HomeMy WebLinkAboutEHPR-06-2023-44565.TIF F' � THIS IS NOT A PERMIT Case# EHPR-06-2023-44565
CATAWBA COUNTY HEALTH DEPARTMENT
v ) 7PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1842 SM Environmental Health Plan Review-OSWP
IMPROVEMENT
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Contractor *MILLER BUILT HOMES,INC./UNLICENSED MEC (TODD MILLER),4168 LB PROPST DR,
CONOVER NC 28613
B:8282568218 C:8283123081 F:8282563888 MILLERBUILTHOMES@CENTURYLINK.NET
Owner TODD MILLER,,
C:8283123081
NAME TO APPEAR ON PERMIT
*MILLER BUILT HOMES, INC. I unlicensed MEC (Todd Miller)
SITE ADDRESS: 4449 PISGAH ST,CONOVER NC 28613 PIN# 373309175433
NAME of SUBDIVISION: Lot# 1 Section/Block
PROPERTY SIZE: Square Feet 51,357.2 Acres 1.179
DIRECTIONS: County Home Rd to Sipe Rd,to e a left onto Pisgah St,lot on the right
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
• CRIBE WOR • 7/10/2023 new plat received house location unchanged IP for property subdivison
-E 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? No
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: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 92x69
#OF NEW BEDROOMS:: 3
BASEMENT? Yes BASEMENT FIXTURES? Yes 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: YES
OTHER: INNOVATIVE: ANY:
Other described:
ehapplication 07/10/2023 10:53 Page I of3
CATAWBA COUNTYCase# EHPR-06-2023-44565
(I)
Public Health DepartmentSubdivision
Environmental Health DivisionPIN# 373309175433PO Box 389,100-A Southwest Blvd,Newton,NC 28658alt
NAME ON PERMIT: *MILLER BUILT HOMES,INC./UNLICENSED MEC (TODD MILLER),4168 LB PROPST DR,CONOVER NC
28613
*MILLER BUILT HOMES, INC./
Site Address: 4449 PISGAH ST,CONOVER NC 28613
Property Size: Square Feet 51,357.24 Acres 1.179
Directions: County Home Rd to Sipe Rd,take a left onto Pisgah St,lot 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 a ' e so that a corn 'te evaluation
can be performed.
The undersigned is the o/Oc .T )
erro the property or legal agent of the owner. /Date: Signature of Applicant or
If you need further information or assistance p1 call 82 65-8270
AREA2
I FEENAME DATE FEE AMOUNT i
Improvement Permit Fee 06/08/2023 $150.00
TOTAL FEES $150.00 i
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)
chapplication 07/10/2023 10:42 Page 2 of3