HomeMy WebLinkAboutRBPR-12-2020-36392.TIFProject Address:
Property Owner:
Project Description:
Acknowledgement of Optional Enviroamental Health Services
Catawba Countf Emdrormental Health
25 Govemment Drive I P.O. Box 3891 Newton, NC 28658
Phone: a28.465.8270I Fax.928.465,82761 EHAdrnin@CatawbaCounte4C.gov
M Y er 54'
CJ
P'oa
Re aired Se ttmdis� Septic Systems a Septic r Amn
Deck, Patio
5 feet
15 feet
Swimming pool
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
1 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 aseptic 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
I do NOT want the well septic review and inspection
N11fiDt Nrre I) i 2 1-it 2h 20
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Printed Oate
Name
Qfl/—
OFFICE USE
A copy of the septic permit was provided to the owner/agent
No septic permit was found on file