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G TillS IS NOT A PERMIT Case# EHPR-02-2023-43409
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CATAWBA COUNTY HEALTH DEPARTMENT
v 105 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 SM Environmental Health Plan Review-OSWP
IMPROVEMENT
Applicant KOU YANG,3915 DOVER ST,CLAREMONT NC 28610
C:9802536430 CAMELOTLOVEBIRDS@HOTMAIL.COM
NAME TO APPEAR ON PERMIT
Kou Yang
SITE ADDRESS: 2966 YOUNT RD,CLAREMONT NC 28610 PIN# 375020917119
NAME of SUBDIVISION: Lot# 1 Section/Block
PROPERTY SIZE: Square Feet 145,054.80 Acres 3.33
DIRECTIONS: S NC 16 business Hwy left Claremont Rd,right Yount Rd, property on left
PRIM R-Y ACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 600 WATER SUPPLY: Public Water
DESCRIBE WOR • 3/22/23 REVISE TO 5 BEDROOM 40 X80 NEW LOCATION SEE SITE PLAN
PREVIOUS DESCRIPTION: IP only for purchase of 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? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 40 X 80
#OF NEW BEDROOMS:: 5
BASEMENT? No BASEMENT FIXTURES? No 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: INNOVATIVE: ANY:
Other described:
ehapplication 03/22/2023 13:22
• CATAWBA COUNTY Case# EHPR-02-2023-43409
H .t.IR Public Health Department Subdivision
d „� Environmental Health Division PIN# 375020917119
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT: (KOU YANG),3915 DOVER ST,CLAREMONT NC 28610
( Kou Yang)
Site Address: 2966 YOUNT RD,CLAREMONT NC 28610
Property Size: Square Feet 145,054.80 Acres_ 3.33
Directions: S NC 16 business Hwy left Claremont Rd,right Yount Rd,property on left
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 comple site evaluation
can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Date: 0 5A.2A5 Signature of Applicant or Agent
If you need further information or assistance please call 828-465- 7
AREA3
.************************************************************************************.**.*..........**..*.*.
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 02/14/2023 $150.00
TOTAL FEES S150.00
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)
clapplicalwn 03/22/2023 13:22 Page 2 of 3
Catawba County Environmental Health
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Parcel: 375020917119, 2842 YOUNT RD 1 in=100ft
CLAREMONT, 28610
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Copyright 2023 Catawba County NC
03/22/2023