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HomeMy WebLinkAboutEHPR-06-2022-41272.TIF •$,Q" •t It� THIS IS NOTA PERMIT Case# EI-IPR-06-2022-41272 CAI'AWI3A COUNTY I TEAMI DEPARTMENT d PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 11 )1'Ig 2 5M Environmental Health Plan Review-Septic Malfunction AUTH CONST-ABANDONME T- SEPTIC MALFUNCTION OiiIu Contractor *COOL PARK PUMPING,INC (KELLY ISENIJOUR), 1535 VICI'ORIAN HILLS CIR,CONOVER NC 28613 H:8286327137B:8282562926 C:8282171596 IIOME:8286327137F:828-256-2926 SAME AS PHONE 4ISEN HOUR@GMAIL.COM Owner HERBERTAND MELISSA PEARCE, 1473 WEDGEWOOD DR,CONOVER NC 28613 C:8284556984 O"I'HER:8286128532 MELISS.PEARCE64 a ICLOUD.COM NAME TO APPEAR ON PERMIT Herbert and Melissa Pearce SITE ADDRESS: 1473 WEDGEWOOD DR,CONOVER NC 28613 PIN# 374501497077 NAME of SUBDIVISION: JOHN F CARPENTER 3745 Lot# PT 4 Section/Block PROPERTY SIZE: Square Feet _ 13,939.20 Acres 0.32 DIRECTIONS: Hwy 16,left on St.peter Ch Rd,lefot on Valwood,left on Wedgewood,2nd house on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GAL AY: 240 WATER SUPPLY: Public Water DESCRIBE WORK: 6/21/22 REVISED TO ADD WELL ABANDONMENT PREVIOUS DESCRIPTION: septic is not draining properly, no sewage coming up on the ground or in the home 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? 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF 47x51 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? Yes 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: INNOVATIVE: ANY: YES Other described: LIGATION FOR WELL ABANDONM ABANDONMENT TYPE: Bored 06/21/2022 11:14 Page 1 of 10 • CATAWBA COUNTY Case q Public Health Department Subdivision EHPR-06-2022-41272 JOHN F CARPENTER 3745 ,, Environmental Health Division CPIN# 374501497077 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (HERBERTAND MELISSA PEARCE), 1473 WEDGEWOOD DR,CONOVER NC 28613 (Herbert and Melissa Pearce) Site Address: 1473 WEDGEWOOD DR,CONOVER NC 28613 Property Size: Square Feet 13,939.20 Acres 0.32 Directions: Hwy 16,left on St.peter Ch Rd,lefot on Valwood,left on Wedgewood,2nd house on left Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 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 valid for 60 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. Date: a I J144 -'2` Signature of Applicant or Agent If you need further information or assistance call 828-465-8270 AREA2 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair)Fee 06/06/2022 $300.00 Well Abandonment Fee 06/21/2022 $100.00 TOTAL FEES $400.00 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) chapplic:dnm 06/21/2022 11:14 Page 2 of 10 �A C� CATAWBA COUNTY 100A SOUTHWEST BLVD a NEWTON,NORTH CAROLINA 28658 RECEIPT k.)79 PHONE:828.465.8399 Tuesday,June 21, 2022 18 42 sM www.catawbacountync.gov PAYOR: Pearce,Herbert and Melissa PAYMENTS TRANSACTION NUMBER: TRC-4204598 1-2 1-06-2022 PAYMENT DATE: 06/21/2022 PAYMENT TYPE: Credit Card 291471079 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-22-408164 110-550200-663000 Well Abandonment Fee $100.00 TOTAL PAYMENTS: $100.00 EHPR-06-2022-41272 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1473 WEDGEWOOD DR,CONOVER NC 28613 Owner HERBERT AND MELISSA PEARCE, 1473 WEDGEWOOD DR,CONOVER NC 28613 C:8284556984 MELISS.PEARCE64 rr ICLOUD.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor *COOL PARK PUMPING,INC, 1535 VICTORIAN HILLS CIR,CONOVER NC 28613 H:8286327I37B:8282562926C:8282I71596F:828-256-2926 SAME AS PHONE 41SENHOUR«,GMAIL.CO receipt 06/21/2022 11:16 Page 1 of 1