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Home My WebLink AboutIMPV-05-2016-072508.TIF CATAWBA COUNTY Case# _ ., _ __ C �G Public Health Department' Subdivision NORTHVIEW HARBOUR P 4 .��n „as, Environmental Health Division PIN# 461802875499 N. PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1,.0'C# 171 1g42 ,, NAME ON PERMIT: JOHN MILES, 109 ROBIN AUBREY LN APT 208, MOORESVILLE NC 28117 Site Address: 8802 HILLSTONE CT, SHERRILLS FORD NC 28673 Property Size: Square Feet:66,211.20 Acres:1.52 Directions: 150E, left on Sherrils Ford Rd / right Island Point Rd/ Past Cape's Cove Dr/ lot on left Owner/Authorized Representative Acknowledgement of Permit Receipt FW r,\' -)\ i certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the '' / property described above. 10 As the property owner or authorized representative, I have received the above referenced permit(s) as /requested/in the application for service RBPR-02-2016-23265 by the following method(s): �/ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) APAs 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: 05/18/2016 -----)wner/Authorized Representative Signature citt rn ��Q b0 Date 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.suryeymonkey.com/s/EHCustomerService ell pc] iit 05/18/2016 12331 Page 3 of 3 se,A CATAWBA COUNTY 0 '.'� 7 o• •0 Case# IMPV-05-2016-072508 ..7 11211 Public Health Department F Subdivision NORTHVIEW HARBOUR P 6�'� tit Environmental Health Division - •. •+ '�- PIN# 461802875499 Keil PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 ' �' LOT# 171 •t8.2 ,. 0 : Gi - G . NAME ON PERMIT: JOHN MILES, 109 ROBIN AUBREY LN APT 208, MOORESVILLE NC 28117 Site Address: 8802 HILLSTONE CT, SHERRILLS FORD NC 28673 Property Size: Square Feet: 66,211.20 Acres:1.52 Directions: 150E, left on Sherrils Ford Rd / right Island Point Rd/ Past Cape's Cove Dr/ lot on left Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Public Water Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR 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 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 05/18/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/18/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpernut 05/18/2016 12:01 Page 1 of 3 Catawba County Environmental Health q th S ?u/6 o72S0�1 • 9J Pe S 4 4 t'v • ' � 4.4 q •Pressure manifold specifications:4 t:: total - • Qf ° -Feed the 55ft and 65ft lines equally fro •ne schedule 80.3/4 inch tap. A. -Use a schedule 40 1/2 inch tap for the 95 ••t line -Use schedule 80 3/4 inch taps for the 110 foo es. . ter, n c Oo` c ti G - C_ • .217 • 9 0' e,Y \J v ry J �y t(Jzfri tin "Leif in II "Sr- 01 f A e �c Et 1 1 p� 4% dS S SO 00 / ��' Urr p'{ s ti 12.58 •-19 11.38 735 Parcel: 461802875499, 8802 HILLSTONE CT tin=60ft SHERRILLS FORD, 28673 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 05/17/2016 ; a ja,P,1ba County ' 1 : !i i-' n` i_t?f..,3� , Health too- >o- v/r • �v • I - (C H, 4b ` rp xc, r \ v. - .