HomeMy WebLinkAboutEXSY-07-2023-200512.tif 4f,
r*i+ ) CATA11'BA COUNTY l'.XSY-07.2023-2005I 2
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I'uh11c IIca11h Ikpartmcnt tiulxlivionn SOMERSET ON LAKE NORM.
Vxmi innn:ntal l{cailh Division
. IINu 461714434479
Pt)Box 3R9.25 Government I)n ve.Ncsstnn,N(' 2K(,SY Mrs SOMERSET
Site Address: 8477 MAYFLOWER CT, TERRELL NC 2B682
Name on Permit MYISHA HOYLE
Property Size: Acres 0 77
Directions: NC Hwy 16 Business S, NC 150 E to Sherrills Ford,Mayflower Cl
Owner/Authorized Representative Acknowledgement of Permit Receipt
Y I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
_ As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2023-44878,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
✓ Electronic Image Transmittal/E-mail (Return receipt required)
____ 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(I SA NCAC I8A.1900),
and/or Well Construction Standards(I 5A 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:07/19/2023
Owner/Authorized Representative Signature
Date 7/
- 7- -4y. !__ZZ_
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means) /
Permit transmitted by o
i (ruble of person sending permit)
Signature ✓ 7
4 Date/lime `r1 f/33
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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catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:RBPR-07-2023-44878 _ _ ❑ Reconnection to Existing System
Property Owner/Applicant:Myisha Hoyle ❑Mobile Home Park Reconnection
Site Address: 8477 Mayflower Ct,Terrell ❑Applicant Request
Type of Facility: ® House ❑ Mobile Home Number of Bedrooms 4
❑Business
❑Other
Proposed Addition/Accessory Structure: Pnnt, pergola,anti 16 Y 711 Pool house
Rj Approved ❑ Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ® NO System "Type/Description I I Ib 25%reduction
Noncompliance Items and Notes
Existing System installed 4/29/2004. See Catawba Co permit w1s2002-00780.
Future repair will probably be 50%reduction.
This inspection does not guarantee the longevity of the existing system.
Authorized State Agent Robbie Phelps Date 7/19/2023
Existing System Inspections expire 1 year from approval date
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
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:el: 461714434479, 8477 MAYFLOWER CT 1 in=50ft
RELL, 28682
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07/18/2023
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