The URL can be used to link to this page

Home My WebLink AboutIMPV-01-2023-186989.TIF a% CATAwBA COt1NTt Case ti , Public Ilcalth Department Suhdivision q � ��a>. Environmental health Division Pltiti 374415734658 40 Po Bos 3t9.25 Government!.hive,Newton,NC2tt65ti f,l j t'p .l! W Site Address: 1828 HOUSTON MILL RD,CONOVER NC 28613 Name on Permit: GREGORY&KELLY SHELL Property Size: Acres 17.29 Directions: Hwy 40E exit 132 to NC 16 N, Right on NC16 N, Leh on C&B Farm RD,Riht on Lee Cline RD,Right on HOuston MIII RD,property on left Owner/Authorized Representative Acknowledgement of Permit Receipt 1. R I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. r, As the property owner or authorized representative, I have received the above rcicrenced permit(s)as requested in the application for service RBPR-I1-2022-42836,by the fi>Ilowing method(s): Received in Person Facsimile Transmittal (Return form with signature required) ,i__ Electronic Image Transmittal!E-mail (Return receipt required) WAs the properly 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 ot'this permit and the construction of the wastewater system andior water supply well permitted. Permit Issue Date:01/04/2023 , Owner/Authorized Representative Signature ,711, -� Date 1_- Zt.Via_ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ol•person sending permit) Signature _-- gfr Date/Time )l473 Method: Fax J Email lIS 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 I q a 4 rmc1; ,,41 eik,ldeis. einn li,•.inct 01/05!2023 I I.30 ,g'A / CATAWBA COUNTY Case# IMPV-01-2023-186989 �Q1111 4. G Public Health Department Subdivision Q �� 1$ Su Environmental Health Division PIN# 374415734658 PO Box 3R9,25 Government Drive,Newton,NC 2Rb5R LOT# Site Address: 1828 HOUSTON MILL RD,CONOVER NC 28613 Name on Permit: GREGORY&KELLY SHELL Property Size: Acres 17.29 Directions: Hwy 40E exit 132 to NC 16 N, Right on NC16 N, Left on C&B Farm RD, Riht on Lee Cline RD, Right on HOuston MIII 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 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-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 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 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 1 RA.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. / 1044 [=u4M5 01/04/2023 Authorized State Agent Permit Issuance Date 1/4/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 0l/20/2023 10:04