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Home My WebLink AboutIMPV-04-2016-071365.TIF NT CATAWBA COUNTY Case# IMPV-04-20 1 6-07 13 65 8-ftl-$ a Public Health Department Subdivision CEDARFIELD PH 1 < --i ; Environmental Health Division PIN# 362602753796 �m PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOTtt 7 /842 ,u NAME ON PERMIT: DAVID ADDINGTON, 6431 STARTOWN RD, MAIDEN NC 28650 Site Address: 2224 DEERFIELD DR, MAIDEN NC 28650 Property Size: Square Feel:20A73.20 Acres:0.47 Directions: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR #2224 is 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. x -D As the property owner or authorized representative, I have received the above referenced permit(s) as requested in t e application for service RBPR-03-2016-23442 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: 04/19/2016 Owner/Authorized Representative Signaturet#mil di _I " I .._ j_ � Date LI- /°l- %(o 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 chperm it 04/19/2016 15:06 Page 3 of 3 r,- gA CATAWBA COUNTY 0' 4p-rte - 0 Case# IMPV-04-20 1 6-071 3 65 C Public Health Department '• "`•. 'r .J Subdivision CEDARFIELD PH 1 , 362602753796 < —"^� Environmental Health Division �• " • � PIN# 13. U 0 dH PO Box 389, 100-A Southwest I31vd.Newton,NC 28658 , LOT# 7 7842 :., - - -• r G O NAME ON PERMIT: DAVID ADDINGTON, 6431 STARTOWN RD, MAIDEN NC 28650 Site Address: 2224 DEERFIELD DR, MAIDEN NC 28650 Property Size: Square Feet:20,473.20 Acres:0.47 Directions: Hwy 10 W to Left Startown Rd to Left onto Biggerstaff RD to Right onto Cedarfield DR to Right onto Deerfield DR#2224 is on the right Improvement Permit 1,,,20,:;10 a II I I ;m ��' Firc'I;!„�IAL'SYgirgriirai ;uwII 0 � I( 1`�'II'k, .lj� J 71111'`..,IN�t' I,r ;��aa : .I 1 V 1 �({�uc -�WVILI E� �1t�1 I�'�u:iu U ii.LI °.ir �. Facility: Primary Residence - 16' x 66' Mobile Home Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: CONVENTIONAL Type: I1A-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: * Initial system is existing see Catawba County permit#05291. *Do not grade, fill, or drive over any designated septic area. *Turn all gutter down spouts away from all septic areas. *See well variance for required well conditions that must be met before the building final can be scheduled. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIE- PPBPS GRAVITY DOSED SYSTEM 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 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. Robbie Phelps 04/19/2016 AUTHORIZED STATE AGENT APPROVAL DATE 04/19/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemiil 0.1/19/2016 15:06 Page I of 3 r Z�r°y— 4 206- o7(�6s Catawba County Environmental Health \ 1 . N. \ \ \ . `< \ °oIt \ — T �.. t �p_ I °f 0, P O , v\ 1 0` Q. r eQ l 1 Tif - • t c 1 p loopi \ \ V Parcel: 362602753796, 2224 DEERFIELD DR ffln=40ft • MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Geospatial 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 0 411 91201 6 a '" RICHARD 0. BRAJER �q ` 4 Secretary EA 05i� ` `S DANIEL STALEY Public Health Dcrecop:• Di Viet on ct Pvi,1Ic HEALTH AND HUMAN SERVICES Onsite Water Protection Branch April 18, 2016 David Addington 2224 Deerfield Drive Maiden, NC 28650 Re: Approval No. JMB774 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(M)] Property location: 2224 Deerfield Drive Maiden, NC 28650 Dear Mr. Addington; On April 15, 2016 the On-site Water Protection Branch received your request for a variance from the Well Construction standards,Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for the variance concerns a water supply well on the referenced property that serves a single family dwelling. A structure planned for the property will be within twenty-five feet of the well. Specifically, the variance request grants you permission to use a water supply well at a distance closer than the twenty five foot setback to a building perimeter. Achieving the twenty five foot setback would be difficult given the challenges of the property. Based upon information provided by you and the Catawba County Health Department, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: C>'Nothing Compares —, . i•.pa <. ,. ar:0 rL. . ,,,Lco,, ri.HISI Public ,1 Si, L '.a :o rc ..a '.� 11.2 Vii! : ....._< <. i.at .. ::ar.ai: i 47699-1142 919 711.•5511 T 919 a., ._ Page 2 of 4 Addington April 18, 2016 1) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited to being properly grouted, terminated at least 12" above land surface, properly sealed, having a thread-less sample tap etc. 2) The well shall be sampled for the same parameters required of a newly constructed well. If samples indicate contamination, further repairs or treatment will be necessary. 3) No potential sources of groundwater contamination shall be stored near the well-head. 4) No termite treatment shall be applied within twenty-five feet of the well unless alternative methods are approved by the Catawba County Health Department. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(6) to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at (828) 713- 3335. Sincerely, John M. Brooks R.E.H.S, MS ! > Nothing Compares'=~ .. G. H a 1 ]rm '•.) COS Di 5..._ .v. per]It :lc,: _,2...0 , North Carol- . 27699-t612 Shod_of • DEPARTMENT OPENVIEONMEHT AND NATURAL RESOURCES PROPERTY ID M: 1DVygON OPENVIRONMENTAL HEALTH COUNTY: ON-SITE WASTEWATERSEC ION SOIIJM1•E EVALUATION PA for ON-SITE WASTEWATER SYSTEM Ail OWNER: a�; 1 on - •PLICATTONDATE DATE EVALUATED:ADD: UATE I.. 4—i(/6' PROPOSED FACILITY: 2-tl2 PROPOSED DtSIGN FLOW(.1949):�u — PROPERTY S1Z cADR OF Sift PROPERTY RECORDED: WATER SUPPLY: B?dvare B Public f wen a Sloping Oma EVALUATSCQWMETHOD: 0 Auger Bath* Cut TYPE OF WASTEWATER rCw•age o Idu>LialPmcm o Mixed • --"-'� 7574.Erf s=_- �= ='�t31V=_ -_;:::;:_:;::r.>�?!=_=__�;�:_€=��s�,u:=i ��ii� a=9 .� =_ „4N7Aam ^ War; = _ _ _ : _ figi tSal_:T,ia ; o .7 a Fr 37 Jo �7 ys G .rbh. •Fr .,J ,g 3 1 L 5'5-5-$ GL wA Fr f • `7✓• 5 70 2 • 3 • 4 DPSCxmIO>v n7TSALSYSTPM IMAM SYSTEM DIRER FACTORS(.1946): Available Space(-1915) Es&-f-r n SITE CLASSIFICATION(.194&): • system rype(t) .S Doi. EVALUATED BY: /I.((b /44r- OTHFR(S)PRESENT: • Sik LIAL COMMENTS: