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Home My WebLink AboutIMPV-07-2022-176105.TIF � % CAT,W4 A,3 CO( 11 if , Public Health Iktvrtmcnl Ni hl, . . ' lot deEn.nonmtnral Ilralth t)(+ru°" 1'Iti. 462705089018 * PO Boy 114.25 Go+ernment Dn+t.Nt+.lon,NC tar t t r t r 5rto Addruis: 3505 FAMILY CIR, TERRELL NC 28682 Name on Pormlt: 'RAYMOND OTTESEN Property Sim Acres 0 44 Directions: no directions written Owner/Authorized Representative Acknowledgement of Permit Receipt I ccrtifs that I am the unner or authorize)agent((wner's authorization required,representing the owner of thF propert) descrihcd aboveXr . `- As the property owner or authorized representative. I have received the above referenced permit(s)as requested in the application fur service RNI'It-12-2021-393R2, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 7 Electronic image Transmittal' F-mail (Return receipt required) As the property owner or authorized represcntati%c 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(I SA NCAC IRA.1900), and/or Well Construction Standards (15A NCAC 2C .0100), shall apply to the issuance alibis permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 0712012022 Owner/Authorized Representative Signature �l c- ,,„..Q ,,i,, . , .....N2u Date 7-2 - Documentation of Pcrmit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted h, (rrrmle of person.+,wrlirrg permit) Signature g Date/'time 7hlfij) Method: Fax 1 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&Please ttake a few momentts tto complette our custtomer service survey aft http://wwww.surveyrnonkey.com/s/EHCusttomerServlce i nand 737et/4.Aov. env) fl !7 .rpo;,.o 071)0'2022 16 cro CATAWBA COUNTY Case# IMPV 07 2022 176105 .t, Public Health Department Subdivision Environmental Health Division PIN# 462705089018 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 3505 FAMILY CIR,TERRELL NC 28682 Name on Permit: *RAYMOND OTTESEN Property Size: Acres 0.44 Directions: no directions written Improvement Permit THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Other 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 Existing Wastewater System: CONVENTIONAL System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required,has space Proposed Wastewater System: DRIP IRRIGATION System Classification: VA-SAND FILTER PRETREATMENT Pump Required ***** Operator 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. *This IP is to designate repair area for future use. There will only be enough area for a partial repair and not enough room for a full repair. 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 l 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. itz::5 ----- �` 07/20/2022 Authorized State Agent Permit Issuance Date 7/20/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. clq,rimii 07/20/2022 16:02 1 writ t,i�tt alrr,.dw, t I,2 /2,-nazi- �.i.Tr is Z. Catawba County Environmental Health '"tv 07"z" — 74 °'-- welt pi-2.0xZ- 174.to1Q • 15 o w q$.50 Za 2L- IX !o l 444.2 e?- u- 174107 etS/i • 8 3Is 50 t r r u i; O°• / •3477 pqe) 10 Ni- 164.3, \ .(3. ati WS 36( t e•-...p\''il44$,,,),•••riV • 1 1-0 be / -' Way 13 1. r 7 r `\a/ CP ��` ,�31 1. k1 r �S �1 Parcel: 462705089018, 3505 FAMILY CIR 1 in=40ft TERRELL, 28682 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 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 07/18/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH 31 ts'Z COUNTY:_Catawba_ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all 5dde in full) OWNER: Ctr-I' C. _ APPLICATION DATE ADDRESS: DATE EVALUATED: 7.7/Lt PROPOSED FACILITY: Sew— PROPOSED DESIGN FLOW(.1949): .3I.4. PROPERTY SIZE: LOCATION OF SITE: }s',S' f C.ae PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public [ Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring [ Pit ❑Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process ❑Mixed SOIL MORPHOLOGY OTHER (.1941) PROFILE FACTORS .1940 LANDSCAPE HORIZON POSITION! DEPTH .1942 PROFILE N. SLOPE% ON-) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTI R TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ el 7 44- tt5 /3_l yak c ( s� 2 1 �s� z�. t 7 i c r, �� ic/, 74 °-� �lchva o— g 6,. S L JAL Se-d /S .�n- Ps 2 LS ° 8-2-7M c- f t sa iZ 27-so "Alt cC41 FA se ell -3 rti 6 SO-SS' Spar L I4- - o, l Div • • 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948):48 E PS Available Space(.1945) (L-L EVALUATED �s.�? T � ,� " ^ m pe(s) P..� OTHER(S) OTT 1 SE HER(S)PRESENT: Site LTAR 0. I COMMENTS: _ Updated February 2014 Catawba County Environmental Health Sl" . . \oo t �� a 1 5.ir L.V 1,14Niv Ao il- -;/y�� J 6.84 IP , + • .� $ ----.---"'Petti—..... ...---114 \ ,414.11'\‘//f* ilk g'\ CP • \ .„.7. k‘15) *,,,, ) \\\ :::""e /----------------- Parcel:462705089018, 3505 FAMILY CIR 1 in=40ft TERRELL, 28682 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 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 07/18/2022 l