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03• . CATAWBA COUNTY t
.t. y Public Health Department Subdivision FAIRWAY ACRES
Environmental Health Division PIN# 372017013906
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
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Site Address: 2972 QUAIL DR, NEWTON NC 28658
Name on Permit: *J&M PROPERTY INVESTMENT LLC
Property Size: Acres 0.59
Directions: Startown, Left Sandy Ford, Left Chestnut, Right Rosewood, Left Fairway, Right Quail Dr
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
the property described above.
tAs the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-10-2022-42470,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
jElectronic Image Transmittal/E-mail (Return receipt required)
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: 12/20/2022
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by_ (name of person sending permit)
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Signature _ Date/Time 1 ///} 3
Method: Fax v Entail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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http://www.surveymonkey.com/s/EHCusttomerService
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ehpemtit 12/20/2022 15:46
CATAWBACOUNTY Case# IMPV-12-2022-186424
Public Health Department Subdivision FAIRWAY ACRES
Q Environmental Health Division PIN# 372017013906
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
Ig 2 su
Site Address: 2972 QUAIL DR, NEWTON NC 28658
Name on Permit: *J&M PROPERTY INVESTMENT LLC
Property Size: Acres 0.59
Directions: Startown, Left Sandy Ford, Left Chestnut, Right Rosewood, Left Fairway, Right Quail Dr
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-SFD
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-CONV TRENCH SYSTEMS
_ REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL VOER SYSTEM AREA
*DESIGNED FORA CRAWL SPACE FOUNDATION
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 suspensioNrevocation 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 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.
It.t E�a.+s
12/20/2022
Authorized State Agent Permit Issuance Date
12/20/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
e�ipermi 01/05/2023 09:26