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HomeMy WebLinkAboutIMPV-06-2023-197978.TIF 1 r ('AT.%%B.s('Ut'NT% (a+e t' 1 N11'V-06-2023•19797M 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 l:t P 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 binwca1 ' ' a-,' 1 ,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 i Z SM 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 E ii.iipj„..._ a . , nr a. o ,• I o , - 1Q1\ 7& 1 f CI 70.00 176.97 • 177.44 s, 0 S b- rAh V a `</ • sdi 41( Ili f° Q •5102 0— / 4 )57.87 Its b 'r S lif , 1 f 1"'I✓t- ' j,, `min 170.08 i rif rh _ Q� O v •50a8 z S $ o 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 t • • P • R SO(L MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON - PROFILE POSITION! DEI'TII .1942 CUSS / / a SLOPE•I. (IN.) 1941 .1941 SOIL 1943 .1956 .1944 STRUCTURE! CONSISTENCE! WETNESS! SOIL SAPRO RESTR &LTAR TEXTURE. MINERALOGY COLOR DEPTH CLASS 110RIZ A a-t( brL FPS rr- 1 BC I 6 tip w s bk- a` G-r- (,)/s ° '6-09 "r61- . / 110 / 7 J S GV S 6b- Z3 S LA-c r-1-- / y�- / 3 2 0 O L 33- (41- casbk CL r'rir6 7 / A 0-IO yrc� + }�S ( s 10 -23 gdA- t_ F+* /- 30 23- o i,as l� r� �0 I � l A� 0-to s�f-CL. P__>� G`f 3 ,/t-23 6 bk �- . - yo 4 L, Z3-� / Pt j DESCRIPTION 114MAL SY EM REPAIR SYSTEM OTHER FACTORS(.1946):_ ---- SITE CLASSIFICATION(.1948): P� Available SP3Ce(.1945) 1/ System Typda) i)S 4 .5-0 OTHERS PDRESENT: f (!4 n-S ----TAR ' y Site COMMENTS:_ Updated February 2014 Catawba County Environmental Health i 1\N + P !^ 1�' t 0 ri g o Two 8 ` 7 --_ _ iT E. I,r�0 a �' a c c o c 17 3.0 & ""— P p C N 1 •► N O C 0 B` P p o % N G �_ .+ .\ I «NCO O t s+ ® u1 r 4 . 70 rn f�8' '1048— \1111k N 0 W s�� \ 104( E � 7pv ' \ N `----10441044—-- i o 0 pp o o 1 � a c a�p ± m j i N r p O^.o O 0 p 0 O \. . cn �z1 a Cf p C N A Q1 d N a O i \.. .0 . 1 M PJ 1,1 r.; 0 .0 0 z i.13 ).o 416. -4 n oi 1040 53 \ I \ \ \ 1� � ii•..M" . �Ip38_ -11111111111104- 3s 1 1036_______________ a4' 3 • o I o 0.08 70 70�\ f 034 lillhlk T3 6 i N. 111 1p3z '� JOJO O ! C� iN !o'er 01?0 70�•5086o e 1 g -71 i 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 I