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Home My WebLink AboutIMPV-06-2023-198082.tif N > t'ublic I Icnith Ihparlment Subdivision linrironmeniad Ilcalih Division PINN 374419519273 Po Ilox 389.25 Government Drive.Netoon.NC 28(58 I_U'lA 3-A Site Address: 4810 LEE CLINE RD,CONOVER NC 28613 Name on Permit: CLINE CUSTOM BUILDERS INC Property Size: Acres 2.85 Directions: 16N/left C&B Farm Rd/right Lee Cline Rd/road right of way on right between 4820&4798 Lee Cline Rd Owner/Authorized Representative Acknowledgement of Permit Receipt ertitj that I am the os ncr or authorized agent(owner's uuthuriiation required)representing the owner of the pmperty described above. QI.As the property owner or authorized representative.I have received the above referenced permit(s)as requested in the application for service RIII'R-06-2023-44545,by the following method(s): _ Received in Person Facsimile Transmittal(Return form with signature required) ``1 Electronic Image'I'ransmittal/E-mail (Return receipt required) WVAs 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 I8A.1900), and/or Well Construction Standards(15A NCAC 2(7.0100). shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date:06/14/2023 Owner/Authorized Representative Signature _ I • —. Date rQ_ 3 V)' 2- z3 Y Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by . (nwne gf person sending permit) Date/Time 41 LL? 3 Signature... .________ Method: Fax Ni F.mail .US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease hake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService tart...., ; �,With 1,6 4otia I tart r 4ZI� 13 J i u,,I•2021 08.Pr l w• CATAWBA COUNTY Case# IMPV-06-2023-198082 • t II Public Health Department Subdivision Environmental Health Division PIN# 374419519273 alt PO Box 389.25 Government Drive,Newton,NC 28658 L.OT# 3-A SN Site Address: 4810 LEE CLINE RD, CONOVER NC 28613 Name on Permit: CLINE CUSTOM BUILDERS INC Property Size: Acres 2.85 Directions: 16N/left C& B Farm Rd/right Lee Cline Rd/road right of way on right between 4820&4798 Lee Cline Rd 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 g.p.d Type of Facility: Primary Residence-SFD Basement? NO Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 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 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 Rules 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 oftime. Any permit issued fora 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. ofie...........„...-- ey4 Cv4H S 06/14/2023 Authorized State Agent Permit Issuance Date 6/14/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 06/15/2023 08:20 Catawba County Environmental Health g pR. 04 .420413. sqs- irnPV. 06-070a3• tq : .. : _ 11'2` • AOTJOO • . 16799 16. 96 6(() — r (48, 0 ?eo,osc 1 JO X .4810 .n 6 (DC:\Je Parcel: 374419519273, 4810 LEE CLINE RD 1in=40ft CONOVER, 28613 This map/report product was prepared from the Catawba County.NC Geospatial 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 mop/report product by the user,The County of Catawba,Its employees,agents,and personnel,disclaim,end shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may edse from this map/report product or tho use thereof by Copyrriightt 2023 Con or atawba County NC 06/14/2023