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Home My WebLink AboutIMPV-10-2022-182642.TIF i '0[01 . • 1-.;'„u. s l fir•� CATAWBA COUNTY ,, li!l %l Public Health Depunnere Subdivision J G EDWARDS PROP41 C R1,o EmironmenW Health Division PINS 481803113511 + +\i� PO Box 149,25 Ootmm veent Drive,Newion,NC 25651 LOTS 14 tier SMa Addrtes: 5202 OLENWOOD ST,SHERRILLS FORD NC 28873 Name on Permit 'COPPER BUILDERS,INC. Property Stoic Acres 0.52 Directions: May 18 to Campground Rd,turn right onto Keistiers Store Rd,left on Mountain Shore Dr,then left on Glenwood St,property on right Owner/Authorized Representative Acknowledgement of Permit Receipt . 6I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of th property described above. the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-06-2021-38135,by the following method(s): , 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 1 have reviewed and understand the specific conditions 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(I5A NCAC 18A.1900), -,.a!d/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and : ~ r %construction of the wastewater system andlor water supply well permitted. Ti it Issue Date: 10/20/2022 Sne AMhcr/Authorized Representative Signature ,n r' PrOP^'lf?aSe 1.3'M / 2 Dan113ns Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) / Permit transmitted by (name of person sending permit) Signature C C€ Date/Time I u 17/)1 i per, Method: Fez Email _US Mall Other Owner's request to send by the above Indicated method of transmittal in lieu of signature Ws wantt do hear from yoLPlease ttake a few momentts tto complete our custtomer service survey att http://www.surveynionkey.com/s/ENCusttomerService 5'har'4 eopertjo) s ,f' gr 1\rrt ikkaniiind 10/2/2022 01.21 • CATAWBA COUNTY Case it -10 2022 182642 Public Health Department Subdivision J G EDWARDS PROP UNREC Environmental Health Division PIN# IMPV 461603110511 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 14 (....n sw Site Address: 5202 GLENWOOD ST, SHERRILLS FORD NC 28673 Name on Permit: *COPPER BUILDERS, INC. Property Size: Acres 0.52 Directions: Hwy 16 to Campground Rd,turn right onto Keistlers Store Rd, left on Mountain Shore Dr,then left on Glenwood St, property 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 Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 _ INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50% REDUCTION VERTICA Alternating Dual Field Nitrification System System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: System Classification: Pump Required ***** Operator Required Permit Conditions: 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 I 8A.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. 10/20/2022 Authorized State Agent Permit Issuance Date 10/20/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. .1nxnnn 10/24/2022 08:29 RAP S1 -3V 135" I V-J -‘276o2a _ I ? ‘ /2 Catawba County Environmental Health (p 4-,.) c . .. 4 Au-ril_ 16 -do)-01 - 1160 so / 4 y-rry , , 4."'i.... , ‘. '..! Akk.i.:,!':U.,:'''' 'yi\. V 4 - 0 1 4 .....$3,,..,, .14.1610,1„ ,..,.. f, •.1/4 . v� t t , . • Ii• N 4'3 V . �CP' � � �T ' 946> •5208 ,.cFr tr Parcel: 461603t10511, 5202 GLENWOOD ST lin=40ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospetial 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 10/21/2.022