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HomeMy WebLinkAboutIMPV-03-2023-191749.tif / t yy4.0 ip_, CATAWBA COUNTY oty -r.II s Public Health Department Subdivision PEBBLE BAY PH 4 ,(..... l f Environmental Health Division PING 369604842650 �J PO Box 3t89,25 Government Dnve,Nev�ton,NC 2R651t 1.0Tri 144 E:� w Sits Address: 6742 GOOSE POINT DR,DENVER NC 28037 Name on Permit REBECCA&GLENN HOWELL Property size: Acres 1.48 Directions: NC 16,Left on Campground Rd, Left on Catawba Burris Rd,L on Goose Point Dr. Property on right Owner/Authorized Representative Acknowledgement of Permit Receipt 1 certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. s the property owner or authorized representative. I have received the above rcfcrcnccd X � P P tY P permit(s)as requested in the application for service RBPR-09-2022-42323,by the following method(s): Received in Person ,_ Facsimile Transmittal(Return form with signature required) 1 Electronic Image Transmittal/E-mail (Return receipt required)g_ _ 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(I5A 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:03/20/2023 Owner/Authorized Representative Signature ,..."1//Y. 4 L Date 3- a:7 03 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ___ (name of persona sending permit) Signature __ __ __ .__._ _.. Date/TimeJ/� /)• Method: Fax Email J US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yosPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService gob tem . hauz 1101n,1wp,gc61(/I5.)J r ptlnnum„ 03/2112023 ON 22 � e CATAWBA COUNTY Case# IMPV-03-2023-191749 , .l. ,� Public Health Department Subdivision PEBBLE BAY PH 4 ,pps,,`. '1 Environmental Health Division PIN# 369604842650 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 144 8 s' Site Address: 6742 GOOSE POINT DR, DENVER NC 28037 Name on Permit: REBECCA&GLENN HOWELL Property Size: Acres 1.48 Directions: NC 16, Left on Campground Rd, Left on Catawba Burris Rd, L on Goose Point Dr, Property on right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Community Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required REPAIR SYSTEM SPECIFICATIONS — Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: 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 Rules for Sewage Treatment and Disposal Systems' (I 5A NCAC 18A.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 notify Environmental Health of this change prior to system installation. Ap-e--e2-- /-- /ez _d___ • 03/20/2023 Authorized State Agent Permit Issuance Date 3/20/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. etipennit 03/21/2023 08:22 /\ RMXi .d� �,�i ��r - 14.1pv- 0-3- 400 ,3- / / -v---/ <qit'eztik 66 Catawba County Environmental Heal�i ' , "1� \ 4L 7/I 03 — ,3_ '1�` - 3- ..... \ / �`?� ,v. . ri 1._ill/' „ .\ • east° — L5 AAN}}ll ro Jcy y^ am•`'. I/�'�// rY fir' '' 140,ti re,.( .: Lt` tit •. at :v1 t . i , / 5, .R� c' ' , il V.vo 41 . ?O'. fj 161.64 "iYf 14e.81 Parcel: 368604842650, 6742 GOOSE POINT DR 11n=40ft DENVER, 28037 to This map/wort ura Om product s prepared from the Catawba NC Information Services. Catawba County has made the aoaumgr of loaatton and bkqq ktiownetfonC r+ad map or data on ells report.Catawba Countypromotes and Independent wrteo.rion of any data Con&iln.d on this rnapereOort product by the war.The County of Catawba.Its employees recornmench and psrsonnsl,disdain'end shall not be held liable tot any and al damages.by or liability,whether direct,indirect or apch arise from this mep/mport twodud or the use thereof by any person or entity. werpu.rrtld wtae arises or may Copyright 2021 Catawba County NC 11/30/2022