HomeMy WebLinkAboutIMPV-07-2023-199439.tif .11� • CATAWBA COUNTY Case# IMPV-07-2023-199439
E.:, 1.'f Public Health Department(.....
Subdivision
y Environmental PIN#LOT
PO Box 389,25 GovernmentHealthDivision Drive, 266802581024
Newton,NC 28658 # TR 2
sy
Site Address: 8747 JACOB FORK RIVER RD,VALE NC 28168
Name on Permit: DANIEL KOCH
Property Size: Acres 30.92
Directions: Old Shelby South to Jacob Fork River RD to 8747
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 100 g.p.d
Type of Facility: Accessory Structure-Barn
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Private Well Maximum Occupants: 2
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions:
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.
Ayei i
2 _Wk*e ;k'nz
P l 07/05/2023
Authorized State Agent Permit Issuance Date
7/5/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 07/05/2023 14:17
Catawba County Environmental Health
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Parcel: 266802581024, 8747 JACOB FORK t BC- 1 in=60ft
RIVER RD VALE, 28168
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This map/report product was prepared from the Catawba County,NC Geospatiallhformation 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 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 or entity.
Copyright 2023 Catawba County NC
07/05/2023
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet_I_of—L.
DMSION OF ENVIRONMENTAL HEALTH PROPERTY ID N:J 1 P•St;I UZ 1
.ON-SITE WASTEWATER SECTION COUNTY:lattjake
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
OWNER: 4i ft 1 e I Koch APPLICATION DATE j a i
ADDRESS: (,it j)r• ' Aeni prii/VC a Y.17/1:1_ DATE EVALUATED: 6/Pi//3
PROPOSED FACILITY: IS a r• PROPOSED DESIGN FLOW(.1949): U PROPERTY SIZE: 30.'72 r•
LOCATION OF SIZE: R"1 t•#". �j e„-rah jt:r'k' p'.,vet I' Vo I r-I G .�b¢� I1PROPERTY RECORDED:
WATER SUPPLY: 0 Private 0 Public QWeel . 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring 0 Pit`. U Cut •
TYPE OF WASTEWATER: Q Sewage 0 Industrial Process O Mrxed
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Parcel: 266802581024, 8747 JACOB FORK A e C- lin=60ft
RIVER RD VALE, 28168 el 35' 015'-
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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 and labeling information contained 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,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 or entity.
Copyright 2023 Catawba County NC
07/05/2023