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Home My WebLink AboutEHPR-05-2023-44470.TIF THIS IS NOTA PERMIT Case# EH PR-05-2023-44470 14111. d CATAWBA COUNTY HEALTH DEPART MINT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1841 SM Environmental Health Plan Review-Septic Malfunction AUTH CONST- SEPTIC MALFUNCTION 61141)3 Pc)�41 eci, - *Removed Owner BILLY LUSHER,2283 HILLSIDE DR,NEWTON NC 28658 C:8284553035 Contractor ALLEN HOKE,, C:7043086574 Owner CESAR GUERRERO,2283 HILLSIDE DR,NEWTON NC 28658 C:9408671937 CI:SARGUERRERO940(h?GMAIL.COM. CL ill rc fa II ei.'J c b.( et06:;-,' L1 _ NAME TO APPEAR ON PERMIT iS best i I) be (11.1FDT _ Cesar Guerrero SITE ADDRESS: 2283 HILLSIDE DR,NEWTON NC 28658 PIN# 365914249309 NAME of SUBDIVISION: CRESTVIEW DEV I t,l�; 17-20__ Section/Block C PROPERTY SIZE: Square Feet 19,602.00 Acres_ 0.45 DIRECTIONS: NC 16,right onto Crestview Dr,left onto Hillside Dr,property on the right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well • SC-IBE WORK: 6/14/23 revised to add dainfield replacement per new owner Cesar Guerrero PREVIOUS DESCRIPTION:septic tank wall collapsed,distribution box blocked 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 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: eltapplication 06/142023 14:39 Page 1 ur6 ,_ ,rp,, ('''I:."'"(hi \I\ (a,�;: t.IIPK U> '(1 ;- t47U �d+ r Punk,:Icall)I)eminicnl ,,,,„,,..,..ton CRESTVIEW DEV l l ei'iemoii it Ilr. . (..... alth I)i,,un 365914249309 • PtI R,r�tl1 IfMI_A Si itIi,+cst Whit Vcntnn.NC 2ShtV I'1Kr I NAME ON PERMIT: I rh.SAR(a ll-F1k1 R(It.2283 1111 I SII)I:DR.Nl W MN IN NI:2S65x (Cesar Guerrero) Site Address: 228;IIII.l.SIDI•.DR.NEW ION N('2865g Property Size: $yuurc I cet 19.602 00 Acre, 0 45 Directions: NC 16 right onto Crestview Dr,left onto Hillside Dr•property on the right 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 it the intended use lo•the proposed facrtity changes Permits may be revoked if site condwons 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 „6 Dale: 1l l."1 Signature of Applleant or Agent Le-a a .>+ II')mi heed further illr rrii iiin: or ti�si,t:ince hlri:e call 8211-465-S270 AREA4 Fl ENAME DATE FEE AMIOI`\T Authorization to Construct(Repair)Fee 05:0!202 3 5150.00 Authorization to Construct(Repair)Fee U6/14/2023 $150,01 TOTAL FEES $300.00 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) 116 Ii2i2i Ilty 14141:201r• co CATAWBA COUNTY C4'' 100A SOUTHWEST BLVD aNEWTON,NORTH CAROLINA 28658 RECEIPT 4)�► PHONE:828.465.8399 7 Wednesday,June 14, 2023 1$42 SM www.catawbacountync.gov I'AY O R: Guerrero,Cesar PAYMENTS TRANSACTION NUMBER: TRC-66319981-14-06-2023 PAYMENT DATE: 06/14/2023 PAYMENT TYPE: Credit Card 306762001 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-424090 110-580200-663000 Authorization to Construct(Repair) $150.00 Fee TO FA L PAYMENTS: $150.00 El I P R-05-2023-44470 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 2283 HILLSIDE DR,NEWTON NC 28658 *Removed Owner BILLY LUSHER,2283 HILLSIDE DR,NEWTON NC 28658 C:8284553035 Owner CESAR GUERRERO,2283 HILLSIDE DR,NEWTON NC 28658 C:940867I937 CESARGUERRERO940a,GMAIL.COM **NO PEOPLESOFI'ACCOUNT ASSIGNED** Contractor ALLEN HOKE., C:7043086574 receipt 06/14/2023 14:38 Page I of I $ • THIS IS NOT A PERMIT Case# EI IPR-05-2023-44470 Q, CATAWBA COUNTY I-IEALTII DEPARTMENT U PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 5M Environmental Health Plan Review-Septic Malfunction AUTH_CONST- SEPTIC_MALFUNCTION ( )Iq f)3 P wised *Removed Owner BILLY LUSHER,2283 HILLSIDE DR,NEWTON NC 28658 C:8284553035 Contractor ALLEN HOKE,, C:7043086574 -to Owner CESAR GUERRO,2283 HILLSIDE DR,NEWTON NC 28658 C:9408671937 NAME TO APPEAR ON PERMIT Cesar Guerro SITE ADDRESS: 2283 HILLSIDE DR,NEWTON NC 28658 PIN # 365914249309 NAME of SUBDIVISION: CRESTVIEW DEV Lot N 17-20 Section/Block C PROPERTY SIZE: Square Feet 19,602.00 Acres 0.45 DIRECTIONS: NC 16,right onto Crestview Dr,left onto Hillside Dr,property on the right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well RIBE WOR : 6/14/23 revised to add dainfield replacement per new owner Cesar Guerro PREVIOUS DESCRIPTION:septic tank wall collapsed,distribution box blocked 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 52x34 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: charplii:tiom 06/14/2023 12:46 Pagel of6 .103 • CATAWBA COUNTY Case# EHPR-05-2023-44470 D Publ ic Healthepartment i-, 'i"�� Subdivision CRESTVIEW DEV Q ,PI w ^C Environmental llealth Division PINtt 365914249309 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Jrt NAME ON PERMIT: (CESAR GUERRO),2283 HILLSIDE DR,NEWTON NC 28658 (Cesar Guerro) Site Address: 2283 HILLSIDE DR,NEWTON NC 28658 Property Size: Square Feet 19,602.00 Acres 0.45 Directions: NC 16,right onto Crestview Dr,left onto Hillside Dr,property on the right 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 Agent If you need further information or assistance please call 828-465-8270 AREA4 FEENAME DATE FEE AMOUNT Authorization to Construct(Repair)Fee 05/30/2023 $150.00 Authorization to Construct(Repair) Fee 06/14/2023 $150.00 TOTAL FEES $300.00 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) chapplit ats,n 06/14/2023 12:46 Page 2 of6