HomeMy WebLinkAboutIMPV-05-2023-196334.tif CATAWBA COUNTY
• t Public Health Department Subdivision
•�
Environmental Health Division PINK 460604836505
PO Box 389,25 Government Drive,Newton,NC 28658 LOP/
Site Address: 7877 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 1.02
Directions: Sherrills Frod RD,Slanting Bridge RD,Vista View DR on Right
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.
n As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-08-2021-38620, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
4 Electronic Image Transmittal/E-mail (Return receipt required)
�f _ As the property owner or authorized representative I have reviewed and understand the specific conditions
r(�' 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: 05/22/2023
��j Owner/Authorized Representative Signature _
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted b (name of personsendingpermit)
Signature — — _ —Date/Time 6 '4)3
Method: Fax I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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05/23/2023 15:44
S03' a CATAWBA COUNTY Case IMPV-05-2023-196334
I.:. t ,� Public Health Department Subdivision
d Environmental Health Division PIN# 460604836505
PO Box 389,25 Government Drive,Newton,NC 28658 LOIN
�Ih42
Site Address: 7877 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 1.02
Directions: Sherrills Frod RD, Slanting Bridge RD,Vista View DR 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 600 g.p.d
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
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
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:
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'Limos and
Rules forSewaee Treatment and Disposal Systems' (I5A NCAC I8A.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.
05/22/2023
Authorized State Agent Pennit Issuance Date
5/22/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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