HomeMy WebLinkAboutIMPV-06-2023-198707.tif W� cATAWBA COt'NTV
Public llealih Department Subdivisionlinvironmental Health Division
PINK 460703430795
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PO Box 359,25 Government Drive,Newton.NC 2R658
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Site Address: 7458 GABRIEL ST, SHERRILLS FORD NC 28673
Name on Permit: 'ROBERT WILKS
Property Size: Acres 0.96
Directions: E NC 150. left Little Mountain Rd right Gabriel St at end
Owner/Authorized Representative Acknowledgement of Permit Receipt
certify that I am the owner or authorized agent(owner's authorii:uion required)representing the owner of
the property described above.
I. I) is the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service EHPR-04-2023-44062, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
`/ Electronic Image Transmittal/E-mail (Return receipt required)
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As the property owner or authorized representative 1 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(1SA NCAC 2C .0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or wa to supply well permitted.
Permit Issue Date:06/20/2023
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Owner/Authorized Representative Signature_
4 Date____\oc )11 _
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of persan,sending permit)
Signature _ Date/Time 6/3,1,j
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 yot,Please hake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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CATAWBA COUNTY Case# IMPV-06-2023-198707
Public Health Department Subdivision
-1 Environmental Health Division PIN# 460703430795
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/842
Site Address: 7458 GABRIEL ST, SHERRILLS FORD NC 28673
Name on Permit: *ROBERT WILKS
Property Size: Acres 0.96
Directions: E NC 150, left Little Mountain Rd right Gabriel St at end
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Repair/Expansion
Wastewater Flow 480 g.p.d
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator Required
Permit Conditions: IP issued for repair/future expansion from 2 BR to 4 BR home. No changes proposed in
overall house footprint.
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'(15A 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 Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
06/26/2023
Authorized State Agent Permit Issuance Date
6/20/2028
Permit Expiration Dale
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpemtit 06/26/2023 09:11
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Parcel: 460703430795, 7458 GABRIEL ST 1 in=40ft
SHERRILLS FORD, 28673
This tnaplrepart product was prepared frrrns the Catawba County,NC Geospatiai lnforttcatton Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labelith infon contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this mapheport product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shaft not be held C�ai�fe for arty and e#damages,loss ar liability,whether direct indirect or consequential which arises or map
arise from this maptreport product or the use thereof by any person or entIty.
Copyright 2023 Catawba County NC
06/20/2023
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_I T ofL
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:_
ON-SITE WATER PRO"IE( TlON BRANCH ti-yO 2 COUNTY:_Catawbba..
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
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OWNER: a 'd.ii- Lil`3 APPLICATION DATE_
ADDRESS: s..-1e,00,/its:— _ DATE EVALUATED:� .Z.
PROPOSED FACILITY; —afttr fir PROPOSED DESIGN FLOW(.1949): YI'C) PROPERTY SIZE:
LOCATION OF SITE: 74,rQ c4 t Jr. PROPERTY RECORDED:
WATER SUPPLY: I;Private LI Public LY4eII 0 Spring [1 Other
EVALUATION METHOD: iii Auger Boring [MI ii Cut TYPE OF WASTEWATER: 0 Sewage D Industrial Process i.1 Mixed
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SOIL MORPHOLOGY OTHER
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TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
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DESCRIPTION INITIAL,SYSTEM REPAIR SYSTEM OTHER.FACTORS(.I946):—
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Site LTAR D.17S- O. 41,5-
COMMENTS: Ek,S 41•. ,' $k*1 '41`I . ' O>:s wa,!,,,, y 6,." w:K, . ,EI, 4 At;44
Lipdaird Februsty 2014
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SOIL/SITE EVALUATION sheer 1 eil -2...
0.7orninvation Sheet-Complete all field in fullj ipfp6 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#:
DIVISION OF PUBLIC HEALTH DATE OF EVALUATION• 612.1z3
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ENVIRONMENTAL HEALTH SECTION COUNTY:
ON-SITE WATER PROTECTION I3RANCH
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Updated February 2014
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Catawba County Environmental Health
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Parcel: 460703430795, 7458 GABRIEL ST 1 in-40tt
SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatiai information Services. Catawba County has made substantial efforts
to artsvre the accuracy of location and tabelinq information container on this map or data on this report,Catawba County promotes and recommends
the Independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees, n
personnel,disclaim,and shall not be hold liable for any and at damages,loss or liability,whether direct,indirect or consequential which anises or may
arise from this map/report product or the use thereof by any person or
Copyright 2023 Catawba County NC
06120/2023
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