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HomeMy WebLinkAboutRBPR-06-2023-44666.tif � • THIS IS NOTA PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Casa N RBPR-06-2023-44666 `_tlil ' 1 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES °1 Re3identtal Building Plan Review-Manufactured Home Ci—XS SYSTEM -411F3 a7t/ise l s., Applkant 'SIX ROCK PROPERTIES (DONNA WHITE),2820 SELWYN AVE 780,CHARLOTTE NC 28209 B:8283208157 DONNAWHITE42©GMAIL.COM Owntr SRP BUNKER HILL ESTATES LLC,2820 SELWYN AVE STE 780,CHARLOTTE NC 28209 ERIN@SIXROCKPROP.COM NAME TO APPEAR ON PERMIT SRP BUNKER HILL ESTATES LLC SITE ADDRESS: 3660 DAVIE ST,CLAREMONT NC 28610 PIN U 376302656157 NAME of SUBDIVISION: BUNKER HILL ESTATES Lots 21 Section/Block PROPERTY SIZE: Square Fact Acres 0.35 DIRECTIONS: N Oxford St.Left onto Centennial Btvd,Left onto M Lookout St,Road changes to Bunker Hill School Rd,left onto Deal Rd,Left onto Davie SI,propel on nght PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GM FR AY: 360 WATER SUPPLY: Community Wel ESCRIBE WORK: 7/11/2023 SYSTEM INSTALLED WAS FOUND TO BE ADEQUATE FOR 3 BEDROOM HOME REVISED TO EXISTING SYSTEM INSPECTION PREVIOUS DESCRIPTION:New 3 bedroom single wide mobile 131'x66",6x6 front porch,4x4 back deck 317E INFORMATION Do any of the following apply to the property for which this appkation is applied? If the answer to any of the questions below is'YES",then supporting documentation is required; Does this site contact any lunsdicbonal 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 properly? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: • Mobile Home OTHER DESCRIPTION: DESCRIPTION OF 1 vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: a OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 13'8 x66-,6x8 front porch,4x4 back deck II OF NEW BEDROOMS:: 3 Desired system types(Improvement Permit or Authorization to Construct) ' ACCEPTED; ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other desclbed: .bpp1iawe 07/Il/102J I5 12 Pip I•f 3 ey��M1 CATAWBA COUNTY Case if RBPR-06-2023-44666 a�y,,1.��4 Public Health Department Subdivision BUNKER HILL ESTATES s`� � s' Environmental Health DivisionPINry 376302656157 • .. ' PO Box 389,100-A Southwest Blvd.Newton,NC 28658 NAME ON PERMIT: SRP BUNKER HILL ESTATES LLC ( ),2820 SELWYN AVE STE 780,CHARLOTTE NC 28209 SRP BUNKER HILL ESTATES L eta Address: 3660 DAV1E ST,CLAREMONT NC 28610 Property Size: Square Feet Acres 0.35 Directions: N Oxford St,Left onto Centennial Blvd,Left onto M Lookout St,Road dianges to Bunker Hill School Rd,left onto Deal Rd,Left onto Davie St,propert on right Completed applu4or%are valid fora period of 2 years.Improvement Permits we valid:with°ompkts site plan 60 months(5 years);with complete pit west out expiration M Authonzaton to Construes wit remain valid as long as the improvement Permit is valid.M Authorization to Construct Issued for septic repair is vfliiid for 50 months(5 years).Pennts may be revolted If the lnfortneton on t7:s application/site plan changes or If the Intended use for the proposed fsdlity changes.Permits may be revolted ii efts Conditions are altered such that they effect parnit Conditions or Installation requirements I hew road this application and certify that the information provided herein h this.complete and correct Authorized county and stela officials are granted right of entry to conduct nawssary Inspections to determine compliance with applicable laws and rubs. i understand that I am solely res{mons+Dls for the proper identification end ria4ng of as property tines and corners and making the site accessible so That a complete silo evaluation can be performed The trdenignsd is he owner of he property} or legal agent of the owner. Date: 7• • ,0 Signature of Applicant or Agent I fyou need further information or assistance please call 828-465-8270 AREAS f ENAME r i . r iL — DAT .. •FETE AMOI�T AuVtonzahon to Construct Fee(Nere/Expansion) 06/19/2023 S150.00 Fee Improvement Permit Fee 06/19/2023 $150.00 Existing Tank Check Fee 07/11/2023 580.00 ' -1 TOTAL FEES •r , ; •5380A0, FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRJP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) rt.petlawe 07/11/2023 t312 Pq.2of3 #IAN Iligr catawba county public health AUTHORIZATION OF REFUND Date: 7/21/2023 Case#: RBPR-06-2023-44666 Applicant: Six Rock Properties Refund Amount: $220 Refund Reason: Application revised from IP/AC to existing system inspection. Authorizing Signature: [1 ? ? 4\ [A-1(46A Received By Staff: c14,)k Date: -7 II3 )3 catawbacountync.gov Environmental Health Ccicwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Catawba County, North Carolina - Disbursement Voucher Vendor No. Date: Make Payment To: ��A Co6 Voucher No(s) Six Rock Properties �L .t 2820 Selwyn Ave 780 Q105 Charlotte, NC 28209 18 42 ATTACHMENT Prepared by: Julia English Description Amount Application revised from IP/AC to existing system inspection $220.00 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) CATAWBA COUNTY 51 '} I00A SOUTHWEST BLVD j y NEWTON,NORTH 828.465.8399 LINA 28658 RECEIPT I V Friday,July 21,2023 1842 sM www.catawbacountync.gov PAYOR: *Six Rock Properties *Six Rock Properties (White,Donna) PAYMENTS TRANSACTION NUMBER: TRC-69030637-21-07-2023 PAYMENT DATE: 07/21/2023 PAYMENT TYPE: DV INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-424286 110-580200-663000 Authorization to Construct Fee(N ($150.00) ew/Expansion) Fee 06-23-424286 110-580200-663000 Improvement Permit Fee (S70.00) TOTAL PAYMENTS: ($220.00) RB PR-06-2023-44666 CASE TYPE: Residential I3uilding Plan Review WORK CLASS: Manufactured Home SITE ADDRESS: 3660 DAVIE ST,CLAREMON'I NC 28610 Applicant *SIX ROCK PROPERTIES,2820 SELWYN AVE 780,CHARLOTTE NC 28209 B:8283208157 DONNAWHITE42"r`GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner SRP BUNKER I TILL ESTATES LLC,2820 SELWYN AVE STE 780,CHARLOTTE NC 28209 ERIN@SIXROCKPROP.COM receipt 07/212023 10:28 Page 1 of 1