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Home My WebLink AboutIMPV-06-2016-073105.TIF 1t5 CATAWBA COUNTY Case# 1 Public Health Department Subdivision FLYING VACRES - . 362703336437 6._,, 01 "j Environmental Health Division PIN# '�'/�� 2�'�" l'O Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 NAME ON PERMIT: CHARLES GANTT, 3342 STONESTHROW DR, NEWTON NC 28658-8883 Site Address: 3981 NORTHERNMISTIC DR, MAIDEN NC 28650 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: Startown Rd, right Blackburn Bridge Rd, left on Herter Rd, left on Northernmistic, on left Owner/Authorized Representative Acknowledgement of Permit Receipt Os. I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. Au—.As the property owner or authorized representative. I have received the above referenced permit(s) as requested in he application for service RBPR-05-2016-23912 , by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) _ Electronic Image Transmittal/ E-mail (Return receipt required) A v,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: 06/06/2016 \>Owner/Authorize d Representative Signature frii ^ Date Lc` / C `/ t° 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 chpennit 06/06/2016 09:53 Page 3 of 3 - r'= Case# �,t; CATA�1'BA COUNTY 0 0 IMPV-06-2016-073105 /Q al . Public Health Department f,_ , • �J Subdivision FLYING V ACRES 4 i. ', Environmental Health Division i + •t PIN# 362703336437 F.\<'"1 -gam 2 :. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 # 'o: , 1. LOT# 2 ti CI trSe. NAME ON PERMIT: CHARLES GANTT, 3342 STONESTHROW DR, NEWTON NC 28658-8883 Site Address: 3981 NORTHERNMISTIC DR, MAIDEN NC 28650 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: Startown Rd, right Blackburn Bridge Rd, left on Herter Rd, left on Northernmistic, on left 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: 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 applicani/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. Megen McBride 06/06/2016 AUTHORIZED STATE AGENT APPROVAL DALE Permit Expiration Date: 06/04/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpeimii 06/06/2016 09:52 Page 1 of3 TP, RC,WELL RBPK 05-)01b-1311). 3981 Nor}herrmis+iG Dr, Mn"devr kIAs*-all 1000?l on Sef{1L -and and 300% of a57 Redvtk'on . 5 }renclres- ')ar4te, lens• • Ins tt. dreuh-Feld or` coh+a.)r. Do no{ Grade ctiowh house S;+e, if Plumbing exits 1 o deep, a purer wiN k re�vrr<d. Znskaller 15 -to all £ S for sys{er4 redesigvT a fume Is r�eedect_ Serb'c, Sys+eW\ Mts-y_ Le- a} keasi 50Q. Wells Ibfl goon Properly Ines 5+1. i‘rom 5kiucio(e5 - i V\cludin1 decks . keep sys-ern au} of rAti-of- vJoyS and eosement5. + Do n4 ar;Je, grate, C oy -fill Net Seri c areAI Teri( area • +-\dell Mvs{ be aI Ieo,sk % 5044. -front Se?li(, SJ CmS, a544. -{ram s'krvc,kiyes sq. f(JM proud lines are oo#- of rtrhl of- Wais ara. ea,Tmen-is, Never Rd. 6770• 47,31' 50• ,j10 See{ic Kept Area iv P to, P P 50r, pea s Iy� °: , de+. � f*roX• PreA r 4, "'I. = lo' ° ' o{ ew�bai5 'I tIST SeeiG S`�5\em 115' I.15' neck Ne1 b S X0 .1 qs 3eedrmm\louse, El Se$ic- nk, �t rI/50.\1 6a 3). IS' pu^'rTM^k 1 PIif;) a J 5' as ' e ll Area 4a' Iii b WI S' mt^ 1-51 min 115.ao• t h 50' i DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES • • DIVISION OF ENVIRONMENTAL HEALTH Sheet of ID .ON•SLTE WASTEWATER SECEION PROPERTY OUNT N: SOIIJSITE EVALUATION Cu14TY. OWNER: t Y1(1r�P5 ,_ for ON-SITE WASTEWATER SY M • ADDRESS: APPLICATION DATE S �f I6 RIM-05-;016- III PROPOSED FACILITY: ,t 69-etc PROPOSED D�ION FLOW(.1949): 360 . PROPERTY SIM O.yl �I 'y LOCAITONOFSllt 3941 orkhernnls4ic. O'. vialdeh PROPERTY RECORDED: WATER SUPPLY: M Private 0 Public ® Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Baring ® Pit U Cut TYPE OFWASTEWATER: ® Sewage 0 lades-trial?moms 0 baud • ii iP a-_:c___:c_: ' _Fi-i _:c....w."" .._ z.''PE""F-49'EiR �T:ifi-iiKigc::::`�== c_`f=r_5"a - 'lEi-=p- ...__..-:::-::.—:::::: :T'1'i(3FIL,��!�CTQRS ':`°=[ ;;_:::�-�s:::ass:r::�'_:;`iii€-;s =eii=- atR1t� .=._±0.Nii€ _ 541==:a.=.:: . =—=a: .4 _ t_:: : :u: ,..:_.: _y,igia:t `-...,_::::____tOic =a_ e:=_::-_s- erktioOg O ;; _-pne CHI :: : tUCT(JW:];: :i:-�Ctii'S.'' : ":"% rIv _ '=-'zSOtk: i€l!).tm -•'`:.:4r is „pttt? ;: -_",SIAFI€'sc1;_iT ':-;; ='i_s '.:-._�._.._,__i., .::_-.-..__ . . a:._'.".:'Et a=- gnu a:C je: c..=-_.__:_c_::_. ::_ .:::: :::::.:::::_:•_".4 ,:•_:___ .. M16-R i,S?.7-7::':::r.... . �_:_OECY$=:.._C S=- HDRIZe_? :_ 0-/6 S61c U, ft.sc.Srxp L Ib-37 swt CL +SAP fi,ss. Sexp _ 37 1 Iois 37 Ng CAP. -Cr.ss„sexp — • , 0- 16 . slot G1: .... ...: I Fr,ss,s@c t8-3b sl* GL+SRP •-(7,ss. Sexp 30 es. Sexy 2 30-17 SAP ' 1 G.ss. Sex _ - SitP-Nqg 0,3 o-)y sbk• eL - -Er.ss,secs 3” HIR between IS- -i,• 30 3 y D9-3D SWK U-+ 5AP 4r .5c,ses, • PS 1 3D-5) sty -6.ss ,texp -- She 4L 53 0,3 I • • 4 • DESaurnOY wrnAL SYs-rat kmrmR&SYSTEM OT1ER FACTORS(.1946): • Atayble Space(.1945) SITE CLASSIFICATION(.1948): p I _ Syttem Tr:Cs) 5, �G OTHER(S)PRESENT: I'�U..YI(K- . Site LIAR p,3 0.3 COMMENTS: ACIACY RA. Sc. 3 i gD I -a0 • v G) 4 35' Gf INose, NOevrwysii'c- Dr, (Not +o Scan)