HomeMy WebLinkAboutEXSY-01-2023-188215.TIF f % ' ' I
8 CATAWBA COUNTY Case# EXSY-01-2023-188215
,z Public Health Department Subdivision CRESCENT LAND AND TIMBE
'4 Environmental Health Division PIN# 460605283146
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 59
Site Address: 7272 LYNBROOK CREEK RD, DENVER NC 28037
Name on Permit: KENSTON GRIFFIN
Property Size: Acres 0.76
Directions: Slanting Bridge, onto Campground rd, R on Catawba Burris Rd, R on Bankhead Rd, to Red Hill Cir, R on
Lynbrook Cir
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.
As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-12-2022-43093,by the following method(s):
Received in Person
/ Facsimile Transmittal(Return form with signature required)
d Electronic Image Transmittal/E-mail (Return receipt required)
1 _ 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: 01/27/2023
Owner/Authorized Representative Signature
''...9' Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
of E
Signature Date/Time 01
4)3
Method: Fax '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 yol.Please ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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chpermit 01/27/2023 13:49
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Catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:RBPR-12-2022-43093 in Reconnection to Existing System
Property Owner/Applicant:Kenston Griffin ❑ Mobile Home Park Reconnection
Site Address: 7272 Lynbrook Creek Rd,Denver NC 28037 127 Applicant Request
Type of Facility: ® House ❑ Mobile Home Number of Bedrooms 3
❑ Business
❑Other
Proposed Addition/Accessory Structure: 16xAi ingrnund pnnl 3 i of ram-ref-0 arnnnd
❑Approved ®Not Approved Reason RETAINING WALL AND FILL CURRENTLY OVER DRAINFIELD. PROPOSED POOL
OVER DRAINFIELD.
0 Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES to NO System Type/Description TYPE IVA PPBPS
Noncompliance Items and Notes
Authorized State Agent CW - --j 9-1� Date 01/27/2022
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 Newton NC 28658 ( 828.465.8270
MAKING. LIVING. BETTER.
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Catawba County Environmental Health EXi54)
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Parcel: 460605283146, 7272 LYNBROOK ' 1in=40ft
CREEK RD DENVER, 28037
This map/report product was prepared from the Catawba County,NC Geo.patil Information Services C lawba Countryhae made substantial efforts
to ensure the accuracy allocation and Information contained on Ns or dataon_ this . s
the Independent verification of any chdalabcrillinta ned on this map/report product try the .The County istCatawbil C°un.its amployeseiwani°1"ageandntsrwmirnii,and nd5
personnel,madmen,and shall not be held liable for any and at damages,loss or Stability,whether dIrect indirect or
arise from this mapheport product or the use thereof by any poison or enUty. . cpcsequentisi which aris"at
may
Copyright 2011 C.atawba County NC
12/10/2015
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