HomeMy WebLinkAboutIMPV-06-2022-174315.TIF „OA Irs, CATAWBA COUNTY
%optfaPublic II nth Department Subdivision PEBBLE BAY PH 1
7i4 Gwironmatml Health Division PINS 460601062998
Not;•ttl::
ireePO BOX389,25 Government Drive,Newton,NC 28658 I.OTB 75
Site Address: 4618 SAWGRASS CT, DENVER NC 28037
Name on Permit: 'MIKE PALMER HOMES,INC.
Property Size: Acres 1.25
Directions: Hwy 16 S to Bus Hwy 16S LefCempground RD LeftCatawba Burris RD Left Pebble Bay Right
•
Owner/Authorized Representative Acknowledgement of Permit Receipt
4 edify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the properly described above.
As the property owner or authorized representative,I have received the above referenced
p i•init(s)as requested in the application for service RIJPR-03-2022-40476, by the following method(s):
_ Received in Person
_ Facsimile Transmittal(Return form with signature required).
JElectronic linage Transmittal/E-mail (Return receipt required)
A •s the property owner or authorized representative I have reviewed and understand the specific conditions
o 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(I SA NCAC 1 SA.1900),
and/or Well Construction Standards(I5A 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: 0622/2022 A`�
akalArs.... ,
Owner/Authorized Representativett�� Signature
v/'`/,',,\�
Date -lb 4/)O-
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (nume of personsendiing permit)
SitSignature / •
DateiTime 7f1'//Z2-
Method: Fax - 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 yo,Ylease ttake a few moment's tto complette our custtomer service survey an
http://wwir.surveymonkey.com/s/EHtusttomerService
MIS�oal boa,lCoinlKCPztlmerhem5,tan
e0prm.i. 07/130022 12:10 1 r
=116., CATAWBA COUNTY Case# IMPV-06-2022-174315
N .t.111 ,y Public Health Department Subdivision PEBBLE BAY PH 1
-1 Environmental Health Division PIN# 460601062998
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 75
w
Site Address: 4618 SAWGRASS CT, DENVER NC 28037
Name on Permit: "MIKE PALMER HOMES, INC.
Property Size: Acres 1.25
Directions: Hwy 16 S to Bus Hwy 16S LeftCampground RD LeftCatawba Burris RD Left Pebble Bay Right
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 480 d
9.P.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Community Well Maximum Occupants: 8
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: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to
approve the initial system installation,or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit
is subject to revocation if the site plan,plat or the intended use changes,or if site conditions arc altered. The Improvement Permit is not
affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and
Rules for Sewage Treatment and Disposal Systems' (I 5A NCAC 18A.1900). Neither Catawba County nor the Environmental Health
Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time.
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
q Ev4N S
tt 07/13/2022
Authorized State Agent Permit Issuance Date
7/13/2027
Permit Expiration Dale
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elipernul 02/02/2023 10:19
CATAWBA COUNTY Case# IMPV-06 2022-174315
MPublic Health Department Subdivision PEBBLE BAY PH 1
5) , Environmental Health Division PIN# 460601062998
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 75
91
Site Address: 4618 SAWGRASS CT, DENVER NC 28037
Name on Permit: *MIKE PALMER HOMES, INC.
Property Size: Acres 1.25
Directions: Hwy 16 S to Bus Hwy 16S LeftCampground RD LeftCatawba Burris RD Left Pebble Bay Right
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 480 g.p.d
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to
approve the initial system installation,or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit
is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not
affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and
Rules for Sewage Treatment and Disposal..ystems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health
Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time.
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
uoy4 Et,4eis
07/13/2022
Authorized State Agent Permit Issuance Date
7/13/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 07/14/2022 10:39