HomeMy WebLinkAboutRBPR-06-2022-41447.TIF '4-41111111111110 THIS IS NOTA PERMIT Case# RBPR-06-2022-41447
v CATAWBA COUNTY HEALTH DEPARTMENT
O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1841 SM Residential Building Plan Review- Building Addition
IMPROVEMENT-AUTH_CONST- REPLACE WELL -
101 17 J)) EXPANSIO ELOCATION
Applicant MALIK VANDIVER, 162 EVDY DR NW,CONCORD NC 28025
C:7043I47382
Owner JBL ESTATES LLC, 1521 OAKDALE RD,CHARLOTTE NC 28216
NAME TO APPEAR ON PERMIT
JBL ESTATES LLC
SITE ADDRESS: 3833 JOE CROUSE RD,MAIDEN NC 28650 PIN# 366602885070
NAME of SUBDIVISION: Lot II _ Section/Block
PROPERTY SIZE: Square Feet Acres 1.24
DIRECTIONS: NC 16 R on Buffalo Shoals Rd, Left on Laney Rd,Left on Joe Crouse, Property on right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS P R DAY: 360 WATER SUPPLY: Private Well
SCRIBE WORK: 10/17/22 REVISION TO SEPTIC EXPANSION/RELOCATION
PREVIOUS DESCRIPTION: Enclosing porch into back of house****Home currently has 2 bedrooms,Adding 1
bedroom for a total of 3 Bedrooms**no Permit on File
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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF 38x37 SFD, 2 Bdrs, No Basement
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 38x37 SFD
NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS:
PROPOSED CONSTRUCTION
#OF NEW BEDROOMS:: 1
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?: YES
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