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HomeMy WebLinkAboutIMPV-04-2016-070969.TIF ;,PA CATAWBA COUNTY Case 4 _ .0 L y Puhlic Health Department Subdivision WYNSWEPT PH 1 < ,`% Environmental Health Division PIN// 367804517494 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 29 1842 9 NAME ON PERMIT: *BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673- Site Address: 4564 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet:34,848.00 Acres:0.8 Directions: take hwy 10 to hwy 16 South and turn left onto Cayton Drive, Property is .3 miles on the left 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 RBPR-03-2016-23539 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: 04/08/2016 ` Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) I . Permit transmi ed b tr �' , NI (name ofperson s• dingpermii Signature i tYA/tt a el '_/ Date/Time 1/ (P011 ; 6 Method: Fax \Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature beZdA\ We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 04108/2016 12:07 Page 3 of 3 "--vti Case# • 1t3A CATAWBA COUNTY o 0 IMPV-04-2016-070969 , i[.}MC Public Health Department r •- �,• J' Subdivision WYNSWEPT PH 1 Q s '". Environmental Health Division �r PIN/4 367804517494 fir® '°dt PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 iG —r LOT# 29 842 s. i. Li+- 0 0 r r NAME ON PERMIT: "BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673- Site Address: 4564 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet: 34,848.00 Acres:0.8 Directions: take hwy 10 to hwy 16 South and turn left onto Cayton Drive, Property is .3 miles on the left 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: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP 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 arc 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 for any given period of time. Jason Boyd 04/08/2016 AUTHORIZED STATE.AGENT APPROVAL DATE 04/08/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/08/2016 12:07 Page 1 of 3 4.1.1\3A • CATAWBA COUNTY Permit# RBPR 3-16-23539 L Public Health Department Name Beason General Contractors _. Address 4564 Cayton Drive Maiden NC °` Environmental Health Division 's PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 367804517494 847, sw (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Lot 29 Site Plan Authorization to Construct RS) r` \ 1 ? (aS . oI II° _ of _ _- — 01) r - ✓L�e- c1 D L o �4 � _ t�'t,vr Zak Sb ' ZIo - I I sl 2, ls ' 60' X32 ------_ vL, • I k ^ ' ST — 0 / Coo ' w GS 4 al-L- A2C V 3Z fi b I L -"a C a ./1-0 .,\ O r 1u Scale • • • NCDENR Division of Environmental Health • On-Site Wastewater Section • 'Date: 02 / 0 3 / am Soil/Site Evaluation 'File#: a 4 s 1 6 For On-Site Wastewater System pip( #; 0 6. o 3 o 6 3 :`Owner DANNY EDWARDS HECHT DEVELOPMENT CO Proposed Facility SINGLE FAMILY Proposed Design Flow(.19401 0 0 6 0 0 Location of Site 4564 PEMBROKE PINE ST NEW WELL Pit ,,pl a perry Size 0.78 Water Supply Evaluation Method 1940 orizon SOIL MORPHOLOGY H Landscape Depth 941 Other Profile Profile* % l (IN) Mineralogy Matrix Mottle Factors I Texture Structure Consistence Color Color 0 9 1 L U-t8 scl sbk it ss sp I .1942 Wei ✓_^ • 8 1943 Depth 4 8 1944 Rest Horizon GPS Saprolito .1947 Class ps �zr ' Profile LTAR 9 •• 3 5 •. — 0-36 scl sbk `r S5 • Sp .1942 Wet. 0 0 a • L 36-48 sc sbk Ir 55 sp .1943 Depth 4 e a °/n 1 —.._.r. . .1944 Rest. GPS ! - Horizon • Seaiolite. 1947 Class Ps Si - I Pante 0 3 5 LIAR ' 0 a 3 L 0-36 SCI sbk fr sp .1942 Wet. 36-48 sc sbk L SS sp .1943 Depth 4 8 a Din • 1 GPS II0r!zonst. �. • Saprolite .1947 Class ps ' i Profile . LTAR 0 • 3 5 1942 Wet - 59-13 Depth • / .1944 Rest. GPS - Horizon Saprolito 1547 Class Cake_ • .. '. .1942 Wet ;,r ---- 1943 Depth -- .1944 Rost. GPS Saprolito. .'1947 Horizon Cleee Profile LTAR • Available Space (.1945) Ps • Other Factors(.1046) n7o Site Classification: Ps . Initial LTAR: 0 •. 3 5 Repair LTAR: o . 3 5 Others Present: - Comments: i Evaluated By: Boyd.Jason I NCDENR Division of Environmental Health :'s On-Site Wastewater Section . Date: e / 9 3 / z o 0 9 Soil/Site Evaluation File#: 2 4 5 1 6 • For On-Site Wastewater System PIN #: a s o 1 a 6 3 .1941) Norizan I SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Mineralo Matrix Mottle Factors Slope % (IN) Texture Structure Consiste n e Color Color I .1942 Ws:. • .1943 Depth ro.. • .1944 Rest. Horizon GPS Saprolilo_ .1947 Class {Profile ;LTAR .1942 Wet. 1943 Depth • .1944 Rest. Horizon GPS Saprolhe .1947 Class Pr TAR .1942 Wet. ` .1943 Depth •t_. 1944 Rest. GP I Kenton Saprolitb'. 1,.1947 Class !Profile (LTAR • • 1942 Wet. • • .1943 Depth • .19944, st. Re GPS Saprolite. • 1947 Class pp -- \.1942 Wet. j,1943 Depth .1944 Rest. • Horizon GPS Saprclite: .1917 Class 'o, —• LTAR Comments: • . Attach Image _ The "open Drawing Form" button. opens the the drawing form. 101 : The "Import" button, attaches the drawing. or other image into the space below. �nh y ; Open Drawing Form • • • Profile: 001 C J X Y • Z • 'Profile: 002 e X Y Z • i Profile: 003 e X �.____. _, Y z { ;Profile: 0 X Y . Z Profile: 0 x Y Z Profile: Q.X Y Z Profile:�_ C3 X Y Z • Profile: X Y Z Profile: 0 X Y • Z Profile: 0 X Y Z