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HomeMy WebLinkAboutEHPR-05-2016-23774 (2).TIF THIS IS NOT A PERMIT Case # EHPR-05-2016-23774 - al ' CATAWBA COUNTY HEALTH DEPARTMENT D f+ ' c.: Ntv\; "° PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES f ti 847/ism Environmental Health Plan Review - OSWP ti r IMPROVEMENT o. �{ ; Applicant MARK HAMILTON, 2152 CONOVER COVE LN, DENVER NC 28037 H:7044890124 C:7047966006 HIOME:7044890124 Owner WILLIAM PETTIT, 11956 SAM BLACK RD, MIDLAND NC 28107 C:7047815352 NAME TO APPEAR ON PERMIT Mark Hamilton SITE ADDRESS: 5054 WICKFORD LN, DENVER NC 28037 PIN # 460603434047 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot tl 123 Section/Block PROPERTY SIZE: Square Feet 30,492.00 Acres 0.7 DIRECTIONS: Starting at Old Hwy 16 and Campground Road in Denver, Go .6 miles on Campground Rd, Left onto Catawba Burris Rd, Go about 1.19 miles, Right onto Bankhead Rd, Go abour 1.1 miles, Right onto Salleybrook Lane, Go about .2 miles, Right onto Wickford Lane & property is on the immediate Left. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GA TONS PER DAY: 360 WATER SUPPLY: Private Well .- : - hanging the home •imensions o •x•• & 3 BdRms (360 GPD). Applicant is aware a new well will be required. IP for Purchase* Old trailer has been removed. Wanting to abandon the existing septic system & install a new one. Will use the existing well. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Mobile home has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTR I • , NEW STRUCTURE DIM:: 70x40 #OF NEW BEDRO• •• 3 ' NT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 09-chappl ica:inn 06/29/2016 17:02 Page 1 of 5 aA \ CATAWBA COUNTY Case 4 EI IPR-OS-2016-23774 C �, Public Health Department Subdivision CRESCENT LAND AND TIMBE 4 ''01 4, Environmental health Division PINS 460603434047 u-,, i PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 184%s+ NAME ON PERMIT: ( MARK HAMILTON), 2152 CONOVER COVE LN, DENVER NC 28037 ( Mark Hamilton) Site Address: 5054 WICKFORD LN, DENVER NC 28037 Property Size: Square Feet 30,492.00 Acres 0.7 Directions: Starting at Old Hwy 16 and Campground Road in Denver, Go .6 miles on Campground Rd, Left onto Catawba Burris Rd, Go about 1.19 miles, Right onto Bankhead Rd, Go abour 1.1 miles, Right onto Salleybrook Lane, Go about .2 miles, Right onto Wickford Lane & property is on the immediate Left. Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification an labelin of all property lines and corners and making the site acc ible so that a co lete site evaluation can be performed. Date: ,(a.? (R(yf� Signature of Applicant or Agent �R -� �s An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 L'.fomit"161ialdnc.---ppl;;I1 i .i r 7 i','�'I'�'`'�Illi` IVIIIiI fi'11:,II � , Ilhh III 7"iN° FEENAME'j �.-,,��u�1ill�'ti t : _21iii: L l&JtI.gbii���1�L�illth,�j,DATE11luu1ii1. 'FEC_AMOUNTAILI Improvement Permit Fee 05/02/2016 $150.00 pll mr— intll�� 1 ai it I.PiI n l a�I1uruI1 �aa�ulu1 I'I(� In „Iti,., tITOTAE FEES�,h��t I°�II!��illlllPl�� .h tii l IUfNI �1 hII, $�so oo�14 Ligii11' �1Ail u11I ''11,11liutlWfu•11111 JI 1111!',1„111111 ._ - ..- ivLl 1 3i /11111111 _;111M1Rw 1111111 L FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 1:9-ehapplication t16/29/2016 17:02 Page 2 of 5 sSY'A �c THIS IS NOT A PERMIT Case # EHPR-OS-2016-23774 ,':m„� CATAWBA COUNTY HEALTH DEPARTMENT O ; ;o. ',i O " '"� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �- ' V 1842 Environmental Health Plan Review - OSWP o- o IMPROVEMENT •_'{ o Applicant MARK HAMILTON, 2152 CONOVER COVE LN, DENVER NC 28037 H:7044890124 C:7047966006 HOME:7044890124 Owner WILLIAM PETTIT, 1 1956 SAM BLACK RD, MIDLAND NC 28107 C:7047815352 NAME TO APPEAR ON PERMIT Mark Hamilton SITE ADDRESS: 5054 