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Home My WebLink AboutIMPV-04-2016-071128.TIF v 4A CATAWBA COUNTY Case N G Subdivision LEE GORDON WILSON E5 . -t "3 ®► 1 < Public Health Department P Environmental Health Division 1 P1N# 364809167270 � FO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO"rN 4 1842 IY NAME ON PERMIT: ALAN WALKER, 2667 S US 321 HWY, NEWTON NC 28658 Site Address: 1215 DIXIE ST, NEWTON NC 28658 Property Size: Square Feet:37,461.60 Acres:0.86 Directions: 321 South from Newton to Dixie St/Right 2nd lot on left � j� 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 %I\' 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-03-2016-23376 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) /t2As 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: 04/12/2016 Li1)0wner/Authorized Representative Signature Date /g7g 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 cheering 04/12/2016 15:44 Page 3 on v CATAWBA COUNTY -1 r Case# IMPV-04-2016-071128 a.LAIL)' Public Health Department �• _,} . •fir Subdivision LEE GORDON WILSON E: .a Environmental Health Division r 'r } PIN# 364809167270 ti \J ® PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 d0 g ° LOT# 4 \842? _ ra NAME ON PERMIT: ALAN WALKER, 2667 S US 321 HWY, NEWTON NC 28658 Site Address: 1215 DIXIE ST, NEWTON NC 28658 Property Size: Square Feet:37,461.60 Acres:0.86 Directions: 321 South from Newton to Dixie St/Right 2nd lot on left Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 2 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP 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 Spslems' (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. Robbie Phelps 04/12/2016 AUTHORIZED STATE.AGENT APPROVAL DATE Permit Expiration Date: 04/12/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 04/12/2016 15:44 Page 1 of3 :; .s,t_�oh't'a `county En' :r�- lm,: li. H `raith 4vfII- L_20/6- 01 (I3 i ` - 7 . • a - SO xl ' Al X9.50 �A% , • n ,1q sS w>_d 10 co-0 1 5 , - =r IN 1 r Lam-- 4 �o /�' �bti r VQ� tlyr;o I\ . 0.,;(1 •, \ %, O. CI \o Lo 0 Y yLV\ }42pn • • Parcel: 364809167270, 1215 DIXIE ST 1in=50ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geaspatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC http://gis.catawbacountync.gov:8080/print-servlet-2.0/pdf/2822786I 79630477437.pdf.prin... 4413120Th Catawba County Environmental Health , / 896r / r.� \,�(10._..-...�.-094—__ ..._..- __.....- -,. ( W 892 - 9950 �gO 2s - ---.--1- 111'...."1--1.,-1-.-1".:-:1- -.-1 �rD r 11Sp� . Parcel: 364809167270, 1215 DIXIE ST 1 in=50ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Ceospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 04/12/2016 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sims_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY DO: ON-SITE WASTEWATERSEC-DON COUNTY: SOIL/SITE EVALUATION , for ON—SITE WASTEWATER SYSTEM OWNER: 4140 h'',inn' APPLICATION DATE 2.33 76 ADDRESS: 121 ) 0 t ; T 7— DATE EVALUATED: Lr -a I PROPOSED FACILITY: `1 2-8 tt L/PROPOSED DESIGN FLOW(.1949): 2 4 0 _ . PROPERTY ST7E: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: I] Private `(YPublio 0 Well a Spring U Other EVALUATION METHOD: D Auger Boring [lPii 0 CS . TYPE OF WASTEWATER: rEcsvago o-Iaclaatsial Process o Mucd • _.._ • r __ ...... tr.-- .g_._ ......._.._...... _.__..._...__....._._._ ..................i.............. ......_...,..... ............,Tie : ::...:..:..:c ._...:_.. uome EORC : :l : 3941 :49! E...IFStAkggri 3N:_.-.. 1941_: ? � '0.13 7i - ItS .l9!# lkTtyv : `r ROSFiAOif ii#4111:: ... 11GTURii 004SIS`Ft rl wtrE .. Sou S tx 'et GASS .._ ...SIAPR . ._ VY}.....:::'.., 1£k 1 MEAOCI K uERffi 4Ev�$$ HURT 3�[ • L . _ ....; ni;aw...:...:::: ::= ... . ::41:T :- - 0-9 6 ti,Lk F, g--(o'6 9- ")( C sL PI r, „ TO _ 1 11-'S 8 C • rtk �r1� s� 2sYr.7(3 3g 2p . 1- "1/42 I- 4S $c • F• Z.SUr ' '/2 6-2) "OL ... 1k.,.... I (r (i-(UL, 23-Zp CL .1--ii1 . I' i 2 24-48 sc wr-Lh fr C1,,r, z 2(3 Q s/ 0-7 CL I`t,.,rl{\ t-lrj»rr "'(0 ' 7-4L C- s!k Fr S .rg L . 46 ( 3 '2r o-7 CL Sk 5 qb -i-46 cid ,Lk Fr Of rn 46 3 4 L DESCRIPTION ■'RTAL SYSTEM rtFPAR SYSTEM OTHER FAT,IURS(.1946): SITE CLASSIFICATION(.1948): P S AnIIable Space(.1945) J_ f ; Syvt?yp:(s) , 2 5°fs 5Dalo or �; EVALUATED BY: �r�S�' �t"tr' P 01BER(S)PRESENT: . Site LTAR ,7.-5-- r l or .1 COMMENTS: