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HomeMy WebLinkAboutIMPV-11-2023-208545.TIF g: CATAWBA COUNTY ..... . .. _„_.. -.,,,_ ._ F.T .j.IR ,� Public Health Department Subdivision ANNIE TRACE PH 2 4 .� '� Environmental Health Division PIN# 377108994143 PO Box 389,25 Government Drive,Newton,NC 28658 i o r# 19 . SM Site Address: 2677 1ST AVE NW,CATAWBA NC 28609 Name on Permit: STEFAN KULCSAR Property Size: Acres 0.35 Directions: NC 10 left onto 5th St SW, Left onto Old Catawba, Right onto Davis St, Right to stay on Davis St Owner/Authorized Representative Acknowledgement of Permit Receipt X 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-07-2023-44935, by the following method(s): Received in Person / Facsimile Transmittal(Return form with signature required) I. 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: 11/15/2023 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 E Date/Time n`l vh3 Method: Fax 4 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 5kkvt Xtt loar@ 0 hots. &rf rLpemiit 11/22/2023 05:03 --3"ts � ''/J\13 CATAWBA COUNTY Case# IMPV-11-2023-208545 . . . Public Health Department Subdivision ANNIE TRACE PH 2 ec,„;.„,,,...1 Environmental Health Division PIN# 377108994143 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19 Witaitiw Site Address: 2677 1ST AVE NW, CATAWBA NC 28609 Name on Permit: STEFAN KULCSAR Property Size: Acres 0.35 Directions: NC 10 left onto 5th St SW, Left onto Old Catawba, Right onto Davis St, Right to stay on Davis St 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-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA 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 I lealth 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 I lealth of this change prior to system installation. ,f1..............-- n coons 11/15/2023 Authorized State Agent Permit Issuance Date 11/15/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpcnmit 11/22/2023 05:03 • Catawba County Environmental Health nivoill -aQ3 . . 1l - Oa3 - a gist's- un " oas - ao (46aApt55.24 fir t 126.11 ass ..."2:54 j951 sa T re' s _ s� $ o a •2677 . __, R` Ca .�� Rcax%r SD' < 1 co S' .- L..., �rlJe 1 149.74 V.r t-t tc 1 \\ i,,,,c Y. r' o ' , n� S "� 8 g ' S'�.i n CS •2667 $ g gp4nels ego., S ' r etAy 10.-r4- ,.0 Sys Parcel:377108994143,2677 1ST AVE NW 11n=40ft CATAWBA,28609 Ttte mapkeport product•ee pspaed tom the Cassaba Cat tIC GeoppelW hdotmation Services. Catawba County has made substantial efforts to anwa•the aoaeaq d Weft and heell n •• Iii ed on Ns map Of data on this report.Catawba County promotes and recommends h Independentvalloelon day date on Ns impliiperlpewlet by the user.The County of Catawba,its employees,agents.and pemoree 1,dude,sad shell not be MIS Isle tray ad al d/ne_ee.Ions or feb111y,whether direct.Indirect or consequential which arises or may arise born Mle nrep'span product or h use I seof by any pion at oft. Ccors f12021 Waste county NC 11115/2023 egCamScanncr DIUPAR1MUUNT OF HEALTH AND HUMAN SERVICES • 5brtl 1/ of I DIVISION OF PUBLIC III1A1.111.ENVIRONMENTAL IMAM l SECTION • PROPERTY 1D N J J f jIV: ON.SI11i WA1TX PROTECTION BRANCH COUNTY' SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all Geld&in Pon) 5-1e ."1 0OWNER:: KL/IC SC+F _ APPLICATION DATE 7/19/1 ADDRESS: DATE EVALUAXED: PROPOSED FACILITY: SFO PROPOSED DESIGN FLOW(.1949): 36O PROPERTY SIZE: e ,f-< LOCATION OF SITE: ZG 77 /AWE. N(i PROPERTY RECORDED: 1 WATER SUPPLY: 0 Private .0E Public 0 Well D Spring 0 Other EVALUATION METIJOD: 0 Auer Boring,,lePit 0 Cut TYPE OF WASTEWATER: XSSewage 0 Industrial Process 0 Mixed • o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON , - POSITION/ DEPTH .1942 PROFILE I SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE! CONSISTENCE/ WETNESS! SOIL SA PRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ A o4, ,31- 6-1- 736-a SQL Fr- PS 1 (, BC, ai?-so ,cosbk cc. - / 60 / / .3 15 . A d -6, j -C- 13 tv-Z3 sly,. L F'` 2 / �l/ !'� U g6- 23 N6 sac cL Fr 7 / 3 10 AD -6 5rG`- _ L 0 ,(p-3q s C_ - �o p S 3 oc3i_ so Laseitas F.-, / / 13 A 6 -6 •ram . U (36- c* sL 4 C- rr-- �!� fiS 4 �- a6-q8 (A5114CI^ Fr- / 6i, DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1915) t% !/ ' // SITE CLASSIFICATION(.1948): PS ' EVALUATED BY: sr=TYPO V b?‘ OTHER(S) RESENT: ! v445 She LTAR 03 a3 Update!Pi6resq 2014 eg CamScanner Catawba County Environmental Health l —eesb 456 �- ayeilia..\16-0_0 ______________________ — ss —ese e •-- '650 $60 cI -660 55.24 -862- — 6' ��� so—`- .2667 862 -664 $64 -e66- 4.. .0 —' e66 465~1 ...�, 66s ----sf9.rtt—A— r e7b. _70 . -_e70-- V To o e72 e : —87; -8728 �� i- \ S74 _ .2677 J 8 74 874 n�i -878 e76 54 3 It a-e7S l - 4 -e79 e n\ 97E 87887• r -ee0- e80 -882 � seo____,V...............,.......,.., N -aet es2 S • ^ .26s7 8 8ea eat ettz es6 .. sae ass 890 888 r Parcel:377108994143,26771ST AVE NW 1 in=40ft CATAWBA,28609 T1is product was prepared horn tlia Catawba County,NC Gsospatlal Information Services. Catawba County has made substantial efforts b yr..pgaary d for aebon and Iabelrg krforrrratbn oonEsin an Ih map or data on this report.Catawba County promotes and recommends the verification of any data contained on Ills report product by the user.The County of Catawba,its employees,agents,and personnel,cat: and shag not be held gable for any and ail damages,loss or liability,whether direct,indirect or consequential which arises or may arise frorn this snap/repot product or the use thereof by any person or win. Copyright 2023 Catawba County NC 09/11/2023 gig Cam Scanner