HomeMy WebLinkAboutIMPV-07-2023-199373.TIF ice•
CATAWBACOUNTY Case# IMPV-07-2023-199373
Public Health Department Subdivision NORTHVIEW HARBOUR PH
, Environmental Health Division PIN# 461802885255
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 175
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Site Address: 8863 BLUESTONE BAY CT, SHERRILLS FORD NC 28673
Name on Permit: CHRISTOPHER&SALLY LYNCH
Property Size: Acres 2.77
Directions: Sherrills Ford Rd, Right on Island Pt, Left on Blue Stone Bay Ct
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? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
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: 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 SA 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.
07/03/2023
Authorized State Agent Permit Issuance Date
7/3/2028
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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Parcel: 461802885255, 8863 BLUESTONE BAY
CT SHERRlLLS FORD, 28673 lEr}-60t
This map/report product was prepared from the Catawba County,NC Ghospatlal Information Services. Cate:vbe County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.
the independent verification of any data contained on this map/report Catawba Counmp oyees,a ged s,and nds
personnel,disclaim,and shall not be held liable for any and all daub by�e ity wher. h r Catect io employees, cta,and arise from this map/report product or the use thereof byanyn loss or liability,whether direct,indirect or consequential which arises or may
person or entity.
Copyright 2023 Catawba County NC
07/03i2023
DEPARTMENT OF HEALTH ANI)HUMAN SERVICES Sheet _of _
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: —
ON.SITI.WATER PROTECTION BRANCH COUNTY: Catawba
SOEL/SITE EVALUATION --
for ON-SITE WASTEWATER SYSTEM
(Complete ail fields in fdi)
OWNER:! '- l i_� "r&5lf l]L _) 41cJ'L — APPLICATION DATE
ADDRESS: _ _ __ ____ _. _ _DATE EVALUATED:
PROPOSED FACILITY: ,— CPR POSED F. GN FLOW(.1949):: _ PROPERTY SIZE:
LOCATION OF SITE:�_' 5 �.6►. � ��1` r... -(7 45,4 Y''�/,,' IJJPROPER.TY RECORDED:
WATER SUPPLY: O Private CAP af�lic J Well 13 Spring rl Othof
f EVALUATION METHOD: ❑Au3er Boring ` Hi U Cut TYPE OF WASTEWATER: wage ❑Industrial Process Cl Mixed
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( DESCRIPTION INr IAI.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available S 1945) SITE CLASSIFICATION(.1948): —_ _ _ ._.
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System Type(s) V EVALUATED BY:
OT'HER(S)PRESENT:______
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COMMENTS:
Updated February 2014 __._.._.
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet o
DIVISION OF PUBLIC HEALTTI,ENVIRONMENTAL HEALTH SECTION —_. f ._.._
ON-SITE WATER PROTECTION BRANCH PROPERTY II)it:
COUNTY; Catawba
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYS'I P.M
(Complete all fields in full)
OWNER: C rt ld
ADDRESS: �_�_ i.._._s_..../...4,J1/ _ APPLICATION DATE
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PROPOSED FACILITY: DATE EVALUATED:
— PRO SED DE N FLU 1 49): �} PROPERTY SIZE:__ _ _
LOCATION OF SITE:—— — to Q-� -- �.'l PROPERTY RECORDED —�_
WATER SUPPLY: 0Private ❑Public D Well 0Spring 21 Other _ _ _ -----
EVALUATION METHOD 0 Auer Boring [i Pit i i Cut TYPE OF WASTEEWATER C?CI Sewage Industrial Prot,ess 0Mixed
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DESCRIPTION INITT.AL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
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