HomeMy WebLinkAboutIMPV-08-2022-177841.tif I•\IAw11.1CI)VNIN
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Site Address: 7058 COBBLEFIELD LN DENVER NC 28037
Name on Permit: TERRY FREEMAN
Property Size: Acres 1
Directions: Pebble Bay Dr to Burris Rd,left onto Cobblefeld Ln
`\ Owner/Authorized Representative Acknowledgement of Permit Receipt
'�.\ I certily than I am the owner or authorised agent(owner's authuri/atittn required)representing the owner of
!hc: opert:. described ahote.
il( sthe property owner or authorised representative. I have receive)the above referenced
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permit(s)as requested in the application for service ENPR-05-2921-37733. by the Iollowing method(s):
Received in Person
/ Facsimile I ranstnittal(Return forth with signature required)
Electronic Image'Transmittal.'E-mail (Return receipt required)
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AN the property ow her or authorized representative I have reviewed and understand the specific conditions
of the permit issued. and further understand that all applicable regulatory requirements specified tender the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(I5A NCA(' IRA.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater sy em and or Ater supply well permitted,
Permit Issue Date:08/1612022
Owner'Authorized Representative Signature
• Date q•\� ,
Documentation of I'erntil(s) transmittal
(permit transmitted by electronic or other means)
Permit transmitted It. (MUM'flf f)t'rSofl St•))t%lO;;/rt')7n it)
Signature ___ 4 _—
Date lime JiLJ27_
Method: Fas J Email US Mail Other
Ott ne•r's request to send by the abuse indicated method of transmittal in lieu of signature
We wantt no hear from yoLPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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CATAWBA COUNTY Case it IMPV-08-2022-177841
4 .t. ,y Public Health Department Subdivision
Q '{ Environmental Health Division PIN# COBBLESTONE027953
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PO Box 389,25 Government Drive,Newton,NC 28658 L07't! 5
/842 w
Site Address: 7058 COBBLEFIELD LN, DENVER NC 28037
Name on Permit: TERRY FREEMAN
Property Size: Acres 1
Directions: Pebble Bay Dr to Burris Rd, left onto Cobblefield Ln
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMIT'S
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Relocation Wastewater Flow 480 g p d
Type of Facility: Primary Residence- Existing House
Basement? NO Basement Plumbing? 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
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
Permit Conditions:
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'Lairs and
Rules for Sewage Treatment and Disposal Systems'(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.
PIL,),(,„
08/16/2022
Authorized State Agent Permit Issuance Date
8/16/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpcnnit 08/162022 14:38
Catawba County Environmental Health
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DENVER, 28037
This map/report product was prepared from the Catawba County,NC Geospatial 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 p.amotes 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
personnel,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
08/15/2022
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet__of
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
` /� for ON-SITE WASTEWATER SYSTEM.
OWNER: Pfi'l rr4J— /` a 1'1 APPLICATION DATE ) -I i -2
ADDRESS: DATE EVALUATED: 6 L 5- -L.
PROPOSED FACILITY: `f/7 R- PROPOSED DESIGN FLOW(.1949): L/..'v PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: BPrivate 0 Public 0 Well D S ' g 0 Other
EVAWATTON METHOD: 0 Auger Boring alit U Cut
TYPE OF WASTEWATER: 8-Sewage 0 Industrial Process 0 l.fixed
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1 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
I 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
i personnel,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
1 •
05/19/2021