HomeMy WebLinkAboutEHPR-04-2023-44025.TIF 2 .I 9 ) 5 Aclaio '-eAi iced 1723 16 fi w /
THIS IS NOT A PERMIT Case# EHPR-04-2023-44025
CATAWBA COUNTY HEALTH DEPARTMENT
1113. " PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\8' ski Environmental Health Plan Review-OSWP
ABANDONMENT
e• 5-
Applicant WK DICKSON,1213 W MOREHEAD ST,CHARLOTTE NC
C:7043345348 SWALTERS@WKDICKSON.COM
NAME TO APPEAR ON PERMIT
WK Dickson
SI E ADDRESS: 1521 N NC 16 HWY,CONOVER NC 28613 PIN# 374207680515
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 1,711,472.40 Acres 39.29
DIRECTIONS: N NC 16 Hwy on left before St Johns Church Rd NE
PRIMARY CONTACT: Applicant SEWER TYPE:
GALLONS PER DAY: WATER SUPPLY:
(ESRRIBE WOR� 5/2/23 Revised property address
Previous Description:Well abandonment
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? Yes
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? Yes
Are there any easements or right-of-ways on this property? Yes
Property Easements Description: see survey map
APPLICATION FOR:
STRUCTURE TYPE: **NO STRUCTURE SELECTED**
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS:
PROPOSED CONSTRUCTION
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:
APPLICATION FOR WELL ABANDONMENT
ABANDONMENT TYPE: Drilled
ehapplication 05/02/2023 13:29 Page 1 of 7