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Home My WebLink AboutIMPV-07-2022-175363.TIF i . .w ..., ctiatt BAcou�ry �X fU : 1 �[ ra �j ' sty Ltin Public HealthDtporincm gas) T6'.J ` Pa subdivision I r..s' linvironmentel Ilcalib Division 1 • ill PINa 376220900384 1 PO Box 389vs ,25 Government Drive,Newton,NC 28658 Loin Site'Address: 3610 OLD CATAWBA RD,CLAREMONT NC 28610 I Name on Permit: MICHAEL LEE WHITE Property Size: Acres 9.3 I Directions: EMain St R turn onto South Depot Stover UT onto Catawba St turns into Old Catawba Rd ' ?Wend Owner/Authorized Representative Acknowlcdgeinent ofYerinit Receipt I CWeertify that I am the owner or authorized agent(owner's authorirvtioorequired)representing the owner of t the pmpeny described above. } 1 ((EJA5 the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service R11PR-04-2022-40600,by the following mcthod(s): f Received in Person , 'I'ransmittal (Return form with signature required) i 7 Facsimile Illeetroiiic Image Transmittalhli-mail (Return receipt:required) j .2Q As the property owner or authorized representative 1 have,reviewed and understand the specific'conditiens ? of the'permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules l'or Sewage Trcatment'and Disposal Systems(ISA NCAC„ISA.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. I Permit Issue Date:07/112022 • '/ /� ,1x Owner/Authorized Representative Signature L �{ ^ � /'/• Ye e y C.�Nf �I G (� Date Documentation of Permits)77vnsmittal • (permlttransmitted,by electronic or other means) Permit transmitted.by (name of person sending permit) Signature Date/Time -"iirM12z Method: _Fax .v mail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want tto hear from yoAPlease take a few moments tto complette our customer Service survey an http://www.surveymonkey.com/s/DlusttometSetvice' Ch d Ctz . 11 e9 a 0 hot. Corn 12/9 chiming; 111/13/2022 09:09 CATAWBA COUNTY Case# IMPV-07-2022-175363 Public Health Department Subdivision \ -3 Environmental Health Division PIN# 376220900384 j\ PO Box 389,25 Government Drive,Newton,NC 28658 LOT/4 Site Address: 3610 OLD CATAWBA RD, CLAREMONT NC 28610 Name on Permit: MICHAEL LEE WHITE Property Size: Acres 9.3 Directions: E Main St R turn onto South Depot Stover UT onto Catawba St turns into Old Catawba Rd 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 Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well 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: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: *Do not cut,drive,fill, or grade over septic or repair areas. *This is an improvement permit only and is not intended for septic installation purposes. 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 I lealth authorization or permit modification.Please notify Environmental I lealth of this change prior to system installation. 07/11/2022 Authorized State Agent Pennit Issuance Date 7/11/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. :Iq>rrmit 07/13/2022 09:10 • • IF, AC- Reek oq-2o2Z- 9040o Catawba County Environmental HealthAwrs 07. zotz- /7s367 S ❑ [ 17 • s7n • l fh,,.x Csi — •361' won Er:sM St , • 34-- +41 \ Its (487) • c- OLD CATAWBA RD • Parcel: 376220900384, 3610 OLD CATAWBA RD 1 in=60ft CLAREMONT, 28610 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 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 2021.Catawba County NC • 07/11/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_1 of L DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH 7(yy ) COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM, n (Complete all fields in full) OWNER: �`'14c-4' (--ce 4,14.1r _ APPLICATION DATE ADDRES DATE EVALUATED: i,/31zz, PR9 FACILITY: 3/tr PROPOSED DD SIGN FLOW(.1949): 36z) PROPERTY SIZE: LOCATION OF SITE: n s.idStiel t^14.4044 Al PROPERTY RECORDED: - WATER SUPPLY: .❑Private 0 Public &Veil 0 Spring 0 Other i EVALUATION MET OD: 0 Au:er Boring 8'Pit 0 Cut TYPE OF WASTEWATER: ❑Sewage 0 Industrial Process 0 Mixed .i4~ts ' jr q•• 11 • . ''mA $ , `,i'4y ` , Y xYt , ./'" •` AYL - L A �+i e d i� l 4 " F ; • # 1 + 7 . iJ ,it r _ $� ' . i + �4 r r 4 Ti s } 14"1 A ' ` ' . ?' Tr + + • I=' : _ P .•,�C j;lze,d'.i� i.. r r %•:7 *•-k4,. 4 t• r f 1: . t � & �} r . , J +yt �� i � ;t +iy ` S ri r t � -�; �+ r: i5 + �t M y + csXydrrt• i - -r j: . �i ° t �` T � )i IYy :4 ; r , i; j ,1.i„ 41vTA5 ' -.Z + V,, j 1,,i � tj 1� ic . _ faa > fi • 1—s /2-2g �6 k C /`r fr— A AAA'. S 2$—41 4sak c% !� se- ,� • 0, S 1-5 7-30 ,5alc C f. ,re—e , 0 2= 30 s"Z 43-tek C lI J SCE 1//7 0—(, E gcL , - L d 4-` t eiice f LS 6 - z ' .sue C ,5- .re fe 6, 3 3 Id ze-yr �'s,41c c fe Fr se- '1 00, • 4-61 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS evadable Space(.1945) pi- es *stem Type(s) EVALUATED BY: .c.-, , ZS•Z 41 "'-> OTHER(S)PRESENT: Site LTARc 0.3 D.3 COMMENTS: •Aj...kf tc. e+clp Lj.. f1c, .h Srtd rys •iC.a•Z.II f (./- A% ..14—) r - Updated February 2014 • Catawba County Environmental Health filV 44( '-'--- -_____ \\74.. 414\\11, \ —11?------------'v-------"'r......".V'V: ..---------'---'e-A5°...-e"e....-.-e.''''''---.---°-----------------43% 49 ld4\\\\\\ iit).\\H„.......s......._....,..„.,\ cy .3s1 12 i Ask.N.....„... i / / i / el /, /a rt I 1 titt, .,....._ ez 1 41ritt, \N:1-'%--''-:___:_tute3a------- (487) 342 ctiv,------ OLD CATAWBA RD . . --.._ Parcel: 376220900384, 3610 OLD CATAWBA RD 1 in=60ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospetial Information Services. Catawba County has made substantial efforts I 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 user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and aJ1 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 07/11/2022 L___