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Home My WebLink AboutIMPV-03-2023-192249.tif .4161 • CATAWBACOUNI'Y i .7 t ,z, Public Health Department Subdivision WILDERNESS TRACE PH 5 Q ,R(.) Environmental Health Division PIN# 375504846417 PO Box 389,25 Government Drive,Newton,NC 28658 LOI'# 158 Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610 Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON) Property Size: Acres 0.46 Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left Great Divide, Right Medicina Bow Owner/Authorized Representative Acknowledgement of Permit Receipt �v 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-09-2022-42226, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) X9 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 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: 03/27/2023 Owner/Authorized Representative Signature eda / Date s`/G• 2 3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by - - (name of person sending permit) Signature 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 yo%Please ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService JLitS rl$p:111 03/27/2023 15:29 .ly�r, CATAWBA COUNTY Case# IMPV-03-2023-192249 , fi ,Z Public Health Department Subdivision WILDERNESS TRACE PH 5 d „ " Environmental Health Division PIN# 375504846417 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 158 84 w Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610 Name on Permit *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON) Property Size: Acres 0.46 Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left Great Divide, Right Medicina Bow 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: Private Well 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? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM 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 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 l8A.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. / el,t G✓411S 03/27/2023 Authorized State Agent Permit Issuance Date 3/27/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ekprrnut 03/27/2023 15:29 Catawba County Environmental Health g s io g q Zs); '401)4)6 e71S9 /in , V..°3 - aoa 49aa 43 ` h cb A U .�D337Za3 •.• 19a a So We \'- 1Oc?O JSII ' ..._ .... ._ .,,,, , s 7.,- ._ vi .,,, z- 10' cciC) ! 4---> tea.ao 0 S io •3118 a !ter iv 8 ■ � 1g X S"o' �P S kt� Dr)Ve , cLePa <0 w NEW SPIRIT 191.40 7 0 co •3080 0 0 ei 0 Parcel: 375504846417, 3118 MEDICINE BOW 1in=40ft CLAREMONT,28610 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts 10 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 thus map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable far any and all damages.loss or liability,whether direct,indirect or consequential which arises or may arise from ails map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 10/12/2022