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Home My WebLink AboutIMPV-06-2022-173231.TIF tot CATAWBA COUNTY _ IL` i Public Health Department Subdivision WHITE EAGLE RANCH •t E:nvironmcntal Health Division PINS 370005189221 ' PO Box 389.25 Government Drive,Newton,NC 28658 LOT# 5&PT 6 N Site Address: 1516 WHITE EAGLE RANCH RD, HICKORY NC 28602 Name on Permit: RUSSELL GILCHRIST Property Size: Acres 6.01 Directions: S NC 127 Hwy, left Bethel Church Rd. right White Eagle Ranch Rd,on left Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. tdil.. As the property owner or authorized representative, 1 have received the above referenced permit(s)as requested in the application for service RBPR-11-2021-39376,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions oft e 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:06/09/2022 Owner/Authorized Representative Signature ,�/�'4z.c�P • Date 4J& As-- Z Z— Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _._ (name ofperson sending permit) Signaturef_./ Date/Time if/15 I)) Method: Fax 4 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 yot Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ii ch )14DQ 044- 6 - \ CATAWBA COUNTY Case# IMPV-06-2022-173231 n .f. ,y Public Health Department Subdivision WHITE EAGLE RANCH d '-1 Environmental Health Division PIN# 370005189221 PO Box 389,25 Government Drive,Newton,NC 28658 i o r# 5&PT 6 8, Site Address: 1516 WHITE EAGLE RANCH RD, HICKORY NC 28602 Name on Permit: RUSSELL GILCHRIST Property Size: Acres 6.01 Directions: S NC 127 Hwy, left Bethel Church Rd, right White Eagle Ranch Rd, on left Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 240 d 9•p• Type of Facility: Accessory Dwelling-Pool House with 1 bedroom Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Public Water Maximum Occupants: 4 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Pump *May Be* Required Permit Conditions: This permit issued pursuant to Section 11.(c)of SL 2018-114 using the signed and sealed LSS Evaluation attached here. Catawba County Environmental Health has not evaluated soils or site conditions for this property. Furthermore, CCEH has not field-verified soil descriptions submitted by the Licensed Soil Scientist. CCEH exclusively used the LSS evaluation and system design proposal to permit the septic system and future septic repair area. CCEH will not have not made any site visit to the property prior to the inspection of the septic installation final. Catawba County Environmental Health is not responsible or liable for accuracy of soil descriptions or septic system design for this permit(s). Prior to CCEH's inspection of the system installation, all property corners must be surveyed, all property lines must be marked, and the 50 ft. and 30 ft. lake setback, as applicable, must be surveyed. No deviation from the permit is permissible. If the system cannot be installed exactly as proposed by the LSS, maintaining all applicable setbacks under 15 A NCAC 18A.1 900,the property owner is responsible for a LSS resubmittal under SL 2018-114 Section 11.(c ); new permit fees applicable. Do not drive,grade, cut, or fill over the septic system area/ septic repair area. Damage to the septic areas will result in permit revocation. chpc,mit 06/14/2022 13:21 G catawba county Geospr�atiai Real Estate Search MAx,AD. LIVING. {rrtit, Information Service s BETHEL'CHURCH RD i 60 (403) • { `1. . ) m 1 . AC 4 • I 0 v a,, A � # 15 if 6.1 11., .." '1� 4, I� O I/ 5 (33 • 0 f� e // O i 1 hIX64° 2 • c �- - _______/' pi .°Forgo ' I o scPriC r4/4 ate. ION GAL POOL so10'14 H OUST pit nrMAY d ICES- w �L ,. �... . Eyccsr1J - / / spAric ► 5ysTEM 1,1 ' 1 .44 -.I ' 0...' % 405.10 N •. wl 1 in=100ft s Parcel: 370005189221, 1516 WHITE EAGLE RANCH RD HICKORY, 28602 Owners: GILCHRIST RUSSELL VERNON, Owner Address: 1516 WHITE EAGLE RANCH RD Values- Building(s): $382,100, Land: $109,300, Total: $491,400 This map/report product was prepared from the Catawba County.NC Geos atlal 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 tlie independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and iffirsonnel,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 2021 Catawba County NC 04/282022