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Home My WebLink AboutIMPV-03-2023-191604.tif owr CATAWBA COUNTY o .t. +4 Public health Department Subdivision s Environmental Health Division PIN, 462705079831 Notron PO Box 389,25 Government Drive.Newton,NC 28658 1.011 PT 3 Site Address: 3532 OSPREY CT,TERRELL NC 28682 Name on Permit MONTE MASONBRINK Property SUE Acres 0.87 Directions: Hwy 150 East,turn on Greenwood Rd,Turn on Osprey Ct,lot on left Owner/Authorized Representative Acknowledgement of Permit Receipt x4"""I certify that I ant the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 4.0-' As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-04-2021-37506,by the following method(s): _ Received in Person _ Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) �: iptij,,_ 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:03/17/2023 Owner/Authorized Representative Signature___4IAIL-----Zi.--------- Date 3/30/L3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person se ding permit) Signature £ Date/Time 3 427/)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 yo,Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 5n NI)e.e gova, 61-4 dixbois 0 ptsrhl'ca s. Otl`- v Q 0`t Loss i la V10b,L Lto Ci,ik 1,11;i 03/22/2023 08.24 Scanned with CamScanner � CATAWBA COUNTY Case# IMPV-03-2023-1 9 1 604 h .i.IR , Public Health Department Subdivision d Environmental Health Division PIN# 462705079631 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# PT 3 1842 Site Address: 3532 OSPREY CT,TERRELL NC 28682 Name on Permit: MONTE MASONBRINK Property Size: Acres 0.87 Directions: Hwy 150 East,turn on Greenwood Rd,Turn on Osprey Ct, lot on left 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 d 9P Type of Facility: Primary Residence- New House Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private 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' (15A NCAC l 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 notify Environmental Health of this change prior to system installation. z fii,),(„ 03/17/2023 Authorized State Agent Permit Issuance Date 3/17/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elipennit 03/22/2023 08:25 Catawba County Environmental Health ft'`r'l/- 1 - ?°?3- N66,1 <1 Auf-4- 7— : )1.3 -- ictie.or l ro 22.87 1.38 12.36 5351 ci-Aa �O09 >? 4 2/.25 A9g9 \ 12.91 K oI- ■ 3r� ; Odt� c., 6g 4 5\' Oror OifikQ S. 0, a„,var .,47,,/ - - �, - `_ Nt , 'S ftp--_� �-S i • ,t.2. 4 + e9110 f t►C __ G 2 -. ___y_____:..)?0/0.--L.srIez.,„N-V- ir IP ♦ 19 `o v0j1.^ v4✓h ,. 5 w 2 8 a 0 2 .03 / Parcel: 462705079631, 3532 OSPREY CT 1in=60ft TERRELL, 28682 This map/report product was prepared from the Catawba County,NC Geospatlal 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 data 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,lose 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 2023 Catawba County NC 03/17/2023 mCamScann.r DEPARTMENT OF HEALTH AND.HUMAN SERVICES Shed___of_.._ DIVISION OF PUBLIC HEALTT,ENVIRONMENTAL HEALTH SECTION PROPERTY ID M: warm WATER PRO-crux;BRANCH COUNTY:_Catawb.% SOU/SITE EVALUATION far ON-SITE WASTEWATER SYSTEM (Cony an&Ms to fvn) OWNER: . 1 Ue 5 Uew1e+ -5. LL C- ( r c .1tii, c .). APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED PACILITY: ?If PRO DES PLOW(' 9): PROPERTY SIZE ' LOCATION OF SITE: 't* erf I . PROPERTY RECORDED: WATER SUPPLY: 0 vote 0 Public 0 0 Spring 0 Other EVALUATION METHOD: 0A Boring IA,W( 0 Cut TYPE OP WAS'IEWA'IER. :t 3;� �,. �=' " i7 1. ,Cyr r• c �' r: - f •-.•r�3 +s<�ra , � .- ,t �,sty;-� ��'�° 0 Industrialt Process��t * 0 Mhce�d . :, .,�7 t� . 1; F. p. •'i. 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AvaSeble Specs{,t443) SITE CLASSIFICATION(.I948): f 5. ,. .) lA T� _ 717 73Y EVALUATED E OTHERS)PRESENT: . .e) Site LIAR 13 , 3 Updated ietaaary 2014 / • a • Catawba CountyEnvironmentai Health 0.— Jam. • 1 ' 3 ., . .....•..,:.•.•:.......... ......•...:•:.,.:••.•••.".•• ' ••• , , -5�64 rf .. .............,........ .....„......„...,... . tee, . 6_37- L.., - ••• , r-, .., ..,.. . ... . ....... . ....... ....... . . ... ., .... . ........ ..... ... .. .... . .. , .... .. ......,... .. .... .........„..... . . . .. .. .. .. ..,.. . ..... • . ....... .... .. ... ..... ......... .... . . . . . . . .. . . . .. ...... . . . . . . .. . ... . ... .. . . , ...... .. . ..... . .. , .... .. .... . . .. . . . . . . . . .. . • . . . . .•• .. . •• .... ... ... . . .. . .. ... . . .„.. . .. .... . . . .. • . ... .. ., „.... . ...... . . . • • • • - • "••••"" - •" " •..- • • •• • • • . i , . .. .,.. ,••••:,.... •••. ....,.. • .• ..... . ,• . . • . -oil . ..2„....-...:.:,,,.. .. .,:._.:...:.. ` 5a 3 • ery e 0,40 1I . • 0.1 v 12.91 I � � • 4 . . • . 1., -6,)--- . /. . . ..., . . o• to. � 6 , ...... •3544 .'~ 6� �h ' �( t .. • (07- 2-\ C` • , . • • ';7:. * .. 1 / .?6Ce . . ,,... .• 1,1 6 . „ (Aar,. .. J t 2•.4.y ////// O ,i. {ern : 6 r, }it .I+ ' c 3 , 'sJ 19 99.' eft , / ,/ x 1� § a 2,-‘'4 e"::!'.1:,,,,1'.'.,.-'4;'1,..&: e .Y , )eft . 7 t yeL,,. / • 124.15 Parcel:462705079631.3532 OSPREY CT tin=80ft. TERRELL,28682 ` • This meplrepoil product was prepared from t e Catawba• County.NC Geospat of information Services. Catawba.county has made substantial eMarts to ordure the seetnIcy olbcaiicn and tabalttnngg�Ytiom+stbn oonfalned.un this map or data on this report.Catawba County prop otes and�eoommends hi Independent rod caUan of any date ocalelned on this maplrepo.t product by.the user.The County of Catawba.Its employees.agents..end the in uwf and ehati not be held liable for any and aA damages,lose or hbilly.whether direct.indirad or oonsequenhlal whidrari�es or may . w' artse.from this product or the use thereof by any petttort or entity. . ,,: t Copyright 2021 Catawba County NC 0411&12t32.1