HomeMy WebLinkAboutEXSY-05-2022-172585.tif rir, CATAwBA COUNTY CaseEXSY-05-2022-172585
`� Public Health Department Subdivision PEBBLE BAY PH 3 REVISION
\ Environmental Health Division PINK 460601276295
A(� PO Box 389,25 Government Drive,Newton,NC 28658 1,OT4 105
Site Address: 7286 WOOD DUCK CT, DENVER NC 28037
Name on Permit WILLIAM POPE
Property Size: Acres 1.59
Directions: Slanting Bridge Rd,continue onto Campgroud Rd, right onto Catawb Burris Rd,continue onto Burris Rd,right
onto Bankhead Rd,lefto onto Gold Finch Dr, right onto Bay Ridge Dr, left onto Wood Duch Court,home on
the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
cc ' y that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
C\As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2022-40441,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
aAs 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(15A 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:05/31/2022
Owner/Authorized Representative Signature
Date 6/1/22
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ (name of person,/sending permit)
Signature (IE Date/Time (Y 1I la-
Method: Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EI1CusttomerService
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NO F FOR LOAN APPROVAL
Case Number: RBPR-03-2022-40441 ❑ Reconnection to Existing System
Property Owner/Applicant:WILLIAM POPE ❑ Mobile Home Park Reconnection
Site Address: 7286 WOOD DUCK CT, DENVER NC 28037 ® Applicant Request
Type of Facility: ® House ❑ Mobile Home Number of Bedrooms 5
❑ Business
El Other
Proposed Addition/Accessory Structure: 2R FFFT X 11 FFFT INGILOUND POOL WITH DUX-K.
®Approved ❑ Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ®NO System Type/Description 25% REDUCTION IIIG
Noncompliance Items anti Notes
• Maintain 5 feet minimum from home or decks.
• No grantee to the longevity of system.
• MUST BE 15 FEET MIN FROM WATERS EDGE TO ANY PART OF SEPTIC SYSTEM.
Authorized State Agent l/I /Vvv-\-a---J— k `�C��- Date 05/31/2022
catawbacountync.gov
Environmental Health
Colowho County Government (enter
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
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