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44' • THIS IS NOT PERMIT Case# RBPR-06-2023-44619
CATAWBA COUNTY HEALTH DEPARTMENT
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Allitail I. PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review-Manufactured Home
AUTH CONST
Pethci Oltv li-c ---- - -- Z
Contractor •CLAYTON HOMES OF CONOVER#81(UNLICENSED GC-BILLING ACCT), 1230 CONOVER BLVD W,
CONOVER NC 28613
B:8284653450 C:8282057855 HC081 r@CLAYTONHOMES.COM
Owner LRC RENTALS (LARRY TRAVIS),5103 CIRCLE DR,CONOVER NC 28613
C:828-312-0692
NAME TO APPEAR ON PERMIT
LRC Rentals (Larry Travis)
SITE ADDRESS: 1070 PHIL DR,CONOVER NC 28613 PIN X 373412962898
NAME of SUBDIVISION: HOUSTON Lot k 6 Seaion/Block
PROPERTY SIZE: Square Feet Acres 0.57
DIRECTIONS: Rght Government Dr,Right Radiostatlon RD,Left US 321 Bus/NW blvd,Right 12th aT SW/Boundary ST,Left 1st Av S,
Left County Home RD,Right Lee Cline RD,2.5 mi to Houston Mill RD,Right Buddy ST,Right on Phil Dr
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALL•NS PER DAY: 240 WATER SUPPLY: Public Water
• SCRIBE WO• • 8/172023 PART OF SYSTEM FOUND TO BE OVER PROPERTY LINE REVISE TO AC TO DISCONNECT
THAT PORTION OF DRAINLINES
PREVIOUS DESCRIPTION: New 2 bedroom Single Wide Manufacture home w/2 decks front&back 6x8
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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Mobile Home OTHER DESCRIPTION:
DESCRIPTION OF vacant lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: a OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 14x60;2-6x6 decks
a OF NEW BEDROOMS:: 2
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
cl,applic:un»i 08472023 12:42 Page I of3
4
a`C��� CATAWBA COUNTY
..te l Case a RBPR-06-2023-44619
i• .1 4 Public Health Department
rI 1 G Subdivision HOUSTON
tl '"t J. Environmental Health Division PINS/ 373412882898
I� � PO Box 389,I0 -A Southwest Blvd,Newton,NC 28658
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NAME ON PERMIT: LRC RENTALS (LARRY TRAVIS),5103 CIRCLE DR.CONOVER NC 28613
LRC Rentals (Larry Travis)
Site Address: 1070 PHIL DR,CONOVER NC 28613
Property Size: Square Feet Acres 0.57
Directions: Rght Government Dr.Right Radiostatlon RD,Left US 321 Bus/N\N blvd,Right 12th sT SW/Boundary ST,Left 1st Av S,
Left County Home RD,Right lee Cline RD,2.5 mi to Houston Mill RD,Right Buddy ST.Right on Phil Dr
Completed applications ere valid fora period of 2 years.Improvement PemUt.are valid:with complete site plan•80 months(5 years);with complete plat
•without expiration. M Authorization to Construct will remain veld as long as the Improvement Permit Is valid.An Authorization to Construct issued for
septic repo&is valid for e0 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the
proposed hiciity dung's. Permits may be revoked if site conditions are akered such that they effect permit conditions or Inatalatlon requirements
I have read this application and certify that the information provided herein is bus.complete and correct. Authorized county and stets offide!.are
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and Hies. I understand that I am solely
responsible for the proper Identification and labeling of all property ines and comers and making the site accessible so that a complete sits evaluation
can be performed.
The undersigned is the owner of the property or legal apeni of the owner.
Date: p ) 1 -- . ' Signature of Applicant or Agent �'':�, _
If you need further information or assistance ease 70
1/4
AREA2 1---
$ITIACk2: 20*Phil Dr.
aFr i DWI FEE AMOUNT 1
Existing Tank Check Fee 06/14/2023 580.00
Authorization to Construct Fee(New/Expansion) 08/17/2023 S70.00
Fee
TOTAL FEES S 150.00
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)
chapplirntn m 0a/11R023 12:42 Page 2 of 3
4' • • CATAWBA COUNTY
''}� 100A SOUTHWEST BLVD
l 1-3I NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT
\
�,� PHONE:828.465.8399
Thursday,August 17,2023
I8 Z 5M www.catawbacountync.gov
Invoice Number: 08-23-427030 Invoice Date: 08/17/2023
RBPR-06-2023-44619
CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home
SITE ADDRESS: 1070 PHIL DR,CONOVER NC 28613
Owner LRC RENTALS,5103 CIRCLE DR,CONOVER NC 28613
C:828-312-0692
Contractor *CLAYTON HOMES OF CONOVER#81(UNLICENSED GC-BILLING ACCT), 1230 CONOVER BLVD W,
CONOVER NC 28613
B:8284653450C:8282057855 HCO81 cr CLAYTONHOMES.COM
ACCOUNT:7590
PAYOR: 'Clayton Homes of Conover#81 (unlicensed GC-billing Acct)
FEES
RBPR-06-2023-44619 FEE AMT DUE AMT
Authorization to Construct Fee(New/Expan 110.580200-663000 08/17/2023 $70.00 $70.00
sion)Fee
FEES: $70.00 $70.00 j
TOTAL FEES: $70.00 $70.00 j
invoicereceipt 08/17/2023 14:47 Page 1 of 1