HomeMy WebLinkAboutRBPR-09-2022-42345.TIF �' • THIS IS NOT A PERMIT Case# RBPR-09-2022-42345
111
d CATAWBA COUNTY HEALTH DEPARTMENT
/ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
� 42 54 Residential BuildingPlan Review- BuildingNew
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IMPROt tlikTT AUTH CONST
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Owner TEEN CHALLENGE NORTH CAROLINAADOLESCENT PROGRAM (*.RAIN STEIGERWALD),PO
BOX 11460,FIICKORY NC 28603
C:5402209483 JSTEIGERWALD@NCBOYSACADEMY.ORG
NAME TO APPEAR ON PERMIT
Teen Challenge North Carolina Adolescent Program (*John Steigerwald)
SITE ADDRESS: 6584 VALWOOD RD,CONOVER NC 28613 PIN#3 374502683949
NAME of SUBDIVISION: Lot# 1 Section/Block _
PROPERTY SIZE: Square Feet Acres 2.5
DIRECTIONS: Left off of St Peters Church RdaTlto Valwood Rd.Large lot at the corner of Valwood Rd and Central Dr.
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GA 6, • • • : 360 WATER SUPPLY: Public Water
ESCRIBE WORK: 12/7/22 revise to add new IP now slab system location moved
AC/NEW SEPTIC/360 GPD New 30x56,3 bedroom single family dwelling on slab w/40x12 deck
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: 5
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 30x56 sfd w/40x12 deck
#OF NEW BEDROOMS:: 3
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: YES INNOVATIVE: ANY:
Other described: 25%
ehapplkata i 12/07/2022 16:14 Page 1 of3
u RBPR-09-2022-42345
er CATAWBA COUNTY Case
�j Public Health Department Subdivision
i' f2 PINY) 374502683949
i Environmental}{e>il�pivision
'iif PO Box 389,100-A Southwest Blvd,Newton,NC 28658
i4r
NAME ON PERMIT: TEEN CHALLENGE NORTI I CAROI.INAADOLESCENT PROGRAM (*JOHN STEIGERWALD),PO BOX 11460,
HICKORY NC 28603
Teen Challenge North Carolina F
Site Address; 6584 VALWOOD RD,CONOVER NC 28613
Property SUS: Square Feet Acres
2.5
Directions: Lefl of of St Peters Church Rd onto Valwood Rd.Large lot at the corner of Valwood Rd and Central Dr.
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan•80 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.Permts 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 neoessary Inspections to determine compliance with applicable laws and rubs. I understand that I am solely
responsible for the proper Identification end Labeling of all property lines and corners and making the sit.accessible so that a complete site evaluation
an be performed.
The undersigned is the of property or legal agent of the owner.
lid Signature ofApplicant or Ag e � /
Date: / 8
If you need further infonnotion or assistance ple •2II 8 i-4. {
AREAS
FEENAM& BATL FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 09/23/2022 S 150.00
Fee
Improvement Permit Fee 1 2107/2 02 2 $70.00
TOTAL FEES S220.00
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)
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