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Home My WebLink AboutEXSY-08-2022-178118.TIF %S I .^ CATAWBA COUNTY Case# EXSY-08.2022-178118 1-�\� Public Health Department Subdivision .41 Environmental Health Division PIN* 372410474371 PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 1A-2 Site Address: 3940 25TH ST NE, HICKORY NC 28601 Nam on Permit: OAKWOOD HOMES Property Size: Acres 1.29 Dlrect$ons: Turn onto Goverment Dr,left onto us 321 Bus N, Continue Straight past Bojangles onto 7th St PI SW,take left onto 1st Ave S,take left onto Country Home Rd,take left onto Spring Rd,take right onto Sulphur Springs Rd,take left on Snow creek, left on 25 st NE Owner/Authorized Representative Acknowledgement of Permit Receipt V 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-10-2021-39117,by the following method(s): Received in Person r Facsimile Transmittal (Return form with signature required) 7 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 18A.1900), and/or Weil 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:08/19/2022 Owner/Authorized Representative Signature ---- .0./ . Date °M 7 2 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson(71,31)) sending permit) Signature 4e Date/Time_ ! //3 f)) Method: Fax i 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/EHCusttomerService Z O4 '1 e CoI66'la 1h'!i i. e‘vok 09/12/2022 10.19 illii../kliiii,N NOW catawba county public health EXISTING SEPTIC SYSTEM INSPECTION NOT FOR LOAN APPROVAL Case Number: RBPR-10-2021-39117 ❑ Reconnection to Existing System Property Owner/Applicant:THOMAS ECKARD/CLAYTON HOMES ❑ Mobile Home Park Reconnection Site Address: 3940 25TH ST NE, HICKORY,NC ® Applicant Request Type of Facility: ❑ House ® Mobile Home Number of Bedrooms 3 ❑ Business ❑Other Proposed Addition/Accessory Structure: 76 Y 16 single wide mobile home ® Approved ❑Not Approved Reason ❑ Approval Not Required/System Location Only Evidence of System Malfunction ❑ YES ®NO System Type/Description N/A Noncompliance Items and Notes *NEW HOME, INCLUDING DECKS AND PORCIIES, MUST BE AT LEAST 25 FT FROM ANY WELL *NEW I IOME TO BE CONNECTED TO CITY SEWER *PUMP OUT, CRUSH AND ABANDON ALL OLD SEPTIC TANKS Authorized State Agent 7/Zt t/ f 4., Date 9/12/2022 catawbacountync.gov Environmental Health Catawba County Government (enter 25 Government Drive 1 PO Box 389 1 Newton NC 28658 1 828.465.8270 MAKING. LIVING. BETTER. Catawba County Environmental Health xsy- 64—rz07,1 17Y11j; 487.52 100 16y ,�y 23.60 Mree 170.00 200 7V c .264o rr Or'rh• Wµ 100 barn r "Ac6i330.30 w N W r-relt00 51.76 30 86 3022 52.40 1111.0.1.1 213.40 Parcel: 372410474371, 3940 25TH ST NE 1in=60ft HICKORY, 28601 This maprreport product was prepared from the Catawba County,NC Geospatlal 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 the independent verification of any data contained on this mapfreport product by the user.Tho County or Catawba,its employees.agents,and personnel,disclaim,and shall not be held liable for any end all damages,loss or itabiety,whether direct,indirect or consequential which anses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba Courtly NC 09/07/2022 120 CamScanner 'gal AYibVM �„ �, CATAWBA COUNTY Case p EXSY 08-2022-178118 +it Public Health Department Subdivision .OR , Environmental Health Division PINK 372410474371 PO Box 389,25 Government Drive,Newton,NC 28658 LOT 1A-2 Site Address: 3940 25TH ST NE,HICKORY NC 28601 Name on Permit: OAKWOOD HOMES Property Size: Acres 1,29 olrectlons: Turn onto Goverment Dr,left onto us 321 Bus N,Continue Straight past Bojangles onto 7th St PI SW,take left onto 1st Ave S,take left onto Country Home Rd,take left onto Spring Rd,take right onto Sulphur Springs Rd,take left on Snow creek,left on 25 st NE Owner/Authorized Representative Acknowledgement of Permit Receipt ii( cr I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 1� 'ND As the property owner or authorized representative,I have received the above referenced �" permit(s)as requested in the application for service RBPR-10-2021-39117,by the following method(s): Received in Person 4 Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal!E-mail (Return receipt required) ?( it" 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 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:08/19/2022 ,i } y� ol.�--ti Owner/Authorized Representative Signature CA};f J f�- -- Date �" �3` Z Z �. Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ (name ofperson sending permit) lii).f Signature _—.._ Date/Time 17) Method: Fax I 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 yozPlease hake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService dail,ly� aild e s . iiip��roil 0 9l2D22 03.31