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Home My WebLink AboutIMPV-11-2023-208151.TIF 1 . � CATAWBA COUNTY E..:, .t.II ,, Public Health Department Subdivision AVIAN WOODS PH 4 (mj • Environmental Health Division PIN# 372011658149 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8 w Site Address: 1123 HARPER LEE DR, NEWTON NC 28658 Name on Permit: PATRICIA SHORT Property Size: Acres 0.95 Directions: Startown Rd to Milton St to Harper Lee Owner/Authorized Representative Acknowledgement of Permit Receipt _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-09-2023-45416,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) 1,I Electronic Image Transmittal/E-mail (Return receipt required) 4 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: 11/09/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ (name of person sending permit) Signature DefDate/Time 11/)g/13 Method: Fax I 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 yo&Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService CA1 i 5 5 big J° i CA6(kt. ilet �3 i,1141 elprrnut 11/13/2023 10:53 �. CATAWBA COUNTY Case# IMPV-11-2023-208151 • Public Health Department Subdivision AVIAN WOODS PH 4 (rl Environmental Health Division PIN# 372011658149 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8 Site Address: 1123 HARPER LEE DR, NEWTON NC 28658 Name on Permit: PATRICIA SHORT Property Size: Acres 0.95 Directions: Startown Rd to Milton St to Harper Lee 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 480 g.p.d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 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 VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: "See AC 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 existino 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. 31ilt. if)17" 11/09/2023 Authorized State Agent Permit Issuance Date 11/9/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehprrinir 11/13/2023 10:53 UPQ -09 - Zo13 - List/it, IMP i - lo- zoti- Z08151 A ,.x, - 10 - Zara- ZofIs Z .1099 Well- t o - Zv z 3 - Zo8153 `it t W6 5V611 el �� W e11 \o , `b5 1." 101 �,l(G 1 Ao iii (,o A , '7. N ., y ; co J ; , , Toca en � - iD,-;,y �Y r'6- 1123 %0v t' "r ha 5i 011 lib ': s 111 98.s• C 73 1.P)G t5 I M filoo' ,l.. �t32. 1 tO .1134 90.t• Parcel: 372011658149, 1123 HARPER LEE DR 1in=50ft NEWTON, 28658 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 11/07/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet loif DIVISION OF PUBLIC HEALTH,1iNVIRONMENTA1.1 IEAI:T11 SIiC"FION PROPERTY ID#: ON-SITE WATER PROTECTION IIRANC11 COUNTY: (i:44044144 SOH/SITE EVALUATION fir ON-SITE WASTEWATER SYS'I'F.M (('umplola ill fluids In 11111) p J OWNER: RI Inca Short _ _ APPLICATION DATE r/7-/Z5 ADDRESS: 1155s N W nswtQ �r .M4�t n1yLZSf 5D _ �� DATE EVALUATED: PROPOSED FACI1.1TY: t, vast, I1ROPOSED DESIGN FLOW(.1949): Li�hh) PROPERTY SIZE: D. Qs QCIeS LOCATION OF SITE: 1123 �,� Lsr �1( J�JG1eL pYl ALL T$Z2Sd PROPERTY RECORDED: WATER SUPPLY: 1 *Private l I Public KWell LI Spring ❑Other / EVALUATION METHOD: CI Auer Boring L�$it fl Cut TYPE OF WASTEWATER: l� wage I 1 Industrial Process I I Mixed • • • • P It 0 SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 E s LANDSCAPE HORIZON POSITION! DEPTH .1942 PROFILE k SLOPE°!. (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE! CONSISTENCE! WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o-z0 5c SgIC �1 Si y SD? L S 20-39 C 5 ( Fi, s Sp, Scat n ps 1 3y-y9 CL BC ii , ss sf G - 0. 3 S fe)il ScSax � ,s�,S�x�L C s k ,ss ,six QS 2 3f�'-0 cLQCr BtFr 1sip 5E�(�Q �� t 11 1 gal . O. 275 LS o`Iy 5C SBK. - -;5,gii[xf D IL1 3I, C AO_ 15 c 5 I) 15 3 3lo- (-11 CLR. wile( Fr,Ss,y,SFxP Lj9 th azs LS o— z3 • 5c. se I sl3Ft spy? Z3-40 C l )$ev. cf 5 E 54F 51X� l 1).5 4 (-fo-Ni Gt.. 6C LA 13irf 5$ .5 Al1-i9 Co , D. 7-3'5 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): j Or �� Y5 SITE CLASSIFICATION(.1948): V Available Space(.1945) / EVALUATED BY: C__1.IOtsViQ. NU) CsA -SystemType(e) Z5�f P fed 50°/D fed OTHER(S)PRESENT: OWAt(t C }yir� r Site LTAR oa 27-5 o. Z5 COMMENTS: 1111 Updated February 2014 2BP2-09-Zo23-45111(0 Tfl1ev-10- 7073' 14151 • >,ati Q' '01• 4Z 1a f*\ i1 Nw iD �F n a O� cotZ I 1123 N PSL 10 7b V. Attl 111 99.6• 1^ 73 1�2� .1134 90,t r Parcel: 372011658149, 1123 HARPER LEE DR 1 in=50ft NEWTON, 28658 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 shell not be held liable for any and all damages,lose 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 11/07/2023 I