HomeMy WebLinkAboutIMPV-07-2023-200507.TIF Cf • CATAWBA COUNTY Case# IMPV 07 2023 200507
IL
Public Health Department Subdivision HIGHLAND GLEN
Environmental Health Division PIN# 368702959342
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 29-30
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Site Address: 3717 CARIBOU DR, SHERRILLS FORD NC 28673
Name on Permit: ELLIOT ROTHMAN
Property Size: Acres 1.5
Directions: Mt Beulah Rd, right Lineberger Rd, right Caribou Dr on right
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Expansion Wastewater Flow 600 d
9P
Type of Facility: Prim Res/Acc Dwelling-existing 3Br,2 Br MH accessory
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
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 HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
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.
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07/18/2023
Authorized State Agent Permit Issuance Date
7/18/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 07/192023 08:28
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Parcel: 368702959342, 3715 CARIBOU DR 1 in=50ft
SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatiai Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and infonnadon contained or this map or data on this report Catawba County promotes and recommends
the independent verification of any data on this map/report product by the user.The County of Catawba,its employees.agents.and
personnel,disclaim,end shal not be held liable for any and al damages,loss or lability,whether direct,Indirect or consequential white arises or may
arise from this mapheport product or the use thereof by any parson or entity.
Copyright 2023 Catawba County NC
04/14/2023
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•
DEPARTMENT dF HEALTH AND HUMAN SERVICES Sheet I of I
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PRP�'IY ID N:
ON-SITE WATER PROTECTION BRANCH �L 9 (X)UNTY: Catawba_
SOIL/SITE EVALUATION
far ON-SITE WASTEWATER SYSTEM
(complete all>Selds in t&ll)
•
OWNER: life,*1 &ti k _ APPLICATION DATE
ADDRESS: DATE EVALUATED: z/ZL/Z3
;,;PROPOSED FACILITY: mdl( Zile. PROPOSED DESIGN FLOW(-1949): V 21%0g PROPERTY SIZE:
y •v•LOCATION OF SITE: 3711 C.--4a..
D 6aoseef PROPERTY RECORDED:
ATER SUPPLY: 0 Private ❑Public Q*ell ❑Spring Cl Other
ATION METHOD: 0 Auger Boring [4it 0 Cut TYPE OF WASTEWATER: 0 Sewage ❑Industrial Process ❑Mixed `
` . , SOIL MORPHOLOGY OTHER
,i t (.1941) PROFILE FACTORS
1,�'AP1 HORIZON
.1942
-qi..:. 1 (IN,) SOIL CLASS
',.:.,. .1941 .1941 SOIL .19�3 .1956 .1944
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' '• :: "r TEXTURE MINERALOGY COLOR DrYTH CLASS HORIZ
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SITE CLASSIFICATION(.194S): /
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. „_c r, r EVALUATED BY: '^
3,�°ems) t 4C P OTHERS)PRESENT:
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COMMENTS: ,[q..4,:•, I . 2L- •e .1- -
Upda%ed February 2014
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Parcel: 368702959342, 3715 CARIBOU DR 11n=50ft
SHERRILLS FORD, 28673
This mapfreport product was prepared from the Catawba ,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 vwificatian of any data contained on this map/report product by the user.The County of Catawba,it employees,agents,and
personnel,disclaim,and shal not be held liable for any and al 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
04/14/2023