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• CATAWBA COUNTY Case# IMPV-08-2023-202390
Public Health Department Subdivision CRESCENT LAND AND TIMBI
Environmental Health Division PIN# 462802571968
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# LAKE LOT 260
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Site Address: 2520 CROSSGATE TR, SHERRILLS FORD NC 28673
Name on Permit: AFSHIN& NADIA GHAZI
Property Size: Acres 0.52
Directions: Hwy 150 E Left Sherrills Ford RD, Right Island Point RD, Left Bay Leaf LN, Property at end of Crossgate Trail
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 480 g.p.d
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
Pump*May Be* 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: *ELECTRICAL SERVICE WILL BE REQUIRED AT OFF-SITE AREA WHEN REPAIR IS
INSTALLED.
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.
08/10/2023
Authorized State Agent Permit Issuance Date
8/10/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehprmdt 08/10/2023 15:23
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DEPARDEINTaHEALTH AND HUMANSERV= Siser _._4l.___
tTvRAOlra 1{IO CifBALT}!r ENVIIIMAIRNTAL HEALTH SECTION PROPERTY m r.} C 14 IB WATER PROTECTION SRANQ!
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TION DATE
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: � �PROPOSED '�a.� J r7 ,,, � r;r c •.f PR SIZE:i LOCATION OF UTE: , �f'; . . iFr)� AA PROPERTY RECORDED:..WAtEl SUPPLY: 0 Prlvam 0 Public Speist 0 Odor
EVALUATION A E OD: O A 0 Oat TYPE OF WASTEWATER: Dien. 0 R hl
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