HomeMy WebLinkAboutIMPV-10-2022-181949.tif 02/25/2015 14:08 FAX Ij005/007
0fir, CATAWBA COUNTY
!t PubJic Health DepartmentSubdivision
vs ."R . �i*ate Envirrwnentat Hetlth Division P1NN 375012859099
�,/# roRox 30,15 Goseinmem Drive,Newton,NC 25b5it WTI
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StttAddrrss: 1273 MCDOWELL CIR, CONOVER NC 28613
Msms on PrrrmIL JEREMY EADES
Property Sin: Acre&12.68
Wiedons: Left off of E NC 10 Hwy onto McDowell Cir. Use 3rd lot on right as entrance to large lot.
r Owner/Authorized Representative Acknowledgement of Permit Receipt
S1J Et certify that I ant the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
1,1k-As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-09-2022-42307,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
-3E 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 Ruks for Sewage Treatment and Disposal Systems(ISA NCAC ISA.1900),
and/or Well Construction Standards(ISA 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: to/10/2022
Owner/Authorized Representative Signature G . __. ._ ._ _
4 .7 Date JO/ / 7 _...
Documentation of Pertnit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person.sending permit)
Signature, qte Date/'rime la Its 1ri-
Method: Fax i 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 complete our custtomer service survey att
http://www.survernonkey.coen/s/EtICusttomerServIce
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IOItO/2022 IS t 1
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$45�� CATAWBA COUNTY Case# IMPV-10-2022-181949
1-II ,Z Public Health Department Subdivision
Q "4 Environmental Health Division PIN# 375012859099
7PO Box 389,25 Government Drive,Newton,NC 28658 LOP/
Site Address: 1273 MCDOWELL CIR, CONOVER NC 28613
Name on Permit: JEREMY EADES
Property Size: Acres 12.68
Directions: Left off of E NC 10 Hwy onto McDowell Cir. Use 3rd lot on right as entrance to large lot.
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-SFD
Basement? NO 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
Pump *May Be* Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL OVER SEPTIC SYSTEM AREA
*SLAB FOUNDATION, PUMP MAY BE REQUIRED DEPENDING ON FINAL PLUMBING
ELEVATION
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' (I5A 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 ot'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.
II „t E04,11
10/10/2022
Authorized State Agent Permit Issuance Date
10/10/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
rhprrmit 10/10/2022 16:53
Catawba County Environmeni030
al Health
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Parcel:375012957796, 1273 MCDOWELL CIR 1 in=100ft
CONOVER,28613
The maprrepori product was prepared from the Catawba County,NC Geoapatial Information Services. Catawba County has made substantial efforts
to ensure the accsacy of location and labeling information contained on this map or date on this report.Catawba County promotes and recommends
the Independent venation 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 told cable for any and all damages,lots of 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
10/10/2022
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DEPAUMENT OF ENVIRONMENT AND NATURAL RESOURCES .
DIVISION OE EtIVIRONAENTIAl.HEALTH PROPERTY 1DA"IN:rLif17.7
ON-STIE WASTEWATER SECTION COUNTY:
SOEUSITE EVALUATION
OwNER: tv4zwt v_v or ON-SITE WASTEWATER SYSTEM
PLICA.TION DATE ?"-p70-.97
Al)DRESS: R- . DATE EVALUAJ /al-4(.14,
PROPOSED FACILITY: P11.01)DSED DESIGN FLOW(.1949): Ya 0 • PROPERTY SIZE: il,&
LOCATION OP OF STTE: /2 7_? t3alt,L11 Ur PROPERTY RECORDED:
WATER SUPPLY: 0 Private reel ublie 0 Weil 0 Spring 0 Other
EVALUATION METEIOD: 0 Auger Boring .. Pit
TYPE OF WASTElyATER:...iii•tewage 0 Indust Process 0 Mixed
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SITE CLASSIFICATION(.1948): P.S
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COMMENTS:
SOIIJSII'E EVALUATION ssr.r�ol
('onunwulonShret•Conplur oil field Injull) PROPERTY(D b:
DATE:01'EVALUATION: C
COUNTY: A
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n SOIL MORPHOLOGY OTHER
✓ (.1941) PROFILE FACTORS
I .1940
L .1942
LANDSCAPE 11ORI1. .1941 .1941 SOIL .1943 1956 .1944 PROFILE
POST[lON! ON
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TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ
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COMMENTS:
UPbtrA fctruiuy 2014
Catawba County Environmental Health
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Parcel:375012957796, 1273 MCDOWELL CIR 1 in=100ft
CONOVER,28613
This map/report product wee prepared horn the Catawba County,NC Geoepetlal 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
perfonnet,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 at entity.
Copyright 2921 Catawba County NC
10/10/2022