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Home My WebLink AboutRBPR-07-2022-41733.TIF SBA �G THIS IS NOT A PERMIT Case# RBPR-07-2022-4 1 73 3 - • CATAWBA COUNTY HEALTH DEPARTMENT `.) PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 5a Residential Building Plan Review-Building New AUTH CONST- NEW WELL R €c1f)ltb _ I Applicant ALBERTO ZAVALA,2901 1 ITH AVE DR NE,CONOVER NC 28613 C:8283039550 Owner GABRIELA LARA,2935 NE 11TH AVE DR,28613 NC 28613 NAME TO APPEAR ON PERMIT Alberto Zavala SITE ADDRESS: 2901 11TH AVE DR NE,CONOVER NC 28613 PIN # 372314427740 NAME of SUBDIVISION: JAMES M MILLER ESTATE Lot# _ _ __ 3 Section/Block PROPERTY SIZE: Square Feet Acres 0.49 DIRECTIONS: Left off of Spencer Rd NE onto 28th St PI NE.Left onto 11th Ave Dr NE.1st lot on left. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well ESCRI WORK: 12/16/22 per Mr.Zavala reverting back to original plan home 50 x45 12/12/22 Revised 70x45 home. New site map received. Previous Description:AC/New Septic/New Well/360 GPD----New 50x45, 3 bedroom single family dwelling on crawl space w/attached garage/no basement, no bonus room. Per applicant new well not able to connect with Acqua. **City of Hickory zoning attached** 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: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 50 x 45 sfd /attached garage #OF NEW BEDROOMS:: BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes 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?: NO cLappliuiu n 12/16/2022 14:20 Page 1 of3 ) CATAWBA COUNTY Case RBPR-07-2022-4 1 7 3 3 • Public Health Department Subdivision JAMES M MILLER ESTATE Cr- ). Environmental Health Division PIN# 372314427740 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (ALBERTO ZAVALA),2901 11TH AVE DR NE,CONOVER NC 28613 (Alberto Zavala) Site Address: 2901 11TH AVE DR NE,CONOVER NC 28613 Property Size: Square Feet Acres 0.49 Directions: Left off of Spencer Rd NE onto 28th St PI NE.Left onto 11th Ave Dr NE. 1st lot 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: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA2 .....*f4*R#4*#*#R#4##*#4t#t#*#*4k44*#t#t4#t#4#k.#FAY..... ......##M#.*#*#4##................♦..... ....+■#t FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 07/21/2022 $150.00 Fee Well Permit& Inspection Fee 07/21/2022 $300.00 TOTAL FEES $450.00 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:mAm 12/16/2022 14:20 Pagc 2 of3 (i0 Catawba county public health AUTHORIZATION OF REFUND Date: 12/16/2022 Case#: RBPR-07-2022-41733 Applicant: Alberto Zavala Refund Amount: S70 Refund Reason: refund redraw fee, application revision withdrawn \It Authorizing Signature: " i Received By Staff: Date: catawbacountync.gov Environmental Health Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 I 828.465 8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: 12/16/2022 Make Payment To: 4)A CO Voucher No(s) Alberto Zavala Ee t $ Z 2901 11th Ave Dr NE Q119 SPA Conover, NC 28613 wi� 18 42 ATTACHMENT Prepared by: Julia English Description Amount RBPR-07-2022-41733. Application revision withdrawn $70.00 Sub-Total Food Tax Sales Tax Total $ 70.00 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) �Y'A • CATAWBA COUNTY tG 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 Friday,December 16,2022 Ig 42 sM www.catawbacountync.gov PAYOR: Zavala,Alberto PAYMENTS TRANSACTION NUMBER: TRC-53392542-16-12-2022 PAYMENT DATE: 12/16/2022 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 12-22-415806 110-580200-663000 Re-Trip or Redesign Fee ($70.00) TOTAL PAYMENTS: ($70.00) RBPR-07-2022-41733 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 2901 11TH AVE DR NE,CONOVER NC 28613 Applicant ALBERTO ZAVALA,2901 11TII AVE DR NE,CONOVER NC 28613 C:8283039550 **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner GABRIELA LARA,2935 NE 11TH AVE DR,28613 NC 28613 receipt 12/16/2022 14:12 Page 1 of 1 Julia English From: Julia English Sent: Friday, December 16, 2022 2:09 PM To: Dean Evans Subject: RBPR 41733 2901 11th Ave Dr NE Conover Applicant has withdrawn his new site plan and app revisions. He intends to use the permit that you have already drawn. Julia English Administrative Assistant II PO Box 389 125 Government Drive, Newton, NC 28658 (828)465-8270 office (828) 465-8276 fax https://www.catawbacountvnc.gov/county-services/environmental-health/ We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tomese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol Catawba county MAKING. LIVING. /ETTFR. 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