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Home My WebLink AboutIMPV-03-2016-070609.TIF CATAWBA COUNTY Case# IMPV-03-2016-070609 ;tit Illic:ilriPublic Health Department S MRS EMMA L KILLIAN EST 6 �;�,�; PO Box Health Division Suhdivision uhd PIN# 363914236941 �°`��' PO Bos 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 37-40 /842 5,, NAME ON PERMIT: CLAYTON HOMES, 2026 NORTH SIDE DR, STATESVILLE NC 28625 Site Address: 1853 DISNEY LN, NEWTON NC 28658 Property Size: Square Feet: 14,810.40 Acres:0.34 Directions: 321 Business South, Right on Hwy 10 West, Left on Sigmon Dairy Rd, Left onto Lutz Dr, Left on Disney Rd, Lot is the 3rd empty lot on Left. Owner/Authorized Representative Acknowledgement of Permit Receipt k1)61') I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the (N- property described above. • \(tj As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-02-2016-23264 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) UD' 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: 03/30/2016 --wner/Authorized Representative Signature .....gi ...."..-- 411111° Date .3/7i/Zo/ 6 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 want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService eh perm it 03/30/2016 11:11 Page 3 of 3 rg CATAWBA COUNTY 0 f 0 Case# IMPV-03-2016-070609 X' tin Public Health Department + �} �]F Subdivision MRS EMMA L KILLIAN EST Q Environmental Health Division ;14.71:1 t PIN/ 363914236941 �: /� PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 i {r LOT# 37-40 •IH42 .wig.• T•r D Lr NAME ON PERMIT: CLAYTON HOMES, 2026 NORTH SIDE DR, STATESVILLE NC 28625 Site Address: 1853 DISNEY LN, NEWTON NC 28658 Property Size: Square Feet: 14,810.40 Acres:0.34 Directions: 321 Business South, Right on Hwy 10 West, Left on Sigmon Dairy Rd, Left onto Lutz Dr, Left on Disney Rd, Lot is the 3rd empty lot on Left. Improvement Permit Facility: Primary Residence - House 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 g.p.d Proposed Wastewater System: 50% REDUCTION Type: IIIE - PPBPS GRAVITY DOSED SYSTEM Permit Conditions: `Do not grade, drive, or fill over any septic area. `Pipe all gutter down spouts away from the septic drain field and repair area REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA- ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED 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 Rues 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. Robbie Phelps 03/30/2016 AUTI IORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/29/2021 No grading or construction activity is allowed in areas designcued for system and repair without approval of the Health Department. ehpermit 03/30/2016 HA Page 1 of3 Catawba County Environmental Health � 0V- 1 -2C7/ G -67°6°9 \ \\ 8 R itp \ 3. O Si E3 C NZ \ uti mA- 8 ft s• • G Hal.r �IAw M1e c' e N 1_"0 N L�p , 111* ( )„ a sto. , 4 \ . N z�, };�� , d � GI \5° AI°� so Ar' i •lI gi �� \ r2- o 0 8 \fin 1 Parcel: 363914236941, 1853 DISNEY LN 1in=40ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospadal 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 2014 Catawba County NC 03/30(2016 DEPARTMENT OFENVIRONMENP ANO NATURAL RESOURCES Sheet—of DIVISION OF ENVIRONMENTAL RFALTnn PROPERTY ID#: ON-SITE WASIEWATERSECIION COUNTY: SOIL/SITE EVALUATION Aaron -I for ON-SITE WASTEWATER SYSTEM 2‘q OWNER: h 0.14 APPLICATION DATE ADDEF es. 1)13 Y1Arn.ct. Ln DATE EVALUATED: 3–n PROPOSED FACILITY:_ 'h b R PROPOSED DESIGN FLOW(.1949): )6O . PROPERTY SL7E: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: UPuvate 9 Public [rWen U Spring 0 Othe EVALUATION METHOD: 0 ALgerBo®g [flit 0 Cut TYPEOFWASTEWATER: Sewage O Industrial Process 0 Mixed .T:._.i.__ _:—lEE :..:.......:...._::::: ::ca rr.: s :: ° ...".; A:::1rM\ n } .:..c'i::::: _..: ::::::en.::::::i.:.:: :..:_ :e::: :::. :::.:::: ::::..:::: :: FI OFIGTT_ _CT_£)R5[ _][ f - E ._ :::::e � �::: - t[i:iiii?ii€=iss=ii€_ ee::_a[:iii: __.:: ::: :-_:::_::`:=:_a144k...— ::::::::::-•:___. ......._...._.::": :...__........_ =-- - _ 19ai__ --- =1411- - _ .SnIL. tONS1S'x'EXC VEIN TgYarliXtcYgg.....Cv RR nPEx¢ c. ASS_ 2�L CL ASH ft , ,/, 1 Zq-4 slk S C,,,j � Fr f'fc L SD'0 4 r 5 • Pr ■ a 5 . �_`. .._ �k .. l F %- 'S7 C rl 1, F-J f/ 2 GCIo C +SVr^ .5h F- r r SZ 5 er o-�u C L h,lh Fr f, ,( 3 z s°1a rlo c Kirsh Fr J• ,p 7 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) ,S` S- SITE CLASSIFICATION(.194S): / / System T�°J SO °Io /O o/0 EVALUATED BY: R..>�Si4- l�ht 1! _ OTHER(S)PRESENT: Site LIAR COMMENTS: Catawba County Environmental Health • • ,,.... N. e\ \ \ o V • • ■ \is' •. r d1/4 N5d • S 1� • Parcel: 363914236941, 1853 DISNEY LN 1in=40ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made so. g,.? _ to ensure the accuracy of location and labeling information contained on this map or data on this repot Catawba County promotes and'Iie'6 - the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agent?-/'- personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which a- - arise from this map/report product or the use thereof by any person or entity. ` Copyright 2014 Catawba County NC r 0