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Home My WebLink AboutRBPR-05-2022-41141.TIF ACFrOgD-v9FQjZTveuwtasXvVmrODISK8cK2rrLISduKL0e1154it7... baps://doe-08-Ig-apps-viewer.googleusercontent.cola%viewer/securcip... / .• THIS IS NOT A PERMIT Case# RBPR-05-2022-4114I CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ArtreirsxResidential Building Plan Review- Building New IMPROVEMENT- AUTH CONST Applicant SCOTTIE TOWNSEND,2467 HARVEST DR,HICKORY NC 28601 C:8282349872 'fOWNSLN DWI ISla;(iMAII..COM Owner LARRY SIIARPE, 1072 ZION CI Il1RCII RI),HICKORY NC 28602-9100 H:7046173024 C:8288503338 I IOMIi:7046173024 LSTIARPIi22 a GMAIL..COM NAME TO APPEAR ON PERMIT Scottie Townsend SITE ADDRESS: 1865 DEITZ RD,HICKORY NC 28602 PIN# 370119629251 NAME of SUBDIVISION' Lots 1 ticctiun/Itkxk PROPERTY SIZE: Square Fort_._. _._. Acres 5.81 DIRECTIONS: Left off of Zion Church Rd onto River Rd.Left onto Deitz Rd.The lot will be on the right,across the road from 1875 Deitz. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 380 WATER SUPPLY: Private Well • • ,E wo t•. 6/27/22 REVISE APPLICATION, WILL USE EXISTING WELL ON SITE. NEW WELL NOT NEEDED. PREVIOUS DESCRIPTION: Constructing a 68'8"x 52'1",3 bedroom I story single family 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 la"YES".then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes 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 old house to be demoed. existing barn and 2 sheds to stay EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: I OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 68'8"x 52'1"(includes house,garage,porches) `F I OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct) ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER. INNOVATIVE: ANY: Other described: .•L.q'phl n4^n I6/I7:2022 09 0S Pie.I oil I of 2 6/27/2022,2:49 PM ACFrOgD-v9FQjZTvcuwfasXvVlnrOD I SK8eK2rrZISduK[:0eh54ii1... https://doc-08-I g-apps-viewer.googleusercontent.com/viewer/secure/p... "Jr' CATAWBA COUNTY ? .;� iri. rases Et13! R-US-2U..2-4I 141 N t,11 .11 Public Health Department Subdivision q. Ai Environmental Beatlh Division PINK 370119629251 lllko\ PO Box 389,100-A Southwest Blvd,Newton.NC 28658 iait w NAME ON PERMIT: (SCOITIE'IOWNSEND),24671IARVEST DR.I IICKORY NC 28601 (Scottie Townsend) Sits Address: 1865 1)Ii1TZ RD,HICKORY NC 28602 Property Size: Square Feel„ Acres __5.81`YY Directions: Left off of Zion Church Rd onto River Rd.Left onto Deitz Rd. The lot will be on the right,across the road from 1875 Deitz Completed applications are valid for a period of 2 years.Improvement Permits ere valid.with complete site plan=n0 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 veld for 80 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked If 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 //-' Jj r ,� Date: r /131.7/A.;?. Signature of Applicant or Agcttt ��,� ff�� l It you need further intortuation or assistance please call 828-465-8270 AREA1 SETBACKS: 20 ft from unnamed side street ROW E 1EENAMt DATE fEEAMOUNT Authorization to Construct Fee(New/Expansion) 05/24/2022 S150.00 Fee Improvement Permit Fee 05;24/2022 S150.00 Well Permit&Inspection Fee 05/24/2022 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) cG,pri.,.rtn.i. 06!272022 09 02 l'agc 2 of? 2 of 2 6/27/2022,2:49 PM • catawba county public health AUTHORIZATION OF REFUND Date: 6/28/2022 Case #: RBPR-05-2022-41141 Applicant: Scottie Townsend Refund Amount: $300.00 Refund Reason: Refund well permit fee. Will use existing well on site. Authorizing Signature: Received By Staff: 114ak, Date: 6/081)) catawbacountync.gov Environmental Health Cclowbo County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: 6/28/2022 Make Payment To: Co� Voucher No(s) Scottie Townsend ESL' t t 2467 Harvest Dr Q114 aP Hickory, NC 28601 t„) rip I8 42 ATTACHMENT Prepared by: Julia English Description Amount Refund well fee. Using existing well on site $300.00 Sub-Total Food Tax Sales Tax Total $ 300.00 For Accounting Use Fund Cost Center Object Project Amount Only 110 580200 663000 Total The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) CATAWBA COUNTY (E-J4I00A SOUTHWEST BLVD �` NEWTON,NORTH CAROLINA 28658 RECEIPT �r PHONE:828.465.8399 Tuesday,June 28,2022 j$4�, SM www.catawbacountync.gov PAYOR: Townsend,Scottie PAYMENTS TRANSACTION NUMBER: TRC-42447597-28-06-2022 PAYMENT DATE: 06/28/2022 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 05-22-406901 110-580200-663000 Well Permit& Inspection Fee ($300.00) TOTAL PAYMENTS: ($300.00) RBPR-05-2022-4 1 1 4 1 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 1865 DEITZ RD,HICKORY NC 28602 Applicant SCOTTIE TOWNSEND,2467 HARVEST DR,HICKORY NC 28601 C:8282349872 TOWNSENDSRUS a GMAIL.COM **NO PEOPLESOFTACCOUNTASSIGNED** Owner LARRY SHARPE, 1072 ZION CHURCH RD,HICKORY NC 28602-9100 H:7046173024C:8288503338 LSHARPE22@GMAIL.COM receipt 06/28/2022 10:04 Page 1 of 1