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Home My WebLink AboutIMPV-07-2023-200902.TIF ��ir� CATAWBA COUNTY a,/ a Public Health Deparunent Subdivision MOONLITE BAY ,%r Is Environmental Health Divwon PIN/ 480804847898 ice/� PO Box 3E9,25 Government Drive,Newton,NC 2865E LOTH 78 Site Address: 4899 MOONLITE BAY DR,SHERRILLS FORD NC 28673 Name on Permit RORY BOY Property sip: Acres 0.46 Directions: Slanting Bridge Left Tradewinds Right Moonlight Bay Owner/Authorized Representative Acknowledgement of Permit Receipt X/ certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. r As the property owner or authorized representative,I have received the above referenced permits)as requested in the application for service RBPR-06-2023-44603,by the following method(s): _ Received in Person Facsimile Transmittal(Return form with signature required) ILElectronic 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(15A NCAC 18A.1900), and/or Well Construction Standards(I SA 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:07/25/2023 Owner/Aut on d Representative Signature __ Date // Documentation of Permit( Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Or Date/Time t II 173 Method: Fax V Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wand tto hear from ycuPlease stake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerservice IINO 011 e (ba4OCrIG net C1111,11111 0716/1623 I l U e CATAWBA COUNTY Case# IMPV-07-2023-200902 /~ .j. Public Health Department Subdivision MOONLITE BAY Environmental Health Division PIN# 460604847698 PO Box 389,25 Government Drive,Newton,NC 28658 LOT// 78 /8• sr Site Address: 4899 MOONLITE BAY DR, SHERRILLS FORD NC 28673 Name on Permit: RORY BOY Property Size: Acres 0.46 Directions: Slanting Bridge Left Tradewinds Right Moonlight Bay 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 9P Type of Facility: Primary Residence Basement? Yes Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50% REDUCTION VERTICAL System Classification: IIIE- PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM 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'(15A 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. "r- 07/25/2023 Authorized State Agent Permit Issuance Date 7/25/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department. chpennit 07/26/2023 11:17 Rf?)9R, (0.-).43- ,-iziO3 _IrnP -03-r 0a3 -(q06902 Catawba County Environmental Health .. AtaTii`6 13 - 9cze i i itt .A \ \ bor. I_-07 -d, ,.72 __.2,60(7,-vi zo ..1 j t S` It k , S e it , i t� w sik No41 ---- --r 20,45 'CieSk. =it \ ti %' In ItS _ __.. .. -->\ \r\-- , - *4899 4 \\- I\iV .... 18f B7 .