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Home My WebLink AboutIMPV-10-2022-182659.TIF , a , ,►�wiz, CATAWBACOUNTY ,y' �-�1 Public Health Department Subdivision BLACKBURN RIDGE PH 2 It ,��ef Environmental Health Division PIN# 361702577095 �\ 11, PO Box 389,25 Government Drive,Newton,NC 28658 I.()'I'# 26 &EYI. Site Address: 3394 SWEETGUM LN, LINCOLNTON NC 28092 Name on Permit: KEVIN&MARK COX Property Size: Acres 0.53 Directions: Left off of Blackburn Bridge Rd onto Woodgreen Dr. Right onto Sweetgum Ln. 6th lot on left,end of cul-de-sac. 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 kC__ f the property described above. C-_ As the property owner or authorized representative, I have received the above referenced Ail< permit(s)as requested in the application for service RBPR-08-2022-41945, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 4 Electronic Image Transmittal/E-mail (Return receipt required) <C As the property owner or authorized representative I have reviewed and understand the specific conditions 1( 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 (I SA 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: 10/12/2022 Owner/Authorized Representative Signature /-<:0\1 \-, e& 51 Date 10/25/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) SignatureC4E- Date/Time /0/26:h___) _ Method: Fax J 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 yotPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService al if 0 b)14,raf I. 06,66 gagi,eely, rLprnnn 10/13/2022 OR.SR R,P 0 CATAWBA COUNTY Case# IMPV-10-2022-182659 .� II Public Health Department Subdivision BLACKBURN RIDGE PH 2 Environmental Health Division PIN# 361702577095 PO Box 389,25 Govern ment Drive,Newton,NC 28658 LOT# 26 SM Site Address: 3394 SWEETGUM LN, LINCOLNTON NC 28092 Name on Permit: KEVIN &MARK COX Property Size: Acres 0.53 Directions: Left off of Blackburn Bridge Rd onto Woodgreen Dr.Right onto Sweetgum Ln.6th lot on left, end of cul-de-sac. 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 d 9.P. Type of Facility: Primary Residence-New House 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 HORIZONTAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: See AC for 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' (I 5A 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. 3krt 11)147( 10/12/2022 Authorized State Agent Permit Issuance Date 10/12/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermil 10/20/2022 12:05 Catawba County Environmental Health R&P -o8-Z02z - /i9Y5 At,o , IO-7,7?.Z - tg21G5 WCII-!0 - 2077- in/66 \o Mc."'So 4 5 5 b0(o 0 `b 5� 45 & d h g, b 3 b •3394 ' 59 i-ivkASI, ilk., box 5 ,to la 9' r v f;. W ,` •3400 Kati \ 15 3 52'3 2 65.26 �•X 21,03 21.03 C9 Y t7 Parcel: 361702577095, 3394 SWEETGUM LN 1 in=40f LINCOLNTON, 28092 This map/report product wee prepared from the Catawba Counttyy,NC Geospatlas 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 bo herd 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 10J10J2022 I