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Home My WebLink AboutRBPR-08-2014-19656.TIF ,r1gA Co THIS IS NOT A PERMIT Case # RBPR-08-2014-19656 G a CATAWBA COUNTY HEALTH DEPARTMENT O"4.--v • t "tt PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1841, SM Residential Building Plan Review - Building New Mo rro o:: IMPROVEMENT - AUTH CONST - NEW WELL • L (� _ ,-,x.71 - Owner DUSTIN LITTLE, 5120 RIVER BEND RD, CLAREMONT NC 28610 C:828-850-3867 NAME TO APPEAR ON PERMIT DUSTIN LITTLE SITE ADDRESS: 2252 SHANG LN, CONOVER NC 28613 PIN # 375503225543 NAME of SUBDIVISION: Lot k Section/Block PROPERTY SIZE: Square Feet Acres 2.95 DIRECTIONS: 16N/past Springs Rd/approx 1/4 mile/right on Shang Ln/through Orange Gate PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WOR • Revised 4/4/16- Received Septic Easement- Collected fees for new IP/AC) Revised 2/11/16 - Due to grading on the lot. Septic has to have a pump now. Collected Re-Draw fee to re-issue IP &AC. 1 STORY DWELLING 30 x 40 & separate metal carport 16 x 20 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 vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 30 x 40 #OF NEW BEDROOMS:: 2 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: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO F:9-ehappllcniion 04/04/2016 16:33 Page 1 of 4 CATAWBA COUNTY Case a RBPR-08-2014-19656 C Public Health Department Subdivision G � Environmental Health Division .Till Y PIN# 375503225543 PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 /842 su NAME ON PERMIT: ( DUSTIN LITTLE), 5120 RIVER BEND RD, CLAREMONT NC 28610 ( DUSTIN LITTLE) Site Address: 2252 SHANG LN, CONOVER NC 28613 Property Size: Square Feet Acres 2.95 Directions: 16N/past Springs Rd/approx 1/4 mile/right on Shang Ln/through Orange Gate Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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. Date: Signature ofApplicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 dx `1 , .'1?' ""'.s.r,a, tj'`FEENAME DATE s' L , FEE AMOUNT; Authorization to Construct Fee (New/Expansion) 08/04/2014 $150.00 Fee Improvement Permit Fee 08/04/2014 $150.00 Well Permit & Inspection Fee 08/04/2014 $300.00 Re-Trip or Redesign Fee 02/11/2016 $70.00 Authorization to Construct Fee (New/Expansion) 04/04/2016 $150.00 Fee Improvement Permit Fee 04/04/2016 $150.00 ° }TOTAL FF,FS, r h o ';Wi: i t $970 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) E9-cliappl ication 04/04/2016 16:33 Page 2 of 4 4,1..\4'A co CATAWBA COUNTY i-■ IOOA SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT Am-; _ PHONE: 828.465.8399 U ° „ °d►° Monday, April 4, 2016 1842 sm www.catawbacountync.gov PAYOR: LITTLE, DUSTIN PAYMENTS TRANSACTION NUMBER: TRC-649660-04-04-2016 PAYMENT DATE : 04/04/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-326838 Authorization to Construct Fee $150.00 (New/Expansion) Fee 04 16K3268384tii,al ;U s ,„,, Improvement Permit Fee._, rali*�„�_-� x;-$15„0:00 TOTAL PAYMENTS : $300.00 RBPR-08-2014-19656 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 2252 SHANG LN, CONOVER NC 28613 Owner DUSTIN LITTLE, 5120 RIVER BEND RD, CLAREMONT NC 28610 C:828-850-3867 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 04/04/2016 16:30 Page I of I