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9; CATAWBA COUNTY Casc 4 EXSY-01-2023-188106
t< Public Ftcalth Department Subdivlsiuni i Environmental I lealih Division PIN# 370014444804
, Ly4 PO Box 389,25 Government Drive,Newton.NC 28658 LOT 7
Sits Address: 1158 WAGON WHEEL RD 7, HICKORY NC 28602
Name on Permit: JULIAN INVESTMENTS LLC
Property Size: Acres 4.51
Directions: Startown Rd, left onto Sandy Ford Rd, right onto Zion Ch Rd,left onto Pittstown Rd, right onto Wagon Wheel
Rd,property on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
(.. rtify that I am theowner or authorized agent(owner's authorization required)representing the owner of
t c proper certify
described above.
KAs the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2023-43220,by the following method(s):
Received in Person
_ Facsimile'l'ransmittal (Return form with signature required)
'Electronic image Transmittal/ E-mail (Return receipt required)
1('M'As the property owner or authorized representative I have reviewed and understand the specific conditions
of thepermit issued, and further rt understand that all applicable regulatory requirements specified tinder the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(ISA NCAC 18A.1900),
and/or Well Construction Standards (I5A 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:01/25/2023
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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)
n
Signature (41. Date/Time c3f i� ).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 yoLPlease hake a few momentts tto comptette our custtomer service survey an
http://www.surveymonkey.com/s/EHCusttomerServIce
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public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number: RBPR-01-2023-43220 ❑ Reconnection to Existing System
Property Owner/Applicant:Julian Investments,LLC ® Mobile Home Park Reconnection
Site Address: 1158 Wagon Wheel Rd.#7,Hickory,NC 28602 ❑ Applicant Request
Type of Facility: ❑ House ® Mobile Home Number of Bedrooms 2
❑ Business
❑Other
Proposed Addition/Accessory Structure: N/A
®Approved ❑Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ®NO System Type/Description IIIG/25%Reduction
Noncompliance Items and Notes
• Existing system inspection for mobile home connection to an existing system. An existing septic tank and four lines of 25%
reduction chamber product were found during the inspection. Each line is approximately 30-40' long.
• Proposed mobile home has 2 bedrooms for 4 occupants.
• Do not drive,grade,cut, or fill over septic system area.
• Noncompliance:N/A
*NOTE: this inspection does not reflect on the lifespan or efficiency of the drainfield.*
Authorized State Agent Blake Perkins Date 1/25/2023
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: 370014444804, I is 0 WAGON WHEEL, 1in=60tt
RD HICKORY, 28602
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CopyrlUhi 'Uii CalowUo County NC
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