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Home My WebLink AboutIMPV-03-2023-191747.TIF 44...ii\s CATAWBA COUNTY • .i.II Public Health Department Subdivision SHAMROCK PARK MAP 1 Environmental Health Division I'INU 375119623477 `�irtarvi. PO Box 389,25 Government Drive.Newton.NC 28658 I,o111 8 Site Address: 2628 TIFFANY ST,CONOVER NC 28613 Name on Permit: *LATHAM YORK Property Size: Acres 0.46 Directions: Hwy 10 E, Left on Bethany Church RD, Left on Keisler RD, Left Shamrock, Right on Tiffany last lot. Owner/Authorized Representative Acknowledgement of Permit Receipt KLi certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 4 LYAs the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-01-2023-43235,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 4/t Electronic Image'I'ransmittal/ E-mail (Return receipt required) fLYAs the property owner or authorized representative I have reviewed and understand the specific conditions ofthe 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: 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 perniii) 0 Signature Date/Time 3 "7/)3 Method: Fax .f 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 complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 'fil 4 m-yag.@ g Pia. eini I-1-1 —t.- -I,,..... 03'20:2023 12 12 .I4I • CATAWBA COUNTY Case# IMPV-03-2023-191747 it,(....i ,2 Public Health Department Subdivision SHAMROCK PARK MAP 1 d -� ,'-' Environmental Health Division PIN# 375119623477 PO Box 389,25 Government Drive,Newton,NC 2865R1LO"]'# 8 Site Address: 2628 TIFFANY ST, CONOVER NC 28613 Name on Permit: *LATHAM YORK Property Size: Acres 0.46 Directions: Hwy 10 E, Left on Bethany Church RD, Left on Keisler RD, Left Shamrock, Right on Tiffany last lot. 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 _ _ _ � ... ____ ___. ^ REPAIRSYSTEMSPECIFICATIONS _ _ _ . . � __._ Repair System Required? Not 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 Ilealth 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. efl...................-- -- ,t E-✓4rts 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. elyerniit 03/20/2023 12.14 Catawba County Environmental Health RS ' R- o ' - o � a 3- y32 35' VWQ3IP ?o?3d. l '11747 A 11 ..03 ..9093 . 74g 115.7 s-re" 118 / J L oo cis -cxctS °0y- E s > / ll l! it 4k • .zszs pOd .2634 c ,10pi G a 113.83 93 1` q 118 M 0 Io TIFFANY ST Parcel: 375119623477, 2628 TIFFANY ST 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 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 03/20/2023 DEPARTMENT OF I IEALT11 AND I IUMAN SERVICES Sheri 'of I DIVISION OF PUBLIC I IEALTI I,ENVIRONMENTAL I II3AI:I I I SECTION PROPERTY ID il: J'/f�l�J) ONSDli WATER PROTUC11ON IIRANCI I COUNTY: C/ SOIIISITE EVALUATION for ON-SITE WASTEWATER SYSTEM /�� (Complete all fields In full) OWNER: /VVl/`ll APPLICATION DATE 1 a Z ADDRESS: cr7 -cII4bc.1� 'p r -DATE EVALUATED; T.1 PROPOSED FACILITY: S F �-- PROPOSED DESIGN FLOW(.1949): S 0 PROPERTY SIZE: .y6 LOCATION OF SITE: ,9 s.—A c/- PROPERTY RECORDED: 1 PGf WATER SUPPLY: 0 Private public ❑Well ❑Spring 0 Other EVALUATION METHOD: 0 Auger Boring fi'Pit 0 Cut TYPE OF WASTEWATER: ..'Sewage 0 Industrial Process 0 Mixed ► . • • P 0 SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .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 4 o-er - sr" IL- S L fl 93) s6kc, Fr-- 1 aL 3)- Ng Wilk GL 1-r / Lie 's Gg / / , ( A "J-T r9rI- a 'Q 9-30 sbx c F - ,S 2 �jG ..Z'-NS I:•)sb,, G,'- Ft-- / r / / I J 0 -e srL 3 ‘•-21 ?-ati 64,c._ Fr-- I ekS) / / ps gq-(ig ara Ct. Ft- (3 DtSCR1PTION INITIAL SYST REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) tJ ,. / SITE CLASSIFICATION(.1948): 0-S C System Type(s) EVALUATED BY: t G .I C t'I.-f ZS�� , OTHER(S)PRESENT: Site LTAR c 3 COMMENTS: Updated February 2014 1 Catawba County Environmental Health ille 14P''.. \ \ \ .......1 J a015,7 � et to \ F- 4... O. \ 1 _ r 118 m, \I" \ .e. t I \ N 1' J et \\\ t....4 \I. s7 �J '‘...\ P. 0\ \ ta Cria �J tr N iii �. �� ~ N. \.262 tt, \‘,.2634 1 e• 7\1 \\NI\e, O \ • • r. i :3 \a. ' .: ''g: N Iro a; 0 11: M I oa ex m N o �FFaNY sr \ V" N .0 d 1\ \ \ st o \ \ Parcel: 375119624495, 2634 TIFFANY ST 1 in=40ft CONOVER, 28613 This map/report product was prepared from the Catawba County,NC Geospallal 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 ti personnel,disclaim,and shall not be held Ilable 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 03/1712023 •itr .11 1'I 11\--` y.�.�l-JrPf vli .. n ZAyc A "0 1 8 O Z 1 e > g. 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