HomeMy WebLinkAboutEHPR-3-11-9638 (2).TIF irCV.A Co THIS IS NOT A PERMIT Case # EHPR -3 -11 -9638
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7 COUNTY HEALTH DEPARTMENT
'0 /"C Plan Review Application for Environmental Services
842 Environmental Health Plan Review - OSWP
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11 t ( RMR CONSTRUCTION
SITE ADDRESS: 2578 BROODMARE DR, Maiden, NC Pin#: 362703433059
NAME of SUBDIVISION:FLYING V ACRES PH 2 Lot # 14 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.469
DIRECTIONS: STARTOWN RD SOUTH / CROSS OVER HWY 321/ RT BLACKBURN BRIDGE RD/ LEFT HERTER RD/
LEFT FLYING V ACRES / LOT 14 ON LEFT
APPLICANT OWNER CONTRACTOR
RMR CONSTRUCTION RMR CONSTRUCTION RMR CONSTRUCTION CO INC
PO BOX 595 PO BOX 595 PO BOX 595CONOVER NC 28613
CONOVER NC 28613 CONOVER NC 28613 828 -464 -8597
828 - 464 -8597 828 - 464 -8597 rmr @rmrrealestate.com
ACCOUNT: 6339
PRIMARY CONTACT:
Gplicant APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE EXISTING FACILITY TYPE: N/A
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN US?) A
CALCULATED DESIGN FLOW:
Public water is * *NOT ** available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: 1 STORY DWELLING W/ ATTACHED GARAGE
PROPERTY EASEMENTS: NONE
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS:
PROJECT DESC: SINGLE FAMILY DWELLING
PROJECT DIMENSION: 48 X 38
BASEMENT? No BASEMENT FIXTURES? No
APPLICATION FOR WELL CONSTRUCTION /ABANDONMENT /REPAIR
PROPOSED WELL TYPE: Individual Well ABANDONMENT TYPE:
WELL REPAI REQUESTED?
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non - expiring date, but may be revoked if this information, site plans or intended use changes for the proposed
facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828 - 466 -7291
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Minimum Setbacks: Front: 30 Side: 15 Rear: 30 Side St: Max Height:
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/�A • CATAWBA COUNTY Case # EHPR -3 -11 -9638
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y 1G Public Health Department Subdivision FLYING V ACRES PH 2
Environmental Health Division - Plan Review
v '" e '''' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 14
842 s. PIN# 362703433059
Applicant/Owner RMR CONSTRUCTION, PO BOX 595, CONOVER NC 28613
Site Address: 2578 BROODMARE DR, Maiden, NC
Property Size: SF 0.469 ACRES
Directions: STARTOWN RD SOUTH / CROSS OVER HWY 321/ RT BLACKBURN BRIDGE RD/ LEFT HERTER RD/ LEFT FLYING
V ACRES / LOT 14 ON LEFT
FEE NAME DATE AMOUNT BALANCE DUE
Authorization to Construct Fee (New/Expansion) Fee 03/02/2011 $150.00
Improvement Permit Fee 03/02/2011 $150.00
Well Permit & Inspection Fee 03/02/2011 $300.00
TOTAL FEES $600.00
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
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