HomeMy WebLinkAboutEHPR-01-2023-43128.TIF .i�$A �G THIS IS NOTA PERMIT Case# EHPR-01-2023-43128
' CATAWBA COUNTY HEALTH DEPARTMENT
O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Igr}2 sM Environmental Health Plan Review-Septic Malfunction
AUTH CONST- REPAIR
.19,Nevi Std
Applicant BRANDON MARTIN,6499 GEORGE HILDEBRAND SCHOOL RD,HICKORY NC 28602
C:8282174138 LOOSEENDSREPAIRI4@GMAIL.COM
Owner ROYAL CHAPEL CHURCH OF GOD (DAVID SMITH),7190 GEORGE HILDEBRAN RD,I IICKORY NC
28602
B:8283248372 C:8288519607
NAME TO APPEAR ON PERMIT
Royal Chapel Church of God (David Smith)
SITE ADDRESS: 7186 GEORGE HILDEBRAN RD,HICKORY NC 28602 PIN# 277002863583
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 113,256.00 Acres 2.6
DIRECTIONS: 1-40 W to Exit 121,turn right,go 5 miles and the property is on the right
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPL17=public Water
RIBE WORK- DISCOVERED ON PUBIC WATER NOT WELL septic system slow to drain
• •'MATION
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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF 45x60
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
BASEMENT? Yes BASEMENT FIXTURES? Yes 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: YES INNOVATIVE: ANY:
Other described: 25%
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