HomeMy WebLinkAboutIMPV-05-2016-072342.TIF pA CATAWBA COUNTY 0 moo- ' - 0 Case# IMPV-05-2016-072342
lia j Public Health Department T • .NSF Subdivision LIZA STAFFORD HOUSTO
4 --^� . .I H Environmental Health Division r� PINT! 374310457837
isio �o�'�'�o �o>t
°^tp PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 r t LO"I'# 6
g.2 sw •.
^•`•• � el .O
OI •. • •
NAME ON PERMIT: DONNA BAYNE, 1271 TURTLE DOVE RD, CONOVER NC 28613
Site Address: 4272 BETTY'S HOLLOW RD, CONOVER NC 28613
Property Size: Square Feet:49,658.40 Acres:1.14
Directions: Lee Cline turn right onto Stafford St turn right on to Betty Hollow Rd
Last lot on right
Improvement Permit
Facility: Primary Residence - mobile home
Permit Category: New Septic 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:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
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 Plannine/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 Sewaee 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.
Megen McBride 05/13/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/13/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 05/13/2016 09:16 Page 1 of3
i P I}c, V U- PW 69-aoIh-BP5
1971 &41' , Hollow gj, Conover
t Ththa II I 0003calon serliG nK and 300{j. of )57o Rejud;on - 9-754. -frenckes.
t Tnsfall drain-field Oh Conio.
# Sepik, sysiet, mush be ai leas;- SOH From wells, 10% -Frain voreli lines, god
5f1 from Skruclmres, includioi decks and porckes . Keep s�srrn o.* nE ri '4-of-v�ajs
and easel"en*.
* Do 0(4 driic, 3cade, co-1, or -Hi o'ler seyfic, areas.
152.8'
-Jo'
.3a' well
Area
We,'I moth be cd leas-l; 56 m;„
- 5D fl -from sep{ic Siskems
(' rroeemed 33 ealm p�kp -45'
- )514. from S"�ruc{aeS, I 6
Inclucfmg clecKS e. l5
Rah 511. -from Properl ine5
Keep well ov{ of easelnni s
and right-of ways.
+
fl
13y.S.
Ee41 S Hollo�r (Zd.
•
DEPARTMENT OE ENVIRONMENT AND NATURAL RESOURCES Shut_o/__.
DIVISION OP ENVIRONMENTAL HEALTH PROPERTY ID a:
,ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
1�
OWNER: 1/Onna jriei APPLICATION DATE 11-Ib RBPR-OY-"101 it-3-3635
ADDRESS: DATE EVALUATES): y-21-it
PROPOSED FACILITY: PROPOSF,D DESIGN FLOW(.1949): 360 . PROPERTYSZE: I.14arie4
LOCATION OF SITE: )- ,s Otto W 1'!1. (CliAtr PROPERTY RECORDED:
WATER SUPPLY: 1 Private 0 ublic 21 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring il Pit 0 Cut
TYPE OF WASTEWATER: ® Sewage 0 Industrial Process 0 Mixed
.::.::::.. ...... .... _ __ _ __
.x-tie •L:jm::i::••
...__. ... . _ ......_ ::StkT 34I.BP3 Tie,-:dGY'-:=::::......_..... .......... :::4?. . : . :...._..._......_._....._......__7 a;: sii€ :- "-°
,....RO....E ..._; t,. ...: -'' ;_::::::::
€ _-?t =` =_a _; €i;, ?9tt�:.._..._._........._.. Y' •':iT; FAG'CdTt...... :....._:::_:_... :: -
•- :..� .._..'.L:'W`-';:::�..::::�.:::• ......._....t' ..raft[:::::.'-E::::il ::. . ':.. I:C:_...i_._
H_ ... .:_. .: 7ra _:a ::TH:14.::4 941 _.„„ :::-�:::::: .. e ......• __ _ -� - - -
_.. _.... .._....._�:::,_..._.......: :'#....._:::::__:::: �_5.d1,::;_:_,:::_:: ..._-�S4Tli;";;;�;__1f9 !F'e:�=:�`� Irs.,,its:,1.9.1Elcii "::i`:-.._-_
PDS[1Iw --za i€. ..,-:!kticivitet.: :: f: AN5 -Rv:'P _ ----- `"_7—isi f'x2.` i;}i_ ii T•lt....::isz.E; .
SSAF '!e {TN), _ 'r•'EM'! f149:.:::_:::: '=NatitA1.pGY POTiOIt DRPT� ;(:A , _':kj(},kkgti::cr C'&ASS;_
0-n sbkG - r.ss, se/ _.._
28-4e *isbk G •
1 Toy, in — — Ps
03
0-3D stil-& . . ( �r,S5.5eri
o-98 obi: G 1 ,{r:ss, sac? 1$
2 • I ' T lig —
. d
same' PS
3 — i 0 — 03
4
DESCRIPTION AXIAL SYSTEM 1 REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948):Aamible Spatt(1945) PS DS EVALUATED BY: M °1W
(d&Sy TypXr) T �-9 OTHER(S)PRESENT; �
Kelly Thse.AInA1r
- Site LIAR 0.3 0.3
COMMENTS:
, gsea 3612- MI{
0
51
g+715 11011014 �d
(\Cfr\ SCA()