HomeMy WebLinkAboutRBPR-06-2022-41310.TIF -4w• THIS IS NOT A PERMIT Case# RBPR-06-2022-4 1 3 1 0
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 sM Residential Building Plan Review- Building New
IMPROVEMENT-AUTH_CONST- NEW WELL
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Contractor *HOLLOWAY FAMILY HOMES NORTH CAROLINA,LLC (LIONEL FINLEY JR), 1270 NORTHSIDE DR
,STATESVILLE NC 28265
B:7049240008 C:8284497512 GBAKER@HOLLOWAYFAMILYHOMES.COM
HOLLOWAYFAMILYHOMES.COM
Owner CHANG TONG, 1705 ECKARD RD,CONOVER NC 28613
NAME TO APPEAR ON PERMIT
*Holloway Family Homes North Carolina, LLC (Lionel Finley Jr)
SITE ADDRESS: 5511 SPRINGS RD,CONOVER NC 28613 PIN# 374519618991
NAME of SUBDIVISION: TERRANCE C+LINDA S HYLAND Lot# 1 Section/Block
PROPERTY SIZE: Square Feet Acres 2.65
DIRECTIONS: Left off of N NC 16 Hwy onto Springs Rd.Right onto Three D Ranch Ln. First lot on right.
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLON AY: 480 WATER SUPPLY: Private Well
SCRIBE WORK: 8/23/22 REVISED SITE PLAN TO SHOW DRIVEWAY OFF SPRINGS RD 8/19/2022 Revised new address
for property
Previous Description: IP/AC/SEPTICM/ELL/480 GPD---Constructing a 60x62,4 bedroom single family w/attac
hed garage/no basement
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:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 60x62 sfd w/attached garage(includes decks)
#OF NEW BEDROOMS:: 4
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:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
chapplication 08/23/2022 12:57 Page I of 3
.,44y,. a
Newton,NC 28658
CATAWBA COUNTY Case# RBPR-06-2022-4 1 3 1 0
i7 ,li Public Health Department Subdivision TERRANCE C+LINDA S HYLAP
< • y Environmental
POBox389, Health100-A DivisionSouthwest Blvd, PIN# 374519618991
NAME ON PERMIT: *HOLLOWAY FAMILY HOMES NORTH CAROLINA,LLC (LIONEL FINLEY JR), 1270 NORTHSIDE DR,
STATESVILLE NC 28265
*Holloway Family Homes North I
Site Address: 5511 SPRINGS RD,CONOVERNC 28613
Property Size: Square Feet Acres 2.65
Directions: Left off of N NC 16 Hwy onto Springs Rd.Right onto Three D Ranch Ln.First lot on right.
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: p - Signature of Applicant or Agen
If you need further information or assistance please call 828-465-8270
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********************kit*************************************************************************************
SETBACKS: 20 ft side st from Springs
PEEN ME i pATE „t,£It¢
Authorization to Construct Fee(New/Expansion) 06/09/2022 $300.00
Fee
Improvement Permit Fee 06/09/2022 $150.00
Well Permit&Inspection Fee 06/09/2022 $300.00
TOTAL FEES. S750.00
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)
ehapplication 08/23/2022 12:57 Page 2 of'3
Catawba County Environmental Health
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Parcel: 374519618991, 5511 SPRINGS RD 1 in=100ft
CONOVER, 28613
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Copyright 2021 Catawba County NC
08/23/2022