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HomeMy WebLinkAboutIMPV-10-2023-206314.tifN. , I a CATAWBA COUNTY Case# AUTH-09-2023-205551 Public Health Department Subdivision JEWELL PLACE •(........� Environmental Health Division PIN# 365704648698 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 r Site Address: 2665 WATER PLANT RD, MAIDEN NC 28650 Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON) Property Size: Acres 1.18 Directions: 321/left Prison Camp Rd/Right Jack Whitner Rd/Rt St James Rd/left Fred Beard Rd/right Providence Mill Rd/left Water Plant Rd Owner/Authorized Representative Acknowledgement of Permit Receipt 4 _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-05-2023-44451,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) 1 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: 09/27/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time 1 V1 it 133 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 youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ddAnnti. odd-I:0 6 . Co g ehpennit 09/28/2023 09:36 Rgri?-05-20.23-92/L/si u7 -cq =. 3 aO5.5 Catawba County Environmental Health byt 1 "3 a5 0 • °005 n 6oz2 Q(°V /-)C to" 5 21�g2 ks) •1891 Parcel: 365704648698, 2665 WATER PLANT RD 1 in=50ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,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 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 10/17/2023 p DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet _of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID M: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY: P OPOSED I4�1 FL ( 949): t F� PROPERTY SIZE: LOCATION OF SITE: � y -- , PROPERTY RECORDED: WATER SUPPLY: 0 Pn ate lic ❑Well ❑Spring 0 Other EVALUATION METHOD: 0 A .er Boring Pi(T❑Cut E OF WASTEWATER: wage C Industrial Process ❑Mixed Lifi, ri j i SRIttf �r G + �+ + ir k �{ Syr. 1't , " '` 1 / �l r K1 N° 9�� .�- � . G r 4. '1'.:.:Y. �N' `i ..�. �.i�F� .�: ;ice' ::, ,, S0 k.c,,f jt :°J , y t t. t¢ .IF 1rit It , ..,, , ;4 t:'l'""f ,,' ':' '' " , t - , a.„,:.,,,..., :+ 4 fey t + `,� h4 ti "'Y:. � ',r , ,, ,, t:;''�•I a,,,.y�:4F +, '1. Sr:: C - 1 t c R '.. rY. .a S"" .} ' r r r t i c•y tkl c a . , L ' t is y �+ y i ter t ( +. ` .ckhp { ��� � • Yi � ,�1 .. � J�• t r sr st• ax X. � �!t y i + 4 n l 1� '�' �• a `E r s ' t ;(� 4 I "Ir ! . A.�C'!1. ,rt•r �+ }t�,.► K1 ;:9 1 'c t sJ ,'Yi}+ +J �11 W 7 i'i '`y +I "ayy �" r� t$: �Ka ,'! '7kIh� ri.it1__s r ",a• { y} .i'W . fw A; 3 1 I ! - �,9rr . ."L AA 1,1 + 1 +4.!'v: �� �kf 441 �"'.� ,':. al�r`}3. ,M .'l 'S� °t t. '..r,.Mr kir;;;'rd� y L� tr is1.Tai1iW ,.1 3•!'1 k +1 �, l) - .e :3 Y 1'4�i r ,t� i 7�3 1 /b 7�' 1 L1 r 1--ckk r' ,S V 1 ' -f 1 Li ri 26 o 0 C1 -i / L5 S ,, o s ' 61 sit -Fr L5/n T .. iii4 u s-- . i F1'!) t !c-iq L - 5t-,_ ItY/7 4 �� 1 s ,(..,25.- . .s. - 1 ctlepti:v- 6?-___K--- 46',.,-1--- DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) EVALUATED BY: --- System Typos} OTHER(S)PRESENT: _Site LTAR , 23-I _ — COMMENTS: ' Updated February 2014 t DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID N: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba_ SOIIISITE EVALUATION for ON-SITE WASTEWATER SYSTEM (compote all fields In full) - "�— _ APPLICATION DATE ADDRESS: PROPOSED FACILITY: DATE EVALUATED: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED:_ WATER SUPPLY: 0 Private El Public 0 Well 0 Spring 0 Other EVALUATION METHOD 0 Auer Boring 0 Pit ❑Cut TYPE OF WASTEWATER: 0 Sewage ❑Industrial Process ❑Mixed t >„ 4, {l'y " I .�., a..k nI i + s r 1�� �� �,, 1-,:Ai. Y e r f i L ti r4 , • .: `7i i r w+ I tvC}.p h iG4 t 1 *�1�'�i c t 7� � �� � �r;t"i�r b �.