HomeMy WebLinkAboutRBPR-08-2022-42002.TIF HIS IS NCYTA PERNII'l' Case# RIiPR-08-2022-42002
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T CA'1'AWERA COUNTY HEALTH E DFPARFMFN
PLAN REVIEW APPLICATION FOR EN VIRONrti1EN'IAL.SERVICES
W Residential Building Plan Review -Swimming Pool
IMPROVEMENT
163)12- kPosJ
Contractor •J&K POOLS INC. til'.RI SI1'RI('I IARI)S). 1211 NIC CASLIN PI .MAIDEN NC 2g(50
C:828234X55I Jatlt'IIAkhti:r00)1.tiltYJ C01.1
Owner K1IRF 111.1.IS1.rrFi1.1.1). 1244SIlIRE1tlHIN.II1t'KI)RYN('28602
C.82/12926658 1MSI:NI11.1.1)hull LIMA 11..CON1
NAME TO APPEAR ON PERMIT
KURT & JILL BENFIELD
SITE ADDRESS: 12.14 SIIIKl.UOURN.I IICKOKY NC 28612 PIN 5190133
DEERFIELD SURD 85 d 86
NAME:of SIBDivimoN: «_. I eta _ __ Section/Block
YHOPERI N SIZE: Squuc E cct 105,850 80 A 2 430
DIRECTIONS: 1244 Shuebourn,Hickory
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Private Weil
RI EVdIIlli: 10/13/22 REVISED TO MOVE POOL LOCATION TO MEET SETBACKS FROM EXISTING SYSTEM POOL
AREA REVISED TO 24 X 42 PROPERTY HAS BEEN COMBINED WITH 1219 SHIREBOURN REVISE TOTAL
ACRES
9/27/22 Revised adding detached garage with full bath and office on a slab.new site map recxived
Previous Description. IP to relocate septic repair area /PROPOSED POOL LOCATION MAY BE IN THE
CURRENT DRAINFIELD AREA--•Installing an 18x36 inground pool w/3 ft concrete surround
sirc INinRMATIn i
Do any of the following apply to the property for which this application is applied,
If the answer to any of the questions below rs'YES".then supporting documentation is required
Does this site contain any)urisdrebonal wetlands' No
Does Ihrs site contain any existing waslowaler systems? Yaa
Is any of the waslewaler going to be generated on Inc sire 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: ACCESSORY STRUCTURE
FACILITY TYPE: Arrrssnry Structure OTHER DESCRIPTION
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 41x39 skit
NUMBER OF EXISTING BEDROOMS: 4 9 OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
QJEW ST CTURE DIM::,) 24 X 42 pool,653(45 garage wlfutl bath and office
Desired systemr Types(improvement Permit or Authorization to Construct)
ACCEPTED ALTERNATIVE CONVENTIONAL'
OTHER INNOVATIVE. ANY YES
Other described
le l t:,rIt rf)1D h.F:I nt
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1:17111yt�� W(ATA HA(111-N ri. c'aae a RHPR-08-2022-42002
.-R.�i Public Health Ikpartmrnt Nuhd,.mon DEERFIELD SUM)
quit /1111 Environmenta111(.2tth Ih.etion PIKE 269905190133
�j 4 PO Bo%369,100-A South.est I1hd,1cvi1nn.:v(' 2ROX
NAME ON PERMIT: ( KURT&JlI,l,I)I:N1'11 1.1)), 1244 SI IIRI:IIOURN.III('KORY NC 28402
(KURT&JILL BENFIELD)
Site Address: 1244 S)IIKEROURN,I II('KORY NC 26602
Properly Sine: Square Feet 105.850..80 metier` 2 434
Directions: 1244 Shireboum,Hickory
Completed apyrabons are valid tors period of 2 years Improvement Peimds are vaod with complete tits plan•60 months(5 years).with camotets plat
•w,Meui e■p,reben An Ar erensatien in Censluel will remain vatd at bno as the Improvement Permit et valid An Authoruabon to Construct issued for
septic raper as veto for 60 month*(S years) Permuts may be revoked d the mlanvton on Ma epp,caborvsrte plan changes or It the.nieneed use for anti
proposed tac4ty changes Permits may be revoked d site oondtons are Jarred sutln that they enact wrist conditions or installation requirements
I have reed this application and dordy that the idea atten prowled herer,It true,complete and cowl Autnnnrred county and Vale MOWS are
granted nght of entry to conduct necessary inspet%rons to determine compliance with eppircabls laws and rules I understand that I am solely
reaponsrble tM the proper rdent)caton and labeling of all property lens end cornets and making the stile eccesarbte so that a complete we eva+uatron
can be performed
The undersigned Is the owner of the property or legal agent of the owner
Date: .!C i.,J'__ Signature of-Applicant or Agent vC CL 1if
If)nu need further infirnnatiunor n.<isl� please call62%-4h5•%270( X (3P
AREA1
MUCKS: must be 5 ft from home unless connected by dedr
FEENAAIL i fl FEEA,MOUNT
Improvement Permit Fee (JR I9r2022 SI 50.00
TOTAL FEES S 150.00
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)
L-I•tit,,.• IP:1 t;0:2 1)9 30 Pat t 2 or 1
Catawba County Environmental Health
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Parcel: 269905190133, 1244 SHIREBOURN 1in=100ft
HICKORY, 28602
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