Loading...
HomeMy WebLinkAboutIMPV-04-2016-071646.TIF , ,A CATAWBA COUNTY Case# _ __ _ .¢�'' Gaa©2. Public Health Department Subdivision BETHEL CHURCH PARK 4 .�1 ®� Environmental Health Division PIN# 376401450292 emu- PO Boy 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 g42 :w NAME ON PERMIT: DANIEL NERBER, 5696 BOLICK RD, CLAREMONT NC 28610 Site Address: 5696 BOLICK RD, CLAREMONT NC 28610 Property Size: Square Feet:42,253.20 Acres:0.97 Directions: Rock Barn Rd to Hwy 16N to Right River Bend RD to Right onto Bolick RD#5696 is on the left Owner/Authorized Representative Acknowledgement of Permit Receipt V 7 icertify that I am the owner or authorized agent (owners authorization required) representing the owner of the property described above. 'l As the property owner or authorized representative, I have received the above referenced permit(s) as requested in/the application for service RBPR-03-2016-23443 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 1SA .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: 04/27/2016 1 Owner/Authorized Representative Signature !,� . •_a Date Iii-L 1) 1l.,,0 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sendingpennit) 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 ehpenuit 04127/2016 08:57 Page 3 of 3 # gA CATAWBA COUNTY 7 '�- Case IMPV-04-20 16-07 1 646 � El Public Health Department T Subdivision BETHEL CHURCH PARK G — % p Environmental Health Division L. ;r PINS 376401450292 PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 6-}I� •c a + LOT# 2-842 :. { d751.57 • -O NAME ON PERMIT: DANIEL NERBER, 5696 BOLICK RD, CLAREMONT NC 28610 Site Address: 5696 BOLICK RD, CLAREMONT NC 28610 Property Size: Square Feet:42,253.20 Acres:0.97 Directions: Rock Barn Rd to Hwy 16N to Right River Bend RD to Right onto Bolick RD#5696 is on the left Improvement Permit Facility: Primary Residence Permit Category: Expansion Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: System will utilize existing gravel bed and add 150 linear feet of 25% reduction system for expansion REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% 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 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. Steven Price 04/27/2016 AUTHORIZED STATE AGENT APPROVAL DAIS Permit Expiration Date: 04/27/2021 No grading or construction activity is allowed in areas designated for systenv and repair without approval of the Health Department. ehpermit 04/27/2016 08:57 Page 1 of3 RBPR 03-2016-23443 5696 BOLICK RD, CLAREMONT • Do not cut,drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank and 150 linear feet of 25%reduction system; (1) 70 ft, (1)55 ft, and (1)25 ft lines on contour. • Distribution is from a distribution box with 3 outlets, 1 feeding the existing bed, 1 feeding the 70 ft line, and 1 feeding the 55 ft and 25 ft lines with a stepdown. • Final grade of septic area must shed surface water off and away from system. tom "Die qv x b°' p talk ry 1 Mt- i`J`/� 'sri r lags DEPARTMENT OF HEALTH AND HUMAN SERVICES AA Sheet / of_L DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION 0V. 0 3- Zol6- 2-3 9 y3 PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY'C _ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM ,,1q (Complete all fields in full) OWNER: 0—Z-Q M1/r4kr APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE; LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public A-Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring f4 Pit ❑Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process ❑Mixed p SOIL MORPHOLOGY - OTHER;r s aF a^ .. , ,-, (.1941) PROFILE FACTORS '° s : , .-t.. 1940 �- _ ,.� E LANDSCAPE t1IORIZONk `, - POSTTION/ DN PTH _ "'^ =.1942 ss - r >PROFILE —_,,,,P,41-51t : CLASS q}, SLOPE /o ' i _(�..)' ., .1941 _ _ :1;12;1-0^ .1941 SOIL. 1943 1, 1956 .1944 , STRUCTURE/ CONSISTENCE/ WETNESS/V SOIL' SAPRO RESTR ' '13/4/1..413 *> r _ , ., ,TEXTURE MINERALOGY COLOR ,* 'DEPTH CLASS+ HORIZ ' i D -P 11S6/'c -co- 9N Se `-ate PS LS (D- (6 St2- C ✓h s w. 4, w4- %3 t)4 A)A- e flj- 1 Z-91, i(.- yy Sit c r-, sc 216 yy-60 vs* CC_ F,C 0-I ''Sk .C1 VF/ Scr 4.71.W �" r 4,0- P$ L-S t-' ZZ S6/— C Vfl .So- c--16-A0 ' �F'S 'V'f 3 2 A� 2L-4y J 4 t c F/ SC- SI ?(-6T (-56/,e LL r.7L Ye O-1( Les6fc se. .- OF( SC cyJ' (5 1-S 11._ t o syc c Jf sr ai,..) N lc G ' et/A- fitif- o.8 z 3 5% . 20 .-2P Set- c F/ Jcr 3y- 4 Lei/3k CC, li JW 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(,1945) Os' /S SITE CLASSIFICATION(.1948): /-1 System'I'ype(s) EVALUATED BY: StK- /D ~/w /70 OTHER(S)PRESENT: Site LTAR D.3a- o_ S COMMENTS: Updated February 2014 Catawba County Environmenoik, tal Health 10_,.v. G v y f _ ,7 F •l.` � "� y" ' a . ` ,( S rs ...„..,.,.... _,...,..„....,„,...........„......:...„.„4.44...i..... .....:...1„,...,.L,..7.....t._.: „.,1,,,,' 'I 1t� `�'I '...7;4'",..",' 01 ', 'Vi� , , TY f , 15 t •` S 1 eL 1P J _ c > i "4•• •- 1 z� 3 X54 v bk 1. 9 t•. -,: G :3:..''.11.-"I'''''''.. h A> " J `l Yom' .S'r..dE 4.. ,'3' 44a�•Yr• •as Kt '{.` ,Y '*Y! 3 N - - / Gr.. L c-T- t� �. i 5 `w ‘-,';.:1,.". G ''',v,-.,'''. 4,..a :r,"`tn ,'T: ' <'� 1".:-..q`:'.';' k:-:: c r "Y° Y' ;. ; < .-_ ta s _ yam' .+^, -13F . :. fi 'k`,`"S y 1 � .s. Y'd•,'''''.• b rt, � .1 'k+ {�'°• - „.,.*It r y�". Y ` wf iy _.1"..'..; ,3 ` I s+n.t _ x '.�;?"J f$`Ef�Is-+-@ .I I .n . Itxbk _f�en 'ytey *' w-:, _}_ .,.i' s '{— k _ .3 Y,. !'�.- 5 `at} _ . ,,mrlitt ty i S.: s � 2 ' '.q`a S t 1k. SrR��tr! - - 'af R+ .. yep .. . ."--• :-..,: - - ' • ' .�?" 5 f3• A by - .• �_'�, R' x ?yx .-,1,34. t - i, ., i; '�,,, '�" 1 k _ 11.t.. + 1 `� f� tw 4 '�' � - i ,i � 'if fit'- u : 2 j si.- �!''N" w r1 '�"` .,.,,,>"r".. �. -may •o.�q, .c... ;:,.e_,�." Parcel: 376401450292, 5696 BOLICK RD 1 in=60ft CLAREMONT, 28610 i This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County hasmade 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