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HomeMy WebLinkAboutIMPV-08-2022-178319.TIF ,4/_� CATAWBACOUNTY Case# IMPV-08-2022-178319 :5: .t.IL ,2 Public Health Department Subdivision .� c Environmental Health Division PIN# 376301098838 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 /g 2 5w Site Address: 5372 RIVERBEND RD, CLAREMONT NC 28610 4. Name on Permit: WALTER FULBRIGHT Property Size: Acres 2.02 Directions: NC-16, right onto River Bend Rd, property on the right Owner/Authorized Representative Acknowledgement of Permit Receipt S' 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-07-2022-41775,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) TElectronic 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: 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 (\lf Date/Time J)t/), Method: Fax V 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 yoiPlease ttake a few momentts tto complette our custtomer service survey aft http://www.su rveymon key.com/s/EHCusttomerService paut eol2f6.3- 6 Pitc'j - 6'1 I,,„.n h 08/23/2022 16:00 ip CATAWBA COUNTY Case H IMPV 08 2022 178319 Public Health Department Subdivision CEnvironmental Health Division PIN# 376301098838 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 w Site Address: 5372 RIVERBEND RD, CLAREMONT NC 28610 Name on Permit: WALTER FULBRIGHT Property Size: Acres 2.02 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 360 d 9•P• Type of Facility: Primary Residence-SFD 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: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: "DO NOT CUT OR FILL OVER SEPTIC 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 18A.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 ifi................... „ Et-4ns 08/22/2022 Authorized Stale 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. ei,,,,,mifi 08/232022 16:00 ------ Catawba County Environmental Health , HPft-o 7 . c20 17 75 ... ‘ wi; pv, 0 ff gp ... 7339 �,°�° \\ o (514) R�v � `���} sea t a5 ��0 L/? ei MO 88 91.4 0 �,X Ir'� r N. a n72 • �t 141.92 4`a o ,.... ,,,, Tz 41 Cf; Eb l r: +5146 •537d o •5368 [ I Co 105.65 4 m Y•.01 537.78 .537• o) 4 5 7 . R; gel berql A Parcel: 376301098838, CLAREMONT, 28610 1 in=10oft This snap/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial effort! to ensure the accuracy of location and labeling Information contained on thus mop or data an th a report.Catawba County promotes and recommends the fndependont vertflcallon of any data contained on this map/report product by the user.Tho Courtly of Catawba,its employees,agents,and pe nn&,l s me ndr disclaim, ici, shall not theld he usebl for any anyd Dilemma ors,l loss or liability,whether direct,Indirect or consequential which arises or may arise Copyright 2021 Catawba County NC 08/22/2022 DEPARTMENT OF FNVIAONMFNr AND NATURAL RFSOURCES _ Sheer I o, DIVISION OF E NVIRONMFM•AL HEALTH PROPERTY LD N: ,ON-SITE WASTEWATER.SECTION COUNTY: , SOIIJSIA EVALUATION (a 1A OWNER: Od ii'r �:(T{� l I�,�' wAPP ON DAR h'I TESYSTE )V T63� F�& ADDRESS: DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE _ PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 0 Well 0 Sizing 0 Other EVALUATION METHOD: 0 Auger Baaieg 0 Pit U Cut - TYPE OF WASTEWATER: 0 Sewage 0 Industrial Piet= 0 Mind • Wai.gthEi= .Ferr �PE I:i�ll:i:.iii ..: :...— t=.«.�.�.«��L.-3-i:C:T:� _^L_.f W: i!eT-F-.