HomeMy WebLinkAboutIMPV-04-2018-098581.TIF ,4\i r' CXI t%BA COUNTY Case 8 _'
,3'isn ,z Public Health Department Subd ivisiun SIGFIELD ACRES
< r��y H Environmental Ilealth Division PIN# 375212864932
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ab PO Box 359, 100-A Southwest Blvd,Newton,NC 28658 LOTt/ 19-26
NAME ON PERMIT: STEVE WATTS, 2783 SIGFIELD DR, CLAREMONT NC 28610
Site Address: 3389 SIGMONT DR, CLAREMONT NC 28610
Property Size: Square Feet:49,222.80 Acres:1.13
Directions: LEft sigfield drive from 1-40 to left onto sigmont
Owner/Authorized Representative Acknowledgement of Permit Receipt
4ertify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s) as requested in the application for service RBl'R-04-2018-28815, by the following method(s):
V0eceived in Person
Facsimile Transmittal (Return form with signature required)
Electronic 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 (I5A 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: 04/23/2018
Owner/Authorized Representative Signature e���—
Date 4 1 23, 1;0 19
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time
Method: Fax 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 yosPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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.7 Am.G Public Health Department 1.1.741.7t1/4- 4L•J;' { i. Subdivision SIGFIELD ACRES
Q $ ` Environmental Health Division 'r''4_�+ 7 PINK 375212864932
inn PO Bos 389, I(lU-A Southwest Bled,Newton,NC 28658 ti i r LO'fN 19-26
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NAME ON PERMIT: STEVE WATTS, 2783 SIGFIELD DR, CLAREMONT NC 28610
Site Address: 3389 SIGMONT DR, CLAREMONT NC 28610
Property Size: Square Feet:49,222.80 Acres:1.13
Directions: LEft sigfield drive from 1-40 to left onto sigmont
Improvement Permit
' 3":,Witiiit'O ? tx: THIS PERMIT..IS:NOT FOR SEPTIC'INSTALLATION(.1a:,& L :.A.w4: rtn;
Facility: Primary Residence
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Public Water
Basement? Yes Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG-OTHER NON-CONN TRENCT-1 SYS'T'EMS
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
Type: 1110-OTHER NON-CONN TRENCH SYSTEMS
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 I'lanni ng/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 System' (ISA NCAC ISA.1900). Neither Catawba County nor the
Environmental!leallh Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of
time.
04/23/2018
AUTHORIZED STATE AGENT APPROVAL DAVE
Permit Expiration Date:
04/23/2023
No grading or construction actirits'is allowed in areas designated for system and repair without approval of the Health Department.
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Parcel: 375212864932, 3389 SIGMONT DR lin=40ft
CLAREMONT, 28610
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 maoheport 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 2014 Catawba County NC
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0 '�� Copyright 2074 Catawba County NC
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DETARTMENT OF HEALTH AND HUMAN SERVICES Sheet of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECOON PROPERTY ID It
ONSnIE WATER PROTECTION BRANCH COUNTY_ Catawba
SOH/SITE EVALUATION •
for ON-SITE WASTEWATER SYSTEM
�/ (Complete all fields m full)
OWNER: 6490t�G(* APPLICATION DATE�__-r_r_hc
ADDRESS: DATE EVALUATED:OH/J&/ J(6
PROPOSED FACILITY: PROPOSED QESf FLOW .I 9): PROPERTY SIZE: �I ``]]
LOCATION OF SITE: YTS /YI/l✓✓`/' PROPERTY RECORDED:
WATER SUPPLY: ❑Private blit Lt.0"II 0 Spring 0 Other
EVALUATION METHOD: ❑Au:er Boring IEYPit 0 Cut TYPE OF WASTEWATER: R1- eZige 0 Industrial Process 0 Mixed
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948
Available Spam(.1945) 7 t..
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tm EVALUATED BY:
SyslTypc(s)
OTEIER(S)PRESENT:
Site LIAR 31
COMMENTS:
Updated February 2014
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