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Home My WebLink AboutIMPV-06-2016-072967.TIF .1--c1',' CATAWBA COUNTY Case# r t•. iriC:--1 Public Health Department Subdivision < et " EnvirGnmental Health Division PIN# 361903115375 i ,^, �/- PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# 84%14 NAME ON PERMIT: DAVID QUEEN, 3846 W NC 10 HWY, NEWTON NC 28658 Site Address: 3846 W NC 10 HWY, NEWTON NC 28658 Property Size: Square Feet: 127,630.80 Acres:2.930 Directions: 70 toward Startown Rd / left Startown Rd / right 10 W/ pass under 321/ about 1 mile down /lot on left 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-04-2016-23668 by the following method(s): Received in Person ,_ csimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) �/ 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: 06/01/2016 �wner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted b hi t Ai I f k (name of person sending permit) Signature I' I �i U t, t, Date/Time Method: Fax Email US Mail Other Owner's re to est send y the above i (heated method of transmittal in lieu of signature r R au ixivai We want to hear from you. Please aY ke a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService elipermit 06/01/2016 09.07 Page 3 of3 '-' rt Case,tiA CATAWBA COUNTY • io 0 C If IMPV-06-2016-072967 f' r1 Public Health Department Subdivision <`— 7 "I Environmental Health Division Y # 'J'.:1. PIN# 361903115375•sio ea PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 G _}• IC + LOT# /842 :v ��Y CI Fa- NAME ON PERMIT: DAVID QUEEN, 3846 W NC 10 HWY, NEWTON NC 28658 Site Address: 3846 W NC 10 HWY, NEWTON NC 28658 Property Size: Square Feet: 127,630.80 Acres:2.930 Directions: 70 toward Startown Rd / left Startown Rd / right 10 W/ pass under 321/about 1 mile down / lot on left Improvement Permit Facility: Primary Residence - modular home Permit Category: Expansion Bedrooms 3 WATER SUPPLY: Public Water 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: Initial/existing system is gravel trenches. Will be expanded using 25% reduction trenches. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: II1G -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 Savage Treatment and Disposal Swstems' (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 06/01/2016 AUTHORIZED STATE AGENT APPROVAL DATE 06/01/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermih 06/01/2016 09:07 Page 1 of 3 ZP, RC ExNnsion PPP 01-)-016-)3668 38if6 W MG 10 Hwy, tlew4on 'Se6c s stem -u be expanded -4v acc0 MMOdc-Ie new 3 bedroon^ modular. See alio cheat perr44 or a Qedroomts for ae{aiI On ex�siinl sys}eM. ' Exis41o5 sysleI was visually SI2b(L6 koweve✓ no quaiw.;ee car, 9ige0 QC -D ;}5 lons3etidy . • ZnskeA11 nevi T a'd 4-Ie✓ it exis-4in� Sepfir -tcnk. J J • TvcskotI1 nev- p-Box- ✓ 7v.s'l4 1504 o 25 Reclvd oh ; 3 50s. Insicd\ d'rc.4eld or cbn-4our. SeiThr sys+cw mv`51 be l00% frok any veli, lof4. front water lino, 541.from sir,c4ue. s includi J decks porckes, lofl.-for&proQer' liras, are co-y- of an c-yi-o[- w� or e&semen-1. r + Do n 037 dri JC, Tack, cv1-, of q Ode( 9Ptic, Gr n or reay( area. it New ho'n`e. will conned- iv, cui iie Tnslnil new st i& '` Wader. Nu OA Or 5;4e. SoN 'trenchesof 3syeck_ key •50' cio oc krh es 0� gtP4ek • Vv Tai Rq'ac&ex'�t^0� S�rrbJ�1 or` box v,i}h new �-k \4� l^as ■ �. P+ less b 0u\\ek H°ks proposed n 28Y: • ■ c *A Pa4ion ofdile-K6 104 ,I,Sr On lilt or siAe �n -\✓ ei 4511. will^ rb {ro y. on ys• \ Hwy lo• R/w 4c.0). \\I =61)' 1/T w NCio Hwy spa DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ,ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION N ^ for ON-SITE WASTEWATER SYSTEM OWNER: baVld 0OCPn APPLICATION DATE 4-N-Ib �Pg.-OY-�6-)366 ADDRESS: DATE EVALUATED: II-25-1s PROPOSED FACILITY: 3 LP- mod.6 r PROPOSED DESIGN FLOW(.1949): 360 . PROPERTY SIZE: )•9 30 aue5 LOCATION OF SITE: 3V it,& W NC- le H Wy. New-or PROPERTY RECORDED: WATER SUPPLY: 0 Private $ Publics 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Ewing A Ph 0 Cut TYPE OF WASTEWATER: ti Sewage 0 Iadasbial Process 0 Mixed v. _::::::._ S.UTI 11IE)R£Hi11✓Ogx,�_.: __.. . . :_:::_:_!:s::....::::`:::::::::::7--.::i "`.°I'ii____s=::: S.' iiEltiiAtz _._3 iniii[fv:. ::__ ec:_. ".... =_-a-Pi 2:.:::: ?i :::::::::&�::�:: vnr_ .... .1.!:: -=::::: ??ii= i_T::= ,.. __.. . d1 :::: : :: :::::: _=:_3Ddi:::_.,::'�_;t ::i:: .SbIL,;::.:: ___a..:::.:._:= : _11�v7rts::19!{4c„iS;,::::::_;t:[:_:e== '- _ = es': :e POSltlOFfa 7>1EETBii:_ 'ST'#itCTURF:f:...._ ,._._t%fRSlIT1G'EY a19ETn' F '_'SRIk::� a:aSAPB _''$ :::: T>&.;... _.-. `i&g:FF&K i:: "' :t5::IgTE TER 141N` E:4 . X1 .CCI[F1 PEPYK C a4S J.I RA. : rte 0-4g s}i< G f/SS-Sex? - I- _ 1 57> �g _ _ PS 03 s 2 ai>,� P I• — - - VS __ - S 03 . • 3 _ - i 4 . DESCRIPIION INITIAL SYSTIE4 SAE SYSTEM OTHER FACTORS(.1946): AvaJsble Space(.1945) I PS SITE CLASSIFICATION(.194S): System Typ:(s) li0. 5, EVALUATED BY: %CIA MW(ICIe• 0 ifthR(S)PRESENT: . Site LIAR III 0.3 COMMENTS: 11 1S 'If^JI�� I Hades 3- bps reI 11`` pp :0: x 3 = 603°' cone it 'i ecd(,6 _ 0°' rorvtv46tin4 0 0'l t,xi x)00 0 I �a -. b05 597 x0.75 ° Y47.75 ; 1`�9 15 3 �] .)-151 of 354„ Red ar VI €v hohL 3-505 4/5,RA W ITO Nwy Iv (No} 40 Scale)