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HomeMy WebLinkAboutIMPV-07-2022-176562.tif A* CATAWBA COUNTY .j. Public Health Department Subdivision d ...,....) Environmental Health Division PINK 375307782570 PO Box 389,25 Government Drive,Newton,NC 28658 LOTtt /8.2 vA Site Address: 2668 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: MARTIN GONZALEZ Property Size: Acres 33.73 Directions: Hwy 16 heading to taylorville turn right onto shook turn left onto community rd first land on left Owner/Authorized Representative Acknowledgement of Permit Receipt yA Lai certify 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 RBPR-10-2021-39185, by the following method(s): Received 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 (15A 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: 07/28/2022 // Owner/Authorized Representative Signature A,.,. Z.,----- 7Date 0e_6 --,) Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 yoLPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService fiP c111,inili 07/29/2022 09:14 .S4% • CATAWBA COUNTY Case# IMPV-07-2022-176562 ti AK ,Z Public Health Department Subdivision Q 'c Environmental Health Division PIN# 375307782570 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# $• w Site Address: 2668 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: MARTIN GONZALEZ Property Size: Acres 33.73 Directions: Hwy 16 heading to taylorville turn right onto shook turn left onto community rd first land on left 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: 50% REDUCTION HORIZONTAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION HORIZONTAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION 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. 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 arc 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 Rulesfor Sewaze Treatment and Disposal Systems' (15A NCAC l8A.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. i /....—.:::„...... 07/28/2022 Authorized State Agent Permit Issuance Date 7/28/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. hp;unit 07/29/2022 09:14 (P u 2BPk ID-zozl- S9rtS' Catawba County Environmental Health ,ttt - If-zo.z— IP3Ylr1 r - R"'- 07-zo22-t76S3-/ .! ! ! .40 .el r_. ! ,..44.- t...nl __ ! . I ! ! ! I "_ ..... •2680 ! ! I ! NI yo' S'M- oo"' 2y ! re a 0 — N Sr Q� Cd-lac I 2 fit. p ,O `ft, ti o ��r ° 4d, 3 . _ .. tip. -� r r u`—� . h ,,,f I- PP ' 1 \ .TO' Ng / I. s'-',\ --,.. i illowilippoimP., '. ..... Parcel: 375307782570, 2668 COMMUNITY RD . 1 in=60ft 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 mapreport 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 apses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/03/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba SOIL/SITE E UATION 3//tr for ON-SITE WAST�ATER SYSTEM / (Complete all fields in full) ,y� •OWNER: f t kr-}.'^ l zrk,z 6,Ic.,.4) _ APPLICATION DATE _ ADDRESS: DATE EVALUATED: f///4.& r/ PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): 'Po PROPERTY SIZE: LOCATION OF SITE: 2 02 4..,,.....:..17 A PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public Well ❑Spring 0 Other EVALUATION METHOD: ❑Auer Boring g Pit 0 Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process Li Mixed • • • P o SOIL MORPHOLOGY OTHER F • (.1941) PROFILE FACTORS 1 .1940 g LANDSCAPE HORIZON POSITION/ DEPTH • .1942 PROFILE # SLOPE% (IN•) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0- C. t-W(c CA__ re It/'4 t=5' s-17 _s�G c /'-r -5E Ja `�� ^f� PS ,; /7-3 ",ek 6'4', F r se- l,l .a--` O. z s� -,,,. p.c • O-� . /c aFr _1� �� . j g- fo "'4-at C �-�-c SC 'eye axi . �� ^ �� 2 s°6 y a. Zr-- n- 3 `"s _ fk 6c- lc/ se- c f� NI- r✓ CS 1�' 3._/7 -Rey c rf s- 3 0.