HomeMy WebLinkAboutEXSY-03-2021-147993.tif r . b
wag0106._. TAWA NY Case# EXSY-03-2021-147993
Public HeaBlth Department Subdivision AARON H LAIL
f�rr ,--t Environmental Health Division
In(7) `�` PO Box 389,25 Government Drive,Newton,NC 28658 PIN
tf 460703143678
/8 su (828)465-8270 FAX(828)465-8276 'MD(828)465-8200 LOT# 5
Site Address: 3850 LANDMARK DR, SHERRILLS FORD NC 28673
Name on Permit: *WADE A WORKMAN
Property Size: Acres 0.58
Directions: Hwy 150 to Little Mtn, Right on Landmark, house on Right
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2021-36650, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific
conditions of the permit issued, and further understand that all applicable regulatory requirements
specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15
A NCAC 18A.1900), and/or Well Construction Standards(15A NCAC 2C .0100), shall apply to the
issuance of this permit and the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 03/31/2021
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
acknowledges the conditions and statements above.
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04/04.'2021 18:38
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number: RBPR-2-21-36650 ' ® Reconnection to Existing System
Property Owner/Applicant:Wade A Workman ❑ Mobile Home Park Reconnection
Site Address:3850 Landmark Dr Sherrills Ford NC ❑ Applicant Request
Type of Facility: ® House ❑ Mobile Home Number of Bedrooms 2
❑ Business
❑ Other
Proposed Addition/Accessory Structure: Npw 26'x46' 2 RR }ume
® Approved ❑ Not Approved Reason
❑ Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ® NO System Type/Description Existing Bed
Noncompliance Items and Note
No signs of outbreak during inspection. Located tank and existing bed with Mandy Workman on 3/17/20.
Keep home including decks or patios minimum: 10' from tank and drain field (walk out basement) . Keep all
vehicle?and construction traffic off of existing system. Do not grade, drive, or fill over system. Future repair
will likely require a pretreatment system to encroach on lake setback. A new permit and full evaluation will he
required including test pits if repair is required in the future.
Authorized State Agent Date 3/31/21
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Catawba County Environmental Health
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Parcel: 460703143678, 3850 LANDMARK DR 1in=50ft
SHERRILLS FORD, 28673
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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
oersonnnl.rticrialm and shall not tin hard liable for any and all damaoes. kiss nr flahility whnthnr riirnrt inriirert or rnncom iantiat whirh arlcac nr may
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