HomeMy WebLinkAboutEHPR-03-2023-43787.TIF KA 1 i � THIS IS NOTA PERMIT Case# EHPR-03-2023-43787
CAFAWBA COUNTY HEALTH DEPARTMENT
arl 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
I842 sM Environmental Health Plan Review
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IMPROVEMENT
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Applicant DUSTIN DELI,INGER,3603 GOODSON RD,MAIDEN NC 28650
C:8288516973 DELLINGER.DUSTIN@YAHOO.COM
NAME TO APPEAR ON PERMIT
Dustin Dellinger
SITE ADDRESS: 5785 W NC 10 HWY,IIICKORY NC 28602 PIN# 269918305777
• • o UBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 154,638.00 Acres 3.55
DIRECTIONS: Hwy 10 Won left just past Plateau Rd
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WORK: IP only for purchase of property requests gravity septic in front of home
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: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 60 x 30 with att 24x24 garage,storage bld 30 x 40
#OF NEW BEDROOMS:: 4
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SO FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: YES INNOVATIVE: ANY:
Other described: gravity
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