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Home My WebLink AboutIMPV-10-2022-182059.tif clues' 1114111.16-XCEI.I1V059 GTAMIIA coOUM fY 'wd�r' i is CROWS SUB f rotas nerve Demagog t~tit Jlt78 T>i eT ' io Said Heath Onions iiira /, PO Bar 3f9.25 _-_ o tF Nc tots vas Sib*Address: 4637 SAKI YS SPIVROGS RD.CATAtiWA NC 26SCS Plus es Penult DA11AS HBOIESORN plummy ttra: Aaoa t NC 16,106 onto Bubb Braga Rd.right ode earaile St Rd.properly ,are 0*dpAt OkKllDwr •� � ( eriAwtll vi sril'srleltk cat*that I are the owner or nigharized apart(Ouseeir ambor)atioa re>gsbuij true censer of d1C terry described above" � As the property owner or s uth od orized!quest tive,I here received the above refiare aad pee,ni((s)as requested in the app&c atioa for service EHIL-taf-»12Si.by the following method(s): Received in Person Facsimile Transmittal with Z. Electronic Image Transmittal/E-mail (Return receipt re9ubod) • - t1),l As the property owner at-authorized representative ative I lyre reviewed and understand the specific cotditiora f the permit issued, and further mile rod that all applicable rsguory requirements specified raider the North Cerelia laws mud Riles tar Sewage Treatment and Disposal Systems(1SA NCAC 111A.110SS), aid/or Vie*Constntdas Stasdarda(1SA NCAC 2C.0100), shall apply to the issmnce of this permit and the construction of the wastewater system and/or water supply well permitted Permit Issue Date:1CV11Q022 , t owl Authorized Represeaartive Signalurt • Date1Q1Iy1ZZ Matra.of Pe rasit(s)Trattp kta1 (permit tray teed by a ectrro ore or other me ass) Permit transmitted by ` (r' of person perryaf) Signature Daterfime IC )) Method: Fax Y Eased US Mat Other Owner's request tar seed by the above indicated a ietbod of traaawrlNal i•Prime of signature We Ivantt ttn hear tram yor?Ieese naive a hew momenta tto cowrpieite oar eusttomer Serdot survey art http://www.sursaserronhey d2IeOA1 shroud x 8: CATAWBA COUNTY Case# IMPV-10-2022-182059 i� I.IRPublic Health Department Subdivision CROWE SUB d , `� Environmental Health Division PIN# 367802579387 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 4637 BANDYS SPRINGS RD, CATAWBA NC 28609 Name on Permit: DALLAS HENNEBORN ' Property Size: Acres 1 Directions: NC 16, left onto Buffalo Shoals Rd, right onto Bandys Springs Rd,property on the 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 480 g.p.d Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 , INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION _ System Classification: IlIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL .. .. 'System Classification: VA-SAND FILTER PRETREATMENT c 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' (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 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. fcc5/ 1^ . 4/ , /52"—'4— 10/11/2022 Authorized State Agent Permit Issuance Date 10/11/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. $ ehpennit 10/11/2022 16:25 e A, 06_2o27,- yt2S0 Catawba County Environmental Health lea✓ to-zozz- /82 d.-q .4631 4 `yt S A, 1• I. 4 I ' t1,�j ti� • 9ntiC N•A '.5.1' \ it %,. ‘ fi ol t Vs a' h,, } t tt r ' 4. �i- +`-.d s`(sfc.. i S . ri +'fieW {., r r Parcel: 367802579387,11W/BANDYS SPRINGS 1 in=60ft RD CATAWBA, 28609 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 10/11/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet /of / DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH /gi Q COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) x ' ,L OWNER: /& fii.t' f4'ibt S r _ APPLICATION DATE:.::. ADDRESS: DATE EVALUATED: 9l2/7-17.. PROPOSED FACILITY: ''(Br PROPOSED DESIGN FLOW(.1949): Lf ( PROPERTY SIZE: LOCATION OF SITE: NG3 7 A...3.I f rfoiNs j Fe PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public rrWell C Spring 0 Other EVALUATION METHOD: 0 Auer Boring PPit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed ' : - -J..- 'c x et ft J�6/c 'v.p- (rt. w,� 0.,...- 1 . _. LS /T- as set sei 2 1.' ' Zs, y, ", i c F.? se- 2 a — • 2_/Z ''AO- .rcc. /-1 J9 4 0/4- ci �� L c 12-17 .A14 c. A 1e., c -,,,I .„ 2 2.7-yo `.r4E c..4, t-r ,f-- 4 �' ,aH /� 4. u. fj. , 0-g "Siff jct. 6 se 6 it/A Pf 3 . -t o ',Sit c'. 0 se 4 . " b-3 -r ''Sat sec ri s Gr X ,,i` �, f N� ./r 1 , c b 4. 24 - v.- ~s c_L Ft sc it/6 °' k ,: ! L y • ,DESCRIFI 1ON INrrIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):' pJ SITE CLASSIFICATION(.1948): /f ;� Available Space(.1945) 6 a,"l c/P EVALUATED BY: SA-k System Type(s) 4$t it', F,1r.4- OTHER(S)PRESENT: Site LTAR 0,1-13 O.2 COMMENTS: r i Updated February 2014 41 Q • Catawba County Environmental Health ....::....%\sw, 04......,N,..NN\N\\N„\vd: .46. 11\d: 1 .. 7 , \\.p \\\... ,„.,. . O ' r., ,:, is it 4 ger .,.01.111." It. 1:. \\\, '':..f. ,. ill\s! i ., \ t r \\'. I .,..s.1/4\,.... 1 Po \''" do: � : NNso: dip.°19.1 . \ i ' ,.. ,,„ .,. i Pt O #11° S. )0: ,440 ..'"""*.'...."'""."j4 /17‘. .. 1 alaN\ \111114: . ' , r Parcel:367802579387,1n( i BANDYS SPRINGS 1 in=60 RD CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geer tlal Intimation Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this 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 llabltity,whether direct,indirect or consequential which arises or may arise from this map/repot product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 10/11/2022, 1