HomeMy WebLinkAboutEHPR-04-2023-44062.TIF 4
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PLAN(It'li'V.VFIAI:W131APP(I'ICtAIfNsCONYOI)IIKA:IN:V�Ic))INFMAII 1I.AN1I1.:S,NL'I1IVI( ISI'IIPR- { '0_3-l4()G'
/8w' Environmental Health Ilan Rolm - Repair
IMPROVEMENT-AUTH CONST- EXPANSION - REPAIR � �
g6itc)... J _....._________,.... ....... ....... ._._.................. ........---- .
.\pplicant ....I'WII.KS.7458 l'v\RRI1'.I S I.SI II k1211.I S FORD NC 21(,-;
(':861-72 -(,6(17 II:\RI I'YIAII Ru(i\I\l[ .('(1t1
NAME TO APPEAR ON PERMIT
*Robert Wilks
__ _ __ ___ __ _ _ _ --_.___--_ _
SITE ADDRESS: —74'N(iAI11211{l.S.I.SIII'.RRII I.S FORD N(. ?8f>7i PIN# 46(1703430795
NAME r>fst'ItI)I\'r1ION: I ul s Section/11141A
I'Rf)I'I:RTY117.t:: squaw Feet 41,817.60 Acre, 096
DIRECTIONS: E NC 150.left Little Mountain Rd right Gabriel St at end
PRIMARY CO • Applicant SEWER TYPE: Septic Tank
ALLONS PER DAY: 480 WATER SUPPLY: Private Well
DESCRIBE WORK: 6/2/2023 revise to 4 bedroom for FUTURE interior renovation with 2 additional bedrooms,no addition to footprint
Current septic system is too close to neighbors well
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? Yes
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 an this property? Yes
Property Easements Description: driveway
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 75 x 42
NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: i
PROPOSED CONSTRUCTION
#OF NEW BEDROOMS:: ) 2
BASEMENT? No BASEMENT FIXTURES? Nn PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE ISO FT):
Desired system types(Improvement Permit or Authorisation to Construct):
ACCEPTED: ALTERNATIVE. CONVI NIIONAL
OTHER INNOVAI IVE ANY.
Other described:
rv,a 2 2021 12,20 i'npr i 0,%
• (WI AWi8. ('Ol NTV ',se,r I•:111'R-04-2023-44062
Public I Iudth Department tiubchaision
I nvirunmcnt l Health Division I'IV++
\\. I't I Bin IR9 IU0-A SouthwestBlvd Ne tiiii N(' 2tthi 1 460703430795
NAME ON PERMIT: (*1(011I:ItI WILKS).7158(iAllltll I.S F.Sl llatltll.l s FORD NC 2867+
( }Robert Wilks)
Site Address; 7.158(iAIURllit 5I.SI1FRR1I.1.ti FOIt1)NC 28(17i
Property Size: Syuurr Feet 41.817.60 ACICS 0.96
Directions: E NC 150,left Little Mountain Rd right Gabriel St at end
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 he 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 alteied such that they affect permit conditions or installation requirements
I have read this application and certify that the information provided herein is true.complete and correct Authorized county ano state officials are
granted light 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 fines and corners and making the site accessible 7 that a complete site evaluation
can be performed / /I I
The undersigned is the owner of the property or legal agent of the owner 1r j,i rr
j r I �1
Dar: i - � Sirntlure of Applicant tir Agent 7 i_ y
j
i I 11)o ne d`7iulhrr information or:r;.ist::tee file:r;r callAREA4
♦V#'.+a kk Ill•?'.h4}}i}tAu.yt}}V}V•,V}}xi}lVV rilVV l�•VVs
FI:ENAMF. DATE FEE AletOt N 1
Authorization to Construct(Repair)Fee n•L I72u2? S3o(I.Un
Authorization to Construct Fee(New/Expansion) 0(102/2021 S.100.(11)
Fee
Improvement Permit Fee uh,v2/2n23 S►5(L111)
'1'O'i; i.14:I:S S750.00
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)
ex,n- :u'i 12,re
�4'A C CATAWBA COUNTY
T itiI00A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
) *Krrll1� 5 PHONE:828.465,8399
►// Friday,June 2, 2023
18 41, sM www.catawbacountync.gov
PAYOR:
Wilks,*Robert
PAYMENTS
TRANSACTION NUMBER: TRC-65428050-02-06-2023
PAYMENT DATE: 06/02/2023
PAYMENT TYPE: Credit Card
306265190
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
06-23-423517 110-580200.663000 Improvement Permit Fee $150.00
TOTAL PAYMENTS: $150.00
EH PR-04-2023-44062
CASE TYPE: Environmental Health Plan Review WORK CLASS: Repair
SITE ADDRESS: 7458 GABRIEL ST,SHERRILLS FORD NC 28673
Applicant *ROBERT WILKS,7458 GABRIEL ST,SHERRILLS FORD NC 28673
C:864-723-6607 HARLEYTATER@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 06/02/2023 12:36 Page 1 of 1