HomeMy WebLinkAboutEXSY-08-2022-177951.TIF —� (:,1'I'AH'1!A COUti'I'�' Case H f3XSY•08-2022-1 7745 1
Public I lealth Department Subdivision
Environmental Ileailh Division PINri 372415630783
PO Dox 389,25 Government Drive,Newton,NC 28658 LOTH
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Site Address: 3170 318T AVE CT NE, HICKORY NC 28601
Name on Permit: KOOL PARK POOL
Property Size: Acres 15.02
glrecttons: Keel Park Pool
Owner/Authorized Representative Acknowledgement of Permit Receipt
i 95certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
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the properly described above.
1 As the property owner or authorized representative,I have received the above referenced
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permit(s)as requested in the application for service CliPR-06-2022-41344,by the following method(s): .
Received in Person
........
Facsimile Transmittal (Return (bun with signature required)
_. ____ Electronic Image Transmittal/E-mail (Return receipt required)
r_ag?As the eproperty owner ar authorized representative t 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(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 Dale:08/17/2027.
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Owner/Authorized Representative Signature _.t...._.0
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Dale 0.1t2,—....,_. •
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by ........._._._..___...---._.... .....('nwne of person sending perotll)
Signature . ._Date/•Time 0 n n hii»
_, _.._._ ____________________._______.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 front yor.Please ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:CBPR-06-2022-41344 ❑ Reconnection to Existing System
Property Owner/Applicant:Kool Park Pool(Gaylene Carpenter) ❑ Mobile Home Park Reconnection
Site Address:3170 31'AVE CT NE,Hickory NC 28601 ® Applicant Request
Type of Facility: ❑ House ❑ Mobile Home Number of Bedrooms
® Business Public Swimming Pool
❑Other
Proposed Addition/Accessory Structure: Rennvatinns of evicting hAthrnnmc
►Z/ Approved ❑Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ®NO System Type/Description IIIA/GRAVEL BED
Noncompliance items and Notes
• All building foundations must be at least 5ft from any part of the septic system. Do not drive,grade, or fill over the septic system.
• By current standards,rules and regulations this septic system is undersized for the capacity of this swimming pool. There is no guarantee
of how long this existing septic system will function properly.
• When this septic drain field fails the septic repair will be expensive if public sewer is not available. We recommend planning ahead for
this event so normal business operation is minimally impacted.
Robbie Phelps 08/17/2022
Authorized State Agent Date
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
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