HomeMy WebLinkAboutRBPR-06-2023-44659.tif 1$I\ 6 THIS IS NOT A PERMIT Case# RBPR-06-2023-44659
�' CATAWBA COUNTY HEALTH DEPARTMENT
�C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
18 sM Residential Building Plan Review-Manufactured Home
EXS SYSTEM
71111)3 ReUr5d
Applicant *SIX ROCK PROPERTIES (DONNA WHITE),2820 SELWYN AVE 780,CHARLOTTE NC 28209
B:8283208157 DONNAWHITE42@GMAIL.COM
Owner SRP BUNKER HILL ESTATES LLC,2820 SELWYN AVE STE 780,CHARLOTTE NC 28209
ERIN@SI XROCKPROP.COM
NAME TO APPEAR ON PERMIT
SRP BUNKER HILL ESTATES LLC
SITE ADDRESS: 3705 DAVIE ST,CLAREMONT NC 28610 PIN# 376302751342
NAME of SUBDIVISION: BUNKER HILL ESTATES Lot# 4 Section/Block
PROPERTY SIZE: Square Feet Acres 0.37
DIRECTIONS: N Oxford St,Left onto Centennial Blvd,Left onto N Lookout St,Road name changes to Bunker Hill School Rd,Left
onto Deal Rd,left Onto Davie St
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALL. : - - • • 360 WATER SUPPLY: Community Well
• CRIBEWORK: /11/2023 DETERMINED THAT ENOUGH SEPTIC SYSTEM WAS INSTALLED FOR 3 BEDROOM REVISED
TO EXISTING SYSTEM INSPECTION.
PREVIOUS DESCRIPTION:2023 13'8"x66 3 bedroom single wide mobile home,6x6 front porch,4x4 back
deck
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
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 13'8"x66,6x6 front,4x4 back
#OF NEW BEDROOMS:: 3
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
ehapplication 07/I1/2023 10:44 Page 1 of 3
catawba county
public health
AUTHORIZATION OF REFUND
Date: 8/3/2023
Case#: RBPR-06-2023-44659
Applicant: Donna White
Refund Amount: S220.00
Refund Reason: Determined that enough septic system was installed for 3
bedroom revised to existing system inspection
Authorizing Signature: 174:1:71/`--
Received By Staff: 2ie
ti 1-44jk.
Date:
cat awbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive PO Box 389 Newton NC 28658 828.465.8270
MAKING. LIVING. BETTER.
Catawba County, North Carolina - Disbursement Voucher
Vendor No. Date: 8/3/2023
Make Payment To: 10' c06 Voucher No(s)
Donna White ¢ t #
1915 S Deerfield Dr , ,.
Morganton, NC 28655 U .SIP
I8 42
ATTACHMENT
Prepared by: Julia English
Description Amount
RBPR-06-2023-44659. DETERMINED THAT ENOUGH SEPTIC SYSTEM WAS INSTALLED FOR $220.00
3 BEDROOM REVISED TO EXISTING SYSTEM INSPECTION
Sub-Total
Food Tax
Sales Tax
Total $ 220.00
For Accounting Use
Fund Cost Center Object Project Amount Only
110 580200 663000
Total
The undersigned hereby certifies that the goods or services specified above have been received
or performed. Payment has not been previously authorized and this expenditure is a proper
charge to the appropriation indicated. The above charge is certified to you for payment.
(SIGNATURE-APPROPRIATE OFFICIAL)
8/14/23,10:18 AM V-POS-Transaction Receipt
Transaction Receipt- Success
Catawba County,NC
Catawba County Permit Center
MID:200001690791
25 Government Drive
Newton,NC 28658
828-465-8399
06/19/2023 02:42PM
Remittance ID:
Catawba061923144134733Har
Transaction ID:
306952081
�ITE/DONNA
United States
Visa-2259
Approval Code: 158096
Sale
Amount: $2,030.00
CD446594661 466 44664 44665 44666
WHITE/DONNA
1
na
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
https://www.velocitypayment.corn/admin/catawbacountync/vpos/942/transactions/receipt/?PaymentlD=306952081 1/1
•
ys$A • CATAWBA COUNTY
4 100A SOUTHWEST BLVD
�1 NEWTON,NORTH CAROLINA 28658 RECEIPT
V (� PHONE:828.465.8399
�J Thursday,August 3,2023
1842 5M www.catawbacountync.gov
PAYOR: SRP BUNKER HILL ESTATES LLC
SRP BUNKER HILL ESTATES LLC
PAYMENTS
TRANSACTION NUMBER: TRC-69990188-03-08-2023
PAYMENT DATE: 08/03/2023
PAYMENT TYPE: DV
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
06-23-424270 110-580200-663000 Authorization to Construct Fee(N ($150.00)
ew/Expansion)Fee
06-23-424270 110-580200-663000 Improvement Permit Fee ($70.00)
TOTAL PAYMENTS: ($220.00)
RBPR-06-2023-44659
CASE TYPE: Residential Building Plan Review WORK CLASS: Manufactured Home
SITE ADDRESS: 3705 DAVIE ST,CLAREMONT NC 28610
Applicant *SIX ROCK PROPERTIES,2820 SELWYN AVE 780,CHARLOTTE NC 28209
B:8283208157 DONNAWHITE42@GMAIL.COM
Owner SRP BUNKER HILL ESTATES LLC,2820 SELWYN AVE STE 780,CHARLOTTE NC 28209
ERIN@SIXROCKPROP.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/03/2023 09:43 Page 1 of 1