WICKFORD LN, DENVER NC 28037 PIN # 460603434047 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot# 123 Section/Block PROPERTY SIZE: Square Feet 30,492.00 Acres 0.7 DIRECTIONS: Starting at Old Hwy 16 and Campground Road in Denver,Go .6 miles on Campground Rd, Left onto Catawba Burris Rd, Go about 1.19 miles, Right onto Bankhead Rd, Go abour 1.1 miles, Right onto Salleybrook Lane, Go about .2 miles, Right onto Wickford Lane& property is on the immediate Left. PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: IP for Purchase* Old trailer has been removed. Wanting to abandon the existing septic system & install a new one. Will use the existing well. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Mobile home has been removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x60 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: r:9-ehap 1icauon 05/02/2016 15:54 Page 1 of 5 a CATAWBA COUNTY case n EHPR-05-2016-23774 [S�kie 6 Public Health Department Subdivision CRESCENT LAND AND TIMBE Q —`-r�-,. 4 Environmental Health Division PIN# 460603434047 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /842 ,1 NAME ON PERMIT: ( MARK HAMILTON),2152 CONOVER COVE LN, DENVER NC 28037 ( Mark Hamilton) Site Address: 5054 WICKFORD LN, DENVER NC 28037 Property Size: Square Feet 30,492.00 Acres 0'7 Directions: Starting at Old Hwy 16 and Campground Road in Denver, Go .6 miles on Campground Rd, Left onto Catawba Burris Rd, Go about 1.19 miles, Right onto Bankhead Rd, Go abour 1.1 miles, Right onto Salleybrook Lane, Go about .2 miles, Right onto Wickford Lane& property is on the immediate Left. Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification ni labeling of all property.lines and corners and making the site ac ssisible,so that a complete on can be performed. Date: N n- 0� 4a-C.({o Signature of Applicant or Agent scir t-2 An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 6pIln'r. m'IIfhj ' Il�'PIP. ii- ,.... . n lli �Ij1177T"M' I lit "tall fu"EOMPIIIIIi(jl, liFEENAME{5, T Ii ' .e 1 DATE,L IiFEE^AMOUNTS ( Improvement Permit Fee 05/02/2016 $150.00 1 0 a r*'liI j TOTALNFEES � '; ,�'.t�,a,� t i r�I,llt(fl lf�ti =�iil ,��iii'i4 r _; $ISO•I oo4 l a ' 4.''11'; ` �i � �xlul�rvl,�W� �. �r�.. w J �e�u�v�h..- .,,I�k4iW1W1.�i...,:�11�14Ju.-ri�pUt��•4✓. .,�JLtl{tGLe FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) NY-ehnpplieat ion 05/02/2016 15:54 Page 2 of 5 CATAWCATAWBA THIS IS NOT A PERMIT BA CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit[ Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction E Existing Facility ❑ Property Address 5054 WICKFORD LN Subdivision Denver, 28037 Lot# 123 Acres .7 Section/Block/Phase Driving Directions to Property Starting at old 16 and Campground Rd in Denver: Go.6 miles on Campground Rd,turn left on Catawba Burris Rd, Go 1.9 miles,turn right on Bankhead Rd,go 1.1 miles,turn right on Salleybrook Ln,go.2 miles,Tum right on Wickford Ln,property immediately on left NAME TO APPEAR ON PERMIT? ❑ Owner © Applicant ❑ Contractor Applicant Contact Information Name Mark Hamilton Address 2152 Conner Cove Ln, Denver, NC Phone 704.489 0124 Cell Phone 704.796.6006 Owner Contact Information �) Name Yl( i l 1kevt Pe f! ` 'f Address ! i -4 q S Chin g(a ck- Rd M Ikvt !