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Home My WebLink AboutIMPV-05-2022-171321.tif 4c, • CATAWBA COUNTY Public Health Department Subdivision i Environmental Health Division R <-� PINH 374419517390 " PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 3-C Site Address: 4816 LEE CLINE RD.CONOVER NC 28613 Name on Permit: *CLINE CUSTOM BUILDERS INC Property Size: Acres 1.01 Directions: Head East on 40 Take Exit 132 and turn on NC-16N turn right on NC 16N 1st Ave N turn Left C&B Farm Rd turn right on Lee Cline destination on right Owner/Authorized Representative Acknowledgement of Permit Receipt ?c. /",cam certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. f.L-As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-03-2022-40539,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) nn// v Electronic Image Transmittal/E-mail (Return receipt required) L/ .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(15A NCAC I8A.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:05/11/2022 PadOwner/Authorized Representative Signature 'L`IU, '--- 'Date 5/18/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature ff Date/Time dill)) Method: Fax 4 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 yo.iPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/ENCusttomerService P9 averunt 05/16/2022 08:00 44,"• CATAWBA COUNTY Case# IMPV-05-2022-171321 Public Health Department Subdivision I<„� a Environmental Health Division PIN# 374419517390 PO Box 389,25 Government Drive,Newton,NC 28658 LOT,/ 3-C /842 w Site Address: 4816 LEE CLINE RD,CONOVER NC 28613 Name on Permit: *CLINE CUSTOM BUILDERS INC Property Size: Acres 1.01 Directions: Head East on 40 Take Exit 132 and turn on NC-16N turn right on NC 16N 1St Ave N turn Left C&B Farm Rd turn right on Lee Cline destination on right 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 360 g.p.d Type of Facility: Primary Residence- New House Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS 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: -See AC 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 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. 3/irt (1°Wr\ 05/11/2022 Authorized State Agent Permit Issuance Date 5/11/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. cltpennit 05/17/2022 15:01 Catawba County Environmental Health k BM-o 3-zo z 2 -110539 ill pV- o5—'Z 77 -).7-13z v.)S 7 k T'b, —OS , 4077-/7/3 r 2 rJ S ■ oo 1oO 32 .0 loom , lit 55 ion �o` 99.11 vi . u, bf ,a,.. QioQ 3gP 60/ �i /rta 50 -a $ S �5 50 f,' 01 O��>> 26.39 2599.5 Parcel: 374419517390, 4816 LEE CLINE RD 1 in=50ft CONOVER, 28613 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 date on this report.Catawba County promotes and recommends the Independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any end all damages,lose 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 2021 Catawba County NC 05/11/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet , of j_ . DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:VW/951?3f0 ON-SITE WATER PROTECTION BRANCH COUNTY: Ct1+t wbp SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM j (Complete all fields m full) OWNER: L ee Ca die i e _ APPLICATION DATE 3/�8 Z Z ADDRESS: 547/ Rani nerinn C+i CganYP c A/C TV:$/3 DATE EVALUATED: T} ZZ PROPOSED FACILITY: /Vew At.ouse PROPOSED DESIGN FLOW(.1949): 300 G Pp PROPERTY SIZE: L()( acce5 LOCATION OF SITE: Ai/6 (oP (l riE Pd CorwYP.,r /C Zeftli 3 PROPERTY RECORDED: WATER SUPPLY: C Private 7/Public ❑Well 0 Spring 0 Other / EVALUATION METHOD: Cl Auer Boring v ?it 0 Cut TYPE OF WASTEWATER: tid'Sewage 0 Industrial Process 0 Mixed P o SOIL MORPHOLOGY OTHER ' F (.1941) PROFILE FACTORS l .1940 LANDSCAPE HORIZON POSITION/ DEPTH PROFILE to SLOPE V. (IN.) i942 .1941 .1941 SOIL -1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MLNERALOGY COLOR DEPTH CLASS HORIZ 0-iy SL G i�r, SS,sr 5 9. �S iv-3o cL 56K 1ss1 y15 qS 1 t 30-go CL w$ k ,ssfs(, L10 5L jo yo-48 . 54 S1_ Y1r,sst_n Pcs Z 035 • 0_ 3 5L 6 rftss,519,5 P$ Z CL 3 Fri ss15r, $Fx 11 2 g-(10 CL WABk- if,55, rS 110 Si_)0°/u Y0- SIP SC �,55,nr,.'(q 0.3ZS 55 0-8 SL 6 Fr 55 Si RC 3-0- C ABA S5 Fr, , ,$ X( 11 3 24-q Cl_ w1115K rrI551s f 6Xf Y8 /0w 4."3 4 DESCRIPTION INITIAL SYSTEM • I REPAIR SYSTEM OTHER FACTORS(.1946): � Available Space(.1945) 5 P 5 SITE CLASSIFICATION(.1948): System Types) 15 010 (ed 50010 (td EVALUATED BY: C. \Q L OtAN , a �l OTHER(S)PRESENT: Ca _� r Site LTAR 0 , 325 0. 3 COMMENTS: - — Updated February2014 • Catawba County Environmental Health R8P/1— 03—ZvZ2 i ' '-05—Zo22 —1713Z1 NS \c„. 1� 10 32 1 100�1 1� 99g� D0,0 011 9l f3 Qfat 3a �lr Z3 1.44.0. Ali a' Sd 9 cn 26. 39 8 26g Parcel: 374419517390, 4816 LEE CLINE RD 1 in=50ft CONOVER, 28613 This map/report product was prepared from the Catawba County,NC Geospatlal 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 map/report product by the usor.The County of Catawba,Its omptoyoos,agents,and personnel,disclaim,end shall not be held liable far 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 2021 Catawba County NC 05/11/2022