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Home My WebLink AboutIMPV-12-2022-186247.tif 4 spire CATAWBA COUNTY , �. Public Health Department Subdivision HOWARD J WILSON EST q�"R , it Environmental Health Division PINK 379104546553 . " PO Box 389,25 Government Drive,Newton,NC 28658 I,OTI 4 Site Address: 2256 BOLTON RD, CATAWBA NC 28609 Name on Permit: *KEY BUILDERS, INC. Property Size: Acres 4.42 Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on Hudson Chapel RD, Right Bolton RD lot on left Owner/Authorized Representative Acknowledgement of Permit Receipt A MH I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. A MH As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-03-2022-40339,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) A MH 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(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: 12/15/2022 ,__uj, Owner/Authorized Representative Signature 21 Y r8. . Date 1/3/2023 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) 1 Permit transmitted by' Tr f PAK (name of person sending permit) Signature Date/Time I /342 •5 y s r Ai Method: Fax X 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 youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService a ri Mot^cth3 \e y ail o0 • Cor" f.... r . , , clq>rini i tw a( e 1 10 v i l olM . C OM 12/IS/2022 13.44 1 CATAWBA COUNTY Case# IMPV-12-2022-186247 Public Health Department Subdivision HOWARD J WILSON EST Environmental Health Division PIN# 379104546553 / PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 /84 w Site Address: 2256 BOLTON RD, CATAWBA NC 28609 Name on Permit: *KEY BUILDERS, INC. Property Size: Acres 4.42 Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on Hudson Chapel RD, Right Bolton RD lot 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 480 d 9p Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 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: SEE AC FOR PERMIT CONDITIONS Landscaping or other site alterations tnat 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 it'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' (I5A 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. 12/15/2022 Authorized State Agent Permit Issuance Date 12/15/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 01/05/2023 15:47 Catawba County Environmental Health ``1 Ol ito 60 0 2 7 ' J _ J J • Y. 3 •2256 t5C1 tui Sa g MP! old ' ,o J 0LP I f y a I O J Le o` I I 1• A 4 r 3 J I I r L ' I ' 476.23 < r- 334.12 �`v -I b°rs 142.11 1 \ ■ .a ,, o co ko 14, tri t�f 1 rnh Parcel: 379104546553, 2256 BOLTON RD CATAWBA, 28609 1 in=60ft L ^AP\I — I2-- 21- - I$ 6 'z4-) Li) i Lt, - s-- 22-- 17(43q vf'r' - /Z . 2-7- - J ts--6 -2..y`6 This map/report product was prepared from the Catawba County.NC GeospaUai 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 smpioyess,aagpeennts,and personnel,disclaim,and shall not be held liable for any and all damages,lose or IIabfNty,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 . ' 152022 Scanned with CamScanner (4.1y, -� CATAWBACOUNTY Case IMPV-12-2022-186247 Public Health Department Subdivision HOWARD J WILSON EST '_ Environmental Health Division g� PIN# 379104546553 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 Site Address: 2256 BOLTON RD, CATAWBA NC 28609 Name on Permit: *KEY BUILDERS, INC. Property Size: Acres 4.42 Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on Hudson Chapel RD, Right Bolton RD lot 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 480 g.p.d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 4 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: 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' (I5A 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. dTh 11 12/15/2022 Authorized State Agent Permit Issuance Date 12/15/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. d q>.:,,,,i 12/15/2022 13:47