� &tt( dl Phone Cell Phone 70y '"-]4'( 5-3 5-a Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site Trailer to be removed -Existing wastewater system to be abandoned # of Bedrooms *j' Structure Dimensions _ # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® Yes ;O No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes O No Does the site contain any jurisdictional wetlands? Yes D No Does the site contain any existing wastewater systems? O Yes O No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes C No Is the site subject to approval by any other public agency? O Yes O No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well n Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes 0 No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted ❑ Alternative Conventional ❑ Innovative ❑ Other • Any • cArrA THIS IS NOT A PERMIT COUNTY VV 1� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page Proposed Facility Type El Primary Residence CI New Residence ❑ Addition to Residence # of New Bedrooms *t 4 Project Description New residence in place of exiting trailer Structure Dimensions Max envelope 80/60 #of Occupants 2 Basement n Yes ❑ No Basement Fixtures ® Yes 07 No U Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *j Structure Dimensions J Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area (Sq. Ft.) I Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts n Other Facility Type Specify If Church #of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial j Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent 4. ' Date lot (276 Printed Name of Owner or Agent M a k A , H OI YB tt Hot / 1 Nit ) i i .. i / .., ' 3) :. QD / i ..._.• ..9 .'.' 24.26 , 200.71 8 .,...95 Hitill 0-, • r\S,t, _....i A ....Th 'cP 44 c._37c) L '00cf,Y1-k it cs, 204,91 19:23 (. ---.. G---, ------ Catawba County Environmental Health °g sy B� R 108.34 ro 0 ilk 0 8' ',a 127.61 r 9 f 111116,H4'N. i ! . �O , �1 r `o t v,3 3 E, 3 Iw. It- ,. , lleI R d.41 � itl r uVII II Il Sl 1,1 ii lt0 200.71 r � 9ll ,.1 :! 4 hl,.1 g r 'di,1w�"tl411�il` ' ,N tirl ysil1 I r, t , l # k" >1 11lllf yg:l� Th4KTq. IP i it . an 14,< 1•^ ryu7r. 71 t 95 �I� If it afl 1• �IlIa III tiii ' Y � �lill II hG �If' Cs�s•"`.I Ynd�k 7.1f91 I �.fl,• n azi^ s n I (pu ,), t <• a> `�ii�� I �I'71�u � y�11�� it AM I;• I1 ,n IrfeI41�.l ; �1 1Ir III 1 X 23 204.91 I , I 15r h irri ti it � uFu ,it ; I r ,Its I ll1 ., r si', il , . l� dil"' ,t 4� trM'I " ' I, Parcel: 460603434047, 5054 WICKFORD LN 1in=50ft DENVER, 28037 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 05/02/2016 , • /& rI. PIN/ 4 't\s rn.I N 4.` � / / / 1• a.N-4 �` / / kg Cr ` �n' 1 7 7 3' N� ` / 1 0 fn �o N 0 0 t., \ * 0 (11‘ -peg 0 g%) 61- * \ - 7 f` - � . •m+SID, C VII L P Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460603434047 Owner: PETTIT WILLIAM E Parcel Address: 5054 WICKFORD LN Owner2: PETTIT ANN K City: DENVER, 28037 Address: 11956 SAM BLACK RD LRK(REID): 17840 Address2: null Deed Book/Page: 1922/1273 City: MIDLAND Subdivision: CRESCENT LAND AND TIMBER State/Zip: NC 28107-8457 CORP School Information: Lots/Block: 123/ null Last Sale: $65,000 on 1995-03-01 School District: COUNTY Elementary School: SHERRILLS FORD Plat Book/Page: 18/235 Middle School: MILL CREEK Legal: LOT 123 LAKE LT PL 18-235 Calculated Acreage: .700 High School: BANDYS Tax Map: 017 X 02033 School Map Township: MOUNTAIN CREEK State Road #: 2682 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $1,500 Zoning2: null Land Value: $104,400 Zoning3: null Assessed Total Value: $105,900 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: null/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel it 3710460600J Building Details 2010 Census Block: 4018 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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 at 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460603434047&typ=P 5/2/2016 httdLømSaU! tP; .WritY: R ,. 4 ? , . 2r4- u . 'i�Q rt#151.y i Y A P 'a a ,,,,12 .**- fZ-44;4' 3, E "e •. �> CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NOR TH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N°- 01011 DATE : b).w, r /p,3'r OWNER 2i,,, ) a`ld..F,<fl ) ADDRESS 6/4/Il f.