HomeMy WebLinkAboutEXSY-11-2022-185010.TiF mac,, i. ('AT.U1It.%COI'VII r'•+,�n I XS1'-I I-2022-1850I0
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Site Address: 4938 HOT ROD RD. CATAWBA NC 28609
Name on Permit: SHANNON SHELTON
Property Size: Acres 6.74
Directions: E NC 10 HWY Left Hot Rod Rd.on Right
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent I,mner's audio,nation required,rcpt'cs nine the ow nc: or
the property de cribed above.
0 As the property owner or authorised representative. I have receiv ed the above referenced
permit(s)as requested in the application for service RBPR-11-2022-42649.by the following method(sl:
Received in Person
Facsimile Transmittal(Return firm with signature required)
f ' •ctronic Image Transmittal I:-mail (Return receipt required)
4 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(I5A NCAC IAA.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 late: 11/23/2022
Owner/A tho reed Representative Signature
()ate
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by rrurm.e ui per.un srrulUR Its error,
Signature late Time
+g 1 Z IS/2 z
)icthod: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:RBPR-11-2022-42649 ❑ Reconnection to Existing System
Property Owner/Applicant:SHANNON SHELTON ❑ Mobile Home Park Reconnection
Site Address: 4938 HOTROD RD,CATAWBA ®Applicant Request
Type of Facility: r41 House ❑ Mobile Home Number of Bedrooms 4
❑ Business
®Other P001,
Proposed Addition/Accessory Structure: 72'X40' P0(11•
®Approved ❑Not Approved Reason
El Approval Not Required/System Location Only
Evidence of System Malfunction ❑YES ®NO System Type/Description 25% RED.
Noncompliance Items and Notes
*Septic Tank was located and was not failing at time of site visit
*New POOL, including all decks and porches must be at least 15' from septic tank and drainfield
*EXISTING HOME IS 4 bedrooms;No guarantee given to the septic systems longevity
*Do Not cut, drive or Fill over septic system area
*NEW POOL MUST BE SOFT MIN FROM ANY WELL
Authorized State Agent Date 11/23/2022
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.