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HomeMy WebLinkAboutIMPV-08-2022-178325.TIF ..1.i � CATAWBA COUNTY Case# IMPV-08-2022-178325 .t.� ,y\ Public Health Department Subdivision d „ 'aC Environmental Health Division PIN# 376301098838 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 8 9, Site Address: 5374 RIVERBEND RD, CLAREMONT NC 28610 Name on Permit: KRISTA HINSON Property Size: Acres 1.9 Directions: NC-16, right onto River Bend Rd, property on the right • Owner/Authorized Representative Acknowledgement of Permit Receipt I 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 EHPR-07-2022-41776, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) V Electronic Image Transmittal/E-mail (Return receipt required) S" 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: 08/22/2022 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Off Date/Time '/2&I)) Method: Fax .J 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 yor<Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService pa U k e it'll 2 iNti c,ji ii/ C-- s ni; 08/23/2022 15:56 + CATAWBA COUNTY Case# IMPV-08-2022.178325 r' t lit Public Health Department Subdivision d vs Environmental Health Division PINK 376301098838 PO Box 389,25 Government Drive,Newton,NC 28658 LOT 2 1a Site Address: 5374 RIVERBEND RD,CLAREMONT NC 28610 Name on Permit: KRISTA HINSON Property Size: Acres 1.9 Directions: NC-16, right onto River Bend Rd,property on the 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 480 g.p.d Type of Facility: Primary Residence-SFD Basement? NO Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 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 OR FILL OVER SYSTEM AREA 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 SA.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. Dety4 roeNg 08/22/2022 Authorized State Agent Permit Issuance Date 8/22/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chocino! 08/23/2022 15:56 •" Catawba County Environmental Health EPR .. O7 ' cO R a - qi77 - -� ilPV - o8-c09. - 17 3 . c ,? �, NWry f ac7a 90 iiin a •.374 v �v •53�8' �eQ� mA 32 �� �� U)r r,.!� (o 130 105.554 4..) illf 2 ci . 7:3• o.'45 a t6,_ f v ' N0Me `� 0.01 a� # r3 3 537.78 'UCto z/ .0 /; •53 • 6,549 r7 En 3481 3479 600,80 5314 RR ,,,ici bcr.(I iZd 60,36 Parcel: 376301098838, CLAREMONT, 28610 1in=100ft Mil mop/roped product wee propared 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 Pile map or date on this report,Catawba County promotes end recommends the independent verification of any data contained on this map/roport product by the user,The County of Catawba,Its employees,agents,and personnel,disclaim,and shell not bo held fable for any and all damages,loss or liability,whether direct,Indirect Or consequential which arises or may anae from this map/report product or the use thereof by any poraon or entity. Copynght 2021 Catawba County NC 08/22/2022 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES '. Sheet I of DIVLS1ON OF ENVIR.ONMENTAL HEALTH PROPERTY ID N: .ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION 1 . ifqr ON- II-E WASTEWATER SYSTEM PZ IV-37P°9828 OWNER: te.,) (rik R.,ii ado-Inal4, APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: D Private 0 Public 0 Well 0 Spring li Othcr EVALUATION METHOD: 0 Auger Boring 0 Pit 0 Cut TYPEOF W.ASTEWATER: 0 scwage 0 Industrial Process 0 Ktx ed • , =-----: c,.-..=.=,.....,1- -••,....,.......$.........................._....................__=-_ - ................... " :::-,i; Leii..-:-..:Biiiird:......... t_..r.-=::::::::. ::...:.................-----:............-.:...--- ---"7"'...'...... 1 :4,6-'41 .5-r-:":!Il:.------ -..---.. .--- -.SOWMOMIOLOCY-;-:',.....--------......`;;;CITECER--.............Ir:. .................:::::.................- r-v HEEENNF..iii:4i:-.= Ell'..iiiiFii'iii!i - ...........- —... Ett ;.4.:t.,-±2thilik-TE :....;i4ii!.....:Eg...-1:-..;:,1 ,,......094IFF.,.=.:::::==7......-----....... rtoramm-crorts,........