HomeMy WebLinkAboutIMPV-04-2016-071022.TIF 4e. • CATAWBA COUNTY Case 4 .
rtil . Public Health Department Subdivision Westside Hills
L' -0 Environmental Health Division PINK 372015626506
��, V PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT/1 9 V
q2 N
NAME ON PERMIT: BLAKE & ELISABETH WRIGHT, 2329 VERA CT, NEWTON NC 28658
Site Address: 2329 VERA CT, NEWTON NC 28658
Property Size: Square Feet:26,136.00 Acres:.600
Directions: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac
Owner/Authorized Representative Acknowledgement of Permit Receipt
Nc I certify that I ain 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-03-2016-23428 by the following method(s):
_ Received in Person
Facsimile Transmittal (Return form with signature required)
,/Electronic Image Transmittal/E-mail (Return receipt required)
--ic sthe 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: 04/11/2016 •
t
5 Owner/Authorized Representative Signatur: .,111'Ja t. ,ls:
Date ! M '
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by , d 1 4 ' * , a (name ofperson nding permit)
SignatureY09i\k/V- iie Date/Time L I .v loco
Method: Fax �/ Email US Mail Other
0 vner's request to send by the above indica ed method of transmittal in lieu of signature
1T, t � i5�1 LI �� U
We want to hear from you. PI ase take a few moments to complete our customer service survey at:
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ehpermit 04/12/2016 09:53 Page 4 of4
gA CATAWBA COUNTY 0 P ' T'' 0 Case# IMPV-04-2016-071022
•. Public Health Department . Subdivision Westside Hills
'9R o e PIN# 372015626506
2 _-.:„, $ Envvonn tai Health Division
d6 PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 h L01-# 9
Ig42 s. k } f
i % yt
ci
NAME ON PERMIT: BLAKE & ELISABETH WRIGHT, 2329 VERA CT, NEWTON NC 28658
Site Address: 2329 VERA CT, NEWTON NC 28658
Property Size: Square Feet:26,136.00 Acres:.600
Directions: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac
Improvement Permit
Facility: Primary Residence - house
Permit Category: Expansion Bedrooms 4
WATER SUPPLY: Community 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
Permit Conditions: Initial/failing system is a gravel bed. Repair system to be installed at this time will be 25%
reduction. Future repair designated as 50% reduction.
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' (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.
Mogen McBride 04/11/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/12/2016 09:54 Page I on
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re ick;r- f+9T;on
A C {o 41540.11 repair sjsiun
EUPP D3-a016-)31a8
3' ljera C4. New+on
Fxisl n55 +anlc is par+ially under deck. PurnQw- , cMMMk, and abandon old fa+.
' jns+cd 100054110n seP+ir- -�an►c qnd y 35�, o 2570 Rgdic1'on j 5 4-renclleS —
VarirNe, lentil-l-hs. lInsMall on C640X.
S93,{ic 5\5- en mu5+ be, (00% from Gommund v4€I\, ID->1.-{oM ro dy Imes,
5 f4 -F;oy Siwckvres, (fI.fror\ plot Sys tem. Keep cysteM ovl- of ry- wrxys
and Casernewrc
+ by nod- ar;Je, tack?, cui, 0( -(7(1 over se,&, areaS-
t }-\ovsc Connected -Iv comMoni47 Well .
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DEPA CIMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheer__nJ_
• DIVISION OF ENVIRONMENTAL HEALTH • PROPERTY ID II:
, ON-SITE WASTEWATER.SECTION COUNTY:
SOIL/SITE EVALUATION
U1v• for ON-SITE WASTEWATER SY$'IEM
OWNER: DATE .3 IS I6 Ef it-03-aoit,-13q i
ADDRESS: DATE EVALUATED: 1-6-te
PROPOSED FACILITY: 4 BR HotMP.: PROPOSED DESIGN FLOW(.1949): ti RD . PROPERLY SIZE: O.£00 rives
LOCATION OFSILL 3329 VCIQ GE, Nt•l-lovt PR PER7YRECORDED;
WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring 0 Other 10111M Ull I fJ vie II
EVALUATION METHOD: 0 Auger Boring 0 Pii 0 Cut
TYPE OF WASTEWATER: N Sewage Q IndusmalPro=ss 0 116;ed
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DESCRIPn°u MALSVSItM I "PAIR SYSTEM OTHER FACTORS(.1946):
Amiable Space(.1945) PS SITE CLASSIFICATION(.1948):
A
System Type(s) 119 rHER(s)PRESE Me`kevi�PDwe l
Site LTA& 01, 75
COMMENTS: ,, 1
01 l'r' r .. , tla f6 - .( ,td .>., 3 „y . 8dto4I5
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(Vat s tc)
�6A CATAWBA COUNTY Case#
v^
.f' t
Public Health Department Subdivision Westside Hills
\31- "pp o Y Environmental Health Division PIN# 372015626506
PO Box 389, 100-A Southwest Blvd,Newton;NC 286 58 LOT;! 9
/842 :u
NAME ON PERMIT: MARTY MOONEY, 2329 VERA CT, NEWTON NC 28658
Site Address: 2329 VERA CT, NEWTON NC 28658
Property Size: Square Feet:26,136.00 Acres:.600
Directions: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac
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-03-2016-23428 , 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: 0 4111 12 01 6
"Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmi ted by I W� to cp.) (name of person s noting permit)
• g l7
Signature , 1JV` P.
