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CATAWBA COUNTY �e ti la Ds �e Case# 1MPV-09-2016-076734
gitl 2 Public Health Department et . Subdivision GOLD MINE MAP 1
p 4 Environmental Health Division r PIN# 369901098240
cco •PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 yt� � '� LO 1# PTS 1-2-3-5
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NAME ON PERMIT: SHAWN ERVIN, 9300 SHERRILLS FORD RD, TERRELL NC 28682
Site Address: 5978 SHERRILLS FORD RD, CATAWBA NC 28609
Property Size: Square Feet:558,003.60 Acres:12.81
Directions: 70 E / right Emmanuel Church Rd / left Hwy 10/ Right Murrays Mill Rd / left Sherrills Ford Rd/across from
Mathis Church Rd
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing?
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: II1G -OTHER NON-CONN TRENCH SYSTEMS
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -OTHER NON-CONV TRENCH SYSTEMS
PUMP *MAY BE* REQUIRED
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved,and may result in failure to
approve the initial system installation, or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicant/propeny owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This
Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The
Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the
provisions of the North Carolina 'Laws and Ru/es for Sewage Treatment and Disposal Systems' (15A NCAC ISA.1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function
satisfactorily for any given period of time.
Robbie Phelps 09/12/2016
AUTHORIZED STATE AGENT APPROVAL DATE
09/10/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermii 09/13/2016 09:26
Apt - 1-26(1 - 071731
Catawba County Environmental Health
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Parcel: 369901098240, 5978 SHERRILLS . 1in=60ft rl(
RD CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
09/12/2016
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