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Home My WebLink AboutIMPV-09-2023-204108.TIF f i 0: --i ('AIA11BA000NT1 4 .I. (,, Public Health Department Subdivision WOODLAND OAKS rl t nvironmental I lealth Division PIN# 377003230796 PO Box 389,25 Government Drive,Newton,NC 28658 1.0 ra 50-53 Site Address: 1423 BALLS CREEK RD, CLAREMONT NC 28610 Name on Permit: 'RMR CONSTRUCTION CO INC Property Size: Acres 0.48 Directions: Hwy 10 E, Right onto Balls Creek RD,property on Right Owner/Authorized Representative Acknowledgement of Permit Receipt f' _ I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. _ As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2023-45134,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) J_ Electronic Image Transmittal/E-mail (Return receipt required) ?(' 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: 09/06/2023 silk] _ Owner/Authorized Representative Signature --7 Date cl h.( 1 ),_ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name gfperson sending permit) Signature U _ Date/Time q 1 D,1 J3 Method: Fax J 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 yodPlease flake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService { m( el( l'n r rt.a 1 e stau,. e(4.k. (A 3 b}c bcw:t+.a.NZ g)1‘4.-w- 1 to \ <h rimil 09;08;2023 05.26 • CATAWBA COUNTY Case# IMPV-09-2023-204 108 • Public Health Department Subdivision WOODLAND OAKS S . :z. Environmental Health Division PIN# 377003230796 ZliPO Box 389,25 Government Drive,Newton,NC 28658 LOT# 50 53 Site Address: 1423 BALLS CREEK RD,CLAREMONT NC 28610 Name on Permit: *RMR CONSTRUCTION CO INC Property Size: Acres 0.48 Directions: Hwy 10 E, Right onto Balls Creek RD,property 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 360 g p d Type of Facility: Primary Residence-New Home 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? Not Required,has space Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE- PPBPS GRAVITY DOSED SYSTEM 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 I8A.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. F3ry4.1 Fo,=rc 09/06/2023 Authorized State Agent Permit Issuance Date 09/06/28 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elver-nit 09/21/2023 15:33 . . • . ' 0 ! DEPARTMENT OF EN'saitoNmEarr AND NATURAL RESOURCES Sheet of_ DIVISION OF ENVIRONMMITAL HEALTH PROPERTY ID It ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION i. for ON-SITE WASTEWATER SYSTEM e-,, OWNER: Pi fv1 ( (--.,")1 4 C ;C'N C.(L' I.1 L- APPLICATION DATE ADDRESS:Al J3:::x 5 , cc.),,,,,kt- ikk_ ),v,i'3 6/&P,3 , , ....„... DATE EVALUATED::c1/5/A> PROPOSED FAcanY 'VI 110,..-1— PROPWED DESIGN FLOW(.1949):* 7C> ._ PROPERTY SEE: i ZAs., LOCATION OF SITE: 114); t?,,-,11 C'cw 0(1, PI& a,.tier-s)-14-- lvif: ,':::L______ PROPERTY RECORDED; WATER SUPPLY: 0 Private R Public 0 weu D spring Cl other _ EVALUATION.1.&-TEOD: 0 Aug=Boring .2 Pit 0 Cul TYPE OF WA S 1 ISVATEP: g. StnA-2.Re. 0 ItAastrial ilncess ':.:11 Mix .. r ........- -..... ........ ..-.* .. . i 1.• 1 Ts' ! SOIL 1(:ft I:III 01.OC;1' 0 I A.ETZ '• (.1c,41) PROFILE FACTORS , . r LA,.`-I:- I.!CI l'..1- .1z-42 ZA I'' : ,:(....? .1441 SC:11.. , -1`",:' ' .15-..56 1 .15,44 1'051110V DI.FTli S.Z i. :,:-:l itl' CiN StST EN CU WETNESS• . S:)11, _S k I5.0 Ilt Ciii:t cl.01't% . -ON.) -11.-.V1'. il: 70.1\uRALOG y % COLOR: : I.Is 1 H C I.4.3S 1.10 RIZ. e..k 9 f- A "EININIIIIMMIMMtiall " -cri I gillifi I_ v).‘: ...L NM= P- • LP'4 . CL ‘-rii- FR ) - 1 7 . i - -, IvrA 5s 5 t--) -\ 2r., ki c 3D ik FA 5 .51:•". 2 _ 1 .., 10- ,ci(k Fi)' ifF f—L v "13?4 i'i2, 5; 3 t. . "I''''' -4> LIZ:" kifon 41:-k 11115-':Ilf „C.c.() 5 L hi r0-) 55 S F. ()t) j C2-) 131 'N''''.." C' 4 it C c VP 55 fs- #. 71- 12\ 5.15 lc rr\ c5 5 , 3 Ec 0"-- K1 ct i-v) /( FR . ..$ $ E 1% Y -91 (v, F4 s,5 5,- ,-- 6- ?' .5c c IVO 5 4 gc :204-tiv. Q. i-i;hit !A Ss s'E 7:2 _ . , DESCRZTION LN1TIAL SYSTEM I M5AIR 5Ysnm OTHER FACTORS(.1946): 13 SITE CLASSIFICATION(1948): P-, Avanahtt Spat=(.1445) 3*" I l' Sys=T ypc(s) 9\6a7 I So'? EVALUATED BY:_Rc)..-:_,,-, Fe_,-t7-,c t__ , , 0 , OTHER(S)PRESENT: She LIAR a).-L25- I COMMENTS: \