----, .. . �Y VJ I n- , �:'� * Parcel: 460604847698, 4899 MOONLITE BAY 1 in=40ft DR SHERRILLS FORD, 28673 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 ma /report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 07/25/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet --of -- DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 0: ON-ST WATER PROTECTION BRANCH CO y_ ap IR SOIL/SITE EVALUATION for ON-SLICE WASTEWATER SYSTEM (Complete all fields In full) OWNER.: _-- APPLICATION DATE ADDRESS: ___ _ T DATE EVALUATED:Z IV PROPOSED FACII.I PR1 POSE DESI OW(T�49): PROPER"t Y SIZE: LOCATION OF SITE: i n r 1 r J ._.. PROPERTY REC ORDED: WATER SUPPLY: Cl Private ❑Public N.Vell U ring ❑Other _ EVALUATION METHOD: ❑Au;- Boring Et.Pf( 1.i Cut TYPE OF WASTEWATER: L "Sewage ❑Industrial Process ❑Mixed i` ry's .;,-..i�} 13�,�i •s, �;;. °A, x� r -*Fdq r,-'ice• •: „ si fq ..a 7Lffinfsi-4,, a.1-•--C :aCi' i51' �c. --if''Wu ' iir/, ! < ;i.•4� ,..y`�•..#�"4,. --. ,. y, p' x•no �tlt qp . •'C'O b:.ri % '.- .1, gi'r;.5'• IL. .,1.t `r 4,,��,f.—.dsd„'+. ,,... ..`.� �r a.'•32�' '� j'� of' 9 ''4 4141;11r ' '.iti il 1xiiii ;tl.1.11' i,�I,4Vf4.!i' r.,,S�,n. ,,,,y ?lwy i2,N' 4 '..,,I, a� ;: [ F� '*V ai+` r 4^;�' ^r t�J il ., �tt^3tyY '• k1 to J` y�� y � !• Z 4p i �k• ti �t [ _ •1'C , it a fy'd 1i 'i .Ve..ov: I`' ,r. � ,...p ,.' u• �[: T . a k' '' 1a . 4i,2it 7 aL -r 1' .curf,�i�C' (1+'•i .� �::: t :.�i. �'w3+3i' `iJ".�$1 r .�.[',.eii:t?'y�' 4 ;1' rt 1d'fi,�ar, '..'� �l.i':ll 1� t }dil 'J'` r` F.' �'iract ,• , y4 t: f''Ir•J . r ` ,. #�j..t ;:" „'� Ih 'l4+"+i �'f+-N _.§.sue S : '.c rt. F y 1.3 ' ' - k:� k :t. A o{# tt call 1 • i ''4� : '14 r„t4 , � tin, tt' a5 s` ... � a.�r 1�S.n, r � �� t kh� � � 4 ��•iSaaeJ��, �14 P:�SC ,� r'.Y7i t. a ;'�.� $} C!�•It ��b r1,7� 'y! r. r;4i Q '' Wq;+ a�thhS^.4 4,••ri: -b-.'fnii'E t. ..►11 J.r'i•,r Il xi.s{ ;-i s vti 1.. 'I;j -I t I o. •j'.1 . ,JG?r�� d;, .,eAil • 7 r 1 "{' sl gwx. 'li0rt i ,w ril LIA,._,•�t .S.. t1:'.tff=4,a-`?�'AAa i! ::. q r. r.'r F ...+i•y. -:+'r16,4..;r.17' L6�:1''..wT" ' i :.At c- .._,+at.._..a uszRa^;Ti .#li�"'� ..i'S �_.:y 4'.eei�ti' y k En 1 0- 6 NEB % . r0111 WM ; a-= 41 —r LNITAIII I Mil � q '� 2 :l. I�'� • 11111111 • 3 imiii,�?> i .. • �� S s2 ounimmardidatIlliira DESCRIMON Qrmn1 SYSTEM P.EPAnt SYSTEM OTHER LEER FACTORS(.1946): J� SITE CLASSIFICATION(.1948): _-_- Available Share(.1945) "....1 J" • System Types) F.VAI.UATED BY: .rf A/ - �•LJL`tom OTHER(S)PRESENT: - Site LTAR , y /92-?--C COMMENTS. -- Updated Fly 2914 • Catawba County Environmental Health 14420 ‘,/g, ----i- ,v _ , \\,. ilkiiii,a . ) ♦ t! f°' • 62 3 t, 3& 5 l'f.,,! ' ' 5 , ,,,c, x, ,.. ,., t,--- S 1§,- 83 3-.' 8 kill. 5 Its • -....N\ ill _.„---4_ 1..._6? -.. ,y1 '3(14 .1 . a :..; \'� F r )--Cce.--5 -a 185.8 l..•<.... . v ,,,...,,„ .,..,..,..,, , .4„ i •4913 !1,.0—:.‘.,).1„ti;71$1,_.„? fk, ' '. --5,2- " / 1 I 190,t30 I * 1 ,7 . , ..... 1 I , —L, il— • 'parcel: 460604847698, 4899 MOONLITE BAY 5D05 ,,( it---/ 1 in=50#tDR SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatlal 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 vecificetlon of any data contained on this map(report product by the user.The County of Catawba,its employees,agents,and I.di m,and shall nqt be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may .:1t ort titit7ct or the use thereof by any person or entity. *". �, Copyright 2014 Catawba County NC -----A r'^ 02/18/2020