HomeMy WebLinkAboutRBPR-09-2023-45543.TIF •
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eei C'ATAWBA COUNTY Case q RBPR-09-2023-45543
• .t.` Public Health Department Subdivision SOUTH LAKES DEV PHASE 1
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(......pt,Rrit # Environmental Health Division PIN# 363918418942
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT: (*ZUYITSA DIAZ), 180 LARRAGAN DR,MOORESVILLE NC 28115
(*Zuyitsa Diaz)
Site Address: 2088 EVERGREEN DR,NEWTON NC 28658
Property Size: Square Feet Acres 0.57
Directions: 321 S,Right McKay RD,Left Evergreen D
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=80 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 condits or installation requirements
I have read this application and certify that the information provided herein is true,complete and cor- . Author•ed •un • : d state officials are
granted right of entry to conduct necessary inspections to determine compliance with applicabl -ws and rules. and=rstand th- I am solely
responsible for the proper identification and labeling of all property lines and corners and mak' g the sit: accessible-•that a complete site evaluation
can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Date: 1\/g) ) 23 Signature of Applicant or Agent -.. , I I1
If you need further information or assistance'rn -.'e call ,8-465-8270
AREA2
FEENAME DATE FEE AMOUNT
Authorization to Construct Fee(New/Expansion) 09/21/2023 $150.00
Fee
Improvement Permit Fee 09/21/2023 $150.00
TOTAL FEES S300.00
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)
ehapplication 10/05/2023 11:39 Page 2 of 3