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Home My WebLink AboutIMPV-05-2023-195168.tif .. - .4.1g. . CATAWBA COUNTY ti 1 t. a , Public Health Department Subdivision BLACKBURN RIDGE Q 0 '3 Environmental Health Division PIN# 361702561242 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8 /8. sm Site Address: 3685 WOODGREEN DR, LINCOLNTON NC 28092 Name on Permit: DWAYNE MILLER Property Size: Acres 0.45 Directions: Startown Rd to Blackburn Bridge Rd Owner/Authorized Representative Acknowledgement of Permit Receipt 2,1(j certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. /4..`�I,v\As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-02-2023-43421,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) IElectronic Image Transmittal/E-mail (Return receipt required) fAs 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: 05/08/2023 Owner/Authorized Representative Signature s 7W lue_ '7n ( ,,La Date .S-- ZS-a 0,2--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 ya.Please hake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService J 6 _s-f (ii ii,,,rou, 05/08/2023 13:30 13%`I CATAWBA COUNTY Case# IMPV-05-2023-195168 111 Public Health Department Subdivision BLACKBURN RIDGE d y Environmental Health Division PIN# 361702561242 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8 8• w Site Address: 3685 WOODGREEN DR, LINCOLNTON NC 28092 Name on Permit: DWAYNE MILLER Property Size: Acres 0.45 Directions: Startown Rd to Blackburn Bridge Rd 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 Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required 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 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 18A.1900). Neither Catawba County nor the Environmental i lealth 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. 37/"Nt 111' 05/08/2023 Authorized State Agent Permit Issuance Date 5/8/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chperniit 05/08/2023 13:30 • Catawba County Environmental Health 95.98 •3677 38.44 76635 , 0 Iq644 5, �o 4.7` , s a a a A(tD. _oZ-ti,i3-L13Nz1 �tQG•'I, rid , r �, �c �� 4PR 1�51b8 0 50 �' W �i 7,02�•! •3685 ;, r,�� •3472 �ta� (, IV h '� 1 • � S� char / v 1 I Q\ Qum op00 e��OG�ao *0° OG 0 Parcel: 361702561242, 3685 WOODGREEN DR 1 in=40ft LINCOLNTON, 28092 This map/report product was prepared from the Catawba County,NC GeospaUel Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling Information contained on this map or data on this report.Catawba County promotes and recommends the independent verflcauon 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 ell damages,loss or liability,whether direct.Indirect or consequential which anses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 05/08/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I _of_j_ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: I Z5(sl1Yt ON-SITE WATER PROTECTION BRANCH COUNTY: atm/ A SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: b WA Lot Al tiler APPLICATION DATE Z 5 Z3 ADDRESS: 1413 Latrhi 14,60( Nrwland 4/( 41d,5 L DATE EVALUATED: jFj 23 PROPOSED FACILITY: •, . PROPOSED DESIGN FLOW(.1949): 3 PROPERTY SIZE: o.ii5 orreS LOCATION OF SITE: IUgs- LAJQ, q(L4 1 r t [_In(Aln4vn AJ? 24rol PROPERTY RECORDED: WATER SUPPLY: 0 Private gPubliic DLeII 0 Spring 0 Other R EVALUATION METHOD: 0 Auer Boring Pit ❑Cut TYPE OF WASTEWATER: R Sewage 0 Industrial Process 0 Mixed • • a s P o SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS I I .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH .1942 PROFILE a SLOPE% (rn) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ J 5 0-10 56 /48K rr} s/ Sp,$ xf PS C, lo- 3Z C .56K Fr; Sl sp,Ay it 1 3z- 5o CL aC WNK Fri 35I spl Sty 5° 3°/0 0. 3 LS o_q sc yak T&fr57' q- 3S C_ saK l Si se 5eXr 0 P_c 2 ,_3£("1/q a RC WSB!!. Fri Sst si,f o 3ci• 0, 3 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTIIM OTHER FACTORS(.1946): PS AvailablcSpacc(.I945) 0 ps SITEECLASSIFICATION(.)948): Ps System Type(s) 50 o/o red v p u 1 ' EVALUATED BY: C Q 1/�(t[lt �4t(�M 5 / re OTI IER(S)PRESENT: / J Site LTAR 0. 3 0.3 COMMENTS: Updated February 2014 Catawba County Environmental Health \ 95.98 .3677 38.44 76Q 3s 146 a 4 �` 4 '12o 211. '4 l $ aq 23 -y34Z� titi �-'m UN_ ��-� �5 Q r� 21- 155�10� cl�QV•05'7i° \'')(' .3685 a fi I S. QOR vv 60 1 '4+'_, .3472 s. 1Cj \au5t' t 161/ 37 ,2 t 9 coo 99.19 00 �N'al*V14. tO 10°' 01. Parcel: 361702561242, 3685 WOODGREEN DR 1 in=40ft LINCOLNTON, 28092 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 end labeling Information contained on this map or data on this report.Catawba County promotes and recommends the Independent verification of any date 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 nor entity.Copyright Catawba County NC 05/08/2023