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HomeMy WebLinkAboutIMPV-05-2016-072022.TIF ,p • CATAWBA COUNTY Case# ¢. n G Public Health Department Subdivision KISER SUNSET KEYS 1 < --- ,'�s, Environmental Health Division PIN# 461604723648 't' �PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO'P# 35 (aa• 1, s, NAME ON PERMIT: ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607 Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet: 19,602.00 Acres:0.45 Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination on the right Owner/Authorized Representative Acknowledgement of Permit Receipt N I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the / property described above. 6/71- e property owner or authorized representative, I have received the above referenced permit(s) as Aker requested in the application for service RBPR-03-2016-23375 by the following method(s): 'Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) • s 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: 05/05/2016 Owner/Authorized Representative Signature Date ` ,� -:IC / Sc 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 elipermit 05/06/2016 08:15 Page 3 of 3 CATAWBA COUNTY 0 ' f i, Case# IMPV-05-2016-072022 v Subdivision ,� j Public Health Department w KISER SUNSET KEYS 1 G a Environmental Health Division 8 - « PIN# 461604723648 •73g� PO Box 389, 100-A Southwest Blvd,Newton,NC 2865LOl'# 35 I8.2 •• - It — Cry•: ° • NAME ON PERMIT: ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607 Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet: 19,602.00 Acres:0.45 Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination on the right Improvement Permit Facility: Primary Residence - House Permit Category: Other Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? 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: *See attached sheet REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required Proposed Wastewater System: Type: **** no system class assigned **** 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 applicanUproperty 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 18A.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 05/05/2016 AUTHORIZED STATE AGENT APPROVAL DATE 05/05/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 05/06/2016 08:15 Page 1 of 3 Permit Conditions for 5016 Kiser Island Rd, NC 28682 Permit #Auth-5-2016-072024 *Before the footers can be dug, the existing septic tank must be abandoned.This requires the tank to be pumped out, crushed, and filled with dirt. *The existing drain lines that are currently under the proposed garage area should be disconnected and removed before digging the footers. *During the septic installation,the existing drain lines must be removed five feet from the proposed garage footer. In addition,clean clay dirt must be compacted in four inch intervals for the entire five feet. *The new septic system will require a traffic rated 1,000 gallon tank with metal manhole covers. *If the new tank location does not allow gravity flow to the first drain line, a pump will be required. *There shall be NO grading or filling around the outside of the proposed garage area. *Do NOT park or drive over any part of the septic drain field area. *Catawba County Environmental Health advised the applicant on April 20, 2016,that by using a repair exemption to build a garage, leaves no available space for future repair options. The applicant has been advised that this is not recommended. *The septic system installer shall be required to schedule a pre-construction meeting with Catawba County Environmental Health (828-320-3077) at least 3 business days prior to the construction of the system. Installation contractor shall be certified level 2. • Auh7- S 20(6- 07202 { Catawba County Environmental Health r. if • e% 3 oL JQ 24 6p\ k 4 y re 4-s '�•� Ili 4 \t e C/ Fk s�bo�o TN\ NJ /L Parcel: 461 04723648 016 K1kER IS 44. D RD 1 in=40ft TERRELL, 28682 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 an 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 04/29/2016 • • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shari_of_ DIVISION OF ENVIRONMENTAL HEALTLa P ROPERTI ID I. ON-SITE WASTEWATER SECTION COUNTY: SOILJSII'E EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: F✓I`�� guS.cn�ESCA APPLICATION DATE ADDRESS; S o 16 h:S-er J/' cn rA DATE EVALUATED: 4-1 -16 PROPOSED FACILITY: 'Ott PROPOSED DESIGN FLOW(.1949): %60 . PROPERTY ST7P• LOCATION OF SITE PROPERTY RECORDED: WArn SUPPLY: EPrivate 0 Public WWell U Sering U Other EVALUATION METHOD: 0 Auger Baring ErPE u Curt TYPE OF WASTEWATER: EVSewage B huluataal Prom= 0 Mixed , ___::::cw.c izti==iii _ i5 C�YhL{i$L8tY3 _::-__:::::::_:::a:::::.. ... 2 _ ii = `.=.e_ s s_s=_tt _ _.::::::=_: a9fl ea=__::_.ee: _-:::_ _ ::: ; gl.gP IL 83GSf - -ii. __-::::::[I: : _::::: . __co=���....._ ......_..._._._ =s.::..:.=rcr.:::i::::-E?ii_=P:d_�iili5ii-=:'S C_::Y....,...�rc_, Pa:c_ _ ii=:�aE�Si�_� _....__ _....... =_=._;. ...-.::_ :-. ..;, _..._._,...""....:.:_.:__... ._._....__... 104{ ::Lt__:::--'. 1!WL=_' _ . =%��:::::�=-i;e;' '��i;kif? �=� :z'�..:�..._€,__ `t:i,£DSfI,7.079f: 41Ir Ti (1> f1S6'$$'TENCFJ: iAS _ Kt1E? % X t�5#k.. nPexTi .. A fx41 ::: / -r 1: (l 1{0 1 1-41 C .4 _ it;l r p S • 4-4 (—fir rbik 1"• , rip 2 • 3 _ I 4 • DESCRIPTION D.TRALSYSIEM rcESA➢RSYSIEM OTHER FACTORS(.194E): Avatnablc Space(.1545) 5 �x fir. SITE CLASSIFICATION(.1966): /r systcanTYpt0) tis b EVALUATED BY: 1,14 P14 OTHERS)PRESENT: Site LIAR , 3 OOMMDCS: t . Catawba County Environmental Health /282n ze IP ��� -- _ es. ''~ Fp .5018 1., ^#_ • sow a .5008 • 1n1 "iti Ay a ns A. (..•5016 • cCI "' 3 -, 'I? rs •5020 �QNQRO �5k00 Parcel: 461604723648, 5016 KISER ISLAND RD 1in=40ft TERRELL, 28682 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 04/28/2016 •