- /735 46E C Inc% ft 1e ib,v /qr.e1s 3 -- cO '''it-dE 0 4, jr - J 4 ©- tf "S3lc cc r7 SG' �� '✓� A,� .... Y-/3 331c C 1=r 1C" Cf 0 PS 4 /3- 3s 'A%. C u fc e- 3S Li to "'V( u. `I'+z re SC . t _. Y' DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) ' SITE CLASSIFICATION(.1948): ff System Type(s) pia P ��rp•�j�a EVALUATED BY: _ .__ \ OTHERS)PRESENT: Site LTAR' .0'!B f7 IS— —Q-/ S.i COMMENTS: tfc-^l C(q _. , Updated Feb y 2014 / , r - + SOIL/SITE EVALUATION Sheet Z oZ (Continuation Sheet-Complete all field in full) 35 ` g�� DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH , DATE OF EVALUATION: ENVIRONMENTAL HEALTH SECTION COUNTY: ON-SITE WATER PROTECTION BRANCH • • • • • P • o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I. .1940 tT LANDSCAPE .1942 POSITION/ HOjw .1941 .1941 SOIL .1943 .1956 .1944 PROFILE # SLOPE% ON STRUCTURE! CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS 1 DEPTH TEXTURE . MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR (IN.) L-s (.S-Zz, Alt C_ I`T 1� ,i1fi� 1a 1.c/fi `('vj Q 271— . C 1��v ZZ--(to `"A$f( t s{ 1.'.c,Ai 1)-1( " Cep fi" QN- N✓Z /S 250 .S ti.,yo rgrU c, / I S V ae..}o • t. 0 • • • COMMENTS: Updated February 2014 ,41 Catawba County Environmental Health391$S fib' 0 ( ._,.-- / 0 . odd, ..... • • ...... ...... .........._ .-------- 6 liwiipro- 4w r, i di,.. .000 r* 00 2r' i' sol.. PS L7HrA.T s f Svc' oil 0.1... \jo 91.--, �'Ir � �. rye ' Illti/h6. rW. jimpi. l t1. oplillow..._. \ . ..f. coottov% _..... ww, , irr ...i) 1- --‹ Parcel: 375307782570, 2668 COMMUNITY RD 1in=100ft 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 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 alldamages,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 05/0712020 !Ps/4-t, wel I of 3PR to-Zozl- 3 of 8r Catawba County Environmental Health D7_?. - 176 57.3 ,'' � ` i We( o7-2oz2- 174 ssl 1 I ., r........v..............„,,--..--•-•"'" t ,; �' ,' r r' • -" max, 0. .. • - ., - ../..0- 4.f5-jg 3'2' _____----34r.:1A1 ...-"" f .. .4051. 4�—1 � . 3. i 'i 4 •2.'; t ,_ • J 2i6 ! litillik .- Gin t (155 Parcel: 375307782570, 2668 COMMUNITY RD 1 in=100ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on 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 07/28/2022 tom 3118S Catawba County Environmental Health Pita* r7b SL3 d r .fir" ill _ ,, —'_ 1 ,,,,.,,i., \\ .....N.N.,...„....N.,<N_— 73 / -N f,. c.t F / # GO1ii1A� Parcel: 375307782570, 2668 COMMUNITY RD 1 in=40ft CLAREMONT, 28610 This�ee the productcuracy prcationepared labelingfrom theme County,n tNC on t his map Information this �Services. CatawbaCCounty my has made substantial recomefforts the independent verification of any data contained on this map/report t product bey the user.The County Catawba,I m employees,agents,and personnel,disclaim,and shall be held liable for any and all damages,loss or tiabtwhether ity, direct,Indirect or consequential which arises or may arise map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 07/28/2022 it tV i,�u ?se ID-zozr- 31r7s- Catawba County Environmental Health Awl-4- it-e02z_ 1 P3Y' /Rweil 07-zou-i76Sr/ i i I �- I i I I / / I 1 \ ,..n p4,71 I I 1 M_ .I •2690 / / .I MNYo 3 a• r z.y I re ■ •,..,__ p,,,r N w , 5, Q��Cd-l' at 2 yr. r ' �j r Ll—` rri S it ---`co N IPPS Lb' \ I \ SD qc / 001161"41"RD Parcel: 375307782570, 2668 COMMUNITY RD . 1 in=60ft 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 end labeling information oontaloed on this map or data on this report Catawba County promotes and recommends the Independent verification of any data contained on this map repot 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 Iiabiity,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 11/03/2022