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HomeMy WebLinkAboutIMPV-09-2022-180065.TIF , CATAWBA COON IN t.li�,. Public health Department tiutnl;+rerun < . 1 Environmental Itcalth DivisionI'I v>r 376213138719 .o PO Box 389,25 Government Drive,Newton,NC 28b5 H Lai I u 1 w Site Address: 3060 OAK ST, CLAREMONT NC 28610 Name on Permit 'ROTARY DRILL SERVICE LAND COMPANY LLC Property Size: Acres 1.244 Directions: S Depot St, L or North on S Depot St,L at top of hill,go to bottom of hill.house w/green roof on 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 l p s 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 RRPR-08-2021-38486,by the ti>llowing method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) _f Electronic Image Transmittal/E-mail (Return receipt required) b./..._ As the property owner or authorized representative I have reviewed and understand the specific conditions 14. ofthe 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 I8A.1900), and/or Well Construction Standards (I5A 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: 09/14/2022 OwneriAuth rized Representative Signature —ems 1 Z 31 T-z' Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted b (rinse of person.sending permit) Signature Date/'rime 9 ta=3")) Method: Fax I Entail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yotPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService dityne .rti, ►te/ ! J3 eg Itel i &K. le:,)e Iu.a 0.1 II 21122 i,R 134. CATAWBA COUNTY Case it IMPV-09-2022-180065 /~ .t.a , Public Health Department Subdivision • 'I Environmental Health Division PIN# 376213138719 lir�(...... PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 1 V. w Site Address: 3060 OAK ST, CLAREMONT NC 28610 Name on Permit: *ROTARY DRILL SERVICE LAND COMPANY LLC Property Size: Acres 1.244 Directions: S Depot St, L or North on S Depot St, L at top of hill,go to bottom of hill, house w/green roof on right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO I3UILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 d 9P• Type of Facility: Primary Residence Basement? Yes Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water 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 18A.1900). Neither Catawba County nor the Environmental I Iealth 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 09/14/2022 Authorized State Agent Permit Issuance Date 9/14/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated Jor system and repair without approval of the Health Department. op omit 09/14/2022 14:22 IP,AC EiVg Dv-2021— 38986 Catawba County Environmental HealthAiirt p9_ 202z- abo 66 SSZ. S • 1 v • -f' ::____.7.7 Z7 .:\ ..:1:,,,,,_,,,,,,..-'' 0 it.' , New ..,(.„,...) 01 95 215 >r �r �� a 3052 i ro a� 1 f 30 . N O> 01 140.45 140.54 Parcel: 376213138719, 3060 OAK ST 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 the 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 09/13/2022