HomeMy WebLinkAboutIMPV-09-2022-179978.TIF • CATAWBA COUNTY
Public Health Department Subdivision
in 0 4 Environmental Health Division PIN/I 268802568598
PO Box 389,25 Government Drive,Newton,NC 28658 LOTii
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Site Address: 2660 HUNTERS RIDGE DR,VALE NC 28168
Name on Permit: *MORGAN&RACHEL WILLIAMS
Property Size: Acres 7.39
Directions: Providence Ch Rd off W NC 10,Take 1st rd on L, Bakers View, next left on Hunters Ridge
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
tithe property described above.
M 'As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2022-40560, by the following method(s):
sr
'✓ Received in Person
Facsimile Transmittal (Return form with signature required)
• 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 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: 09/13/2022 ,
Owner/Authorized Representative Signature e s
22
Date
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 yolPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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clp r� 09/14/2022 08:54
AV)i a CATAWBACOUNTY Case II IMPV-09-2022-179978
i� ..t. Public Health Department Subdivision
d a Environmental Health Division PINT 268802568598
PO Box 389,25 Government Drive,Newton,NC 28658 1 OTii
. SM
Site Address: 2660 HUNTERS RIDGE DR,VALE NC 28168
Name on Permit: *MORGAN& RACHEL WILLIAMS
Property Size: Acres 7.39
Directions: Providence Ch Rd off W NC 10, Take 1st rd on L, Bakers View, next left on Hunters Ridge
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
TIIIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: New Septic Wastewater Flow 360 g.p.d
Type of Facility: Primary Residence-New House
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: -See AC
-Previous IP revoked due to movement of initial septic area.
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'Larvs 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 oftime.
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.
31d,41V4—. 11°17
09/13/2022
Authorized State Agent Permit Issuance Date
9/14/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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