HomeMy WebLinkAboutIMPV-03-2023-190814.TIF ,1'/i1`_LA CATAWBACU('N'I1'
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"Tait . }llir E,vironmental I eat Division I'IN 375012876023
PO Box 369,25 Government Drive,Newton,NC 2hr•Cg i i i i ii
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Sit*Address: 2924 E NC 10 HWY.CONOVER NC 28613
Name on Permit: PAUL 8 KISHA COPELAND
Property Size: Acres 4 38
Directions: E NC 10 Hwy past Emmanuel Ch Rd on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
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i CCnil) that i tun the owner or Mil horizeti went tUwiter's authorization remit!edi iemeseming the owner Vi
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}1 As the properly owner or authorized representative, I have received the above referenced
permil(s)as requested in the application for service RIJPR-01-2023-43223,by the following rnethod(s):
Recci%ed in Person
—_ Facsimile transmittal(Return form with signature required)
. Electronic. Image Transmittal/E-mail (Return receipt required)
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N. ' As the prw,LN os+her or authorized representative i have reviewed and understand the speciiic conditions
liI of the permit issued, and further understand that all applicable regulatory requirements specified under the
" North Carolina Las and Rules for Senage Treatment and Disposal Systems(15A NCAC 18A.1900),
4 and/or Well Construction Standards(1SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
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Permit Issue Date:03/09/2023
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Owner/Authorized Representative Signature M_U.L.I.Attfil, i52,e_ja/d
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Date ` 1/ /73L .3
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Documentation of Permit(s)Transmittal
(permit transmitted by electronic ur other means)
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i Owner's request to send by the above indicated method of transmittal in lieu of signature
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CATAWBA COUNTY Case# IMPV-03-2023-190814
Fg"/., Public Health Department Subdivision
4 l Environmental Health Division PIN# 375012876023
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\\ PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 2924 E NC 10 HWY, CONOVER NC 28613
Name on Permit: PAUL&KISHA COPELAND
Property Size: Acres 4.38
Directions: E NC 10 Hwy past Emmanuel Ch Rd on Left
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Expansion Wastewater Flow 600 d
9P
Type of Facility: Prim Res/Acc Dwelling-HOME& POOL HOUSE
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Public Water Maximum Occupants: 10
_ _ Y 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: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
Permit Conditions: *DO NOT CUT OR FILL OVER SEPTIC 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
Rides for Sewage Treatment and Disposal Systems' (I5A NCAC I 8A.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 noti6.Environmental Health of this change prior to system installation.
5,045
03/09/2023
Authorized State Agent Permit issuance Date
3/9/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpenni t 03/13/2023 16:08
Catawba County Environmental Health
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Parcel: 375012876023, 2924 E NC 10 HWY 1 in=60ft
CONOVER,28613
This map/report product was prepared from the Catawba County,NC Geoepatlal information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Information contained on this map or data on this report.Catawba County promotes and recommends
the Independent verification of any dela contained on this map/report product by the user.The County of Catawba,Its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2921 Catawba County NC
02/10/2023