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Home My WebLink AboutIMPV-04-2023-193290.tif CPubATAWBAliHealth CODUNTYrt ment Subdivision c epa 'ti , 1 pEnvironmental Health Division PIN# 375307784107 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 8 2 s. Site Address: 2710 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: DAVID&LORIE MORGAN Property Size: Acres 8.68 Directions: 40 E to 16 N, Right on Shook&Left on Community / Owner/Authorized Representative Acknowledgement of Permit Receipt "/"' I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 1, "41P As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-01-2023-43173,by the following method(s): Y _ Received in Person _ , Facsimile Transmittal (Return form with signature required) Electronic Image"Transmittal/E-mail (Return receipt required) f 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 iL 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: 04/24/2023 Owner/Authorized Representative Signature 1 Date ' 4--2'174-23 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 yoiPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService 1 q,...,,,,i 04/24/2023 13:54 .f1A. CATAWBA COUNTY Case IMPV-04-2023-193290 h .t. ,Z Public Health Department Subdivision d , Environmental Health Division PIN# 375307784107 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 8. w Site Address: 2710 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: DAVID&LORIE MORGAN Property Size: Acres 8.68 Directions: 40 E to 16 N, Right on Shook&Left on Community 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 480 d 9.p. Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 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: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: 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 arc met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions arc altered. The Improvement Permit is not affected by a change in ownership of the property. "phis permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewage Treatment and Disposal Systems' (I5A NCAC 18A.1900). Neither Catawba County nor the Environmental I Iealth 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. 41/— (11"1( 04/24/2023 Authorized State Agent Pennil Issuance Dale 4/24/2028 Pennil Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eilpenwl 04/24/2023 13:55 S Catawba County Environmental Health Roko3 '/3l73 \C1 'Airy -o it. 2 oa)- 1931 ,0 jttt- z > )03 ./gqb?3 o) -)o)3 •1$907q 1 ...I ` L OO;%• G`L .. nfr - ' Q ri r-Pee- o g O a- "oa,�.� a2� x 'shy I 6 26g.„,,,f /44e .2710 ci 41,7i;39 4 Parcel:375307' . 07, 2710 COMMUNITY RD P t in=100ft CLAREMONT, 286 s� w P/ c ly3 fy_ C. /4� v tio-- A14 02/13/2023 s' r DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet/of Z DIVISION OF PUBLIC HEALTH.ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTIQN BRANCH 7 J COUNTY: SOIIISTTE EVALUATION 7 for ON-SITE WASTEWATER SYSTEM (Complete all Belds in tltll) OWNER: 7e✓ IIKi,..•. _ APPLICATION DATE ADDRESS: DATE EVALUATED:,3 y/ ) PROPOSED FACILITY: `/d- PROPOSED DESIGN FLOW(.1949): tips PROPERTY SIZE: LOCATION OF SITE: 2?fl 4"....,,41 XI PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 6'Wel1 0 Spring 0 Other EVALUATION METHOD: 0 A :er Boring 6'Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed r . ,�:'., ;: O_ '''S[k c SUMW, ,t/w 5- _ .may ,,,,,�-• ,fir ' i�-s6k c_ ElEgISd 3 lot • Fe se- 4 _ i,ii..t.... mari LS 6 3I 15 C N'Q` S a, 0. 1 °S4C. su IQ 22_ A/11- PS.h. H- 17 -Si - G ;" .' 17-RI- � i.tt* "- ' jj (:•• LZ- 31` 6).t .. F,eft r ' • .- �� go,=•_ • z7 • itt ?.� 34. q , •DESCRIPTIONDow-CDESCRIPTIONSYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): �l fir CLASSIFICATION(.1948): A ; Available Space(.1945) EVALUATED BY: 'I41.-. Syne=Type(s) 4f 41 —mil OTHER(S)PRESENT: ' She LIAR p �` a 0. 3 .3 Ct7MMENIS: '.Upddod February 2014 ••c.`. • J SOUL/SITE EVALUATION c(13 , Sheet of-Z. (Continuation Sheei-Compkte all field In flab') DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: 47414/1-i. ENVIRONMENTAL HEALTH SECTION COUNTY: ON-SITE WATER PROTECTION BRANCH • • _ • - • • . 1/41-sie CCr Li -.z? f SC g Sj. 74-.5"z 5Sk C_ r, r2. 411 • • 4 ••• • CZ 61,\ .14 L,„ t• At• . 3 L',,4• ; ,•• •,)•••• ,; • • ..4"; '••• ' • :Arc, • -.t. • 1, COMMENTS: 4 • Updabed February 2014 k ;• - • IOCis /rlr . Catawba County Environmental Health { Uilii k . (i. ., 9 fl e a II '3 •• ' I. . . 4''''''',...:'''':...'''\•••••1-'-'1''''',...•.'''''''..-14-'.,, : • • x iiiill I 4 ' filitillilil - . ' .! 'r , / . izEE � I . t Parcel:376307784107,2710 COMMU 4 RD 11nra100eR CLAREMONT,28610 This mepfreport product+..s prepared horn the Catawba County.NC Cal made submittal albite to ensue the accuracy of beaten and l nrtl g nforan =Oiled an this a map dale en•accuracy . a recommends the Independent verlloetlon of err/dMu oontelr �,p on this mpt product by the user.The.• '• a/,• � • • es • . maids,and puuorrrl,&loam end ehd not be held bible Tor any and e1 demean,loss or labile,whetter d . . . or.• • . • which.ws or may ohs Orern wpett preduet er the wee Merest by any penmen er end. Cepy110hi 2021 CaLwEs County NC 08/2A12022