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Home My WebLink AboutRBPR-02-2023-43423.TIF A THIS IS NOT A PERMIT Case# RBPR-02-2023-43423 O CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 2 sM Residential Building Plan Review-Building New IMPROVEMENT-A TH CONST- NEW WELL Owner MICHAEL BENFIELD, 1868 PISTOk RANGE RD,NEWTON NC 28658 C:479-935-6578 a I et ail in @ nI14( kr . M1 NAME TO APPEAR ON PERMIT Michael Benfield SITE ADDRESS: 513 N MAIN ST,CATAWBA NC 28609 PIN# 378217214616 NAME of SUBDIVISION: CATAWBA NURSERY TRACT Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 21.87 DIRECTIONS: Hwy 10 E,toward 70 out of Catawba on left just after bridge PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLO • 360 WATER SUPPLY: Private Well CRIBE WORK: 9/1/23 REVISE TO ADD IP. HOUSE LOCATION MOVED FROM ORIGINAL IP new single family dwelling/log construction/3 bedrooms 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 vacant EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 30x48 house,30x10 front porch&50x10 rear porch #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO chappliiatmil 09/01/2023 15:57 Page I of3 c1.. re CATAWBA COUNTY Case# RBPR-02-2023-43423 • Public Health Department Subdivision CATAWBA NURSERY TRACT Environmental Health Division PIN# 378217214616 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (MICHAEL BENFIELD), 1868 PISTOL RANGE RD,NEWTON NC 28658 ( Michael Benfield) Site Address: 513 N MAIN ST,CATAWBA NC 28609 Property Size: Square Feet Acres 21.87 Directions: Hwy 10 E,toward 70 out of Catawba on left just after bridge 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. Date: q / - 73 Signature of Applicant or Agent/4 If you need further information or assistance please call 828-465-821f0, AREA3 FEENAME PATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 02/15/2023 $150.00 Fee Well Permit& Inspection Fee 02/15/2023 $300.00 Improvement Permit Fee 09/01/2023 $150.00 TOTAL FEES S600.00 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) eliapplication 09/01/2023 15:57 Page 2 of 3 ys�'A • CATAWBA COUNTY t 100A SOUTHWEST BLVD CNEWTON,NORTH CAROLINA 28658 RECEIPT � PHONE:828.465.8399 J Friday,September 1,2023 1$4 2 sM www.catawbacountync.gov PAYOR: Benfield,Michael PAYMENTS TRANSACTION NUMBER: TRC-72 1 86985-0 1-09-2023 PAYMENT DATE: 09/01/2023 PAYMENT TYPE: Credit Card 310263554 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-23-427664 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 RBPR-02-2023-43423 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 513 N MAIN ST,CATAWBA NC 28609 Owner MICHAEL BENFIELD, 1868 PISTOL RANGE RD,NEWTON NC 28658 C:479-935-6578 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 09/01/2023 I5:56 Page 1 of 1