HomeMy WebLinkAboutIMPV-05-2023-195848.TIF 4„ttwri; CATAWBA COU\TY
ga + Public Health Department Subdivision NORTHVIEW HARBOUR PH E
�.* • y - Environmental Health Division PINM 461802991036
PO Dos 389,25 Government Drive,Newton,NC 28658 LOTH 195
Ske Address: 8870 BRAXTON DR, SHERRILLS FORD NC 28673
Name on Permit: 'MIKE PALMER HOMES, INC.
Property Size: Acres 0.84
Directions: NC 16 S to Balls Creek, Left W Bandys cross rd, Right Buffalo Sholas Left E. Brandy Cross RD, Right
Sherrilis Ford RD,Right Island Point RD,LeftNorthview Harbor, Left Metcalf Left Brrxton
Owner/Authorized Representative Acknowledgement of Permit Receipt
' Cit
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
property described above.
X ��114 As the property owner or authorized representative. I have received the above referenced
anit(s)as requested in the application for service RBPR-03-2023-43796,by the following tnethod(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
3— Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
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(t5A NCAC I8A.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: 05/16/2023
Owner/Aut prized Representative Signature_
e7
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by f (name of person sending permit)
Signature 4 Date/Time -I 1 -
/
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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h e --"; CATAWBA COUNTY Case If IMPV-05-2023-195848
t.1 11 ,y, Public Health Department Subdivision NORTHVIEW HARBOUR PH E
",1 Environmental Health Division 1']Ntl 461802991036
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 195
l; 2 sti
Site Address: 8870 BRAXTON DR, SHERRILLS FORD NC 28673
Name on Permit: *MIKE PALMER HOMES, INC.
Property Size: Acres 0.84
Directions: NC 16 S to Balls Creek, Left W Bandys cross rd, Right Buffalo Sholas Left E. Brandy Cross RD, Right
Sherrills Ford RD,Right Island Point RD,LeftNorthview Harbor, Left Metcalf Left Brrxton
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 360 d
9•P•
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION VERTICAL-Alternating Dual Field Nitrification System
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
REPAIR SYSTEM SPECIFICATIONS W _ w � ^�
Repair System Required? Install with Initial System
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *INSTALLING DUAL ALTERNATING DRAINFIELDS.
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 Selvage Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental I lealth
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 I lealth authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
//..44-c—€.9--- /-- /e9Le....d___
05/16/2023
Authorized State Agent Permit Issuance Date
5/16/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpcnnit 05/18,2023 06:43
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet o
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION -'- .f __..,.
ON-SITE WATER PROTECTION BRANCH PROPERTY II)#:__ --.
COUNTY:_Catawba__
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
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ADDRESS:
PROPOSED FACILITY: —- ATE EVALUATED: ? "7""��
PI POSED SKIN —OW(.1949),:t,�� PROPERTY SIZE: _
LOCATION OF SITE: �� . /.Y PROPERTY RECORDED: — _
WATER SUPPLY: 0 Private U Public 0 We! Sp rig ❑Other �'
EVALUATION METHOD: 0 Auter Boring tt 0 Cut TYPE OF WASTEWATER: 11.41 we i ge ❑Industrial Process 0 Mixed
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):— —__
Available Spas(.T945) SITE CLASSIFICATION(.1948): --— --
SystemType(s) _--_---`_—________
�� � EVALUATED BY:
OTHER(S)PRESENT:
Site LIAR E) 5 r}z)::,
---
COMMENfS:
Updated February 2014