HomeMy WebLinkAboutIMPV-07-2023-200944.tif i I $ I .
! CATAWBA COUNTY
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( t.II Public Health Department Subdivision
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� y Environmental Health Division PIN# 375020917119
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 2966 YOUNT RD, CLAREMONT NC 28610
Name on Permit: KOU YANG
Property Size: Acres 3.33
Directions: S NC 16 Bus Hwy L Claremont Rd, R Yount Rd, Property on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
Oertify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the roperty described above.
fL j s the property owner or authorized representative, I have received the above referenced
pe Pit(s)as requested in the application for service RBPR-07-2023-44962,by the following method(s):
Received in Person
_ Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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7 s the property owner or authorized representative I have reviewed and understand the specific conditions
of e 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(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: 07/26/2023
Owner/Authorized Representative Signature 274,
..-7 Date // /2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of personsending permit)
Signature4
SI
t- Date/Time 1473
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 yoiPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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chpenni1 07/262023 16:46
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134, CATAWBA COUNTY Case# IMPV-07-2023-200944
4' t II 2 Public Health Department Subdivision
Q ,� "'I, Environmental Health Division PIN# 375020917119
• PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
H. _ sap
Site Address: 2966 YOUNT RD, CLAREMONT NC 28610
Name on Permit: KOU YANG
Property Size: Acres 3.33
Directions: S NC 16 Bus Hwy L Claremont Rd, R Yount Rd, Property on Left
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 600 g.p.d
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Public Water Maximum Occupants: 10
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Pump *May Be* Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA
'SEPTIC MAY HAVE TO BE PUMPED DEPENDING ON FINAL PLUMBING ELEVATION
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.
' ,,, E.4.7 S
I 07/26/2023
Authorized State Agent Permit Issuance Dale
7/26/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennil 07/26/2023 16:46
Catawba County Environmental Health
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Parcel: 375020917119, 2966 YOUNT RD 1 in=60ft
CLAREMONT,28610
This rnapkeport product was prepared from the Catawba Casty.NC Gee al irdorrrytion Services. Catawba County has made substantial efforts
so ensure the,„racy of loca0on and labeling bdomrton curtained on MO map or data on this report Catawba County promotes and recommends
the Independent verification of any data coma led on this mapkep11 product by Via user.The Coady of Catawba.its employees,agents,and
personnel.disdain.and sal not be held Fable for any and al damns,.l or iabity.whether direct indirect or consequential which sows or may
arise from this mapheport produd or the use tiered by any person of wily.
Copyright 2023 Catawba Carty NC
07/26/2023