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Home My WebLink AboutIMPV-06-2016-072966.TIF _IqA CATAWBA COUNTY Case# IMPV-06-2016-072966 Jeffery A& John L Sigmon .¢' d'.r:�'.2 Public Health Department Subdivision d t°L•� m Environmental Health Division PIN# 363815531756 t PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# 1 g 2 s. NAME ON PERMIT: PEDRO ALDAMA HERNANDEZ, 2955 SIGMON DAIRY RD, NEWTON NC 28658 Site Address: 2966 SIGMON DAIRY RD, NEWTON NC 28658 Property Size: Square Feet: 144,619.20 Acres:3.32 Directions: Hwy 10 W, left Sigmon Dairy Rd, on left at corner of Rome Jones Rd Owner/Authorized Representative Acknowledgement of Permit Receipt - ? l certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the -....,( property described above. €1-kAs the property owner or authorized representative, I have received the above referenced permit(s) as requested in th .application for service EHPR-05-2016-23824 by the following method(s): `Received in Person Facsimile 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 j Owner/Authorized Repr esentative Signature _ i P ,_°� Date �2)— O(-9'O$ Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (na/ne 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 chpconii 06/0[/2016 09:13 Page 3 of3 ' Y Case# CATAWBA COUNTY D : � lo, ;" O IMPV-06-2016-072966 ?Ali;j Fnbbc Health Department Y ar art Subdivision Jeffery A& John L Sigmon < _..._„0V,1 -I Environmental Health Division r 'Br •r • PIN# 363815531756 ISC � '° PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 �" � e' LOT# 1 NAME ON PERMIT: PEDRO ALDAMA HERNANDEZ, 2955 SIGMON DAIRY RD, NEWTON NC 28658 Site Address: 2966 SIGMON DAIRY RD, NEWTON NC 28658 Property Size: Square Feet: 144,619.20 Acres:3.32 Directions: Hwy 10 W, left Sigmon Dairy Rd, on left at corner of Rome Jones Rd Improvement Permit Facility: Primary Residence 3 Permit Category: New Septic Bedrooms WATER SUPPLY: Private Well Basement? No Basement Plumbing? No 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: I11G -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and any future repair system minimum: 5' from home including decks, 5' from any carport or concrete pad, 100' from any well, 10' from property lines. Lines to be installed on contour. Do not grade drive or fill over system or repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP 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' (ISA NCAC LSA .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. Jason Boyd 06/01/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/01/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehperm 06/01/2016 09:13 Page I of 3 _..to3A Permit# EHPR 5-16-23824 CATAWBA COUNTY LT al� '2, Public Health Department Name Pedro Aldama Hernandez cjlC Environmental Health Division Address 2966 Sigmon Dairy Rd Newton PO Box 389, IOA Southwest Blvd, Newton NC 28658 NC '2- sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 363815531756 Site Plan Improvement Permit 112 .00 5l5 -- 0-\ Oc -?. 1/47 2) 0 12- 13 P ' L0 t- " -\J C -y Afern/ C 2-2'5 ' w A s 7 OP A wgCI(' c r ALt4 i 1,-i. U" \ (1% c(a g. Sc-r vR...4-v) , i N°-t,.) it,ozxrni6 gt_pc• r ( yo � 1n 44E-4 rk-a.. )\\ .)r^ _' C01.3 cacrE , L2- ,�,� I SYsfir_.,, 25 20 g-J • Pt as ( IJo V 3 0 , AINI (A G G wry /J " Scale i - G uNs uLtA3I, � Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Properly ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR=5-16-23824 Owner: Pedro Aldama Hernandez Applicant: Address: 2966 Siamon Dairy Rd Newton NC 28658 Date Evaluated: 5/27/2016 Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well ( ]Spring [ ]Other Evaluation Method: pits by Chuck Jenks [ ]Cut Type of Wastewater: I: X Sewage [ ]Industrial Process [ ]Mixed f I' IP aJ'{II 'ry�,U I�I :Mj11�' n' 1)nll,tlI ti 7U 1,:.'; Iii Mil'+. , n ,..tt'): v ,' - i. II ,1} 6r 1111 Hr ' ... jVfi)1 1 P 1111 I {' , ]' Ir I 1 Iltli I:,ItH tr t' R.44.it iff�jI'I'L� " "rl.. 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I II In umr._. 11 I !I(.:, 1.:11:"' I I , Il �lll'1,I le 1 .III��111 ' ht i y� p� 1�I rtnt , 'iIi E 11� 1111, 71; ,Pc uixl°.1 4I JDepth�.II 1SWCV1uiu� 111 11 1'ir uielrl dli r ��li 1111] .,,J Weln 'ss/. �4'i il,ill r_�iS°�111iD., 1 retaPl.0 J� I�}��qpq��Restr 1111111a Classt?th `r WA! . tied .!]IISIOPe%1111' 91i�(INb,T ,' Tezturef .. _ 'Li Mineralogy,:,i1- I. .._aJSal iColor,l it;.., ]rl111 Depthl(IN;) _d:Class�iSB I:II1iHonz.tl .r,80 ITA @I n 1 LL 4-6% 0-10" topsoil 10-48" SC SS SEXP SP FR 48" PS.3 2 same as 1 48" PS.3 3 same as 1,2 4 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG RIB Others Present: Chuck Jenks Pedro Hernandez Clayton Homes Site LTAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky Fl-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations S �<, ip S e . 4- �. pi