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.� G THIS IS NOT A PERMIT Case# RBPR-07-2022-41657
CATAWBA COUNTY IIEALTH I)EPARTMI;NT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/842 sM Residential Building Plan Review- Building New
IMPROVEMENT- AUTH CONST
i"I7 Pi&
Applicant *LAKESIIORE DEVELOPMENT COMPANY (JON GRIGORIAN),256 RACEWAY DR SUITE 12,
MOORESVILLE NC 28117
C:704-201-8592E:7046962400 JON@LAKESIIOREREALTY.ORG
Owner *LAKESIIORE I)EVELOPMENI'COMPANY (JON GRIGORIAN),256 RACEWAY DR SUITE 12,
MOORESVILLE NC 28117
C:704-201-8592F:7046962400 JONA,LAKESIIOREREAITY.ORG
NAME TO APPEAR ON PERMIT
*LAKESHORE DEVELOPMENT COMPANY (Jon Grigorian)
SITE ADDRESS: 1150 WHISPERING WINDS DR,CACAWI3A NC 28609 PIN# 471003444427
NAME of SUBDIVISION: Lot N Section/Block
PROPERTY SIZE: Square Feet Acres 3.4
DIRECTIONS: Sherrills Ford RD to Molly's backbone,RIGHT Monbo RD,Left on WEhispering Winds to end of on Right
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
(_ C[ R DAY: 480 WATER SUPPLY: Private Well
�E9CRIB -1: 5/11/23 REVISE TO 4 BEDROOMS HOME SIZE AND LOCATION WILL REMAIN THE
C PREVIOUS DESCRIPTION: New 3 bedroom Single Family Dwelling w/attached garage w/12x30 patio w/ p I
deck, share well with 1147 Whispering Winds Drive
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 vacant lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUC UURE DIM:: 85x95&12x30 patio
#OF NEW BEDROOMS:: 4
No BASEMENT FIXTURES? No PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: YES CONVENTIONAL: YES
OTHER: YES INNOVATIVE: ANY:
Other described: Infiltrator
05/11/2023 09:44 Page 1 of 3
CATAWBA COUNTY
, � Cesc RRPR 07 2022-41657
,li(..... Public Health Department
Subdivision
i nvironmental Health Division P1Ni1
k 471003444427
� PQ Box 3$9,IUO-A Southwest Blvd.Newton,NC 28658
NAME ON PERMIT; *LAKESHORE DEVELOPMENT COMPANY (!ON GRIGORIAN),256 RACEWAY DR SUITE 12.MOORESVILLE
NC 28117
'LAKESHORE DEVELOPMENT
Site Address: 1150 WHISPERING WINDS DR,CATAWBANC 28609
Property Size: Square Fcct Acres 3.4
Directions: Sherttlls Ford RD to Molly's backbone,RIGHT Monho RD,Left on WEhispering Winds 10 end of on Right
Completed applications are valid far a period of 2 years.Improvement Permits are valid:with complete site plan=6o month[(5 years);with complete plat
=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.Art 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 Of 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 conduOt deCOssary inspections to detenntne 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: Sy-I 1- Z 3 SigneturcofApplicant or Agent
If you need further information or arsistan lease call 82 5-8270
AREAS
SETBACKS: MUST adhere 50'buffer from lake
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 07/14/2022 5150.00
Fee
Improvement Permit Kee 07/14/2022 $150.00
Authorization to Construct Fee(New/Expansion) 05/11/2023 S150.00
Fee
TOTAL FEES S450.00
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 FL SCHEDULE)
_1,:,;.i li:c,;,.a osil tnoza 0e;47 Paac 2 o1-3
A CATAWBA COUNTY
' I00A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Thursday, May 11, 2023
18 42 SM www.catawbacountync.gov
PAYOR: 'LAKESHORE DEVELOPMENT COMPANY
*LAKESHORE DEVELOPMENT COMPANY(Grigorian,Jon)
PAYMENTS
TRANSACTION NUMBER: 'l'RC-63798802-11-05-2023
PAYMENT DATE: 05/11/2023
PAYMENT TYPE: Credit Card
305103395
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-23-422460 I Io-5g020o-6G3o0o Authorization to Construct Fee(N S150.00
ew/Expansion)Fee
TOTAL PAYMENTS: S 150.00
RBPR-07-2022-41657
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 1150 WHISPERING WINDS DR,CATAWBA NC 28609
Applicant *LAKESIORE DEVELOPMENT COMPANY,256 RACEWAY DR SUITE 12,MOORESVILLE NC 28117
C:704-20I-8592F:7046962400 JON@ LAKESHOREREALTY.ORG
Owner *LAKESHORE DEVELOPMENT COMPANY,256 RACEWAY DR SUITE 12,MOORESVILLE NC 28117
C:704-201-8592F:7046962400 JON@LAKESHOREREALTY.ORG
LAKESHOREREALTY.ORG
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 05/I1/2023 09:23 Page 1 of I