�-'•^--`•L!II•_'IC.7tE1.±:g.r.:.« :::�EEINE.II^Cam• _ ...-iTSIC':=�^" ii: —t€-w: 5: ..... 1 i..l.Sll'..fi:'TC:L7C........:. ..^.....� ��» -_2.�^�L-4C�:7�f3::i:'=_. -^-4 C L^_:- �'3:C m-':P ri; %=.l.T -E,a�Eyo/�•L�i1,��!cTl•''��_��y M—ac:3-4=14 .�— rta=r__r;.-s== Wiz___"-_. `:4 .7=-' iiRi:E' ter_ 1::.C. _.. -�--_-1� � L �'•.frr, Ci:k::�:.�.:Tr.l:C �Q -. ._..�=�..`�'^ ' .. _ ..�'�'.� t'...allG Al� '_-.-IIi .r....' �/++V ._.�. ... 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(-"r / 7 r,�7rl / 4 _ 0 / , y r v� o DESOtrn4N AThALSYSTF10-4tEPNR SY OTHER FACTORS(.1940: AvafableSpare(.1445) SITE CI.tiSSIFICATTON(.I946): PI.S i� {] EVALUATED BY: D, FtJ4 N-S /'i T�0 4.S `°i a) 47-rZ 2-n OMENS)PR WT: r SiteLTAB. '.3 F.& COMMENTS: SOIL/SITE EVALUATION Shea oJ� al. Sheei-Comp/ue al/field In,JJU PROPERTY ID 0: , DATE OF EVALUATION: COUNTY: P R 0 SOIL MORPHOLOGY OTHER P (.1941) PROFILE FACTORS 1 .1940 1.. LANDSCAPE .1942 t POSITION/ ON RiZ .1941 .1941 SOIL .1943 .1956 .1944 PROFILE • SLOPE SA DEPTH STRUCTURE/ CONSISTENCE) WEI?4ESSl son. SAPRO RESTR CLASS �N) TEXTURE MINERALOGY COLOR DFrm SS CLA IIORIZ .- A o0 L,shZ cL Fr- /S .1-a4 s 'k C. Fr / (PI" / ( (3t,aI(-u1 t,. rht/c (,L f rj 4 d-c? s cc- r/- f c B i-i� s6/c c Fr- � 7 SL 14 a ��l b-- r,�,sMM�. C 1- Fr / Fr- 0/ i 3 c. 3 r-a AIM S4.' P- I 32-VS A O-6 c.xf Oc. (.►- Fr PS g B-o?A( g k- c_ Fr g 7 i3 off(-U$ 1. rr4LGL Fr— ! '18 / _`7 A - - 1 A d-1 u�c i,k GL 13 14 sa Gt.- Fr— / `�g if / / (5 an- cask, cL Fr /3 A ofo Au . cL. Fi- g tE, 161-0941 S ig, C_ Fr- 1f6 a ( 1�S( V-46 CDSbk Gt- Fr- / COhUEM-5: Updated Fcbrwry 2014 Catawba County Environmental Health MS; 163. 1 _ (3 I l I PC1 ' ... ,1 .4) z L1o) 514 .../77,,,, ENO I � `� N _ t „45 I7 ...../ ti70 68 91,4 , :- ; () Z 111/ ----------(---1-7, I 141.92 kr ^ l �p + 3 L ( /7 Ill: ., / OJ 0 oco-pp, N N •„: J` 5374 � •534 j4- 0 _ li 105_65 mil ) cn I ______......,) /I/_..,......///1 /111/1/111)' pP ..07 537.78 ,.. I / ---- Jf........, f Parcel: 376301098838, CLAREMONT, 28610 1 in=100ft This map/report product was prepared from the Catawba County,NC Geospettsl Inkm+atlon Semces. Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or data on Ns report Catawba County promotes and recommends the Independent venfralion 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 ItabWty,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 0B/22/2022 Catawba County Environmental Health 1141.92 14 AW P i ' di\ 40 4F-J 40 in o N ry N in Are e 5374 co- P •5381\ 130 105.f35 01 `� • a ch .-----') all r.07 53).)8 e 5376 �• r NE e En ,ray �---../ -.01graik I NO' s° Cf 1 .8 ..—.,......\\...... // 600.80i ��_C01.36 --•"...."......-77/./ Parcel:376301098838, CLAREMONT,28610 1 in=100ft This map/report product was prepared from the Calewba CountNC aeospaUel Inlormatlon Service,. Catawba County has made substantial efforts to ensure the accuracy of location end Labeling Infonrotlon conined on this map or data on this report Catawba County promotes and recommends the independent YeriRaUon of any dais contained on this map/report product by the user.The County of Catawba,Its employees.agents,and personnel,disclaim and shall not be held labia for any and e0 damages,lase or liability,whether direct,Indirect or consequential which arises or may front Mks m arise apireport product Or the use thereof by any person or entity. Copyright 2021 Catawba Courtly NC 08/22/2022