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Home My WebLink AboutIMPV-10-2023-207351 CATAWBACOUNTY ' • 1 C,. � PblHlthDrtntSubdivision Environmental Health Division PIN# 374406472587 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 5467 LEE CLINE RD, CONOVER NC 28613 Name on Permit: AUSTIN*STILWELL Property Size: Acres 0.86 Directions: Springs Rd/right Lee Cline Rd on right at intersection of Eckard Rd Owner/Authorized Representative Acknowledgement of Permit Receipt SiA 5 1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 1Cgs. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2020-35248,by the following method(s): iReceived in Person Facsimile Transmittal(Return form with signature required) _ PElectronic 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: 10/27/2023 d........„...,_ . Owner/Author•zed Rep esentative Signature Date // �2 ae/2,3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService i ; d \ ti3 chprmiii 10/27/2023 16.53 CATAWBA COUNTY Case# (...._ jam. IMPV-10-2023-207351 .#.mi Public Health Department Subdivision Environmental Health Division PIN# 374406472587 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# w Site Address: 5467 LEE CLINE RD, CONOVER NC 28613 Name on Permit: AUSTIN*STILWELL Property Size: Acres 0.86 Directions: Springs Rd/right Lee Cline Rd on right at intersection of Eckard 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 240 g.p.d Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 _ INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required 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. 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 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. i "..-52.,..... 10/27/2023 Authorized State Agent Permit Issuance Date 10/27/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eltpermit 10/27/2023 16:54 iP o . Zoio- 35-z`t Catawba County Environmental Health i- _ zo73s5- 1•►1l✓ -2o23— 2o73Sf we, 0 475) - ck • ?rr �n_ ; .1484 Parcel: 374406472587, 5467 LEE CLINE RD 1 in=50ft CONOVER, 28613 This map/report product was prepared from the Catawba County,NC(3eoapartiai Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling infotmadon 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 pperrssor r d alrn,and shal not be held!bile for any and el damages,ices or liability,whether direct,Indirect or consequential which arises or may from this by any person or entity. Copyright 2023 Catawba County NC 10/25/2023 _ _ _ .. .. , fr DEPARTMENT OF HEALTH AND HUMAN SERVICES ((�� Sheet 1 113 DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION - 'J F``'2' PROPERTY ID#: py-SITE WATER PROTECTION BRANCH 3s z g COUNTY:_Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) Autok OWNER: ° t SC i,,,,J,, 1 _ APPLICATION DATE ADDRESS: DATE EVALUATED: As PROPOSED FACILITY: L a r PROPOSED DESIGN FLOW(.1949): 2-1() PROPERTY SIZE: Z,Y/ LOCATION OF SITE: cy I.1 Ls. C t'wl PROPERTY RECORDED: f.ci/ WATER SUPPLY: ❑Private ❑Public [ Well ❑Spring 0 Other EVALUATION METHOD: [l�Auger Boring BI'it 0 Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process 0 Mixed • • ► s P • oR SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L E LANDSCAPE HORIZON - POSITION/ DEPTH .1942 PROFILE #_ SLOPE% OM) .1941 .1941 SOIL .1943 .1956 .1944 CLASS t -- STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR 4E1UB CLASS HORIZ 7 4/ ws r v- sr 1... r� 'g t.�.r. " .R 0 3 a • .-Aid4 • 1 0-/ 2 fr/A C r`rSG' 0 I2-27 "'VlIt A i�j'g 0, .3 . 2 mrk a 2 31 LS .30 S7° 1-/r f L,- `/ 1—, S 6' t r lea ;,-,1 3 j,.� n.J' �,Y D - 2-I S&L L Are- 1 t:� eV* ti f 1-5 21� M 2 t..�E 5 ct.Is i %� 1r 9 Z 19S al DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): rS Available Space(.1945) PS Pi System Type(s) 211 �.1--2.>A t4I EVALUATED BY: 40T-- OTHER(S)PRESENT: Site LTAR 1),) a COMMENTS: Updated February 2014 SOIL/SITE EVALUATION ys a'f g Sheet Z of t-3 (Continuation Sheet-Complete all field in full) !DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: V9 j0 •ENVIRONMENTAL HEALTH SECTION COUNTY: l ON-SITE WATER PROTECTION BRANCH • • • • • SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS .1940 LANDSCAPE HORIZ .1942 POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE # SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS. T TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR D-lo silt- F,C TVA' 1. PS .v fil L5 to- S -S, L Yjit 44.7 la+•a...r 'o._? • • COMMENTS: Updated February 2014 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet`} of—S DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION 3.c Z tik PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION - for ON-SITE WASTEWATER SYSTEM (Complete all fields m fill) OWNER: _ APPLICATION DATE E ADDRESS: DATE EVALUATED: p171V PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: ' WATER SUPPLY: ❑Private 0 Public ❑Well ❑Spring ❑Other EVALUATION METHOD: 0 Auer Boring ❑Pit ❑Cut TYPE OF WASTEWATER ❑Sewage ❑Industrial Process 0 Mixed • r` . o SOIL MORPHOLOGY OTHER ► (.1941) PROFILE FACTORS .1940 = LANDSCApE HORIZON POSITION/ DEPTH PROFILE # SLOPE% (IN.) 1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STUMPS/ COrTSLSTEMCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ . LS /f-37 szt 1 c f t Sre 14. .37-,Cq ".sis C.L it .ram- l21, o-j' • o- z/ 's.‘a cL -re- ,ehf del Z1 fs .-4, 1,� L z t -.}-Z SG.,, �, � r>r ova-- ��alr s 3 y 7 1 o4 il DESCRMION II' `L SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) P5 ps SITE CLASSIFICATION(.1948): /s System Type(s) 6 I EVALUATED BY: S I� OTHER(S)PRESENT: Site LTAR 0, ) 0_ ) O>mr & : . Updated Februs-%2014' 3Sz m ?,1z Catawba County Environmental Health \\4%4, 4:tks'N's„........................N.NN...........„......jeta i • ../.....4.1kr: • \ .. • 42 4 . t j 411- e7 : w X 0 11 lk \AI. (. .••••••• 10 Parcel: 374406472587, 5467 LEE CLINE RD P.., ie. 3r 1 in=50ft CONOVER, 28613 17, inn >`A s 2 3 EiF This mapbepot product was prepared from the Catawba County,NC Geospatiel rrfonn.tion Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeino information contained on this map or data on this report Catawba Canty promotes and recommends the independent verification of any data coed an this map/report product by the user.The County of Catawba.Its employees,agents,and personnel,disclaim,and shall not be held cable for any and al damages,loss or labily,whether direct,Mired or consequential which arises or may arise from this map/report product or the use thereof by any parson or entity. Copyright 2023 Catawba County NC 10/25/2023