HomeMy WebLinkAboutIMPV-07-2023-200623.TIF - to., CATAWBA COUNTY
+� Om% Public Health De ninon Subdivision NORTHVIEW HARBOUR PH:
iie Environmental Health Division PINI 461802894573
1 PO Box 389.25 Government Drive,Newton,NC 28658 LOTt 270:at
Site Address: 2180 CAPES COVE DR.SHERRILLS FORD NC 28873
Name on Permit ROBERT KEENAN
Property Size: Acres 0.75
Directions: Hwy 150 E, Left on Sherrills Ford Rd, Right Island Point 2 miles,Left on Capes Cove, Lot on Right
• Owner/Authorized Representative Acknowledgement of Permit Receipt
1 1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
kAs the property owner or authorized representative, I have received the above referenced
emits as requested in the application for service RBPR-06-2021-38133,bythe following methods :
permit(s) q pp 8 O
Received in Person
•
Facsimile Transmittal(Return form with signature required)
VElectronic Image'I'ransmittal/E-mail (Return receipt required)
NAs the property owneror authorized representative I have reviewed and understandthe specific co
nditions
p pc y p p
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 18A.1900),
and/or Weil 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: 07/20/2023
Owner/Authorized Representative Signature__ _
Date —1 I-LS
Documentation of Permits)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature ei't
Date/Time Uj7))3
Method: Fax I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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rhprrnui 07.20,2023 II 01
e CATAWBA COUNTY Case IMPV-07-2023-200623
Public Health Department Subdivision NORTHVIEW HARBOUR PH
sfi
lot CEnvironmental Health Division PINK 461802894573
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 270
Site Address: 2180 CAPES COVE DR, SHERRILLS FORD NC 28673
Name on Permit: ROBERT KEENAN
Property Size: Acres 0.75
Directions: Hwy 150 E, Left on Sherrills Ford Rd, Right Island Point 2 miles, Left on Capes Cove, Lot 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 360 d
9•P•
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
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: *INSTALL DUEL ALTERNATING DRAINFIELDS. LPP DISTRIBUSION.
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' (15A 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.
/- Zsa:e_..___
07/20/2023
Authorized State Agent Permit Issuance Date
7/20/2028
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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.I.03' • CATAWBA COUNTY Case# IMPV-07-2023-200623
.f. ,y, Public Health Department Subdivision NORTHVIEW HARBOUR PH
.� y Environmental Health Division PIN# 461802894573
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 270
/g.
Site Address: 2180 CAPES COVE DR, SHERRILLS FORD NC 28673
Name on Permit: ROBERT KEENAN
Property Size: Acres 0.75
Directions: Hwy 150 E, Left on Sherrills Ford Rd, Right Island Point 2 miles, Left on Capes Cove, Lot 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 360 g.p.d
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
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: *INSTALL DUELALTERNATING DRAINFIELDS. LPP DISTRIBUSION.
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 arc 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' (l5A NCAC 18A.1900). Neither Catawba County nor the Environmental I[calth
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.
/--- Ze:aze.... .._
07/20/2023
Authorized State Agent Permit Issuance Date
7/20/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
eh pc i wit t 07/20/2023 16:03