HomeMy WebLinkAboutIMPV-06-2023-198348.TIF ifAlr
CATAWBA COUNTY ,
r; fi II Public health Department
• Subdivision
i.� i Environmental health Division PDNN 364916847606
lk, 1/ PO Box 389,25 Government Drive,Newton.NC 28658
Site Address: 1824 SMYRE FARM RO, NEWTON NC 28658
Name on Permit *ZACK LOWMAN
Property Sire: Acres 1
Directions: Hwy 16 turn on Smyre Farm Rd on Right about 3 miles
Owner/Authorized Representative Acknowledgement of Permit Receipt
X2-�co-lily that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
Ly( As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-06-2023-44587,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
v' Electronic Image Transmittal/E-mail (Return receipt required)
y, a-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 (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: 06/19/2023
Owner/Authorized Representative Signature , /16eu-, j
1
'--- Date t^_A-cr : .3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
SignatureQ'C.- Date/Time (t I)-1
/
Method: Fax I 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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.419.2023 II:39
4. "* CATAWBA COUNTY Case# IMPV-06-2023-I98348
• .t. Public Health Department Subdivision
Environmental Health Division PIN 364916847606
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
w
Site Address: 1824 SMYRE FARM RD, NEWTON NC 28658
Name on Permit: *ZACK LOWMAN
Property Size: Acres 1
Directions: Hwy 16 turn on Smyre Farm Rd on Right about 3 miles
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 d
9P
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Pump *May Be* Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
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 Sewaee Treatment and Disposal Systems' (I 5A 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 Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
/ "yn E✓4n.s
06/19/2023
Authorized State Agent Permit Issuance Date
6/19/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpenn i t 06/19/2023 11:39
Catawba County Environmental Health
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Parcel: 364916847606. 1824 SMYRE FARM RD 1 in=40ft
NEWTON, 28658
This mepheport product was prepared from the Catawba County NC Geospabal Information Services. Catawba County has made substantial efforts
to ensue accuracy aoxacy of location and label Irdaroabon contained an the map or data on this report Catawba County promotes and recommends
the iridependent verification of any data contained on the rnaAheport product by the user.The County of Catawba,its employees,agents,and
personal,disdain and stop not be held liable for any and ai darnapars,Irma ar iab dy,whether direct,indirect or consequential which anses or may
arise from this map/report pig d the us*Mensal by any parson or may.
Ccorthi 2223 Catavr*a Canty NC
06/19/2023
-----------------
SAW of
I�AAt1[BN T Cf HEALTH AND HUMAN SPRYICUS PROPERTY ID P.utvamori or 1'VDUC HEALTH,QJYIROt+ML'NTAL REA of SECTIONO011M)Y; t.ar.e.`
ONSIT!WATER PROTECTION BRANCH
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for ON STTl WASTEWATER SYSTEM
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DEPARTMENT OF I IEALTII AND HUMAN SERVICES Sheet I of t
DIVISION OF PUBLIC IIEALTI I,ENVIRONMENTAL I IEALT11 SECTION PROPERTY ID a: is
ON-SITE WATER PROTECTION BRANCI I COUNTY: —/
SOILJSITE EVALUATION
for ON SITE WASTEWATER SYSTEM
JJ�� (Compkie all fictda in full)
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OWNER: L��CK- tOCNkla 4 _ APPLICATION DATE / ' 3
ADDRESS: Z YYO .5nyrc ce r g'i DATE EVALUATED:
PROPOSED FACILITY: 1 0 PROPOSED DESIGN FLOW(.1949):.Y6 CJ PROPERTY SIZE: l,4C
LO CATION OF SITE:�Zt{S'wen f=N,.. ett PROPERTY RECORDED: —
WATER SUPPLY rivate 0 Public 'Well D Spring O Other
EVALUATION Mt THOD: ,ai1Au g•cr Boring D Pit 0 Cut TYPE OF WASTEWATER: ;06ewage 0 Industrial Process 0 Mixed
• • p •
P
R o SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
I .1940
L LANDSCAPE HORIZON
POSITION/ DEPTH 1942 PROFILE
• SLOPE'A (IN1 1941 .1941 SOIL 1743 I95h .1944 CLASS
STRUCTURE/ CONSISTENCFJ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ
la 4
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DESCRIPTION IN SYSTEM REPAut St§lEM OTHER FACTORS(.1946): .i--
Available Space(.1945) f�
�/ SITE CLASSIFICATION(.1948): a'$
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System Type(s) ti)S"1 EVALUATED BY: , rJ Inn$
OTHEKS)PRESENT:
Site LTAR .3 .3
COMMENTS:
Ups February 2014
Catawba County Environmental Health
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Parcel: 364916847606, 1824 SMYRE FARM RD 1 in=40ft
NEWTON, 28658
This rneyhpcst product was prepared from the Catawba County.NC Geoepafiaf Irdormatot Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling kdarmdbn contained on Vtis rnep or data on this report Catawba County promotes and recommends
the independent verification of any data contained on this nwpireport ground by the user.The County of Catawba.Its employees,agents.and
personnel,disclaim,and anal not be bald Amble for any and ail damages,lose or Nadtey.whether direct Indeed or consequential which anses or may
arise from this mapfreport product of the use thereof by any entity.
Copyright 2023 Casaba County
NC
06/19/2923