HomeMy WebLinkAboutRBPR-09-2022-42183.TIF �$Ammi• THIS IS NOT A PERMIT Case# RBPR-09-2022-42183
111, CATAWBA COUNTY HEALTH DEPARTMENT
1115 v I PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Ig sr+ Residential n-Review,Matuctured Home
IMPROVEMENT- NEW WELL
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Contractor *CLAYTON HOMES#81 (BILLING ACCT) (JOSHUA FOUNTAIN), 1230 CONOVER BLVD W,
CONOVER NC 28613
B:8284653450 C:8283083200 OTHER:9184040906 JOSIIUA.FOUNTAIN(r�CLAYTONIIOMES.COM
Owner LANDVESTCO HOLDING COMPANY LP, 1381 GRAND OAKS LN,I IICKORY NC 28602
B:8283244455
NAME TO APPEAR ON PERMIT
*Clayton Homes #81 (billing acct) (Joshua Fountain)
SITE ADDRESS: 4240 DEAL RD,CLAREMONT NC 28610 PIN# 376304746891
NAME of SUBDIVISION: CROSSING CREEK
Lot# 6 Section/Block
PROPERTY SIZE: Square Feet Acres 0.46
DIRECTIONS: Take I-10E,Take Exit 135,Keep Rat the fork,take left onto Centennial Blvd,Take left onto N Lookout St,Take Left onto
Deal Rd,1.1 Mile
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: 11/18/22 Revised to add IP to designate repair area.
11/8/22 Revised to add a Well.
Previous Description: New 3 bedroom Single Wide Mobile Home 16x72, 6x6 front and rear decks on crawl
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: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Mobile Home OTHER DESCRIPTION:
DESCRIPTION OF Vacant Lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16x72
#OF NEW BEDROOMS:: 3
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
c,applicat., 12/07/2022 16:40 Page 1 of4