HomeMy WebLinkAboutIMPV-05-2023-194754.tif �r \ C1TAWBA COt:NTV Case 11 IMPV-05-2023-194754
.t. �� PuNir Health Department Subdivision
't ,�0 Environmental health Division 'INI1 460703049986
PO nos i59.25(]ovc{nment Drive.Newton,N(' 25658 LU'ftt 2
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Site Address: 3700 LANDMARK DR, SHERRILLS FORD NC 28673
Name on Permit: HELMSMAN HOMES LLC
Property Size: Acres 0.64
Directions: Hwy 150 E, left Little Mountain Rd, right Landmark Dr, property on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
{-7- 1 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 R)r service EIII'R-02-2023-433,15, by the following method(s):
Received in Person
Facsimile Transmittal (Return firm with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
' CAs 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 (ISA NCAC I8A.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of-this permit and
the construction oldie wastewater system and/or water supply well permitted.
Permit Issue Date: 05/02/2023
Owner/Authorized Representative Signature /412,
Date 6-2-23
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (munce a/person srndnr,t,'permit)
Signature L Date/Time &J)b 3
Method: Fax `r 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 yosPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService it(
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4.18!)' CATAWBACOUNTY Case# IMPV-05-2023-194754
.� ,y Public Health Department Subdivision
"galyEnvironmental Health Division PIN# 460703049986
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Site Address: 3700 LANDMARK DR, SHERRILLS FORD NC 28673
Name on Permit: HELMSMAN HOMES LLC
Property Size: Acres 0.64
Directions: Hwy 150 E, left Little Mountain Rd, right Landmark Dr, property on left
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 g.p d
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: 50% REDUCTION HORIZONTAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator Required
Permit Conditions: *Do not cut, drive, fill,or grade over septic or repair areas.
*This is an improvement permit only and is not intended for septic installation purposes.
*The repair system will require at least TS-I pretreatment.
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' (I5A NCAC I8A.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.
05/02/2023
Authorized State Agent Permit Issuance Date
5/2/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
05/I9/2023 10:03
if 0.,11 E{ip( 02- 20 2.1-433e1S
1AcPu as-2023- /V y7S9
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L1 S 52'26'27" W 26.44' rt 0986/0343
L2 N 19'07'24" W 15.29' _
L3 N 16'40'20" E 22.82' t `•aP
L4 S 05'49'20' E 15.00' '1 N.
S 05'49'20` E 24.50' /.•' 4b
L6 N 39'02'40" W 12.54' ' o k ..
LAKE NORMAN
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JAMES H. &
�, SANDRA R. ALEXANDER
N /-1 ,, 2,7z,p .. y ,„` ' �o. 0966/0570
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'!R. NOTES
/ 1) THIS PROPERTY MAY BE SUBJECT
TO ANY EASEMENTS AND/CR
/ / / RIGHTS OF WAY OF RECORD.
/ 2) ACREAGE COMPUTED BY THE
Of COORDINATE METHOD.
3 UNDERGROUND POWER
0' 25' se AP
07- / 4) NO0 G0 IDD MONUMENT FOUND WITHIN
OF / 5) SETBACKS SHOWN PER R-30 ZONIN
SCALE IN FEET /
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheri ! of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 1:
ON-SITE WATER PROTECTION BRANCH Y331 1P COUNTY:_Catawba_
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
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(Complete ell colds in full)
OWNER: #C1445 Ai^ ii,..,' _ APPLICATION DATE
ADDRESS: -s DATE EVALUATED: ,m
PROPOSED FACILITY: ZLr PROPOSED DESIGN FLOW(.1949): 2yo PROPERTY SIZE:
LOCATION OP SITE: 3700 ...4 'k PROPERTY RECORDED:
WATER SUPPLY: ❑Private 0 Public L,_"Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auker Boring [?Pit ❑Cut TYPE OF WASTEWATER ❑Sewage ❑Industrial Process ❑Mixed
r
It SOIL MORPHOLOGY
o OTHER
p (.1941) PROFILE FACTORS
I .IlN
i.s LANDSCAPE HORIZON
POSITION! DEtT H .3942 PROFILE
r SLOII.% ) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
• STRJCTIIREJ COmSffiT11NCIJJ WETY4ZSS/ SOIL BAUD RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HOMIZ
b _4 ,mow C. FI SC Ai A" 3 (J NA- a
Ls f-3s 1 cc Fie Jc
1 m.- 1 sAms sv cc., vre s'ir v.
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0 -1 4.7 Esc,. t't se- iv A- ti es IN 4- (5
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DESCR1PTI314 INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948): i/(
Available Space(.1945) ilf /if
EVALUATED BY: ti„.4. J.5.... 3.,rJ
Sysiwn Type(a) Sbz tg J OTHER(S)PRESENT:
Site LTAR D. 3 v. 3S st i,--a do I D ((V]
COMMENTS:
Updated Fel: a ry 2014
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Catawba County Environmental Health
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