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Home My WebLink AboutIMPV-04-2016-070920.TIF _S9 CATAWBA COUNTY Case# IMPV-04-2016-070920 T t' Public Health Department Subdivision Q . >®t Environmental Health Division PIN# 365604738470 PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOU 2 IA42' su NAME ON PERMIT: KEVIN COX, 2107 OKLAHOMA CT, LINCOLNTON NC 28092 Site Address: 2737 DAVID COX RD, MAIDEN NC 28650 Property Size: Square Feet:66,211.20 Acres:1.520 Directions: From Buffalo Shoals Rd, Left onto David Cox Rd. Property is 500 feet on the 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-03-2016-23301 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) fr _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: 04/07/2016 Owner/Authorized Representative Signature /(7, -/L- te,e Date " - r- c20/� 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 04/07/2016 08145 Page 3 of3 ' Case CATA�','BACOUNTY 0' e 0 C # IMPV-04-2016-070920 � Public Health Department r ' h Subdivision ®-L � ' 4 -° " . , 4 Environmental Health Division 3�r• PINiI 365604738470 �� PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# 2 /842 S. r r r NAME ON PERMIT: KEVIN COX, 2107 OKLAHOMA CT, LINCOLNTON NC 28092 Site Address: 2737 DAVID COX RD, MAIDEN NC 28650 Property Size: Square Feet:66,211.20 Acres:1.520 Directions: From Buffalo Shoals Rd, Left onto David Cox Rd. Property is 500 feet on the Right. Improvement Pen lit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? ----------------------- INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: BIG -OTI-IER NON-CONY TRENCH SYSTEMS PUMP REQUIRED Permit Conditions: Keep all parts of septic system and repair system if needed minimum: 100' from any well, 10' from property lines, 5' from home including deck or porches, 15' from any pool. Lines to be installed on contour. Do not grade drive or fill over system or repair area. If outlet plumbing from home can be held high enough grade and tank kept shallow, a pump system MAY not be required. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS PUMP 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 Rules for Sewage Treatment and Disposal Systems' (I 5A 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. Jason Boyd 04/07/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/07/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/07/2016 08:45 Page I of 3 �U'A Permit# EHPR 3-16-23301 CATAWBA COUNTY G Name Kevin Cox 1r� ;t 2 Public 1-lealth Department Q, '- ' Environmental Health Division Address 2737 David Cox Rd Maiden NC 790 PO Box 389, IOOA Southwest Blvd,Newton NC 28658 PIN 365604738470 /842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Improvement Permit IS D T✓ J, ,2, )Gox � D rtv• ° ( - 1 \ t,—) I,LARt A 163 of r 711 lv�..t, 5$ a . L or ZS r PT I S-C ✓1--tj to JIDO!°0 to s5 .4d- e I65 fu 25 i 4c-c K 1 , nQ ( 6 'l, 5 �-�I Sr / �+ . r A d I- 1 k c--4 c, 1 / _ 6O kc cxC' S vh, , rLte) Ly Surv‘--`'? ac 1 Scale I Department of Environment, Health,and Natural Resources Sheet: Division of Environmental Health Properly ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-3-16-23301 Owner: Kevin Cox Applicant: Address: 2737 David Cox Rd Maiden NC Date Evaluated: 3/23/2016 Proposed Facility: 3 BR home Design Flow(.1949) 360 qpd Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by Jimmy Dellinger [ ]Cut Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed P r dpa k iv ' i " { a Y otol a v b.ti +St . 74 �s r a r ;omit p e F a 1 5.36, a4 2 m* `g t' *l r R o — i t ,to• , gGr2a R O & � O s V ) 4v 1�iit iSOILtMOHOLG4 � TM I E9 r.�' ' #� 31 � b q- , . u:4:0`333$11143-33-F k :t "iIr pe 3t��T � � �g 41*3 -ak #+9e, ��l'tPROFILEeFQ"GORS : qA ng_o- k. '1f�r a' s z d � �rot }d are 3t lP x t 143 g �a 94 ` < Pf ^v,Lnstcz 941 ^ � S S e o (wr i L 9g y ,T roi C , '`,1L34,41[13 mo Posidrig oDeph3 L tructure/t .Consistence s Wetness/n ; { , s Sl rot" 7 Class i.[Slpe%`: (IN!) � et urev h:dMnera aloy; S: .. *erg1u Color £ .Dpth,(N:) Class Hoorz„9 „%BLTa'.•1 LL 6-8% 0-6” topsoil 6-36" SC SS,SP,SEXP,FR 48" PS.3 36-48" SC w/sap 2 LL 6-8% 0-6" topsoil 6-24" SC 48" PS.3 24-48" SC w/sap SS ,SP,SEXP,FR 3 same as 1,2 48" PS.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) III BG III BG Others Present: Kevin Cox and Jimmy Dellinger Site LIAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations \\ p3 L L c-,t' e d ° •1\ U 3 � 3ki Lb