HomeMy WebLinkAboutIMPV-08-2023-203709.tif 4., e CATAWBA COUNTY Case# IMPV-08-2023-203709
-r.IR Public Health Department Subdivision
OF: Environmental Health Division PIN# 367904742029
zildlit PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 1709 BUFFALO SHOALS RD, CATAWBA NC 28609
Name on Permit: KEY BUILDERS
Property Size: Acres.931
Directions: S NC 16 Hwy left Buffalo Shoals Rd on left before E Bandys Cross Rd
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
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
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: *Do not cut, drive, fill, or grade over septic or repair areas.
*This is an improvement permit only and is not intended for septic installation purposes.
*Water line for 1717 buffalo shoals rd will have to be relocated.
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
Ru/es for Sewage Treatment and Disposal Systems' (I SA 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.
�..-t
157" ------
08/30/2023
Authorized State Agent Permit Issuance Date
8/30/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department.
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Parcel: 367904742029, 1717 BUFFALO SHOALS 1 in=100ft
RD CATAWBA, 28609
This map/report product was prepared from Ole Catawba Coo ,NC GeaspaNd Information San/loss. Catawba has made substantial eons
to ensure the aoo Jraoy at locadan and information contained on this map or data on this report Catawba County promo/tee and recommends
the independent veriddian of any data�ned on this map/report product by the user.The County of Catawba,Ni employees.agents,and
personnel,discWm,and shal not be held liable for wry and a1 damages,loss or liabity,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
08/30/2023
DEPARTMENT OF'HEALTH AND HUMAN SERVICES Sheet I of
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DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 4:
ON-SITE WATER PROTECTION BRANCH INVIO COUNTY:mow
SOIL/SITE EVALUATION
far ON-SITE WASTEWATER SYSTEM
(Complete aU fields in full)
OWNER: ac I') 4 IV _ APPLICATION DATE
ADDRESS: DATE EVALUATED: 71i3 Z2 &
PROPOSED FACILITY: -16 C PROPOSED DESIGN FLOW(1949): 3G z PROPERTY SIZE: 6' 7/Zj
LOCATION OF SITE: /701 /�6 1-4,.6 Keg PROPERTY RECORDED:
WATER SUPPLY: D Private Public 0 all 0 Spring ❑Other
EVALUATION MEDIOD: 0 Auger Boring EPit 0 Cut TYPE OF WASTEWATER 0 Sewage 0 Industrial Process 0 Mixed
• . . • ►
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R 0 SOIL MORPHOLOGY OTHER
r (1141) PROFILE FACTORS
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s LANDSCAPS HORIZON
POSITION/ DEMI .1li2 PH0111
x STOPS% (K) .1941 .INi SOH. .1156 .1844 CLASS
SIVUC UHZ/ CONSISTENCP/ WETNESS/ SOIL SAPID USTR £LTAR
MIT= MI RRALOG'Y COLOR Darla CLASS HOI112
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER.FACTORS(_1946):
SITE CLASSIFICATION(.1948): ,c
Available Spam(.1945) es CS
aa `` EVALUATED BY:
n SYttc Type(s) i 04 Sad F (-IQ OTHER(S)PRESENT:
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Updated February 2014
SOIL/SITE EVALUATION Sheet ? of ?
(Continuation Sheet-Complete all field In fill)
DEPARTMENT OF HEALTH AND HUMAN SERVICES r PROPERTY ID#:
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DIVISION OF PUBLIC HEALTH 7 OS-V 0 DATE OF EVALUATION: 51U1i Z.
ENVIRONMENTAL HEALTH SECTION COUNTY: ejr V 2 3
ON-SITE WATER PROTECTION BRANCH
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o SOIL MORPHOLOGY OTHER
✓ (J941) PROFILE FACTORS
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LANDSCAPE am .1942
PpsmON/ ON .1941 .1941 SOIL .1143 .1936 .1944 PROFILE
i S1.on% DEtIH STRUCIURRJ CONSISTENCE/ WETNESS/ SOIL SAPRO RE3[R CLASS
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR
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COMMENTS:
Updated Felxvaiy 2014
Catawba County Environmental Health /6',
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Parcel: 367904742029, 1717 BUFFALO SHOALS 1 in=100ft
RD CATAWBA, 28609
This map/report prvdur.t was prepared from the Carrie lia County,NC Geospadlal Information Services. Catawba County has made substantial efforts
nts.to a its accuracy of location and tabling on contained
on this map or data on this report.Catawba County promotes and recommends
the Independentverikation of any data aot4iMdIl�fpnt
on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shal not be held labia for any and al damages,kiss or agility,whether direct,indirect or consequential which arises or may
arise from Mra map report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
08/30/2023