HomeMy WebLinkAboutAUTH-08-2023-201722.TIF CATAWBA COUNTY Case# AUTH-08-2023-201722
(:IL: Public Health Department Subdivision GLENNANDMARGIE WILLIAN
Environmental Health Division PIN# 367703046645
otritdt PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
Site Address: 4014 S OLIVERS CROSS RD,NEWTON NC 28658
Name on Permit: KYLE STEVENS
Property Size: Acres 0.65
Directions: S NC 16, right Providence Mill Rd,left N Olivers Cross Rd, property on left past Buffalo Shoals Rd
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 PlanninglZoning and Building Inspections requirements are met. This Authorization to
Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered.The Authorization to
Construct 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' (I5A 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.
08/03/2023
Authorized State Agent Permit Issuance Date
8/3/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
cItt,,•Tin,i 08/10/2023 08:36
DEPARTMENT OF HEALTH AND HUMAN SERVICES Shea of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba
SOQJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields at full)
OWNER: Kit IC_— 6 1 (XYt 5 APPLICATION DATE
ADDRESS: _DATE EVALUATED: ) 1,f'J8/9.5
PROPOSED FAC ITY: PROPOSED ESIGN FLO 49): — PROPERTY SIZE: ""
LOCATION OF SITE: ()) �/ei 5 C f() PROPERTY RECORDED:
WATER SUPPLY: 0 Private ❑Public 3-WELT ❑Spring C7 Other
EVALUATION METHOD: ❑Au:•r Boring t]I•P'tt E Cut TYPE OF WASTEWATER: fj-"O'wage 0 industrial Process 0 Mixed
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DESCRIPTION INfAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948):
Available Space(.1945) 1 C,�
System Type(s) /! EVALUATED BY: �
OTHER(S)PRESENT:
Site LTAR I
COMMENTS:
Updated February 2014