HomeMy WebLinkAboutIMPV-06-2023-197978.TIF 1
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AS4aPiho11 a- �. Public rn Itcallh Ikpartml \uhtln mon SPRINGHAVEN
�� )~ hn'.Ir.NlmentalIlrattht)I.nunl I'INr 374413132376
Pt)no.1114,25 CnncrrlmOil I)ne.Nmion.NI. 2%0x I trlw 14&PT 10
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SIt.Address: 5102 W PIEDMONT CIR,CONOVER NC 28613
Nam on Permit BLUE COLLAR PROPERTIES LLC
Proputy Slze: Acres 0 62
Dlr.ctfons: NC 16, left onto County Home Rd,at the roundabout take the 2nd exit, right onto Lee Cline Rd,left onto
Houston Mill Rd,left onto Springhaven Dr,right onto W Piedmont Circle property on the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
210 I ctirtiIS That I am the owner or authorized agent(owner's;urthoriiation required)representing the owner of
Mt.,_
theproperty described:those.
As the property owner or authorized representative. I have received thc above referenced
permit(s)as requested in thc application for service F,IIIPR-02-2023-d35-t7,by the following method(s):
Received in Person
Facsimile Transmittal(Return for)with signature required)
`( Electronic Image Transmittal/E-mail (Return receipt required)
-?(All; 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(ISA NCAC ISA.1900),
and/or Well Construction Standards(1SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater stem and/or water supply well permitted.
Permit Issue Date:06/1 32 0 2 3
Owner/Authorized Representative Signature_ _._. _
Date_� aha�
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (nume of person;fending permit)
le Signature
I)ate/Timc
Method: Fat J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
— — — — — — — — — — — — — — — — — — — — — —— — — — — — — — — — -
We wantt no hear from yoiPlease ttake a few momentts no complette our custtomer service survey att
http://www.surveymonkey.coat/s/EHCusttomerService
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,44= a CATAWBA COUNTY Case# IMPV-06-2023-197978
I~ ® ,y Public Health Department Subdivision SPRINGHAVEN
,�� Environmental Health Division PIN# 374413132378
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 14&PT 10
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Site Address: 5102 W PIEDMONT CIR, CONOVER NC 28613
Name on Permit: BLUE COLLAR PROPERTIES LLC
Property Size: Acres 0.62
Directions: NC 16, left onto County Home Rd, at the roundabout take the 2nd exit, right onto Lee Cline Rd, left onto
Houston Mill Rd, left onto Springhaven Dr, right onto W Piedmont Circle property on the 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 360 g.p.d
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
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: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
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 SA NCAC 18A.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 Ilealth authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
"fl...................„-- --.."D(944 EL 4.1 5,
06/13/2023
Authorized State Agent Permit Issuance Date
6/13/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 06/13/2023 15:54
Catawba County Environmental Health
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Parcel: 374413132378, 5102 W PIEDMONT CIR 1 in=40ft
CONOVER, 28613
This mapheporl product was prepared from the Catawba County.NC Geos allal 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 oardained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shag not be held liable for any and all 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
08/13/2023
DEPARTMENT OF HEALTH AND IIUMAN SERVICES Sheer / of78
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL I lliALTI I SECTION PROPERTY!0 a: 7
ON-SITE WATER PROTECTION BRANCI{ COUNTY:tCihe
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
�10 e_ GAGS- (Complete all fields in full) z/z�)Z 3
OWNER: fU� ��n _ APPLICATION DATE ADDRESS: S f u DATE EVALUATED: t3
PROPOSED FACILITY: F PI OOPOSED DESIGN FLOW(.1949): r'G PROPERTY SIZE: •
LOCATION OF SITE: S/0 Z U+ e its rend.C r"— PROPERTY RECORDED:___________
WATER SUPPLY: 0 Private /Public 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Au•er Boring r 'it 0 Cut TYPE OF WASTEWATER: tfift ewage 0 Industrial Process 0 Mixed
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R SO(L MORPHOLOGY OTHER
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(.1941) PROFILE FACTORS
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E LANDSCAPE HORIZON - PROFILE
POSITION! DEI'TII .1942 CUSS
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a SLOPE•I. (IN.) 1941 .1941 SOIL 1943 .1956 .1944
STRUCTURE! CONSISTENCE! WETNESS! SOIL SAPRO RESTR <AR
TEXTURE. MINERALOGY COLOR DEPTH CLASS 110RIZ
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DESCRIPTION 114MAL SY EM REPAIR SYSTEM OTHER FACTORS(.1946):_ ----
SITE CLASSIFICATION(.1948): P�
Available SP3Ce(.1945) 1/
System Typda)
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Site
COMMENTS:_
Updated February 2014
Catawba County Environmental Health
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Parcel: 374413132378, 5102 W PIEDMONT CIR 1 in=40ft
CONOVER, 28613
ni,mop/report product was prepared from the Catawba County,NC Geoepaulal information Services. Catawba County has made substantial efforts
b the accuracy of location and lab.0 information
rq Infoation contained on this map or data on this report.Catawba County promotes and recommends
Ui'a pendtnt verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel, and shag not beproduct or�a liable/for any se thereof byAnd all damps,pe or loss or liability,whether direct,Indirect or consequential which arises or may
sr�from�� Copyright 2023 Catawba County NC
06/13/2023
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