HomeMy WebLinkAboutRBPR-06-2023-44756.TIF $A �� THIS IS NOTA PERMIT Case# RBPR-06-2023-44756
CATAWBA COUNTY HEALTH DEPARTMENT
arvO PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
184 sa Residential Building Plan Review- Building New
IMPROVEMENT-AUTH CONST-NEW WELL
Applicant RONALD CHAPMAN,,
C:9194148972 DREW.CHAPMANI2@GMAIL.COM
Contractor *BLAKE KING CONSTRUCTION,LLC (STEPHEN KING), 1373 HOMESTEAD DR,HICKORY NC 28602
C:8284090472 SBK231985 a YAHOO.COM
Owner SENG LO,5455 PINE RIDGE DR,CONNELYS SPRING NC 28612
C:6127029597 SENGLO@YAHOO.COM
YAHOO.COM
Paid By JASON BERRY,,
C:8286394533
NAME TO APPEAR ON PERMIT
Ronald Chapman
SITE ADDRESS: 2322 MOSS FARM RD,HICKORY NC 28602 PIN# 279110467724
NAME of SUBDIVISION: Lot# 2 Section/Block
PROPERTY SIZE: Square Feet Acres 11.28
DIRECTIONS: Right 127,North on moss Farm RD,Access to the property is by a paved 25"deeded ROW off of Moss Farm RD,
going to an adjoining with 2314 Moss Farm RD
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS P Y: 480 WATER SUPPLY: Private Well
DESCRIBE WORK: 8/17/23 revised to show new pool size and location 40x16/with 10'surround and well location.
Revised 8/1/23 add a well.
Previous Description: New 2 story 4 bedrooms w/attached garage&finished bonus room &finished basement
*In-ground pool in the future 36x15 decking 10; around peri meter**Shared well with 2314 Moss Farm RD
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? 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? Yes
Are there any easements or right-of-ways on this property? Yes
Property Easements Description: 25'easement
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF vacant
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 71x60; 12x30 back deck, 18x7 front porch
#OF NEW BEDROOMS:: 4
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
&application 08/17/2023 10:56 Page 1 of3
V)4 CATAWBA COUNTY Case y RBPR-06-2023-44756
AisPublic Health Department
h "t' 'Z
- "'1 Environmental Health Division PIN# 279110467724
PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Subdivision
NAME ON PERMIT: (RONALD CHAPMAN),,
( Ronald Chapman)
Site Address: 2322 MOSS FARM RD,HICKORY NC 28602
Property Size: Square Feet Acres 11.28
Directions: Right 127, North on moss Farm RD,Access to the property is by a paved 25"deeded ROW off of Moss Farm RD,
going to an adjoining with 2314 Moss Farm RD
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
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. l
The undersigned is the owner of the property or legal agent of the owner. l
\
Date: - `f 7- 9 3_ Signature of Applicant or Agent
If you need further information or assistance please call 82 70
AREA1
**********************+*************************************+**+**+*****************************************
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 06/26/2023 $300.00
Fee
Improvement Permit Fee 06/26/2023 $150.00
Well Permit&Inspection Fee 08/01/2023 $300.00
Re-Trip or Redesign Fee 08/17/2023 $70.00
TOTAL FEES S820.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
ehepplicamm 08/17/2023 10:56 Page 2 of3
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$A • CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Thursday,August 17,2023
I$ 2 SM www.catawbacountync.gov
PAYOR:
Chapman,Ronald
PAYMENTS
TRANSACTION NUMBER: TRC-71038711-17-08-2023
PAYMENT DATE: 08/17/2023
PAYMENT TYPE: Credit Card
309555740
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-23-427012 110-580200-663000 Re-Trip or Redesign Fee $70.00
TOTAL PAYMENTS: $70.00
RBPR-06-2023-44756
CASE TYPE: Residential Building Plan Review WORK CLASS: Building New
SITE ADDRESS: 2322 MOSS FARM RD,HICKORY NC 28602
Applicant RONALD CHAPMAN,,
C:9194148972 DREW.CHAPMAN12@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Owner SENG LO,5455 PINE RIDGE DR,CONNELYS SPRING NC 28612
C:6127029597 SENGLO@YAHOO.COM
Paid By JASON BERRY,,
C:8286394533
Contractor *BLAKE KING CONSTRUCTION,LLC, 1373 HOMESTEAD DR,HICKORY NC 28602
C:8284090472 SBK231985@YAHOO.COM
receipt 08/17/2023 10:55 Page 1 of 1