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HomeMy WebLinkAboutIMPV-11-2022-184666.tif 140iii& CATAWBA COUNTY Public Health Department Subdivision CROSSING CREEK (. Environmental Health Division PIN# 376304746891 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 w Site Address: 4240 DEAL RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (BILLING ACCT) Property Size: Acres 0.46 Directions: Take I-10E,Take Exit 135, Keep Rat the fork,take left onto Centennial Blvd, Take left onto N Lookout St, Take Left onto Deal Rd, 1.1 Mile Owner/Authorized Representative Acknowledgement of Permit Receipt ( I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of 1 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 RBPR-09-2022-42183,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) iAs 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(15A 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: 11/17/2022 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature ote 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 yotPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/ HCusttomerService ' ° I-11.44- tr . NAhialaela 'vatic Gs'( elipemiii 11/18/2022 16:37 (( S1%tea CATAWBA COUNTY Case IMPV-11-2022-184666 ti t. ,y Public Health Department Subdivision CROSSING CREEK d Noll - '4l Environmental Health Division PIN# 376304746891 PO 13ox 389,25 Government Drive,Newton,NC 28658 LOT# 6 /g. Site Address: 4240 DEAL RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (BILLING ACCT) Property Size: Acres 0.46 Directions: Take 1-10E, Take Exit 135, Keep R at the fork,take left onto Centennial Blvd, Take left onto N Lookout St, Take Left onto Deal Rd, 1.1 Mile Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Other Wastewater Flow 360 d 9•P• Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Existing Wastewater System: CONVENTIONAL System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) 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: *PERMIT TO DESIGNATE REPAIR AREA ONLY 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 Di posal Systems' (15A 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. !�n E�4Hs 11/17/2022 Authorized State Agent Permit Issuance Date 11/17/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 12/07/2022 09:48 Catawba County Environmental Health gspiz ... 09 op gog2 - Ia183 !ThPV iiao ? 184(14 \61e11 ..., it a ova - IV1CO(Q7 25.27 176.68 ` IA \O 7vJ yCO` 5' NR, ci 202 rn © - Liine / -------------- ,aS N .4240 .- :lot o' P.,..........„„\ rve 200 /s IEl .4228 o O a 0 Parcel: 376304746891, 4240 DEAL RD 1in=40ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatlal 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 ell 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 11/17/2022 -• DF1'ARl'h11?M'OF 111iA1.111 ANI)1llJMAN SIiRVICliS I�ROPER'i"Y II)0:Sheet 76� � of/ DIVISION OF PUBLIC IlEAL111,ENVIRONMIiNTAI.I II!AI:I'I I SF(fl ION COUNTY: xii ON-ST11:WATIFIt PROTIrl'ION IIRANCI I SOIIJSI'I'E EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete ell Ilcldh In fill) OWNER: C (ay',t , I/01,1,5 APPLICATION DATE / g.6 :2 ADDRESS: DATE EVALUATED: 7/ PROPOSED FACILITY: S O O �I D DESIGN FLOW(.1949): Yb� PROPERTY SIZE: pyG,4�. LOCATION OF SITE: 112.t(D � PROPERTY RECORDED: WATER SUPPLY: �r'rivnlc 0 Public c 1,WCII ❑Spring ❑Other EVALUATION AMETI10D: ❑Au cr Boring tr Pit 0 Cut TYPE OF WASTEWATER: (.0 Sewage 0 Industrial Process 0 Mixed • R SOIL MORPHOLOGY OTHER 0 r (.1941) PROFILE FACTORS 1 .1940 F LANDSCAPE HORIZON - PROFILE I'OSITIO\/ DEPTH .1942 • SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SA PRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ A o-i L. CL 3 1a.aq sa c_ fr PS C' 1 1646 a?-48 tzcbk Gc Fr 1 q, ,3 4,.� 7, ,..- 036 b4I C Fr L 36'�8 oshk G I- Fr / /I 2 `I / / , ...5 A O •ta Gc. PS Z. 3 10-3y sblc rr- / qa97 ,3 3 g 9c 3q-q8 c.)s1)c G • L DESCRIPTION INITIAL SYST .A1 Rl:l'Alli SYSTEM OTHER FACTORS(.1946): _..---- r SITE CLASSIFICATION(.1948): )1)c Available Space(.1945) f� EVALUATED BY: D_r S Systcm'fypo(s) AO on PRESENT: Site LIAR o_.3 COMMENTS: i _ Updated February 2014 Catawba County Environmental Health l25G �._ —�' 94 „A" �_ !g40� J9417 __go gag 938 ------------------ gag 6..---7 �g38 938 936 �� 9 25.27. 9�6_gg6 176,68 9.3 936 a 202 ' + /9 3a g3 06,936 r t7 _ _ / o0 i3 `i A / \ _______-------------- g30 •4240 MO rn i 3l r Zg 9'5Z� ./c 3� so / C-3 01 93l9 ty 7 r fir) fil iS/ 511 4;2 ' /S l L �ti ti 0, •42 le _ 7 k,' 1 0 rya a \ Z ,L77-.77 0 Parcel:376304746891, 4240 DEAL RD 1in=40ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatiel 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 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 11/17/2022