HomeMy WebLinkAboutEHPR-05-2023-44409.TIF 41 �� THIS IS NOT A PERMIT Case# EHPR-05-2023-44409
F- ( a CATAWBA COUNTY HEALTH DEPARTMENT
-- / PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
2 sM Environmental Health Plan Review-OSWP
TH CONST- RE,PAI ABANDONMENT ELOCATION�
10 ii 23 AAA -4ft
Applicant TWYLA PHILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
C:8284431086 TWYLAPHILYAW@GMAIL.COM
Contractor ALLEN HOKE,,
C:7043086574
Paid By ANTHONY PHILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
NAME TO APPEAR ON PERMIT
Twyla Philyaw
SITE ADDRESS: 8511 SYLVAN DR,TERRELL NC 28682 PIN# 461602570766
NAME of SUBDIVISION: Lot ii 12 Section/Block
PROPERTY SIZE: Square Feet 21,780.00 Acres 0.5
DIRECTIONS: Heading East on 150,turn right on Kiser Island Rd,right on Sylvan,3rd house on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
,E3tRI�E WORiZ'.1 10/26/23 REVISED TO AC REPAIR/RELOCTION ADD WELL ABANDONMENT.
6/21/23 REVISED TO IMPROVEMENT PERMIT TO DESIGNATE REPAIR. WILL RECONNECT TO OLD
SYSTEM AND CUT OFF DRAINFIELD RUNNING ONTO ADJOINING PROPERTY.
PREVIOUS DESCRIPTION: 1980 repair installed per Owner Lawrence 0 Sheets to accommodate workshop
that is no longer on the property. Daughter wanting to reconnect to original septic system for the 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? 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 on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF Home and Carport
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 76x36,22x15
NUMBER OF EXISTING BEDROOMS: 3 U OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
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: ~"-
APPLICATION FOR WELL ABANDONMENT
ABANDONMENT TYPE:
ehapplicao ni 10/26/2023 14:27 Page 1 of7
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AREAS
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TOTAL i 113 UM.*
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ONCE A SI 1•E VISIT IS MADE: OR
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CA • CATAWBA COUNTY
G100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
O 7 PHONE:828.465.8399
Thursday,October 26,2023
8 4 Z 5M www.catawbacountync.gov
PAYOR:
Philyaw,Twyla
PAYMENTS
TRANSACTION NUMBER: TRC-76335778-26-10-2023
PAYMENT DATE: 10/26/2023
PAYMENT TYPE: Credit Card
312418537
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
10-23-429706 110-580200-663000 Well Abandonment Fee $100.00
10-23-429706 110-580200-663000 Authorization to Construct(Reloca $150.00
tion)
TOTAL PAYMENTS: $250.00
EHPR-05-2023-44409
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 8511 SYLVAN DR,TERRELL NC 28682
Applicant TWYLA PHILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
C:8284431086 TWYLAPHILYAW@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Paid By ANTHONY PHILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
Contractor ALLEN HOKE,,
C:7043086574
receipt 10/26/2023 14:35 Page 1 of 1
THIS IS NOT A PERMIT Case# EHPR-05-2023-44409
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1.84 5M Health Environmental alt Plan a Review
ev ew- OSWP
IMPROVEMENT
I2II Plet), sid
Applicant TWYLA PI IILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
C:8284431086 TWYLAPI IILYAW a GMAIL.COM
Contractor ALLEN FIOKE,,
C:7043086574
Paid By ANTHONY PHILYAW,205 HORSE SHOE LANE,MORGANTON NC 28655
NAME TO APPEAR ON PERMIT
Twyla Philyaw
SITE ADDRESS: 8511 SYLVAN DR,TERRELL NC 28682 PIN# 461602570766
NAME of SUBDIVISION: Lot# 12 Section/Block
PROPERTY SIZE: Square Feet 21,780.00 Acres 0.5
DIRECTIONS: Heading East on 150,turn right on Kiser Island Rd, right on Sylvan,3rd house on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GA S PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE-Wt 'ck 6/21/23 REVISED TO IMPROVEMENT PERMIT TO DESIGNATE REPAIR. WILL RECONNECT TO OLD
SYSTEM AND CUT OFF DRAINFIELD RUNNING ONTO ADJOINING PROPERTY.
PREVIOUS DESCRIPTION: 1980 repair installed per Owner Lawrence 0 Sheets to accommodate workshop
that is no longer on the property. Daughter wanting to reconnect to original septic system for the 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? 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 on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF Home and Carport
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 76x36,22x15
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
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: INNOVATIVE: ANY:
Other described:
ehapplii:awn 06/21/2023 15:09 Page 1 of3
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AREAS
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WIP*CIVIV IfM Pymi FIN. 0I :I ;10 I SIT)00
TOTAL.ILLS 1114.1141
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