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Home My WebLink AboutIMPV-09-2022-179239.TIF CATAWBA COUNTY • �i ? Public health Department Subdivision MUNDY ACRES PHASE I ei Environmental Health Division PiNII 369604527122 � t'O Box 389.25 Government Drive,Newton,NC 28658 t.o'rd 13 Site Address: 6566 LINEBERGER RD,DENVER NC 28037 Name on Permit •FREEDOM HOMES Property Size: Acres 1.41 Directions: Hwy 321:L West C ST,Right on West D st,Left ont oN Hwy 16,Left Campground RD,Left Catawba Curris, Left Lineberger RD, 1st Left Lineberger RD,.51 miles on right Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I urn 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 RI3PR-06-2022-41276,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) ,f Electronic Image Transmittal/E-mail (Return receipt required) / As the property owner or authorized representative I have reviewed and understand the specific conditions C 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(ISA 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:09/02/2022 Owner/Authorized Representative Signature _ _ _ Date 9/6126Z"�- Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 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 yoiPlease hake a few moments tto complette our custiomer service survey att http://www.surveymonkey.com/s/EliCusttomerService 14,titSheed.5I1ced Dq@gel. Ctt\ clipo sun 09ro2/2022 1 t:35 r2 t • CATAWBA COUNTY Case# IMPV-09-2022-179239 Public Health Department Subdivision MUNDY ACRES PHASE I Environmental Health Divisi on nPIN# 369604527122 PO Box 389,25 Government Drive,Newton,NC 28658 L0'I'# 13 w Site Address: 6566 LINEBERGER RD, DENVER NC 28037 Name on Permit: *FREEDOM HOMES Property Size: Acres 1.41 Directions: Hwy 321; L West C ST, Right on West D st, Left ont oN Hwy 16, Left Campground RD, Left Catawba Curris, Left Lineberger RD, 1st Left Lineberger RD, .51 miles on 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 360 g.p.d Type of Facility: Primary Residence-double wide Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 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: VA-SAND FILTER PRETREATMENT Pump Required ***** Operator Required Permit Conditions: *Do not cut,drive,fill,or grade over septic or repair areas. *This is an improvement permit only and is not intended for septic installation purposes. 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 Systems' (I5A 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. i —..e, -,—.77: 09/02/2022 Authorized State Agent Permit Issuance Date 9/2/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpcnnit 09/02/2022 I1:35 /4 ht, r.t11 ggee 04-2.z2- Lii 7(. Catawba County Environmental HealthAwn_ 01_20u_ 1797q( well oi'-toy, - 175Z37 294e1 'Tao .5029 r"P r;lA C vim` 350.00 1,1106 O r 0.1-!1''r ti LB /t'D ttiv .8588 4/8 143.74 1.5 155.16 ^� -, .8558 Parcel: 369604527122,6566 LINEBERGER RD 1 in=60ft DENVER, 28037 This map/report 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 map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shallnot 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 09/02/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet / of I DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY- ( SOIL/SITE EVALUATION dial(/ for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: a'^ e k'+ _ APPLICATION DATE ADDRESS: DATE EVALUATED: /gyp Le 'Z, PROPOSED FACILITY: 20e PROPOSED D 'ESIGN FLOW(.1949): . 4so PROPERTY SIZE: • LOCATION OF SITE: C 3'14 C-e'la Jam' Fr.( PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public trWell ❑Spring 0 Other ' EVALUATION METHOD: 0 Au_er Boring wit ❑Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process ❑Mixed ,ram • r- x I 1 -- t e.l 11 v 1 D- it Ask.. .-- ,re- (di- �,¢ PI 1 if ai 01'1, 9-if. ass ._ G"I fr sr , o z7r- 26-C1y '�-r is L` ..... F.4 sc sZ L- :-� a r. ,L.6,.,. -�A T? Z ii,V1': -at. , CL- '‘V F---0 re- e/y ,- .4, 7ZL-fib 5 s,4/ LS Yl - Air- ✓•,',5.J�/ p.3' h •.. ,o --/t( See c r Sc z N t�l ZS Oj L 1S ` . 1$ l—S 0- Z j trig a-`'.5 fI re x/fi �,�, zs- „es-0 I . S•ti c T" ri v - t 1 i T 1 DESCRIPTION INITIAL SYSTEM REPAIR SYs>: OTHER FACTORS(.1946): er /-J /r SITE CLASSIFICATION(.1948): if ' Available Space(.1945) ( e p/ EVALUATED BY: YT 1 System Type(s) � 44 e I4'P OTHER(S)PRESENT: • Site LTAR D. 2 7j- 0.3 COMMENTS: U:.r,':? .. - # 4 _ _ J Catawba County Environmental Health �}� 14 k i, \ 44 tfI CID 87 fir' v. • 2• S �O le e3 � ' if ire , i + / l / 43.74 --,,rt pi, 155.16 ' f -: I I ' 8ri ,i," : i 17 \ N.......... -- 3*5_.•!i...„••"'"....'-'''........------ . Parcel: 369604527122, 6566 LINEBERGER RD 1 in=60ft 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 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 personnel,disclaim,and shallnot 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 09/02/2022