HomeMy WebLinkAboutRBPR-12-2020-36407.TIFAcknowledgement of Optional Environmental Health Services
Catawba County Environmental Health
25 Government Drive I P.O. Box 389 1 Newton, NC 28658
Phone 828.465 82701 Fax 828,465,82761
E HAdmin@CatawbaCountyNC.gov
Property Owner: fl t jd lC A? �- / /
Phone Number 3X; G it{Ef Email )q/n/;1i
Project Address:
Project Descriptii
Setbacks for Wells
I Building foundations: home addition, deck, carport, pool, accessory structure
25 feet
Required Setbacks for Septic Systems & Sepdc Repair Areas
Deck, Patio
; 5 feet
Swimming pool
15 feet
Building foundation on crawlspace or slab
5 feet
Building foundation with basement located: uphill of septic/repair
10 feet
beside septic/repair
15 feet
downhill of septic/repair
25 feet
Retaining wall, foundation drain located: uphill of septic/repair
10 feet
beside septic/repair
15 feet
downhill of septic/repair
25 feet
No grading, cutting, or filling is permitted within 15 feet of septic system or repair area
No vehicular traffic, driveways, or sidewalks are permitted over septic system or repair area
• Do not divert surface water over septic system or repair area
I understand that Environmental Health can field review an existing well, septic system, and septic repair
area for required setbacks, and the County recommends this optional service. Structural additions,
swimming pools, decks, and other accessory structures constructed on septic systems or in septic repair
areas, can irreversibly destroy the area and may result in an inability to install a septic repair system. If
the undersigned is an agent for the property owner, the undersigned is responsible for informing the
property owner of this optional service. An Environmental Health inspection and permit are required if
building a new house or adding a bedroom to an existing house.
I want the well/ septic review and inspection
VI do NOT want the well septic review and inspection
Owner/Agent Signature Date
!/ A-AfYk
Printed Name
OFFICE USE
4CA copy of the septic permit was provided to the owner/agent
No septic permit was found on file