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Home My WebLink AboutEHPR-05-2023-44452.TIF A $ doG THIS IS NOT A PERMIT Case# EHPR-05-2023-44452 4719 , CAIAWI3A COUNTY HEAD-TT DEPARTMENT \ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig 2 SM Environmental Health Plan Review-Septic Mf Ifnnetinn AUTH CONST- REPAIR ABANDONMENT 2 s____.. bl.)cbl)") iik sect Contractor *COOL PARK PUMPING,INC (KELLY ISENIIOtiR), 1535 VICTORIAN HILLS CIR,CONOVER NC 28613 1 L:8286327137B:8282562926 C:8282171596 I IOME:8286327137F:828-256-2926 SAME AS PHONE 4ISEN I IOUR(t GMAIL.COM Owner BILLY BAKER,3214 47T11 AV PI,NE,I IICKORY NC 28601 NAME TO APPEAR ON PERMIT Billy Baker SITE ADDRESS: 2408 28TH ST NE,HICKORY NC 28601 PIN# 372306493288 NAME of SUBDIVISION: Lot ACRES PL 9-50 1 of# 1 2 Section/Block PROPERTY SIZE: Square Feet 15,681.60 Acres 0.36 DIRECTIONS: Springs Rd NE,left onto 28th St NE,right to stay on 28th St NE,right onto 24th Ave NE,property on the left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: 6/28/23 Revised to add well abandonment Tank only 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 building EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 58x39, 17x10 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 6 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: Drilled ei;:,1w .t ,n 06/28/2023 11:53 Page I o17 t •i CATAWBA COI • Case a F,HPR OS-2023 44452 �. Public Health Department Subdivision CLFARVIEW ACRES PL 9-50 '" i Environmental health Division CasePIM 372306493288 (....... PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 144:9 NAME ON PERMIT: (BILLY BAKER).3214 47T1H AV PL NE,HICKORY NC 28601 ( Billy Baker) Site Address: 2408 28T11 Sf NE,111CKORY NC 28601 Property Size: Square Feet _ 15.681.60 Acres 0.36 Directions: Springs Rd NE,left onto 28th St NE.right to stay on 28th St NE,right onto 24th Ave NE,property on the 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 rs 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 Dales(CP4a 3 Signature of Applicant or Agent L`1 di�,,,/ /_� flif If you need further inlinmation or assistance please call 828-465-8270 �� dJ /I(�_�, AREA2 FEENAME 1)ATF,r FEE AMOUNT Authorization to Construct(Repair)Fee 05/26/2023 S150.00 Well Abandonment Fee 06/28/2023 S 100.00 TOTAL FEES S250.00 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) Ob.2x2023 1151 Page 2 of 7 A C CATAWBA COUNTY �" 100A SOUTHWEST BLVD C NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT Vligdui PHONE: 828.465,8399 ege Wednesday,June 28, 2023 18 4 2 sM www.catawbacountync.gov Invoice Number: 06-23-424697 Invoice Date: 06/28/2023 EHPR-05-2023-44452 CASE TYPE: Environmental Flea1th Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 2408 28TH ST NE,HICKORY NC 28601 Owner BILLY BAKER,3214 47TH AV PL NE,HICKORY NC 28601 Contractor *COOL PARK PUMPING,INC, 1535 VICTORIAN HILLS CIR,CONOVER NC 28613 H:8286327137B:8282562926C:8282171596F:828-256-2926 SAME AS PHONE 4ISENHOUR@GMAIL.COM ACCOUNT:50126 PAYOR: *COOL PARK PUMPING, INC FEES EHPR-05-2023-44452 FEE AMT DUE AMT Well Abandonment Fee 110-580200-663000 06/28/2023 S 100.00 $100.00 FEES: $100.00 S 100.00 TOTAL FEES: S 100.00 S100.00 invoicereceipt 06/28/2023 I I:52 Page I of I