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Home My WebLink AboutIMPV-10-2022-182539.TIF a� . CATA1�BA COUNTl' i9 .'. .�j Public Health Department Subdivtx;ott .�� Environmental Health I)ivuwn PINd 269803220926 PO Box 389,25 Government Urwc,NeN1un,NC _'865& LO'rn :� W Site Address: 3035 A&W DR.VALE NC 28168 Name on Permit: DAN GRIFFITH Property Size: Acres 7.43 Directions 3035 A&W Dr,Vale T Owner/Authorized Representative Acknowledgement of Permit Receipt ►1 �I`rrtil} that I am the owner or authorized agent(owner's authnriiati:,n required)representing the owner ofX the property described aho e. s the property owner or authorised representative. I have received the above referenced c. per as requested in the application for service RBPR-08-2022-41871,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal F.-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the sped tic conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the i( North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC I8A.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: 10/18/2022 Owner/Authorized !Representative Signature__ Date i 0`'-4' / Z-62, Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ____ .,..% (name ofpersntt setrrh-rrg/ DD permitl i Signature L E Dater I'ime__/U f✓u I/ Method: Fax -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 yoi.Please ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService Ck5 9 f 1 -. d h 3YC'�'' t. tr,1n i..'I Ill,',21'22 i x 17 fAy_ ,, CATAWBA COUNTY Case IMPV-10-2022-I82539 h4" .• Public Health Department Subdivision '3 Environmental Health Division Pink! 269803220926 _�4 PO Box 389,25 Government Drive,Newton,NC 28658 LOTH Site Address: 3035 A&W DR,VALE NC 28168 Name on Permit: DAN GRIFFITH Property Size: Acres 7.43 Directions: Hwy 10 W,turn left onto Heavner Rd.Go to bottom of hill and go left onto A&W Dr. Property at the end. 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 240 g.p.d Type of Facility: Accessory Dwelling- Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 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: 50%REDUCTION HORIZONTAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: *See AC 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()bother 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 I 8A.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. 374Vt 11)17IN 10/18/2022 Authorized State Agent Permit Issuance Date 10/18/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elver/in 10/21/2022 10:47 Catawba County Environmental Health k6R-og-1°72-Lirsg1 1 ,, 10_7,41-W53i Au4,-to ` 412 17-5`1 1 (761) 0 0 0 r. t ., (X\i'7 C NO Jb P'^ -, \ . I CD ‘Mt\ l'sZ r` o 0�� a 00r :� •3 35 rill.' vg- NS ®\\\\-.....----------------\ Lc) co co uj t` \\ , , . ' )' 1 • 1 401.35 (120) o R Parcel: 269803220926, 3035 A & W DR VALE, 1 in=80ft 28168 This maplreport product was prepared from the Catawba County NC Oeos atlal 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 mop/roporl product by tho 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 poreon or entity. Copyright 2021 Catawba County NC 10/18/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet±of_± DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: 71.9$1)?711414 ON-SITE WATER PROTECTION BRANCH COUNTY: Ca1•4kfbc'l SOIL/SITE EVALUATION , for ON-SITE WASTEWATER SYSTEM (Complete all fields in hill) _ APPLICATION DATE g/s171 OWNER: pAir �jYr }�ADDRESS: Sq fi[ PROPOSED FACILITY:x DATE EVALUATED: xi- bytilltn PROPOSED DESIGN FLOW(.1949): 2 6P D PROPERTY SIZE: 7". 1{3 Acres _ LOCATION OF SITE: 3035 A W Vr 1f Zfr1(4 PROPERTY RECORDED: WATER SUPPLY: i rivate 0 Public "Well 0 Spring 0 Other EVALUATION METHOD: ❑Au'er Boring ErPit ❑Cut TYPE OF WASTEWATER: M Sewage ❑Industrial Process O Mixed • • • R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1L .1940 E LANDSCAPE HORIZON PROFILE POSITION/ DEPTH .1942 CLASS N SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L.5 ' 0-17 SC G 6,ss sr, scxe I s /7-i l C 36k .fr,s,lso,sfx El(Prr 1 ill'y4 CL 13C 56K 1r,SS,f f�fu l7°1. 0. 3 LS 0-17 Sc 6 -r 55, , six ?S 1 -z 7- C 55/( F,s,s , s. 2 2 -y7- CC IC 5 k fjr, 5s�S ,.cP al-C s . 0-7 S( G , F sits f,ftx s - z s S P 3 C ,sS qg 3 3 - id CL6csgic_ ss3s IZ1a 0. 3 4 I DESCRIPTION INrrIAI,SYSTEM ItrhAllt SYSTEM M OTI IER FACTORS(.1946): L a[ SITE CLASSIFICATION(.1948): QS Available Space(,1945) r 15/aj f 1 0' EVALUATED [3Y: 1�1C�11(�APCFj \ ( &(& Q{(KIRK • ° System Type(s) (�� o rQa 5b • l�'� OTHER(S)PRESENT: J Site LTAR 0. O. COMMENTS: • . I Iodated February 2014 Catawba County Environmental Health . T0,P✓-to-7.72-tiL`34 (761) Q 0 O• ell , t,s s to r 4 ``� 20 a ti} 4d o •Si •3035 v V.. N in to m in N. i AO %/1P • 'it�`� I { 401.35 (120) g Parcel: 269803220926, 3035 A &W DR VALE, tin=80ft 28168 This map/report product was prepared from the Catawba County,NC Geospa!la1 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 venricalion of any data contained on thle moplroport product by tho user.The County of Catawba.its employees,agonts,and personnel.disdalm,and shall not be held liable for any and all damages,lose or liability,whether direct,indirect or consequential which arises or may arise from this maplrepon product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 10/18/2022