HomeMy WebLinkAboutEHPR-04-2023-44053.TIF $ �G THIS IS NOT A PERMIT Case# EHPR-04-2023-44053
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1542 sM Environmental Health Plan Review-OSWP
p\ie ( d 7h g j a j IMPROVEMENT
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Applicant I IARDWORK GENERAI.CONTRACTORS INC.,4530 ASHTON 111L1,1,N UNIT C101,CI IARLOT'TE NC
28269
C:7049633796 MAXSANZ287(i01OTMAIL.COM
NAME TO APPEAR ON PERMIT
Hardwork General Contractors Inc
SITE ADDRESS* 2365 KOOL PARK RD NE,I IICKORY NC 28601 PIN# 372413232084
A1IE of SUBDIVIS #ION: Max SLnchez / 1
Lot# Section/Block
PROPERTY SIZE: Square Feet 30,622.68 Acre .703
DIRECTIONS: Kool Park Rd NE just after 24 h St NE
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLO AY: 360 WATER SUPPLY: Public Water
ESCRIBE WO : 7/14/23 revised to recombine property see new site plan IP only for purchase
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:: 50 x 60
#OF NEW BEDROOMS:: 3
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:
coappli au.m 07/14/2023 1456 Page I of 3
F . CATAWBA COUNTY Case# EHPR-04-2023-44053
Public Health Department Subdivision Max Sanchez
Environmental Health Division PIN# 372413232084
0� PO Box 389,100-A Southwest Blvd,Newton,NC 28658
/8 2
NAME ON PERMIT: HARDWORK GENERAL CONTRACTORS INC ( ),4530 ASHTON HILL LN UNIT C10I,CHARLOTTE NC 28269
Hardwork General Contractors II
Site Address: 2365 KOOL PARK RD NE,HICKORY NC 28601
Property Size: Square Feet 30,622.68 Acres .703
Directions: Kool Park Rd NE just after 24th St NE
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: Signature of Applicant or Age
If you need further information or asses nee please call 828-465-8270
AR A2
************************************************************************************************************
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 04/14/2023 $150.00
TOTAL FEES $150.00
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 07/14/2023 14:56 Page 2 of3
A
.ray' • THIS IS NOT A PERMIT Case# EHPR-04-2023-44053
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a CATAWBA COUNTY IIEALTII DEPARI'MEN'I'
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\84 51A Environmental Health Plan Review-OSWP
IMPROVEMENT
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Applicant HARDWORK GENERAL CONTRACTORS INC,4530 ASHTON HILL L.N UNIT C 101,CHARLOTTE NC
28269
C:7049633796 MAXSANZ287(01OTMAIL.COM
NAME TO APPEAR ON PERMIT
Hardwork General Contractors Inc
SITE ADDRES • 2365 KOOL PARK RD NE,HICKORY NC 28601 PIN# 372413232084
—NAME—of SUBDIVISION: ARTHUR C ECKARD Lot 1 3 Section/Block
PROPERTY SIZE: Square Feet 20,473.20 Acres 0.47
DIRECTIONS: Kool Park Rd NE just after 24th St NE
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
DESCRIBE WORK: IP only for purchase
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:: 50 x 60
#OF NEW BEDROOMS:: 3
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:
cL:g1,:,,,a,,,n 04/19/2023 09:21 Page 1 of3