HomeMy WebLinkAboutIMPV-09-2023-204682.TIF 1 ,
w,,l=r� CATAW BA COUNTY
v/ : Public Health DepardnDepartmentN
� Subdivision
Rf , is Environmental Health Division PINS 376007678559
+\ iie PO Box 389,25 Government Drive,Newton,NC 2865E LOTS 1
Site Address: 3887 E NC 10 HWY, CLAREMONT NC 28810
Mane on Penult ALUSON AND GARRETT HUFFMAN
Property Size: Acres 5.322
Directions: Radio Station Rd,right onto 321 S Bus/Southwest Blvd,left onto NC 1o/W C St,keep right to stay on NC 10/
WD St.left onto NC 10/E NC 10 Hwy,keep right to stay on NC 10/NC Highway 10,property on the right
!! Owner/Authorized Representative Acknowledgement of Permit Receipt
� k{ 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, l have received the above referenced
J rmit(s)as requested in the application for service RBPR-08-2023-45254,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
'/ Electronic Image Transmittal/E-mail (Return receipt required)
1( vv.( As the property owner or authorized representative I have reviewed and understand the specific conditions
o 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:09/13/2023
L..f 1
Owner/Authorized Representative SignattrreG`'
Date f 0/eV _1 ;/
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature _ 41,_______ Date/Time /01/1)3
Method: Fax NI Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We warm tto hear from yu Please ttake a few momentts tto complete our custtomer service survey att
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,e, • CATAWBA COUNTY Case# IMPV-09-2023-204682
r Public Health Environmental DepartHealthment Division
Subdivision
.� A,,/ PIN# 376007678559
PO Box 389,25 Government Drive,Newton.NC 28658 LOT# 1
Site Address: 3687 E NC 10 HWY, CLAREMONT NC 28610
Name on Permit: ALLISON AND GARRETT HUFFMAN
Property Size: Acres 5.322
Directions: Radio Station Rd, right onto 321 S Bus/Southwest Blvd, left onto NC 10/W C St, keep right to stay on NC 10/
WD St, left onto NC 10/E NC 10 Hwy, keep right to stay on NC 10/NC Highway 10, property on the right
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-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? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
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'(I5A 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.
lccyc,.1 Fonee 09/13/2023
Authorized State Agent Permit Issuance Date
09/13/28
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ripeinnt 10;03;2023 I5'-10
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Parcel: 376007770578, CLAREMONT, 28610
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This ntapkaport product was primed from the Catawba NC
Leasure the accuracy of bptliort end Isbslinp on�rvk as. Catawba Co u, has made Ind
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of any dish aoNriMd an Ws n�q�p�product by tlN ussr.Thor dais on ies report Calewha Catrdar prop ss, ettd noamnnds
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eMpkeport product or the use thereof by any cappsmo we Catawba qusrdYol r i arissa of may
county NC
09/11/2023