The URL can be used to link to this page

Home My WebLink AboutIMPV-05-2016-072965.TIF ;,y)•• CAT.AWBA COUNTY Case# IMPV-OS-2016-072965 �Cy' (a:1 Public Health Department Subdivision 2 r n ^�C Environmental Health Division PIN# 366702880506 ''�i PO Box 389,100-A Southwest Blvd,Newton,NC 28658 LOT# Is 2 :, NAME ON PERMIT: AMERICA'S HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 Site Address: 3654 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:40,946.40 Acres:.94 Directions: Hwy 16 South, North Oliver Crossroad, on the Left past Mt. Ruhama Church Rd, Will be open field with mailbox &# sign for 3652. Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. ffir- As the property owner or authorized representative, I have received the above referenced permit(s) as requested i 'the application for service EHPR-05-2016-23827 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) n ft✓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 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: 05/31/2016 -'Owner/Authorized Representative Signature Date ‘ - 7- /e 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 ehpermil 06/01/2016 09:01 Page 3 of 3 17-13..:0. f A CATA\\'BACOUNTY " 0 Case# IMPV-05-2016-072965 41.X in Public Health Department :�iti. Subdivision 2 L,1FJ ,�t Environmental Health Division r� -•- PIN# 366702880506 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 C 1p G I OT# /841, s. 34-?t - ri G NAME ON PERMIT: AMERICA'S HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 Site Address: 3654 N ()LIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:40,946.40 Acres:.94 Directions: Hwy 16 South, North Oliver Crossroad, on the Left past Mt. Ruhama Church Rd, Will be open field with mailbox &#sign for 3652. Improvement Permit Facility: Primary Residence - House 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: `Do not grade, fill, or drive over any designated septic area. 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 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 05/31/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/28/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/01/2016 09:01 Page I of3 TfriPV 5- Zo/6 - 072%65- 6cV N o I.vars G0hir ICJ 114\.4711)./pi, N IL %a/ 44 us - 5A,z rvi w - xa aN J a ,� xr Mme GI _ S / Arc0. 4S � ;. �� <<r•r.:gi r�^l�.a. w ..f��'-=._ � �;,.d.X" � , ::_�` . ,.--_ a,. -�.' � _ .•_ + • yt3"��m?r DEPARTMENT OP ENVIRONMENT AND NATURAL RESOURCES Shed—of- DIVISION OF ENVIRONMENTAL RIEALTU PROPERTY ID N: ,ON-SITE WASTEWATERSEC ION COUNTY: SOIL/SLUE EVALUATION Nr for ON-SITE WASTEWATER SYSTEM OWNER: /1 <-64/1/1 !k+ POCATION DATE ADDRESS:_ 5 4 rV Dl ara'r- /'r n DATE EVALUATED: c-lr-/6 PROPOSED FACQ.IITY: 5 i'A- - PROPOSED DESIGN FLAW(.1949): 3 t PROPERTY 5f7E: LOCATION OF SIM ��r•'�� PROPERTY RECORDED: WATER SUPPLY: I]4,ivate 0 Public [k Weil U Spring 0 Other EVALUATION METHOD: 0 Auger Boring O'Pit 0 Cut TYPEOF WASTEWATEt: 'Sewage 0 Industrial Pmmss 0 Mixed _. .. .._.__ :Ti - ...........___ ,,,,,, _,a':ii[_:; = ':i=- ;�: ---- 1 ::: ::::- _ , _.,,......... :.5(y� t#RLT1t7�UC�-=::::-.............._:.....:::�TSER:cii::::i:-:°::°ec:::ci:::::::::�i=:::::c::::::ii:c_.`:_ . ' ':':: (;1941} ;::::::::, ..............._....... :TROFXI, PACTOR€5 .::::sia::== ::::::::__::::::::s E.__:::__ ::_�:::::::-::::::_::::_:::_�...... ...._ ......._........._€.._.-:14I�::_- ::a::[s.=.Et:ae t= - - - i§'ii''-�f:A.t'.P.?ii- "i: [:IC [?f((:::::::: --......:.:::.:: ==c44d1.....__:::_: ;t::a:i��4F�:�� Jt - �i.;�� ROSTiT,OFE PTa ...:..b' UC UI ON$1$T'ENCV/ : 1'1' *$ SY:1 '" :0-40;F; BESTf g OP.17:g ..-.. .. :sT:ors:� ..:trnrY • ;:,::: TAB .......... Mu,'�RAftsCY.._. ..:.G{�rA$..- .._neer� _cg,tti<S_ b- 6 Ts/L- 6 —16 C �,"";-b k Fr 0 ��. • 1 / 5% II--52- Cr'S6k Fr 12441 h r6, `2-5.O G-frf-m Nriskr J%r- r�.r f f 0. 6 .. ..- I. F z [ -27 C rSk (; Nr7 qq 2 7-7-4a CL+r 7146.701 Vi rr •,P Li ✓ 3 • o b L S% 6 _2t C sCk j--r 60 3 76—yo tir�ti 1, Jr 13 40-51 C (ry n*c1 r5j Fr rr Ia, 4 I� • DPsacmnox ncrikLSVSrEM REPAIRSYSTFX OTHER FACTORS(1946): Available Space(1945) SITE CLASSIFICATION(.1946): a r- T ✓ / System Typ t) 'L'S' .7-9(9 EVALUATED BY: f L .- Ohr, OTPIER(S)PRESENT: • Site LIAR t-3 ) COMMENTS: / (�i3tavvii^J 'ir�l.a lt, b._rvv; ( r rf :flt6JE, 1 J • Parcel: 366702880506, 3652 N OLIVERS tin=60ft CROSS RD NEWTON, 28658 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 liabiltty,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 05/3112016 i :: �. L EV ""`9'`%Di4,. ..g.,g ys,�,