PROPERTY SIZE: Square Feet 43,560.00 Acres 1
DIRECTIONS: I-40west exit 121,right on Old Shelby Rd,right at advent crossroads onto George Hlldebran Rd,2 miles left on camp
creek rd,2nd drive on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLON • - • •Y: 360 WATER SUPPLY: Private Well
• SCRIBE WOR.. NEW SITE PLAN IP for property subdivision,will share the well with home located at 7838 Open
Stephens Rd
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: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 50x43 home,decks/porches,29x12 detached garage
#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: YES
OTHER: INNOVATIVE: ANY:
Other described:
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