--------.....- - ____......_ _ .....-- il... . .. . . ...._..r.,... . .......'1941 ...............9, „,,,,,, ...... •••.......•........:::::: ....tilS•agjelt] :....:,.... ..4.11X..,...„,„;?:,:H, ai.:.:-:•:...-7.:41)41-.....---•-.: .. .SOLL:-•••-•......rh 1, .i,Y. .!:: . ra ..giottuoiii: Fistkei-ei—-nit uerviitt----::::::........2!,.'HwErrNESS/........$oxi. ff'i.:iiivago: i.ian-tt:::. -.'-',...,..-:,-:-. iI.:-:§thygictrf Eaw.177.:....miiritaMiiiiiEE f'fffYaip.q.Y.::.!: ..-co.xx5teiH HiinErnmciii::::cwc! iiiiilokaTi .,.,4',.L.A..)b.-:;;-. ......... .. _ .. A o-to 1.),s/2k. G t_. Fr _ P5 P-5 ? /0-0 LC 61c,- c,. Fr.' 1 V.c-21-kir 11Gt 4? F77 ,.. i- 0714 ,Si-- ' 3 - r-irii z al-lag A 6-s- . rtii-bk: i:1::*--- . . 13 Lrld 1 siok 6... .rzi— / tf,r" Ps 2 Dc.. t-(43- AY ' GI- rr /. - • . A 0-8 asble. CI_ 5011 13 F- (9_3 3 PL- C_ Ft- - ? - 2 PS- 3 OC' 2 -LO 0)bk C ' r r / / i Act wit) 1 A- 6.(z. ,..,04c. cit._ v.,— • e 5 X /2-qf 49J&A_ e,L-• 1:-/— / Ye' / 7 . 4 . . i q • Drsatinv"1 DsITIAL SYSTE",/it"AIR SYSIT- - OTHER FACTORS(.1946): — b......•-•-' STIE CLASSIFICATION(.1948): .0 1°.. Available Space OW) Rocs , sy.s..Trgo ,73-4. .,7s- OTHER{S)PRESENT: . rrtz LTAR c 3 E Z COMMENTS: (O11111mEmmilm. • SOIL/SITE EVALUATION Sheer c2o (Cocum.ollon Sheer-Comp/tie cUfuld in full) PROPERTY ID I<: DATE OF EVALUATION: COUNTY: i p ♦ • • 0 P n SOIL MORPHOLOGY OTHER p (.1941) PROFILE FACTORS 1 .1949 LANDSCAPE .1942 L IIOPOSITIO 1/ ON R� .1941 .1941 SOIL .1943 .1956 .1944 PROFILE i SLOPE% DEPThI STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RFSTR CLASS nN) TEXTURE MINERALOGY COLOR DEPTH CLASS 1I0Rlz &LTAR A o- 0444. cL Fr /()S ¢ afra+i sbk c. . Fr / 1/cfd 7 ( aGaV-w ,..Alt u- Fri.3 4 d-`j 4...114. c4_ Fr- f S i3 ?-f(a s W C_ Fr- 7p q SL 1 6 (..I b .- i sir, c i- Fr / Fr / 13 c., 3 r4'o ACC S4P Fr- 0-CIS ,4 .O-$ oa w u- Fr g S-ait gbk. C- Fr -gi-u8 car4L CL Pr-- / (18g / -q A0-71,514Gc 3 q-aq shk c - / �'� / 7 f-5 g 1y= r,PsbL GL Fr Ia3 A .o,o tack_ c L. i- q I L-421 s ba c_ Pr` - �f6 Q P s IS(- AI-4 cosh C.3- 1=- / 3 COMMENTS:, • Upd.ud Fcbru.ry 2014 Catawba County Environmental Health Pia ' I 09 Z. •5343 t>r (31p) 9,0 ne I514 R0 1°:L gE4O ON cv 1 \' I / „L____ >>A5 100 )41 . h) -• U rnII( 'i 7.92 1. r _ 0 4r) 05 I 11110 3 / L ( /1 al o .c/-3.*ppo CV I \ i • ,A O, 5374 0� •5368 ��"y► /J (A. 105.0,, lail ■ M / a, • r il,/ s•01 f r i 537.78 / jli"IIIIBP z� a — -------":„7/ 7 Parcel:376301098838, CLAREMONT, 28610 1 in=100ft This map/report product was prepared from the Catawba County,NC Geoapafiat In*pmyUon Seroces. 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 UAW.The County of Catawba,rts employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liaba4y,whether direct,Indirect or consequential which anses or may anse from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/22/2022 Catawba County Environmental Health 141.92 1 4 i\"!PP'. 4 f ,7/ ..„------ 4[_?°'� y/ P _tV it H 1/ in co' . c 1 rn • 6 •5374 1 e 536� ul \ 130 105,65 01 tor. • tr I /a .... .. ,..01 / 7 537.7, •537fi —_____ .cif?' "'-:„?. .,i11,..,,. 45 ..„)/ e/M vi‘ �- —_1- rJ/ g �� III r .� ilk raor s° e( i —'— 364-8 r----`-- 364 rQ J Th -\..._, / ...................„/I.............77/ ' 6017.89' J_—00 f i •36 Parcel: 376301098838, CLAREMONT, 28610 1 in=100ft n+Is map/report product wee prepared from the Catawba County,NC Geoa9atlal Information Services. Catawba County has made substantial coons to ensure the accuracy of location and labeling Information contained on this mop or data on this report Catawba County promotes and recommends the independent verification of any data contained on INS moplrepon product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,end shall not be held liable for any and all damages,loss or liability,whether diroct,Indirect or consequential which arises or may arise from this map/report product or the use thereat by any person or entity. Copyright 2021 Catawba County NC 08/22/2022