Date/Time L/ 1 t I I�11 I I FO
Method: Fax mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
Nola t(A,0_cf+. %Cbilik
We want to hear frohf you. Please taTce a few moments to complete our customer service survey at:
http://www.surveymonkey.com/s/EHCustomerService
ehpermit 04/11/2016 10:58 Page 3 of 3
,__.� .
w CATAWBA COUNTY 0 r 0 Case# IMPV-04-20 1 6-07 1 022
t Public Health Department ! Subdivision Westside Hills
/19 a Environmental Health Division Ll • PIN# 372015626506
/842 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ��_ O�S"+! LOT# 9
r rr. Y
• 8 { lG
ir
NAME ON PERMIT: MARTY MOONEY, 2329 VERA CT, NEWTON NC 28658
Site Address: 2329 VERA CT, NEWTON NC 28658
Property Size: Square Feet:26,136.00 Acres:.600
Directions: Old Conover Startown Rd, right on Loblolly Ln, left Vera Ct, middle house in cul-de-sac
Improvement Permit
Facility: Primary Residence - house
Permit Category: Expansion Bedrooms 4
WATER SUPPLY: Community 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
Permit Conditions: Initial/failing system is a gravel bed. Repair system to be installed at this time will be 25%
reduction. Future repair designated as 50% reduction.
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 el 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 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 04/11/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/11/2016 10:58 Page 1 of3
IP 4,9 des; no4e-Fore rear_ ri+osion
A C }o ins all reri r srsiun
EUPR 03-J016-J31)g
23)9 Vera G+, New-Ian
Exi5in9 Ser ic# -f Ank is Par-hall./ Under deck. Pomc) o , °rusk, and abandon old }ahK.
4' Ins-Fall loon ilorn se {ic- -Vank and 4 35{1, of 2570 gerbi {i'&vi ; 5 -1-re flaws —
\laria5le, lens-4h5, TJns-lall art C6n40X.
* Se iC 5 sArrn P S-4 be. 100-(1. fronn GOrnvwni{ v4ell, lo-u -c
5f1. -Frog S5rvckvres, 6f1•fvo old S seen Pro f -1:( lines,
y Keep sys+e nn o� 4 r�h{_d ways
atna ea semen* �' I
+ by no+ dr;de, J rc ce, eul, °r -G l) offer S2Pi , areas-
* }-h sc conneded iv comowni Wet .
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• Seeds
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Vera U'.
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DEPARTMENT OEENVIRONMENT AND NATURAL RESOURCES Shed of_
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
1n for ON-SITE WASTEWATER SY$'�EM
OWNER: Ne V OOfe APPLICATION DATE 3ISIII6 D_t1 PR:o3-aoje-13gn
ADDRESS: DATE EVALUATED: 'H- /b
PROPOSED FACILITY: :' : .' PROPOSED DESIGN FLOW(.1949): 480 PROPERTY SITE: D.60O (1Cres
LOCATION OF SITE: 1329 Vela a f 4-4011 ] PROtPERTY RECORDED:
WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring $ Other COMMUu7y %deII
EVALUATION METHOD: 0 Auger Boring w Pii 0 Cut I •
TYPE OFWASTEWATER: X sewage 0 Industrial Process 0 Mixed
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(DESCRIPTION 'suLSYSTEM LERMA SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948):
AtaDable Space(.1945) ps n
System Type(s) J '9 TED BY:
oe pOTHEE PRESENT: s in w I .
• Site LIAR 0. 375
COMMENTS:
45' Yo'
•
50'
/
\ t
O 55
St. Du ainh
L\ Q0CA)St-
d
\ d
(Nat IT 5Cc