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Home My WebLink AboutIMPV-03-2023-191744.TIF AIM'e CATAWBA COUNTY ev(. Public Health Department Subdivision SHAMROCK PARK MAP 1 ft Environmental Health Division PINE! 375119624495 �(iv� PO Box 389,25 Government Drive,Newton,NC 28658 tint 9 Site Address: 2634 TIFFANY ST, CONOVER NC 28613 Name on Permit *LATHAM YORK Property Size: Acres 0.47 Directions: Hwy 10 E, Left on Bethany Church RD, Left on Keisler RD, Left Shamrock, Right on Tiffany 2nd to the last. Owner/Authorized Representative Acknowledgement of Permit Receipt L 7 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of r` the property described above. yLYAs the property owner or authorized representative, I have received the above referenced 1` permit(s)as requested in the application for service RBPR-01-2023-43234,by the following mcthod(s): Received in Person Facsimile Transmittal (Return form with signature required) ./ Electronic Image"Transmittal/E-mail (Return receipt required) LYAs 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 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: 03/20/2023 Owner/Authorized Representative Signature Latham York Date 3/27/2023 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ (name of person sending permit) qite:Signature Date/Time *7/)3 Method: Fax v 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 yo*Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService lafk ra• g le a , �, ��, ? 'L3 (Z1 03l20R023 12:00 .4yg� e CATAWBA COUNTY Case# IMPV-03-2023-191744 h .�.ill ,z Public Health Department Subdivision SHAMROCK PARK MAP 1 d '� Environmental Health Division PIN# 375119624495 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 9 Ig . Site Address: 2634 TIFFANY ST, CONOVER NC 28613 Name on Permit: *LATHAM YORK Property Size: Acres 0.47 Directions: Hwy 10 E, Left on Bethany Church RD, Left on Keisler RD, Left Shamrock, Right on Tiffany 2nd to the last. 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-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? Not Required,has space 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 SEPTIC SYSTEM AREA *DESIGNED FOR CRAWL SPACE 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' (I 5A 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. / Deg,' Ev4eis 03/20/2023 Authorized State Agent Permit Issuance Date 3/20/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ilpa,nit 03/20/2023 12:01 Catawba County Environmental Health Ra?R . 01 -20a3 - y3a � IPVo3oQ3 - ig17 c� AorI " o3 - o?3 ' 1917 s • 1f8 118 Repo;.- _ �_ d f� .2628 proposed fjome .2634 Udt 6, •2650 113.83 M 118 L. 118 TIFFANY sr 117.20 Parcel: 375119624495, 2634 TIFFANY ST 1in=40ft CONOVER, 28613 This map/repos product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the aceuraty 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 shag 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 Copyright 2023ntity.Catawba County NC 03/20/2023 1)1 P.1RINII Ni 01 III Al.!HAND I II IMAN NI RVICI\ Sheet ' of I 1)111SIt1NDl rum iriirm.111.1•NVIRUNMINI'At,III'AI.IIINlit'1k)N PROPER!Y II)1 ON1,"T11i 11'A11 R PRO11'CIION IIRANCII cot itriY . SOIIJSI'1'I:EVALUATION for ON-SITE Wns'rEwATEit SYSTEM (Complete ill ReIdN In MI) OWNER; Ali% 465(4" 1 24/Z3 _ APPLICATION EVAION DATE ADDRESS: 1;jf—R• ed DATE EVALUA 5 PROPOSED FACILITY: S F PROPOSED DESIGN FLOW(.1949):�b 0 PROPERTY SIZE: s Y/ C LOCATION OF SITE: a'C r .,f Si- PROPERTY RECORDED: — WATER SUPPLY: ❑Private (Mi uhlic ❑Well 1J Spring U Other EVALUATION MLT110D: 0 Auegr Boring RPit 0 Cut TYPE OF WASTEWATER: P.'Sewage 0 Industrial Process 0 Mixed r • R o SOIL MORPHOLOGY OTHER (.1941) PROFILE FACTORS L .1940 e IANDSC%PE HORIZON POSITION/ DEPTH 19,Z PROFILE a SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTIIRFJ CONSISTENCE/ WETNESS/ SOIL SAI'RO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ I- - 9 ` r 5 q 3a sbk c. FI- 1 64?- 4 w.sbk u- re- / q / ,3 A 0 -(i jrGJ S u R-3 - Jac, Fr- 1-2-,,, &. �� 7f 3 3 4 DFSC1uPTION im ALsrsrF REPAIR SY : OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948);__p... Amiable Space(.1945) EVALUATED BY: t EllG.V System Type(s) 2(�� l OT11ER(S)PRESENT: Site LTAR ..3 i,3 COMMENTS: 1pdaux1 February 2011 Catawba County Environmental Health aa\ 1 1 a ;p o di. yo o 0k- t.o m a• to t,..„.„....._.„\s,c.r.._.... 1 0 01 Jr.7 `� I, t d• 1 118 N \ \ 118 \ 'IP\ \ 1\ v co a tO o cP : , . \ \\‘9.0.. IP \ r \N\ N. .- `�'° �e 2634 Y\ )B 9i \ . : IIII \ 9) s '113.83 aPa' \ \ 9 ..1 NNNN ---'.."'"- 0 17: sr9' \ 118 di \ .9...,13 en4S, \ \ din `°ems nFFarvYsr 117.2 ° 974 Parcel:375119624495, 2634 TIFFANY ST 1 in=40ft CONOVER, 28613 This map/report product was prepared from the Catawba County,NC Geoe tial 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 verification of any data contained on this ma report product by the user.The County of Catawba,its employees,agents,and personnel,disdain and shall not be held liable for any end all damages,toss 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 03/20/2023 • ` •- I 4: WA! 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