�t F '�.lnr Y• ,IV�_w#µ��. t�� ��'6y�.F� �,��Py� !Pl.. f .P t # • • {3 id*� ,Y t ! 'ti t h l 4 t 4 f 1-°.t • ; �(;,I D t<I t.';l 1 .. j4't f- a ' r t ., S a.. t .r 1. ` , '`„J JA..f": �?t i" 14.44r t,, f ` f 'e i'. »`F, '. 1�E a3,, t�.s 1 R o " c: ' c � i : .. :lw . { .tt , p' ,▪ t G:I' k. �.P '.lk ,_ -ay',n !e ."'�" 7,41 A-1 . C i� ^ ,. r: ```` , +q..• ..fa▪.w.m'. V."-:x, %,. i.i '.(i.,li c.f., :1'7 Fk. t tf tI'�'•.! or!. r!).: It c t, , s;.. t •,....' .�, �, .i i;�t 1 s et;ti �.� „ re , y. Ad ,Yel M a;, 1•aJ`1:. � Y 1f � k-f ir k frS> / // 4„i L-- tr fi ,5� (' ,51A/C (-, _.);-__- & // z <,('2- ,ilbz____/- c , -- / 3 • Ohl 1_,___ ir- c .,5:f 1 .- i(' .' fS� i&- s S i Cif. srf (3 ; . _._ .2_ 'Roil 5'.. S-lf (a.-23-- • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) �� SITE CLASSIFICATION(.1948): i� System Type(s) ��. 1� EVALUATED BY: �` �' 'in OTHER(S)PRESENT: (12 Site LIAR Vs?' COMMENTS: Updated February 2014 t J . , w.. ....,.,.n.. ..,,.,....,.x. ¢1 mow w. ..w s....._...., . . , 0catawba county Geoapatlal WINO.lrilq. Info Real E Information ss $ Estate Search ,,,,", i L-49 7-0 • � � � � V'7.— i / g 6). /1--/, __-6 _or, 0 1 -, 3`/ c x ,,, �'" % an.-/ ,L6-v- (3f-t---S l C 5,8k \51‹ 6 ��' 51 '6/C CZ_ , (4, cit.itcp,•%, •_. X �'L5IL , )1 --t 4* K- , /-4.‘ U- ' .6 % 0-1% 4°, 'ir 0 —14°- y 1 V s , 5 0-41 T1( 6- PY 2-6-r K s a5 ' XLUK j54-1-1-0 c wl f>sA,( f1445rM 10 24.0 3 - -K1, 6 -1 � w E 21fr_ h + ,,k4 q Parcel: 385704648698, 2865 WATER PLANT RD MAIDEN, `� I�G i , Owners: MCCARTNEY PATRICIA, 28650 1-6 I Owner Address: 2665 Av � I �t WATER PLANT RD Values-Buildl t / j ng(s): $92,000, Land: $17 700 Total:$109 700 () 6 f l 2- 'G' > it--;Al C -55<jj A This R product wag Car► ,NC ~�V �� ,��ir! (15, prepared�,,,to Catawba c.curacy of boost n and iogU tlil deb on v�aorn�i, a t�a.nab�4lrMidtlthls ooraNroN�ioduo bmall;ji w�ir..rh. �R Cahwba�p aZes and tW atf°rts pore hnotvid ma ,snort rxadud z m.we e for o or y prIght�2sc loss r •+H+•the firi ihOa wn' ntit �' �y peg0110► or y County NC 06122/2023 i f' -05-),e).).3—Lii-N5 I Catawba County Environmental Health ,0 cog 22 66,61 a,>_ tie" •1‘Dg2 410 .3891 Parcel: 365704648698, 2665 WATER PLANT RD 1 in=50ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,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 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 09/27/2023 ePIN#ra CATAWBAlCOUNTY Case# IMPV-10-2023-206314 .f. Public Health Department Subdivision JEWELL PLACE Environmental Health Division 36570464/3698 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 Site Address: 2665 WATER PLANT RD, MAIDEN NC 28650 Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON) Property Size: Acres 1.18 Directions: 321/left Prison Camp Rd/Right Jack Whitner Rd/Rt St James Rd/left Fred Beard Rd/right Providence Mill Rd/left Water Plant Rd Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Other Wastewater Flow 240 g.p.d Type of Facility: Primary Residence Basement? No Basement Plumbing? Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 INITIAL SYSTEM SPECIFICATIONS Existing wastewater System: CONVENTIONAL System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION HORIZONTAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM Permit Conditions: *This permit is issued to designate repair area for the new 2br home. 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 existina 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 Sewaue 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. /— 4e,...4___ 10/10/2023 Authonzed State Agent Permit Issuance Date 10/10/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 10/10/2023 09:53