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Home My WebLink AboutRBPR-03-2023-43897.TIF 1/4� THIS IS NOT A PERMIT Case# RBPR-03-2023-43897 CATAWBA COUNTY HEALTH DEPARTMENT 'lipt` �'� �C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Igo sb Residential Building Plan Review-Building New AUTH CONST EW WELL s/I.K h3 Ped i'se Applicant GABRIELA AGUILAR LARA,2935 11TH AVE DR NE,CONOVER NC 28613 H:8283031360 C:8283039550 HOME:8283031360 OTHER:8283039441 Contractor *SOLID ROCK CONSTRUCTION (PETRICA STOIAN),5324 STONEWOOD DR,HICKORY NC 28602 C:8283129482 SOLIDRKCO@OUTLOOK.COM Owner VICTOR OROZCO,3401 HIGHLAND AVE NE LOT 5E,HICKORY NC 28601 NAME TO APPEAR ON PERMIT .. .... .. ..... .... .... ... GABRIELA AGUILAR LARA SITE ADDRESS: 2911 11TH AVE DR NE,CONOVER NC 28613 PIN# 372314428644 NAME of SUBDIVISION: JAMES M MILLER ESTATE Lot# 4 Section/Block PROPERTY SIZE: Square Feet Acres 0.49 DIRECTIONS: Left off Spencer Rd NE onto 28th St PI NE,Left onto 11th Ave Dr NE,property on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLO _ I AY: 360 WATER SUPPLY: Public Water •ESCRIBE WO- : 5/18/23 REVISED TO HAVE WELL. NO LONGER LOOKING AT GETTING EASEMENT FOR PUBLIC WATER LINE.WELL WILL NOT BE SHARED BY OTHER HOMES. 4/25/23 Revised home location has changed. New site map received. Previous Description: New 55x50 3 bedroom single family home including decks/porches and attached garage **Deed attached but not yet transferred as of 3/31/2023 in GIS** 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 lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 55x50 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYP Individual Well REPLACE WELL?: NO ehapplication 05/18/2023 13:27 Page 1 of 3 091 • CATAWBA COUNTY Case# RBPR-03-2023-43897 Public Health Department Subdivision JAMES M MILLER ESTATE Environmental Health DivisionPIN# 372314428644 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (GABRIELA AGUILAR LARA),2935 11TH AVE DR NE,CONOVER NC 28613 (GABRIELAAGUILAR LARA) Site Address: 2911 11TH AVE DR NE,CONOVER NC 28613 Property Size: Square Feet Acres 0.49 Directions: Left off Spencer Rd NE onto 28th St PI NE,Left onto 11th Ave Dr NE,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 complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: /b�/2 C7 Signature of Applicant or Agent G ct F) /-C/G W JC �--��Gr/ If you need further information or assistance please call 828-465-8270 AREA2 FEENAME.. DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 03/31/2023 $150.00 Fee Well Permit&Inspection Fee 05/18/2023 $300.00 TOTAL FEES $450 00 FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplication 05/18/2023 13:27 Page 2 of 3 ,PA CATAWBA COUNTY ��" 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT t IR , .< T� PHONE:828.465.8399 `-i V Thursday,May 18,2023 1$ 7i sM www.catawbacountync.gov PAYOR: AGUILAR LARA,GABRIELA PAYMENTS TRANSACTION NUMBER: TRC-64333642-18-05-2023 PAYMENT DATE: 05/18/2023 PAYMENT TYPE: Cash INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 05-23-422924 110-580200-663000 Well Permit&Inspection Fee $300.00 TOTAL PAYMENTS: $300.00 RBPR-03-2023-43897 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 2911 11 TH AVE DR NE,CONOVER NC 28613 Applicant GABRIELA AGUILAR LARA,2935 11TH AVE DR NE,CONOVER NC 28613 H:8283031360C:8283039550 **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner VICTOR OROZCO,3401 HIGHLAND AVE NE LOT 5E,HICKORY NC 28601 Contractor *SOLID ROCK CONSTRUCTION,5324 STONEWOOD DR,HICKORY NC 28602 C:8283129482 SOLIDRKCO@OUTLOOK.COM receipt 05/18/2023 13:25 Page 1 of 1