HomeMy WebLinkAboutIMPV-09-2022-180065.TIF , CATAWBA COON IN
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< . 1 Environmental Itcalth DivisionI'I v>r 376213138719
.o PO Box 389,25 Government Drive,Newton,NC 28b5 H Lai I u 1
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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
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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
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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
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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
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134. CATAWBA COUNTY Case it IMPV-09-2022-180065
/~ .t.a , Public Health Department Subdivision
• 'I Environmental Health Division PIN# 376213138719
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PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 1
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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
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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.
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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
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Parcel: 376213138719, 3060 OAK ST 1 in=60ft
CLAREMONT, 28610
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Copyright 2021 Catawba County NC
09/13/2022