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Home My WebLink AboutIMPV-08-2023-203328.tif ft% CATAWBA COUNTY' Public Health Department Subdivision W L WHISNANT ESTATE ii Environmental Health Division �• PI Na 268802787702 f " PO Box 389.25 Government Drive,Newton,NC 28658 LOTt 20 Site Address: 2415 S&W FARM RD, HICKORY NC 28602 Name on Permit: ASHLEY MORETZ Property Size: Acres 18.88 Directions: Hwy 10W, Right on S&W Farm Rd, Last cleared property on Left Owner/Authorized Representative Acknowledgement of Permit Receipt •,,A1"-I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. , (p MAs the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-07-2023-45018,by the following method(s): Received in Person I Facsimile Transmittal(Return form with signature required) '`a Electronic Image Transmittal/E-mail (Return receipt required) NI, lAs 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(I5A 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: 08/24/2023 Owner/Authorized Representative^ Signature C;("3"47::_ Date /O '-/�2 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted b (name of person sending permit) Signature e Date/Time 'O)i 03 Method: Fax _ 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 youPlease ttake a few momentts do complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ai- d 1 1,-),56g„, ,i:ewi 2f ch,"'"," 10(10/2023 09.39 e CATAWBA COUNTY Case# IMPV-OS 2023 203328 • .t.III Public Health Department Subdivision W L WHISNANT ESTATE Environmental Health Division PIN# 268802787702 20 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# go Site Address: 2415 S&W FARM RD, HICKORY NC 28602 Name on Permit: ASHLEY MORETZ Property Size: Acres 18.88 Directions: Hwy 10W, Right on S&W Farm Rd, Last cleared property on Left 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 240 g.p.d Type of Facility: Primary Residence-New house Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 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: 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.3vstems' (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. leaYli 'Otte F .k;Al 08/24/2023 Authorized State Agent Permit Issuance Date 8/24/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpen iit 10/10/2023 09:39 Catawba County Environmental Health nn 01 2I�J�6P � . �i50 I A0i .0 Y rJ '( v -'-lam _II__ ,\> J_ V(boos°a 'e,"� )--�, s T `� d, 9'� �0, ♦� 901•1'r` o, y, IL tai Ajt) / / \ i .r, y t,.7;r rrI \Ne) \�. ,` \\\\S. \ \,\ \gyp s. Parcel: 268802787702, 2415 S & W FARM RD 1 in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlai Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or date 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 08/23/2023 • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sled.Gil__ n, DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ' d ,ON-SITE WASTEWATER SECTION COUNTY: v.b a SOIL/SITE EVALUATION 11 for ON-SITE WASTEWATER SYSTEM Ji OWNER: chi ,j AA Of t'4 z. APPLICATION DATE ►/..1 J 2 ADDRESS`. •I• I s. t„ NC I D 0;{ 1 to t! 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I v Ire 3 1,/Iix 14 . 0,2-5 PS . (� -tf b C.- (Ai rr/SJ)sf. .4'G. �( o.fl o -b Sc ..- w6f- , vP(1su)rf1st= — fs . i4l7Yo 6 -14h c LA)TA7 i sf se/fsc �,,�►Q?1N �fd ' • 0 .2.s tv tic DESCRIYi7oN D.4TIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Mailable Space(1945) S SITE CLASSIFICATION(.1948): Type(s)(s) EVALUATED BY: I J( kr ! e.r -i vt 'S`S'►' S7. 2 S 7t OTHERS)PRESENT: • . Site LTAR _ 0 .7.7 5 O. 2-7S COMMENTS: Catawba County Environmental Health �oZ ' ;„...---- /\ % ... �o3a i /., u - 'NOC\ / 7 / ��, g. // ..% / 77 /I? N \ IPs I / ' \\\\ i 0 \ M Psi 1 eta ;( \ 1 fa- •\ j :;\\pii � . tT o \\\ 44 1 .,..b \ ; Qi \ I\s\i\sss\\170:4, qe,,3 . �/�,\ ,....4' \\\ \ ,7 1, go ,:a. \\ 0 TM 1 i N\o' 1 ':".p It) 1 0 77 ;� 42.1 �` O � Otli (/ Y i \\S\ I\ o tc k \ \ \\\. \\\\\ Parcel: 268802787702, 2415 S &W FARM RD 1 in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlal 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 08/23/2023