• L fur N Sc� / e J 4 �5 4 . y 4 / /� r �'Z< f V J '' �/`� - ir P. j1' O 2 I f/5 % v �� 12.56 0 • -'"\...9,.....7„...N,,,......H-79 11.38 3500 Parcel: 461802875499, 8802 HILLSTONE CT 1in=60ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospabal 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 05/17/2016 sheet f of t DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES PROPERTY ID DIVISION OF ENVIRONMENTAL HEALTH COUNTY: ON-SITE WASTEWATER SECTION SOIL/SITE EVALUATION 50 for ON—STTE WASTEWATER C � �SYSTEM ADDR E: „ t DATE EVALUATED: ADDRESS: O Z t l( oar RO PROPOSED FACILITY: t'f 1S PROPOSED DESIGN FLOW(.1949): 4 4 PROPS RECORDED: LOCATION OF SITE Other WATER SUPPLY: 0 Private 1T Public O Well 0 spring EVALUATION METHOD: 0 Auger Boring ['Pit Cut Cut TYPE OF WASTEWATER: CI Sewage 0 In � 1.2'ixed 1111__.........._1111...._.............. 11___11. ......................... ..z--.....: 11 :-::_`-......_::........ .................._.... - - - - -- -- - ... ............ 1111... . ;,....._:.. 1111. 1111..... __._.._11_11._. 1111... �....__... 1111.... 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CL sbh f L IS-)I C4Yoi TSIt '' J! ray / 5 V 1 VI” i. )h 4I she Gr 'Fr s 0-16. . c-: S.Sk Pr sin/ /6-3o sopf e 2 16-t°l' 3a-34 5 Iay:..r.A ` Lt U L A„ _rr 55 f(1 1 51.71" l SD 16-u8 s y9 I.4KYd O Gt 3 DFSCRIPTIOH INIMAL SYSTEM RFPAIE SYSTEM OTHER FACTORS(.1946): STIE CLASSIFICATION(.1948): Available Space(.1945) - EVALUATED BY: 2, Lint 1'!r.(e System Type(s) OTHER(S)PRESENT: /a,cy r A .Ar:4v- . . Site LIAR COMMENTS: DEPARTMENT OFENVIRONMENT AND NATURAL RESOURCES Shed 2 of 2 DIVISION OF ENVDtONMENTAL HEALTH PROPERTY ID t ON-SITE WASTEWATERSECIION COUNTY: SOIIJSIPE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER ro�n `� APPLICATION DATE ADDRESS: to, Z II C/ DATE EVALUATE): S S+`d S=q PROPOSED FACHTI Y: it tS(L PROPOSED DESIGN FLOW(.1949): 1110 PROPERTY 517E LOCATION OF SITE PROPERTY RECORDED: WATER SUPPLY: 0 Private R Publie 0 Well 0 Spring D Other EVALUATION METHOD: rAnger Boring B'Pit 0 Cut TYPE OF WASTEWATER: Se wge 0 Ind+ctaal Prows 0 }.4viced _._� ATER: 2........._.............•sar-.._...._ _............_............__.._._..............._._....................._......• — . ...._._.... u : ::a:-:c:i _:.. ;.._.. .47 _° _.;.. — 11941; Titegg4 fXd'gg:_T•.,_:_::. -- :::,_.::::::::::::::-:;!:-�[t-e::::e ---._--...__................:::_ 'Iii€i3947<:ee:i f{{ff`__ -5: ::::::::1E:::::=2:._ . . ..`'�—. g ET::::k1!I�1eif = OAF!:- --:...............146211-__-. _...._4.._.- :i:te,: _ - -e -- _ - -- �cOR '#6dE'=- - '= ': _..--rT� SQI;Lr ,�6W?. �fAS5 : � :L'GN ��tr�° `s :Fiosm014f bEPTIt MU IXE P.bMSISTENCPI 11'P t3:: SSF K S.AC siar L`LAS -' _.. T� miNERALiSOVe : . .,.STAF& G- . 11 7 _ ..... _ E __ ��:_:+4LTAR,i. L 0-IZ C I �°`r"t(Ck fr Sr rip _,S0r1:9- (� / 12-1(° CI rt .'r41,\ -1`'r Jr s y ti CO't • : 25 11-20 D So vl9 c-4-3- So 'estI\ Pr si 1 RdJI� I '�. i n i ♦t I Li 8 p 5 iv_. o horilor` L b-7. z .IS. ;JLk` I Pr . Is—to o ?-3'. Cl lap 54 k fer .Y.1 i e -fad ro '!L-4$ GL-172y. u-s1•k re- iv-,,o. '1?01 Lt t e be'1 1- 61,6n Fr L 1-27 C1-fV s<<1 17-r rr sr 6 1g to'h, 21-36 S^hi 1.5bh Pr ' p + r5 AV),l( 36-1(i C -1-1 w u,(`k rr Yt 1 p 1 DESC UPIIOx ATIIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(1945) S S SITE CLASSIFICATION(.194S): 1 S �TYx(a) 'j-SCV0 EVALUATED BY: ILD16iu ��e�f - OTHER(S)PRESENT: Site LIAR. ,'1,1S r-(- S COMMENTS: I!o j- 5.r Nat o on ,ubs 'n • ,e.. . �.