HomeMy WebLinkAboutEXSY-01-2023-188067.TIF ..
�y0 Y'} CATAWBACOUNTY' Cased EXSY-01.2023-188067
(f� Public Health Dcpwnent • Subdivision
Q. . ��, Environmental Health Division PI'�fi 370014444804
�. i PO Box 389,25 Government Drive,Neµtan,NC 28t,SR LU'I'tl 3
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She Address: 1158 WAGON WHEEL RD 3, HICKORY NC 28602
Minton Permit JULIAN INVESTMENTS LLC
Property Sias: Acres 4.51
Directions: Startown Rd, left onto Sandy Ford Rd,right onto Zion Ch Rd, lefto onto Ptttstown Rd. right onto Wagon Wheel
Rd, property on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
Y. I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2023-43218,by the following tnethod(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
iElectronic Image Transmittal;E-mail (Return receipt required)
s the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable
pp 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:01/25/2023
Owner/Authorized Representative Signatur
Date —L— 10')--
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person Nending permit)
Signature tAf_ti Date/Time i1 )3
Method: Fax NiEmail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yotPlease hake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number: RBPR-01-2023-43218 ❑ Reconnection to Existing System
Property Owner/Applicant:Julian Investments,LLC ® Mobile Home Park Reconnection
Site Address: 1158 Wagon Wheel Rd.#3,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
0 Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ®NO System Type/Description IIA/Gravel bed
Noncompliance Items and Notes
• Existing system inspection for mobile home connection to an existing system. An existing septic tank and gravel bed were found
during the inspection. The gravel bed is approximately 10'x50'.
• No permit on file for existing system.
• 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 drainfreld.*
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, 11sp WAGON WHEEL tin-hOft
RD HICKORY, 28602
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