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Home My WebLink AboutIMPV-04-2023-194162.TIF e, CxrA%'BA ccn N rV .t.11 Public I lealth Department Subdivision Environmental I lealth Division PINK 361601482661 PO Box 389,25 Government Drive,Newton,N(' 28h58 LUl K A Site Address: 5840 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092 Name on Permit: TERRY REINHARDT Property Size: Acres 2.08 Directions: End of Blackburn Bridge, Left on Hky-Lincolnton, Property on left tree farm Owner/Authorized Representative Acknowledgement of Permit Receipt X /1I ccrttf'that I am the owner or authorized agent(owner's authorization required)representing the owner of theltiv escrihed above. / . 1 As -property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBI'14-03-2023-43786, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) i yit II As e property owner or authorized representative I have reviewed and understand the specific conditions ohthe 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 perintted. Permit Issue Date: 04/21/2023 / I Owner/Authorized Representative Signature _ • _ / ! Date J S ;/Q I ).5 ._. Documentation of permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature_ 1-1 cox" Date/Time Method: FaxEmail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoi.Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ENCusttomerService ' Ac - 'Gt w r (7 value �[rv1 51 .1 t S ZC Y� 1-t 5t, CCATAWBA COUNTY Case# IMPV-04-2023-194162 .i. Public Health Department Subdivision (a Environmental Health Division P]N# 361601482661 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# A sr Site Address: 5840 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092 Name on Permit: TERRY REINHARDT Property Size: Acres 2.08 Directions: End of Blackburn Bridge, Left on Hky-Lincolnton, Property on left tree farm 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 240 d 9.P• Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 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: *See AC 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 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 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 I Iealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 37ItY " 111744 04/21/2023 Authorized State Agent Permit Issuance Date 4/21/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. cl print it 04/24/2023 14:56 Catawba County Environmental Health RBPR- o3 -7-1Z3 -1137 1, � rr,pv-DhI- 197T-- 1IYl4 / 4,AU, -oy- 7,73- WPlI -otl -j73- IrjKlo3 6 J 0 U z } cc 0 (405) •5840Not �� + 19 ror 10 15 rntn Z8g vt` �1 Q es`D r; ;1' f�kg 50 Q � p� 3or ti" ry, �oe, Parcel: 361601482661, 5840 HICKORY 1in=40ft LINCOLNTON HWY LINCOLNTON, 28092 This map/report product was prepared from the Catawba County,NC Geospatlol Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or dale on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by tho user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,toes 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 04/21/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of I DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: / ON-SITE WATER PROTECTION BRANCH COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: —TQV{t., V.(In Vy(A _ APPLICATION DATE Z Z3 ADDRESS: Iaog 7L4„�Snn b- 1 litorAIt N( ik011 DATE EVALUATED: ! Z3 PROPOSED FACILITY: ~N!u �,jf J PROPOSED DESIGN FLOW(.1949): Zyo (.$1) PROPERTY SIZE: 7.or C.Lte S LOCATION OF SITE: S$r(Q HILIG+ort UAL4irlA Hldkt �11IAIn NC. mot PROPERTY RECORDED: U WATER SUPPLY: 6/Private Public Well C pring 0 Other / EVALUATION METHOD: 0 AuFier Boring P Pit CI Cut TYPE OF WASTEWATER: 19 Sewage 0 Industrial Process U Mixed • • 4. P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON POSITION/ DEPTH PROFILE .1942 a SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS! SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L 0-18 ScL 58k Fr,SS,RISOf IF- 117- C SISK ,r,,sf 5 SEy K 1 4- Qock (-17 7°4 o. Z?c L 5 �I5--1530 sC lit L r �1SS1 SQt �� f S,$P, Sfxf 7n 2 Jo-� - C wok. lri si si) 5E - / 4 �Uc,x O. Z15 S 0-13 scL 58t r4 SS,S9/SAP L 13 -3Z C Sak P.{ 5 l k 3 3z-7% 'I?- c w5A 4- s* 4P S L-14 Rock; f r O. z�s L O-Is Sc� sBK ,Syj Sbze 15 3z C SBK1 f S P1 SExe Ps 4 3z- L / C !Aga E,5,SP, sty , 7 °6 . 4- Uf , O. zq5 DESCRIPTION INITIAI.SYSTEM REPAIR SYSTEM liM OTHER FACTORS(,I946): P S r PS SITE CLASSIFICATION(.1948): Available Sparc(.1945) r/ - System Type(s) �5°1 o red zS�f 0 I�Cd EVALUATED BY: C tl�1An OTI IER(S)PRESENT: Site LTAR 0- 175 175 COMMENTS: �[ Updaoed February 2014 Catawba County Environmental Health (4e( -03 -12?3 - ? s( I'v -Z0Z3- I4u f'ol 0 J I /O I ro !'7..t 11llJJ tat 740 (4o5) �o 4; .ssao SI 'Is VI- (13 \.o4 Parcel: 361601482661, 5840 HICKORY 1in=40ft LINCOLNTON HWY LINCOLNTON, 28092 This map/report product was prepared from the Catawba County,NC Geospabal 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,drsdaun,and shall not be held liable for any and ail 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 04/21/2023