HomeMy WebLinkAboutIMPV-04-2016-070964.TIF :sxA CATAWBA COUNTY Case# _ . ____ __ _.
(i71±11111 Public Health Department Subdivision WYNSWEPT PH 1
< :rI ,Tj Environmental Health Division PINT/ 367804514573
'-,, PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LOT# 27
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NAME ON PERMIT: `MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4532 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet:31,798.80 Acres:0.73
Directions: Hwy 16 S, L Pembroke Pine St
Owner/Authorized Representative Acknowledgement of Permit Receipt
TN IV('I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
2
eSQL As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23453 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
-Ne 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: 04/08/2016
- Owner/Authorized Representative Signatur- _ ��
Date q/g//j-
/ 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
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ehpermit 04/08/2016 11:42 Page 3 of 3
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sy•A CATAWBA COUNTY D t 0.. 0 Casc# IMPV-04-2016-070964•
I G Public Health Department Subdivision WYNSWEPT PH 1 alma• Environmental Health Division r • PINT! 367804514573
• ®r PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 9 orb {r LOT# 27
1842 sm� { T•r
NAME ON PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4532 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 31,798.80 Acres:0.73
Directions: Hwy 16 S, L Pembroke Pine St
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
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 REQUIRED
Permit Conditions: See AC for 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 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' (I5A NCAC ISA .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 04/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/08/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/08/2016 11:42 Page 1 of3
i 13A Permit# RBPR 3-16-23453
CATAWBA COUNTY
G Name Mike Palmer Homes Inc
Z Public Health Department Lica�, Address 4532 Cayton Drive Maiden NC
Ql Environmental Health Division
K,,,,,,_ W .;,1. PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 367804514573
/ � Lot 27
8 42 sH (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Authorization to Construct
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Division of Environmental Health
'On-Site Wastewater Section Dale: o ! 0 9 ! a o e 9
Soil/Site Evaluation 'File #: Z 4 5 t 4.
For On-Site Wastewater System pit; : 0 a o tea t
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'Owner DANNY EDWARDS HECHT DEVELOPMENT CO ProposedEacilit SINGLE FAMILY
Proposed Design Flow(.1946) 6 o 0 Location of Site 4532 PEMBROKE PINE ST
Property Size 0.81 Water Supply NEW WELL . Evaluation Method Pit
PPY . _
1940 Horizon. SOIL MORPHOLOGY i
Profile„ Landscape Depth .1941 Other Profile
POS IN Mineralogy - Matrix Mottle Factors
• Slope`A, ( Texture Structure Consistence Color Color
U 0 I 0.24 scl sbk fr ss. sp ;1942 Wet.
24-48 sc sbk .r ss sp 1943 Depth 4 8
8 % _
1944 Rest.
CPS l
Horizon
Saprclite' +.1947 Class Ps
r1^� -- Prone
LTAR 0 • 3 5
a 0 - I L 0.24
0�. sal sbk ss sp ._—..� ,1942 War
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j 2 -1A sc sbk fr sp .1943 Depth 4 8
8
944 Rest.
Horizon
CPS 1 Sdprolito .1947 Class PS
e g i • Prone 0 3 5
, LTAR— '
0-24 i scl sbk 55 sp 1942 Wet.
0 U 3 L
24-48 : sc sbk ft ss sp ,1943 Depth 4 13
1944 Rest
AriZOi
GPS —
Saproliin I 1947 Cass Ps•K.g1 i
Profile —
TAR U • 3 5
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.1943 Depth
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.1944 Rest.
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GPS 9apwlife, - ! - .1r•
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.1943 Depth I
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GOS Horizon
Seprolite. 1947 class .
rg1 Profile
_�—.__I LTAR— •
;-Available Space (.1945) Ps Other Factors(.1948) _ - Site Classification: Ps
` Initial LTAR: e . 3 5 Repair LTAR'. a . 3 5 Others Present: .
• Comments:
Evaluated By: Boyd.Jason I
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