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Home My WebLink AboutIMPV-3-11-16243.TIF �gA CATAWBA COUNTY Case # IMPV - - 11 - 16243 G Public Health Department ti 4 �'� 2 a Subdivision CASTLEBERRY Environmental Health Division d "� PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # 2 Ig 2 'M PIN# 376302597381 Applicant/Owner KASEY HOGG Site Address: 4617 DEAL RD, Claremont, NC Property Size: SF 0.62 ACRES Directions: ROCK BARN RD - TURN RIGHT ONTO OXFORD SCHOOL RD - TURN RIGHT ONTO DEAL RD - PROPERTY ON RIGHT 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 EHPR -3 -11 -9797 , by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 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: 03/22/2011 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 Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature acknowledges the conditions and statements above. 03/22/11 14:43 �B: CATAWBA COUNTY Case # IMPV - - 11 - 16243 � Public Health Department Subdivision CASTLEBERRY � � y Environmental Health Division u '< PO Box 389, 100 Southwest Blvd, Newton, NC 28658 Lot # 2 • - SM PIN# 376302597381 Applicant/Owner KASEY HOGG Site Address: 4617 DEAL RD, Claremont, NC Property Size: SF 0.62 ACRES Directions: ROCK BARN RD - TURN RIGHT ONTO OXFORD SCHOOL RD - TURN RIGHT ONTO DEAL RD - PROPERTY ON RIGHT Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X No Expiration: Projected Daily Flow 360 9•P•d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS 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 Susan Bumgamer 03/22/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/20/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/22/11 14:43 Rt - r'pv - 31( - I W 3 93.31 , \ ` ` ' Q � � U 0 cl c'' 3r 30 1 . ion DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID #: ,ON•STIE WASTEWATER SECTION COUNT,: SOIL/STTE EVALUATION cti pR ^ 3 - / I - ct7q ri V for ON-SITE SITE WASTEWATER SYSTEM • OWNER ias ' . J APPLICATION DATE ADDRESS: Co n„sti�� DATE EVALUATED: PROPOSED FAC L TY: PROPOSED DESIGN FLOW (.1949): • PROPERTY SIZE: LOCATION OF SITnE:> PROPERTY RECORDED: WATER SUPPLY: V Pavate 0 Public 0 Well 0 Ste' g 0 Other EVALUATION METHOD: frA Bating 0 Pit U Cut • • TYPE OF WASTEWATER: .'Sewage 0 Industrial Process 0 Mixed gas . — • . »... «» .. ..: ......E ._...... •• iii " -..::: • ? •• • 9° : :n :: : »r. :: :« xi!! - i`^..«.t:•�• "iE. siiE ..t::.t _ ^si= ?EiEi. iiiei? � - " • -" :? � • ?:u: :•�r:••:u»�•- mow.- ::... n rn:_ „lit _ .__. «........._•_•75...•� ........... . ' : .... .... ^. ` .. • _ ._.. ........... ».... . ��.1: ��iirl.��i�+�i ? ?«•?i «:�: ..u:s.:«::nic•. « ..._... » :« » :... »_..... :.. -. ..�.....«..._ ^...» �iie:?$E ?EE �E� �E? °EEC ?i ? ?EE::E r : n «n« L716t' .. ._. » . y f 7 t _ ................... s • _„ N r •^-:._.g.Q]!T_ _....:.:? .«:»: �. klihira : 3LELim, .......••. . PO•D., ..._ :» . aNs ii i :DS PTIL ' EEE _ ,� . +� 01 7 : : ::i : cy • • ' ^ • :••• r nTl ; `• z�',' _ :E: Ei afP..t':?�1t.le:�. �b»�.Ae�. 7�� ....._ :n .. 7Si!'E• ° • �, r _ •,. . _:.:.�cc � t - =' �r�' - =sroms ? e . ° =SOi= F: ... ..`yry ru.�•...Y . "c = ati ' :::: if �`" n• ..................._ =:::.................« - ^.:« ...._ ..5::«.:t:S7: C. :R: :::.:: ' .. »W ...... _ : :11TYf1111f. : :: _ d,t I,S o -44 c. , sIk -, sue , r - 5 9 0 �j SL • ' y$ • 1 , • • • 0 - 46i. cie*; ic ,f er 2 ► t3• . • Pi) ��., pS 3 • _ .3 • • .4 DESCRIPTION INMAL SYSTEM I U SY OTHER FACTORS (.1946): l S S SITE CLASSIFICATION (.1946):, Amiable Space (.1945) P S s ► Typx =) �S rt �S`'lo EVALUATED BY: St t3�, - N..( - OT HERS) PRESENT: • . Site LIAR ► ?j , 3 C OMMENTS: APP - 3 - (1 -979 S I �o -Fes 0