-._, 1t-119c1 AteStttegl A,liC_arc BUILDING CONTRACTOR / liejBDI IS N if(9,„2.40„,,e ,f,/ r;,�4_,, LOCATION �ltoa ri �,C? ' � -,.. .., c, v_ / , �y OT # O, c1n3 LOT SIZE , 'y co_.) BLOCK OR SECTION HOUSE ( ) MOBILE HOME (j.4 BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /eon GALS) WATER SUPPLY: Navy . `c,tl NO. BEDROOMS :L NO FIXTURES .Z INDIVIDUAL idse``4PUBLIC GARBAGE DISPOSAL UNIT:YES ( ) NO (4-- IF WELL, TYPE : BORED DRILLED DUG AUTO WASHING MACHINE : YES (— NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: 6c90 SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES !L SEPTIC TANK INSTAT,,,LED BY: 2) LENGTH AND WIDTH OF LINES PERMIT P E , � .. ).Y� /oO a) BED SYSTEM CERTIFICATE OF B1MPLETION BY : b) TRENCH SYSTEM (0,---- e-r,-;,.��a.-� 3) DEPTH OF STONE IN LINES L2 " REMARKS : ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE : YES ( ) NO (&)- 2) NITRIFICATION LINES : DATE INSTALLED: 2z.?A) /9gC' YES ( -�----NO ( ) SEPTIC TANK •YOUT I n VT- -2 -- 7oO I= 3 ' 1 Cyr-t-7 ,l F __. I U (0 i Lam~—__--.__`_�_ crj M RI a -'_—_- -j a i - i I ` A - HEA� H QEPARTMEN COP Q8 � ' ' -�' -ry////',,,``/�' y� RMIT No. 01113 PERMIT FEE: '/ YI/.O,J ERMIT-VOID AFTER. 36 MONTHS .; CATAWBA COUNTY HEALTH MENT IMPROVEMENT PERMIT OWNER OR CONT/RACTOR: n DATE: /7y/9t ADDRESS: b��O , .-- tZ.-/ ed /7-c^^..7 70.e` X07a'HONE: 379-A9 n".• LOCATION: 6,-5 =A - ,:••.24.4 • / . 6 ' A �.: ...._../ gam_ ,e,- ::el.. ./• SUBDIVISION: (n' ear„l ,4- IMLOT fll/�. ,3�. SECTION OR BLOCK: LOTC;ZE� lj CU,cri Notified to check with Zonin es ( �No-'( ) Zoning Approval IE YCCJJPP 'House ( ) Mobile Home ( kg Business ( ) Other ( ) Flow Rate: gpd Bedrooms: Z Bathrooms: ,� Special Fixtures: Other: Basement - Yes ( ) No ( ) Fixtures in Basement - Yes ( ) No ( ) Pump System Yes( ) No Garbage Disposal Unit Yes ( ) No (-X Water Supply: Private ( Public ( ) TANK SIZE: /On D gallons Comments/Special Instructions: NITRIFICATION FIELD: ' Number of Lines Length and width of Lines System must be installed as shown. Any (a) Bed System changes will be made only with prior Health (b) Trench System 36" X /DO ( Department approval. If unforeseen problems or Trench System 30" X arise during installation, contractor must Total Square Footage 0„-nept,__4f_tQBe12v call Health Department. I CE TIFY THAT I HAVE REVIEWED AND AGREE TO THE PROVISIONS ON THIS PERMIT. _ n.�.,.o .1. 8z Jvea-<n G(/ «.-� Owner/Ag n Sanitarian Final ap oval of this septi tank system shall in no way be taken as a guarantee that the system will function saisfa.to' ily for—an given period of. time. _ _ _ _. _ __ 1 ► SITE AND SEPT ANK PLAN 1 I a 4/ �u4sc ' I l hex r a '�' / - ri. . — V yS /OO ' X3 - ¶ in `<4 `K7 i(4ro 1' - ------ / (Health Department Copy Site Factor: Soil Group Soil Texture Class Application Rate Slope and Landscape Position - U (s Soil Drainage S - - U Sandy Clay Soil -Depth S $- U Fine Silt Loam P III 0.6-0.4 Restrictive Horizon S a- u Loams Clay Loam - Available Space S -4t - U Silty Clay her S - U Specify) _ Sandy Clay \Characteristics:- U IVs Clays Silty Clay 0.4-0.2 _ _ _ Area Required: Yes ( No ( ) Clay d \ *Bed systems are allowed only in soil Grout III. $11 Ag C� CATAWBA COUNTY C 100A SOUTHWEST BLVD ZNEWTON, NORTH CAROLINA 28658 RECEIPT PHONE: 828.465.8399 CM917177 Monday, May 2, 2016 8 1 www.catawbacountync.gov PAYOR: Hamilton, Mark PAYMENTS TRANSACTION NUMBER: TRC-665847-02-05-2016 PAYMENT DATE : 05/02/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 05-16-327868 Improvement Permit Fee $150.00 TOTAL PAYMENTS : 5150.00 EHPR-05-2016-23774 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 5054 WICKFORD LN, DENVER NC 28037 Applicant MARK HAMILTON, 2152 CONOVER COVE LN, DENVER NC 28037 1-1:7044890 124C:7047966006 ** NO PEOPLESOFTACCOUNTASSIGNED ** Owner WILLIAM PETTIT, 11956 SAM BLACK RD, MIDLAND NC 28107 C:7047815352 receipt 05/02/2016 15:53 Pagel of!