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Home My WebLink AboutRBPR-11-2022-42834.TIF ys$A • THIS IS NOTA PERMIT Case# RBPR-11-2022-42834 H fi CATAWBA COUNTY HEALTH DEPARTMENT (`7� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 184 SM Residential Building Plan Review - Building New IMPROVEMENT- AUTH CONST- NEW WELL Li11tj�3 Rev.,sd - Owner CARLTON WILLIAMS.3114 i RYON('OI:RII LOUSE,RI),CI IERRYVILLL.NC'28021 C:704-349-2705 CARI:CONWII.I.IAMS83'e GMAIL.COM NAME 0 APPEAR ON PERMIT CARLTON WILLIAM� SITE ADDRESS: 2308 I)O13I3lN CT.VALE NC 28168 PIN# 266903304296 NAME of SUBDIVISION: Lot _WAY Lot/I 21 Section/Block PROPERTY SIZF: Square Feet Acres 0.86 DIRECTIONS: Right off of Jacob Fork River Rd onto Bayleigh Dr.Left onto Dobbin Ct. Lot at end of rd. P• uARYCONTACT: Owner SEWER TYPE: Septic Tank GALLON • • P• • 360 WATER SUPPLY: Private Well . SCRIBE WOR ': 4/18/2023 Revise to primary residence only same size,same location 3 bedroom. No accessory dwelling. 16X2 0 Storage building, no plumbing. see new site plan IP/AC/NEW SEPTIC/NEW WELL/600 GPD----Constructing a 16x20, 1 bedroom house w/3x3 front and back decks///FUTURE 52'4"x47'10", 3 bedroom house with 10x10 front and back decks(total of 4 bedrooms on property) 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: 1 PROPOSED CONSTRUCTION _1 E AX1 STRUCTU 52'4"x47'10",3 br home w/10x10 front/back deck #OF NEW BEDROOM 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 elvqpheauun O.I I8,2023 12:59 fare 1 of w CATAWBA COUNTY Case ifRBPR-I I-2022-42834 �. Public Health Department Subdivision ELLENS WAY ,� y Environmental Health Division PIN# 266903304296 l'O Bo\389,100-A Southwest Blvd,Newton,NC 28658 /H42 ,,, NAME ON PERMIT: (CARLTON WILLIAMS),3114 TRYON COURTHOUSE RD,CHERRYVILLE NC 28021 ( CARLTON WILLIAMS) Site Address: 2308 DOBBIN CT,VALE NC 28168 Property Size: Square Feet Acres 0.86 Directions: Right off of Jacob Fork River Rd onto Bayleigh Dr.Left onto Dobbin Ct.Lot at end of rd. 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.qll L Date: Signaturepp Agent1V If you need further information or assistance please call 828-465-8270 AREA1 FEENAME DATE FEE AMOUNT Improvement Permit Fee 11/21/2022 $150.00 Well Permit&Inspection Fee 11/21/2022 $300.00 Authorization to Construct Fee(New/Expansion) 11/21/2022 $300.00 Fee TOTAL FEES S750.00 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) rhapplicaii,,n 04/18/2023 12:59 Page 2 of3 Catawba County Environmental Health 77.81 t \ 218.i 1 _----~ \� �j g_ t mac' ` �8793 \ --___________ tA2D�le ft . . .... . \ N---------------\-2:1116 liCy..<_ i INID rV 0 �1 O a_ �i)�(>1 ti ' 2308� i l/��C •2307 ` t i 4,1301 � � � � [ , ,I 1 S i i .2311 % '/ 4 /1 193.94 \\::: 2 �• . / 3348 4.. 6 i i---- /.. 56.03 •2323 35.94 ,..,-.1,...--\ 39.84 2.8 c6 222.81 �No) 355.94 \\II\ A Z •2317 0 \ 30.33 * i (32.36 \ °J. V.------ A Parcel: 266903304296, 2308 DOBBIN CT VALE, 1 in=60ft 28168 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data an this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/21/2022 4 w42 Catawba county public health AUTHORIZATION OF REFUND Date: 5/11/2023 Case#: RBPR-11-2022-42834 Applicant: Carlton Williams Refund Amount: 5150 Refund Reason: Revised application to less bedrooms Authorizing Signature: (i—f(L Received By 9-idatt- P-i‘q1.0L Date: 5b.)/)3 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 ( 828.465.8270 MAKONG. LAVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: Make Payment To: Voucher No(s) Carlton Williams Q t $ Z 3114 Tryon Courthouse Rd "IPA til Cherryville, NC 28021 �'�� 1842 ATTACHMENT Prepared by: Julia English Description Amount RBPR-11-2022-42834-Revised application to less bedrooms $150.00 Sub-Total Food Tax Sales Tax_ Total $ 150.00 For Accounting Use Fund Cost Center Object Project Amount Only 110 580200 663000 Total The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) �$A CA7AW13A COUNTY Q" I00A SOU'I'IIWEST 1BLVD 1� k NEWTON,NORTI I CAROLINA 28658 RECEIPT ,.4."44 PHONE:828,465,8399 1119 tJ Thursday,May 11,2023 1 g 2 SM www.catawbacountync.gov PAYOR: WILLIMAS,CARLTON PAYMENTS TRANSACTION NUMBER: TRC-63827100-11-05-2023 PAYMENT DATE: 05/11/2023 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 11-22-415026 110-SA0200.663000 Authorization to Construct Fee(N ($150.00) ew/Expansion) Fee TOTAL PAYMENTS: ($150.00) RBPR-11-2022-42834 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 2308 DOBBIN CT,VALE NC 28168 Owner CARLTON WILLIAMS,3114 TRYON COURTHOUSE RD,CIIERRYVILLE NC 28021 C:704-349-2705 CARLTONWILLIAMS83CGMAIL.COM ••NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 05/11/2023 14:20 Page 1 of 1