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CATAVI'BACOUNTY Case# IMPV-08-2023-202425
Public Health Department Subdivision CRESCENT LAND AND TIMBI
("" Environmental Health Division PIN# 460603315860
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 190
Site Address: 7270 BLACKWELDER RD, DENVER NC 28037
Name on Permit: CHARLES HELFENBERGER
Property Size: Acres 0.79
Directions: Hwy 16 to Campground Rd, Turn onto Independence LN and Left on Blackwell Rd, Go to the end of road
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Relocation Wastewater Flow 360 d
9•P.
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Existing Wastewater System: CONVENTIONAL
System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
Permit Conditions: This permit is issued to relocate the repair area due to the proposed storage building location.
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'Lows and
Rules for Sewage Treatment and Disposal Systems'(I5A NCAC I 8A.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.
/- 4ze..4.___
08/10/2023
Authorized State Agent Pennit 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.
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DI PARIMENI OF HEALTH AND HUMAN SERVICES Sheet of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba_
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: C h r e6 /
1) ,Lfe,i rC P- r APPLICATION DATE
ADDRESS: DATE EVALUATED:s �/, �_3
PROPOSED FACILITY: P O OSED D IGN FLO I. 949): PROPERTY SIZE: `��`��'�"
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: ❑Private O Public ❑Well ❑Spring fl Other
EVALUATION METHOD: ❑Mier Boring ELPtr U Cut TYPE OF WASTEWATER: ft ewage ❑Industrial Process O Mixed
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ��
SITE CLASSIFICATION 1946
Available Space(.1945) (� �
System Typc(s) EVALUATED BY:
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Site LIAR , l
L 1 COMMENTS:
Updated February 2014
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