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Home My WebLink AboutIMPV-09-2022-179490.TIF �� a CATAWBA COUNTY hU Public Health Department Subdivision SOUTH LAKES DEV PHASE 1 Q Environmental Health Division PIN# 363918417689 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 . . s.. Site Address: 2110 EVERGREEN DR, NEWTON NC 28658 Name on Permit: NANCY VANG Property Size: Acres 0.56 Directions: Right off of McKay Rd onto Evergreen Dr. 6th lot on left on corner of Evergreen and Heron. 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 4_ the property described above. Y— As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-05-2022-41194, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 4 Electronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions !s( 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: 09/06/2022 Owner/Authorized Representative Signature ...--- Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature n Date/Time Ail /)) Method: Fax V 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 ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService • ()One!), vdj oi 6 g Pt-4-" f r 14'=„)'„ 09::08/2022 06:36 brie CATAWBA COUNTY Case# 1MPV-09-2022-179490 Public Health Department Subdivision SOUTH LAKES DEV PHASE 1 d "4 Environmental Health Division PIN# 363918417689 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 I_•42 Site Address: 2110 EVERGREEN DR, NEWTON NC 28658 Name on Permit: NANCY VANG Property Size: Acres 0.56 Directions: Right off of McKay Rd onto Evergreen Dr. 6th lot on left on corner of Evergreen and Heron. 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 480 g p.d Type of Facility: Primary Residence- New House Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Public Water Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: -See AC 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 I Icalth 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 Sewaee Treatment and Disposal Systems' (15A NCAC ISA.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. °1711t. 1117( 09/06/2022 Authorized State Agent Permit Issuance Date 9/6/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehperntit 10/28/2022 11:55 Catawba County Environmental Health 1 2? i c, 1 1 (�aPR-aS- tozl - yir9v fj fo s 2098 / s G 1 i ;,4%-., oG.. �z2 I' �� I i ill ,i r� 1 *'aw»wwn_ Z D 0 : ,_7r1;° . --i---- 7,. to' 0 - i . R 03 09.3? .: 30o.87 ' �� / wrnvtrKP,a�uzwrt:,sr#n:%afc..-8 D — 1 -14------7 i - 1 h . 48.08 I y3 q , a�i Cri° �� Iey �Q �ti� 1�/ ; z F NiNss • W 6A� .19 g ,f rr r yy` 43 . 613 (lb ° r 5 f \h 41.67 f 5 N i," .„,,,A / \t; r';' --.A 7,57/°;‘‘4? m- 7 / f� N / • 45 41.17 '§... ' / 7s � t: \\ 40776‘ CA Parcel: 363918417689, 2110 EVERGREEN DR lin=40ft NEWTON, 28658 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 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 08/06/2022