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Home My WebLink AboutIMPV-03-2023-190675.TIF .0�i�_ CATAWBA COUNTY L .t.1 Public Itealth Department. Subdivision CROSSING CREEK Environmental I ealth Diision PIN>i 376304747611 PO[3ox 389,25 Government Unve,Nc++ton,NC 28658 [,OTtr 4 Nt i W She Address: 4218 DEAL RD, CLAREMONT NC 28610 Name on Permit: CLAYTON HOMES#81 (UNLICENSED GC-BILLING ACCT) Property Size: Acres 0.46 Directions: Left off of Bunker Hill School Rd onto Deal Rd 4th lot on right after passing Crossing Creek Dr Owner/Authorized Representative Acknowledgement of Permit Receipt X _ _i certify that I am the owner or authorized agent(owner's authorization required)representing the owner of 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-01-2023-43163, by the following rnethod(s): Received in Person Facsimile'transmittal (Return form with signature required) 4 Electronic Image"transmittal/E-mail (Return receipt required) 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 S. North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(1 SA NCAC 1 SA.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:02/03/2023 Owner/Authorized Representative Signature 6,./____ . Date_ ,- / ' 3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ___ __ /Hume n/person sending permit) Signature E Date/Time 3 f�3 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 yoiPlease ttake a few momentts tto complete our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ma 11 Aga9, J (tali 6,11 113 02 07.2023 11 36 • CATAWBA COUNTY Case# IMPV-03-2023-190675 Public Health Department Subdivision CROSSING CREEK ye,n , `r Environmental Health Division PIN# 376304747611 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 /S42 w Site Address: 4218 DEAL RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (UNLICENSED GC-BILLING ACCT) Property Size: Acres 0.46 Directions: Left off of Bunker Hill School Rd onto Deal Rd.4th lot on right after passing Crossing Creek Dr. Improvement Permit THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Other Wastewater Flow 360 g.p.d 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 HORIZONTAL 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'Lairs and Rules for Sewage Tit:atnrent 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 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. D. „7 Ei 4 N 1 111 03/07/2023 Authorized State Agent Permit Issuance Date 3/7/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpenuit 03/08/2023 12:21 Catawba County Environmental Health R 8 PR • xa3 - Y3 1 6 c....--\ ,, , • . • • ,I . • 188568II - aoa3 . 1g o6 1 g jpipVb3 .4228 J S J 8 200 CA Is Orive u.3 �• o E-Ii5Iin5 / _ 0 0 �oMt'. Pre"' g 4 r J. •.'18 'C 1 . us' a�111 '9�4 P�,^ ,5 66' 200 ao'tk5.' 1 b' •4210 LID 200 iJ Parcel: 376304747611, 4218 DEAL RD 1in=40ft CLAREMONT, 28610 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 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 2023 Catawba County NC 03/07/2023 • OF HEALTH AND HUMAN SERVICES Sheet I DIVISION DEPARTMENT UBLIC HEALTH,ENV RONMENTAL ITJILTI I SECTION PROPERTY ID N r of Y_ o cir ON-SITE WATER PROTECTION BRANCI I COUNTY:� `* SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: ZGL° _ APPLICATION DATE ADDRESS: :;- ti- DATE EVALUATED: Z 1-3 PROPOSED FACILITY: .. Fign-- a_P�OPOSED DESIGN FLOW(.1949): ,rf(aA PROPERTY SIZE: LOCATION OF SITE: q a I Fe Ile ( �-U PROPERTY RECORDED: WATER SUPPLY„LOPrivate ❑Public 0 Well 0 Spring ❑Other EVALUATION METHOD: 0 AuEcr Boring,04ii-Pit 0 Cut TYPE OF WASTEWATER: ❑Sewage 0 Industrial Process ❑Mixed P R o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS L .1940 E LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE M SLOPE•/. (IN.) .1941 .1941 SOIL -1943 .1956 .1944 CLASS STRUCTURE! CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ I A 0-4 ,y r GC_ 6L G 6-2& S 6— 1 '�c.. SO --CD takt Gc r-t- 6-0 / O 3 yt. _, / (.- /3' /6 yz 0s4.1.G1- rr / z U 2 �J c t/Z-s ,ir ri .SAO L v F i / ' • l'/ • 4 DESCRIPTION 5N AL sY EM REPAIRSYS t OTHER FACTORS(.1946): �/� Available Space(.1945) ffYY// SITE CLASSIFICATION(.1948):� r 5 EVALUATED BY: D , —✓9'4 S System Type(s) r 7 L OTHER(S)PRESENT: Site LTAR a 3 t COMMENTS: Updated Februazy 2014 tawba County Environmental ealth ciiv 04---7 /2°6 • it/I Ali ...c.......\ 40...-• Cir/ / �,ti C o►ryro / •42 •, J• 7 8 Aryl 932 200 fr * co1111, /§ . 0 \ rn ti D ( \0 t" E.\ , a t- ‘V'tits bA'. bo 73 . l `'+ to•- I L1111 200 to ea crt \\NN8 \ to .azi co s 9�6 9�v l i w 200 9Jo \ Parcel: 376304747611, 4218 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 end labeling Information contained on this map or data on this report Catawba County promotes and recommends the Independent wrtficallon of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,end personnel,diadaim,and shall not be held liable for any end 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 2023 Catawba County NC 03/07/2023