HomeMy WebLinkAboutRBPR-07-2023-44962.tif BA �� THIS IS NOT A PERMIT Case# RBPR-07-2023-44962
CATAWBA COUNTY HEALTH DEPARTMENT
C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
18 2 sM Residential B Ian Review-Building New
IMPROVEMENT AUTH CONST
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Sed
Applicant KOU YANG,3915 DOVER ST,CLAREMONT NC 28610
C:9802536430 CAMELOTLOVEBIRDS@HOTMAIL.COM
Land Owner JOEL&MARTHA BARRINGER,2971 YOUNT RD,CLAREMONT NC 28610
NAME TO APPEAR ON PERMIT
Kou Yang
SITE ADDRESS: 2966 YOUNT RD,CLAREMONT NC 28610 PIN# 375020917119
NAME of SUBDIVISION: Lot tf 1 Section Block
PROPERTY SIZE: Square Feet Acres 3.33
DIRECTIONS: S NC 16 Bus Hwy L Claremont Rd,R Yount Rd, Property on Left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GAL Y: 600 WATER SUPPLY: Public Water
ESCRIBE WORK: 8/18/23 REVISE APPLICATION TO ADD IP THAT MUST BE REISSUED
PREVIOUS DESCRIPTION: New 40x80 SFD with 5 bedrooms, 16x8 front&80x10 Rear porches-on Slab
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? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF vanant Lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 7
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 40x80 SFD 5 bdrs, 16x8 front 80x10 rear porches
#OF NEW BEDROOMS:: 5
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
cIapplicati,a 08/18/2023 13:25 Page I of3
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. CATAWBA COUNTY Case# RBPR-07-2023-44962
Public Health Department
(„ `�" �Z Subdivision
d j 'H Environmental Health Division PIN# 375020917119
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
8 2
NAME ON PERMIT: (KOU YANG),3915 DOVER ST,CLAREMONT NC 28610
( Kou Yang)
Site Address: 2966 YOUNT RD,CLAREMONT NC 28610
Property Size: Square Feet Acres 3.33
Directions: S NC 16 Bus Hwy L Claremont Rd, R Yount Rd,Property on Left
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.
The undersigned is the owner of the property or legal agent of the owner.
Date: ! / Signature of Applicant or Agent
If you need further information or assistanc please call 8 -465- 70
AREA3
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 07/21/2023 $300.00
Fee
Improvement Permit Fee 08/18/2023 $150.00
TOTAL FEES $450.00
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)
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