The URL can be used to link to this page

Home My WebLink AboutIMPV-04-2016-070814.TIF _IqA CATAWBA COUNTY Case# IMPV-04-20 1 6-0708 14 .� �. Public Health Department Subdivision Avian Woods PH 3 < �Y/ Environmental Health Division PIN# 372012953881 a,r;. PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# 39 &40 1:4 NAME ON PERMIT: KEVIN FULLER, 1300 HARPER LEE DR, NEWTON NC 28658 Site Address: 1322 THURBER LN, NEWTON NC 28658 Property Size: Square Feet: 74,923.20 Acres:1.72 Directions: Startown Rd, left on Milton St, left on Thurber Ln, lots on right at end of cul-de-sac Owner/Authorized Representative Acknowledgement of Permit Receipt Fkit 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 I v requested in the application for service EHPR-03-2016-23419 by the following method(s): Jeceived in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) VAs 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: 04/05/2016 `5wner/Authori ed Representative Signature V'" I ` Date CS 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 ehpermit 04/05/2016 09:11 Page 3 of 3 Iv ,Ta• � CATAWBA COUNTY 0 � • Q Case# IMPV-04-20 1 6-0708 1 4 iifin , Public Health Department 31:d> `. Subdivision Avian Woods PH 3 G ' � Environmental Health Division PIN# 372012953881 !6 z� PO Box 389, 100-A Southwest Blvd.Newton. NC 28658 , , - LOT# 39 &40 !842 ,M A O ir ` NAME ON PERMIT: KEVIN FULLER, 1300 HARPER LEE DR, NEWTON NC 28658 Site Address: 1322 THURBER LN, NEWTON NC 28658 Property Size: Square Feet: 74,923.20 Acres:1.72 Directions: Startown Rd, left on Milton St, left on Thurber Ln, lots on right at end of cul-de-sac Improvement Permit Facility: Primary Residence - house Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS PUMP *MAY BE* REQUIRED Permit Conditions: 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 olother 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. Megen McBride 04/05/2016 AUTHORIZED STATE AGENT APPROVAL DAP: Permit Expiration Date: 04/05/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/05/2016 09:11 Page I of 3 IP ENPf-03-'oIb-X3'119 13227hvikr 1-n ()e '-vi' f Ines ("I'M IS 11p� -[vt' iA \e,ider N'?°Sa . LotsIAnusI hC C6►A6;ned. Ficp, fu ISSvana o{ ALferM0:1- +` Do noA- drw<, Drpdo c a {;I, k ovev e Gina. U �^ remoo 65, 1 35' IQ* \° , Seel* v e. Area )51.Rea r Solo .1 r Rea- 4; Propose& 15' 9 6edrOW\ �o no Housc- (25x B5-i ncludts pasty, decks 1001 I na. /fr -Sr 7• q3 ittItt Oita 1151 #1°t lu DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID it ,ON-SITE WASTEWATER SECTION COUNTY; SOIL/811'E EVALUATION Applioak for ON-SITE WAS IEWATER SYSTEM .,,,m t: k u,.ToIIPy APPLICATION DATE 31n�6 tiIPR 03-2oIh-23NI7 ADDRESS: EVALUATED:DATE EVALUAT : 3r2 /IL PROPOSED FACIISTY: 4 SCtlDJt PROPOSED DESIGN FLOW(.1949): 4_ PROPERTY SUM I. )Grin LOCATION OF SITE:J37a lh tk be r Ne -Or PROPERTY RECORDED: WATER SUPPLY: Si Private 0 Public Well a Spring 9 Other EVALUATION METHOD: 0 Auger Baring 'Id Pit 0 Cut TYPE OF WASTEWATER: $ Sewage 0 Industrial Pmcess 0 Mixed • _: :_-::_ :::_:::•: 7rA-02 � {elv-0s �^I Ad �„ I rJx/ H V ' DA ryP7:1 k Dice, I � TtivYV L1. (No\ ScAe-)