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1/t g Public Health Department Suhciivision
Environmental health Division PIN# 375303409931
W PO Doe 389,25 Government Drive,Newton,NC 28658 IA'I'#
411 Site Address: DUCKHOOK LN NE/MULLIGAN DR NE, CONOVER NC 28813
Name on Permit: HALCO CONTRACTORS
Property Size: Acres 365,71
Directions: ROCK BARN
Owner/Authorized Representative Acknowledgement of Permit Receipt
x91 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
t e property described above.
69 As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service CBPR-0I-2023.43130,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic Image'Iransmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
II�� 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 18A.1900),
and/or Well Construction Standards(ISA 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: 01/12/2023
Owner/Authorized Representative Signature__ t
`. Date /l/ .7 ge '' ''-'
Documentation ofPermit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by_ _(name gfpent•on sending permit)
Signature Date/'Time i/ 1)3
Method; Fax JEmail US Mall Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yo.Please ttake a few momentts tto compiette our custtomer service survey att
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:CBPR-01-2023-43130 ® Reconnection to Existing System
Property Owner/Applicant: HALCO CONTRACTORS ❑ Mobile Home Park Reconnection
Site Address: DUCKHOOK LN/MULLIGAN DR _ ❑ Applicant Request
Type of Facility: ❑ House ❑ Mobile Home Number of Bedrooms
❑ Business
® Other GOLF('OI IRSE RESTROOMS
Proposed Addition/Accessory Structure: RF,PI,AC'F. RFSTROOMS
®Approved ❑Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ® NO System Type/Description Gravel BED
Noncompliance Items and Notes
*Septic Tank was located and was not failing at time of site visit
*New Structure, including all decks and porches must be at least 5' from septic tank and drainfield
*No guarantee given to the septic systems longevity
*Do NOT Cut, drive or Fill over septic system area
*NEW STRUCTURE MUST BE 25FT MIN FROM ANY WELL
Authorized State Agent Date 01/13/2023
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.
Catawba County Environmental Health
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Parcel: 375303409931, 1 in=50ft
CONOVER, 28613
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Copyright 2021 Catawba County NC
01/12/2023