HomeMy WebLinkAboutIMPV-12-2022-185797.TIF Ai_, CATAWBA COUNTY Case# IMPV 12 2022 185797
i t ,y Public Health Department Subdivision WOODLAND OAKS
"1 Environmental Health Division PIN# 376004932205
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5&PT 6
Site Address: 3941 ENGLEWOOD ST, CLAREMONT NC 28610
Name on Permit: *STEVE A DELLINGER
Property Size: Acres 1.08
Directions: Hwy 16 S to Balls Creek, L on Hoke, R on Graham, L on Dover, L on Englewood
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
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: LOW PROFILE CHAMBER
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
System Classification: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator 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 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.
12/07/2022
Authorized State Agent Permit Issuance Date
12/7/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 12/16/2022 09:20
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Parcel: 376004932205, 3941 ENGLEWOOD ST 1 in=5Oft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospetlel information Services. Catawba County has made substantial&Torts
to&mein&the accuracy of location and labeling Information contained on lhhii map or data on this report Catawba County promotes and recommends
the independent verdintlm d any data contained on this map/report product by the user.The County of Catawba.Its employees,apants,and
personnel,disdain,and shell not be hold liable for any and al damages,loss or liablity,whether direct,Indirect or consequential which arises or may
arise from this mop/report product or the use thereof by any prawn or way.
Copyright 2021 Catawba County NC
12/15/2022
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of 1
DIVISION OP PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION p 9 PROPERLY ID#:
ON-SITE WATER PROTECTION BRANCHCOUNTY: Catawba
` SOIL/SITE EVALUATION (,I 2.1 7(,r
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER Gut'', -41'... _ APPLICATION DATE
ADDRESS: DATE EVALUATED: Vie-Az-
PROPOSED FACILITY: 3 de PROPOSED DESIGN FLOW(.1949): 3io PROPERTY SIZE:
LOCATION OF SITE: 3ffyi eiJ c us.d .* PROPERTY RECORDED:
WATER SUPPLY: ❑Private 0 Public IWdl ❑Spring it-Other 4.044,,,,31
EVALUATION MEINOD: ❑Auer Boring Wit 0 Cut TYPE OF WASTEWATER ❑Sewage ❑Industrial Process U Mixed
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R SOIL MORPHOLOGY OTHER
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Available Space(.1945)
�s �� ' SITE CLASSIFICATION(.1948): er
EVALUATED BY:
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Parcel: 376004932205, 3941 ENGLEWOOD ST lin=50ft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County.NC Geospatiel Information Services. Catawba County has made substantial efforts
to annure the acarracy 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 maport product by the user.The County of Catawba,its employees,agents,and
personnel.disclaim.and shall riot be held liable for any and all damages.lose 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
03/2B/2022