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Home My WebLink AboutEHPR-07-2022-41794.TIF �$A �� THIS IS NOT A PERMIT Case# EHPR-07-2022-41794 Q�� \' � CATAWBA COUNTY HEALTH DEPARTMENT f0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM Environmen . - • ••- -• . 'c Malfunction IMPROVEMENT-AUTH CONST Contractor MAIDEN GRADING (DEWEY GRANT),214 S MAIN AV,MAIDEN NC 28650 B:8284289004 C:8282910569 Owner RANDY MATTHEWS,2109 DOVE ST,NEWTON NC 28658 C:9804293947 NAME TO APPEAR ON PERMIT Randy Matthews SITE ADDRESS: 2109 DOVE ST,NEWTON NC 28658 PIN# 362908980301 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet 17,424.00 Acres 0.4 DIRECTIONS: Hwy 10,right onto Dove St,home on the left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLO ER DAY: 480 WATER SUPPLY: Public Water • 8/29/2022 TANK AND DRAINFIELD REPLACEMENT. DRAINFIELD IS CLOSE TO POOL. NEW SEPTIC TO BE LOCATED ON ADDRESS 2158 W NC 10 HWY PREVIOUS DESCRIPTION: septic tank cover has collapsed 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 home EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 33x46 NUMBER OF EXISTING BEDROOMS: 4 #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: ehapplication 08/29/2022 16:47 Page 1 of3 CATAWBA COUNTY Case# EHPR-07-2022-41794 h EEL 2\ Public Health Department Subdivision ,J -3 Environmental Health Division 114 ^C PIN# 362908980301 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 SM NAME ON PERMIT: (RANDY MATTHEWS),2109 DOVE ST,NEWTON NC 28658 ( Randy Matthews) Site Address: 2109 DOVE ST,NEWTON NC 28658 Property Size: Square Feet 17,424.00 Acres 0.4 Directions: Hwy 10,right onto Dove St,home on the 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: t•-•--� Signature of Applicant or Agent If you need further information or assistance p1 se call 828-465-8270 AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair) Fee 07/28/2022 $150.00 Authorization to Construct Fee(New/Expansion) 08/29/2022 $300.00 Fee 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) ehapplication 08/29/2022 16:47 Page 2 of 3 ,�4'A' C� CATAWBA COUNTY E3 � 1 6� 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 C� '�, Monday,August 29,2022 I8 Z 5M www.catawbacountync.gov PAYOR: Matthews,Randy PAYMENTS TRANSACTION NUMBER: TRC-46237296-29-08-2022 PAYMENT DATE: 08/29/2022 PAYMENT TYPE: Credit Card 294401191 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-22-411263 110-580200-663000 Authorization to Construct Fee(N $300.00 ew/Expansion) Fee TOTAL PAYMENTS: $300.00 EHPR-07-2022-41794 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 2109 DOVE ST,NEWTON NC 28658 Owner RANDY MATTHEWS,2109 DOVE ST,NEWTON NC 28658 C:9804293947 **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor MAIDEN GRADING,214 S MAIN AV,MAIDEN NC 28650 B:8284289004C:8282910569 receipt 08/29/2022 16:49 Page 1 of I