HomeMy WebLinkAboutEHPR-08-2022-42082.TIF U.S. Postal ServiceTM
CERTIFIED MAIL') RECEIPT
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PS Form 3800 Aril 2015 PSN 7530-02-000-904/ See Reverse for Instructions
..:d Mail service provides the following benefits:
..ceipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipients retail associate.
signature)that is retained by the Postal Service"' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
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Important Reminders: '''yyp''' R�' si e- u �n u s Ice,which requires the
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with Certified Mail service.However,tfrd tchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt Is
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certain Priority Mail items. USPS postmark.If you would like a postmark on
•For an additional fee,and with. ef.,,� 1 r rRfi(d eipt,please present your
endorsement on the mailpiece" dy request' Certi end Mail item at a Post Office"'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02.000-9047
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. signature
• Print your name and address on the reverse 0 Agent
so that we can return the card to you. 0 Addressee
■ Attach this card to the back of the mailpiece, B. eceived� iv by(Printed Nam )�( G Eato f Delivery
or on the front if space permits. �f''^---�Get `-' �/3/
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2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery
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7021 0950 0001 2503 9976 D loser d a l Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
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USPS
, Permit No, G-10
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United States •Sender:Please print your name,address, and ZIP-F4''in this box'
Postal Service
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Environmental I leiltri
$ 0, THIS IS NOTA PERMIT Case# EHPR-08-2022-42082
ism
Q t CATAWBA COUNTY HEALTH DEPARTMENT
(1,*2) PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
18 Z SM Environmental Health Plan Review-OSWP
IMPROVEMENT
iO//3Ir. /eve sed
Applicant RHONDAAND FLETCHER HUSTON, 102 GENERAL BRAGG ST,STANLEY NC 28164
C:7045622599 QAZPLUM246rrOUTLOOK.COM
Contractor BUMGARNER SEPTIC TANK AND GRADING, 1190 DUDLEY SI IOALS RD,GRANITE FALLS NC
28630
B:828396I795 STEPHANIEBSEPTIC@GMAIL.COM
Owner MARY GALLUS, I 1 1 NORTHWYN CIRCLE APT 22,LYNCHBURG VA 24502
C:9085001843 MY3DOGS2011@GMAIL.COM
NAME TO APPEAR ON PERMIT
Rhonda and Fletcher Huston
SITE ADDRESS: 4880 EMMA LOVE DR,DENVER NC 28037 PIN# 369604642353
NAME of SUBDIVISION: LOVE POINT PHASE II Lot 4 30 Section/Block
PROPERTY SIZE: Square Feet 22,651.20 Acres 0.52
DIRECTIONS: Hwy 150 in Denver,take Grassy Creek Rd,left on Love Point Rd,right on Emma Love Dr 0.2 miles on left
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Community Well
IBE WORK: 10/13/22 HOUSE SIZE REVISED TO 60 X 55 INCLUDING ATTACHED GARAGE, NO DETACHED GARAGE
SEE NEW SITE PLAN
PREVIOUS DESCRIPTION: IP only to purchase property, 55x35 home includes deck/porches, 24x32
detached garage will have a toliet, sink and shower in the garage
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
CEW STRUCTURE .. 60 x 55 including attached garage
#OFREW BEDROOMS:: 3
BASEMENT? No BASEMENT FIXTURES? No 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:
chapplicat.n 10/13/2022 12:16 Page 1 of 3
e . CATAWBA COUNTY Case p I l'R-08-2022-42a82
.}.a Public Health Department Subdivision LOVE POINT PHASE it
• � Environmental Health Division i'1N/I 369604642353
11114r• PO Box 389,100-A Southwest Blvd,Newton,NC 28658
w
NAME ON PERMIT: (RIIONDA AND FLETCHER HUSTON), 102 GENERAL.t)RAGG S'F,S'IANLEY NC 28164
(Rhonda and Fletcher Huston)
Site Address: 4880 EMMA LOVE DR,DENVER NC 28037
Property Size: Square Feet 22,651.20 Acres 0.52
Directions: Hwy 150 In Denver,take Grassy Creek Rd,left on Love Point Rd,right on Emma Love Dr 0.2 miles 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 Consiuct 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 lithe Information an this application/site plan changes or if the intended use for the
proposed facility changes. Permits may be revoked If site conditions ere altered ouch 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 era
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 Ike owner of the property or legal agent of the owner.
Dale: 1o/\\ I`()SOaa Signature of Applicant or Agent _ rim—
If you need Further information or assistance pie se cull 828.465-8270
AREA3
j"EENAME DATE FEE AMOUNT
Improvement Permit Fee 08/2G/2022 SI50.00
TOTAL,FEES $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCEI)
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
01.11,11111 au•,u IUl13/2022 12:14 Page 2 of 3
4880 Emma Love Drive - Road
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