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Home My WebLink AboutIMPV-12-2022-185881.TIF . r �'W4'. T CATAWBA COUNTY - - ( Public Health Department Subdivision �_ s Environmental Health Division PINS 269902751449 111b, PO Box 389,25 Goveniment Drive.Newton,NC 28658 LOTS B Fait Site Address: 5476 WHITENER RD,.HICKORY NC 28602 Name on Permit GREGORY SMYRE, II • Property size: Acres 26.88 Directions: NC10 bear left onto whitener rd,property on left Owner/Authorized Representative Acknowledgement of Permit Receipt _4certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the propertydescribed above. ll "As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-09-2022-42245,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required). V4sCproperty 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: 12/08/2022 • Owner/Authorized Representative Signature 127 __�'s � Date J �,,,.d-1 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 11/4.4?3 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 yoriPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService G reS6MIrreaha Ar 1 .fib , Aof v 1 . � chpc nu 12/082022 14:05 4.= # CATAWBA COUNTY Case# IMPV-12-2022-185881 • t Public Health Department Subdivision 4 .�c U'3 Environmental Health Division PIN# 269902655750 (-. PO Box 389,25 Government Drive,Newton,NC 28658 LOT# /H42 ,. Site Address: 5476 WHITENER RD, HICKORY NC 28602 Name on Permit: GREGORY SMYRE, II Property Size: Acres 26.878 Directions: NC10 bear left onto whitener rd,property on left 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 600 d 9•P• Type of Facility: Prim Res/Acc Dwelling- Basement? No Basement Plumbing? No Bedrooms: 5 Water Supply: Private Well Maximum Occupants: 10 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: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: *DO NOT CUT OR FILL OVER SEPTIC SYSTEM 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;his 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 w ith the provisions of the North Carolina'Laws and Rules for Sewaze Treatment and Disposal Systems'(I5A NC AC I8A.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 /F(._____.__...--- '''1 ,1 5.4NS 01/19/2023 Authorized State Agent Permit Issuance Date 1/19/2028 I'enint Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elipermmi 01/23/2023 14:47 -....----, Catawba County Environmental Health 44 .• aoa;.—y aa y s 1 •A\' IA 4' • - 0`?oaa • 85' ;f: 1 AT \.4iv 1 . owI J 's .7 • 0 23too .4 EL,._ la . ,.. SIP f I(0 up 214.50 w • oProf0SCA• teel 1, .. -,,, gap) We 11 N M %-•••1 Ar O0 .J. 4.744/1° , ..e j Sol *�' p d ��' 11fl5a1‘ on Cn�ouT- `', iz).- e 5476 -u �` .;-� ` %.cte,uC ton o .--yo •09.4,3 �-14' LiNe fir. ‘1456 .• 4o Q - 24 05 ef 2028 26 51 3"t 67 A c54t>8 N Parcel: 269902751449, 5476 WHITENER RD 11n=200ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlal 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. 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