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Home My WebLink AboutIMPV-07-2022-175865.TIF i'i),c,10r,n+ n(` %ir;t , _ 4.47 rite,fr CATAWBA COUNTY • Public EnvironmenHealthtal Deportment Subdivision CRESCENT LAND AND TIMBI `c Ileotth Division PINe 480603317846 PO nox 789,25 Government Drive,Newton,NC 28658 LO'1'M 192 Site Address: 7286 BLACKWELDER RD,DENVER NC 28037 • • Name on Permit WLLIAM KAYS . property Size: Acres 0.86 . Directions: Slanting Bridge Rd,take Independence Ln,take Blackwelder Rd,property 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-01-2020-33653, 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(15A NCAC I8A.1900), . and/or Well Construction Standards(ISA NCAC 2C.0100), shall apply to the issuance of this permit and the consiruction of the wastewater system and/or water supply well permitted. Permit Issue Date:07/15/2022 n� � ' Owner/Authorized Representative Signature /�"� I • Date 7/ /t' - Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) • • Permit transmitted by (name of person sending permit) Signature Y Date/Time r 1✓!J'„ 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 youPlease ttake a few momentts tto complette our custtomer service.survey att http://www.surveymonkey.com/s/EH0tisttomerservice C obbkM it A&w.zsagJOhoo. tarn <i,oe,v�� ornertoz: 07:04 1 r . w• • CATAWBA COUNTY Case# IMPV-07-2022-175865 .t. Public Health Department Subdivision CRESCENT LAND AND TIMBI Environmental Health Division PIN# 460603317846 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 192 a. Site Address: 7286 BLACKWELDER RD, DENVER NC 28037 Name on Permit: WILLIAM KAYS Properly Size: Acres 0.66 Directions: Slanting Bridge Rd,take Independence Ln, take Blackwelder Rd, property on right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Expansion Wastewater Flow 480 g.p.d Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well • Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS _ REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: VA-SAND FILTER PRETREATMENT Pump Required ***** Operator Required Permit Conditions: *This permit is issued to expand the existing system from 3 to 4 bedrooms and designate 2 bedrooms of repair. *The original system was expanded from 2 to 3 bedrooms in 1979, see completion permit #1491 and IP-10410. 'The lot was recorded in 1976, and the septic system is repair exempt for 2 bedrooms. 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 susoensioNfevocation 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/Loning 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'Lays and Rules for Sewaze Treatment and Drsnosal Systems' (15A NCAC I8A.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. 07/15/2022 Authorized State Agent Permit Issuance Date 7/15/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemit 07202022 09:39 it R6PR-oi-(9 -33(053 hu - •-•b a0)02- 175.E(0 - wE LL-o7-a0•7702--I 7-5B'68 • A-604 ,,„,e,.twFt_� -o� a �l�S �69 • ♦. . 1_ tern:#. , _/ t Existing 760 Contour r+ '}j( . Lake Norman ____ ... 7Extst»g 760 Contour i55.38 . • s r go' , ,t Sepik I '` Tank • Retaining Wail_-_.- L,7 _ 214:06e ! xP ram„ .Jr/J.` biter 1 . P Ft , ,i 1 c-"'ihi Blue its s. 1 ,// / l�lr,s. 4 ��" , , / s' l • aspic - . Y3 U ;3: j, ' �. 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