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HomeMy WebLinkAboutIMPV-11-2022-183662.TIF .e,Illri% CATAWBA COUNTY .i..ri' Public Health Department Subdivision COLD WATER CREEK PH 2 ;' Uvironmentai Health Division PIN# 375118217777 `� 40 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 tritSite Address: 2309 BURRIS RD,CONOVER NC 28613 Name on Permit: FLORIN ADAM Property Size: Acres 0.5 Directions: 2309 Bums Rd,Conover Owner/Authorized Representative Acknowledgement of Permit Receipt y74 I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ,r-A-As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR 10-2022-42593,by the following method(s): _ Received in Person Facsimile Transmittal(Return form with signature required) 17 Electronic Image Transmittal/E-mail (Return receipt required) M.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(1SA 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: 11/07J2022 G f� " - /���Fee___::._ v Owner/Authorized Representative Signature Date /(—(J-Z2 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 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 yoaFlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService avennit 11/07/2022 15:48 .tyl • CATAWBA COUNTY Case# IMPV-11-2022-183662 F�(11111 .t.a Public Health Department Subdivision COLD WATER CREEK PH 2 Q Newton,NC 28658 EnvPOBoxironment389a ,25l HealthGovernment DivisionDrive, PIN# 31751182177771 LOT# sr Site Address: 2309 BURRIS RD, CONOVER NC 28613 Name on Permit: FLORIN ADAM Property Size: Acres 0.5 Directions: 2309 Burris Rd, Conover Improvement Permit AN AUTHORI?ATION 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: 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: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: *DO NOT CUT OR FILL OVER 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 I8A.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. Ilei,,, 5,4r1S 11/07/2022 Authorized State Agent Permit Issuance Date 11/7/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 11/07/2022 15:50 Catawba County Environmental Health pg . ib-.,oaa AI s' 3 eV,-. - 0 Cs a - I g366 � .140 7/4UflH s - i s3Ao� 3 so 44.401_,_ r r J/ 165 41/0t , AINEM i C - �zu 1 ''odd I 4z,, /Nic; �, Sp•v qo Qb�� o a s)' hc�J. • 309 r. �c 106 gO r M Sj , Nader- \.„ j 4ll t Q 199.09 �1 99.36 ■ •1936 & •1918 t\.)o\-e- Via4er- L'trlC_ ocat ID n CraJ dat i atn Parcel: 375118217777, 2309 BURRIS RD 1 in=40ft CONOVER, 28613 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 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 personnel,disclaim,and shall not be held liable for any end all damages,loss or liability,whether direct,Indirect or consequential which anses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/04/2022 • 1 Shedof T^1-ENT OF ENVIRONMENTAND NATURAL RESOURCES P60PERTY ID N: J J 77 ,,ivi l0NOFENVIRONMD4TALItEA.T11 COUNTY: °N-SITE 11'ASIEWAT•FR SECT ION SOILSITE EVALUATION for ON SITE WASTEWATER SYSTEM g-a?- a a OWNER: /iiA /4Pt APPLICATION DATE DATE EVALUATED: 4-2/L� AbDF�ESS; G o PROPERTY S17E: • SA�- PROPOSED FACILITY: PROMISED DESIGN FLOW(.1949): PROPERTY RECORDED: LOC.A7ION OF SITE: A)o y o f' WATER SUPPLY; 0 Private A'Public 0 Well 0 Spring 0 Other EVALUATION ItIEITIOD: 0 Auriz Boeing Pit 0 Cut 7YPE OF WASIEWATFR Agfewage 0 Industrial boom 0 1 :d • I e-iu_7.111 _n :l",• :rrrt ii I 1 Ii}iI:�it t_iotn : :•r:�:uiig i _-Yl: n: ihi1!hilt!ifi :i 11 1 1:1 »m! 1isa ri?: i?:i&�iw-r ? = ;-.a.-._c:•:!:-i i:i:ii i eYa.5u: 4�_ if tg td0:: �i}fi hi} Ir nk ?ucir i pq_�1U i n ic:f Iiin !C i!:l :iiini:-Fiii'EH?iii i-!iri:• RC t �igo ;iii ^c :-ip I-: . __,. si4::n�lJ�.r r: S}5O �rl� r :P °� �mi. �dn c i•� :hliweao=gi}aa ? i.�i »i-:i!»= -�-3cF _cn- _-i_— }.__ r:1}..;p . n • , srsnsa:;;l::•aa�aiai �hl ^: •'" �p E2 s5L.:uss _c:.. �Gis} i.. is riJ!'rEirteIErn:.-_n: !i: 0 i iPR D . t5i .i-itii-' ri•i-.iiiii . 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LW.9 SAP 1- . i - L 11 ©-( w1a t' � trsb-30 �shtC : - / So 7 lS 3 tgc 30 s wiL C� �r 4 DESOUTTlo)1 I1.'iflAL SYSTEM t REPAD SY TEM OTHER FACTORS(.1946): ---- MaDab?e Space(.194.9 SITE CLASSIFICATION(.1948): n, s,s1=a3 T `) :5b tb o ALU) RTEDESENT: p, �i<.!1 ScteLTAR 1 •3 --? coMMEMS: Catawba County Environmental Health 11 (. \iAir "° O V �p� t �o Bpi J�� 703� 421 4 • \ (136) 'o off 'or, °I.' ti -44.40 0 0 (299) 70? \• 165k— '. i 70 .2,_ 3,-3 ,36, III \\\ / • \� ?� '0 • 30• 11..72 °\ \ \ L .„0 .., 7OjB ?„ 1 rd` 14, 7 — `-'4.4.}---.- _____\=:\\ - 09-- I / 0 —___\ _ IO T \\ \ la sii l° 70 70 i0 'O� ly !B ra Cr • 936 \ \\\ �o g' \ .19 2 aQ �` ors ter Parcel: 375118217777, 2309 BURRIS RD 1in=40ft CONOVER, 28613 This map/report product was prepared from the Catawba County,NC Goospallal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling information contained on tnia map or data cn 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 ell damages,loss or liability,whether direct,Indirect or consequential which arises or may arise from Ibis map/report product or the use thereof by any person Copyright nor entll Catawba County NC 09/22/2022