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HomeMy WebLinkAboutIMPV-06-2016-073376.TIF oA CATAWBA COUNTY Case# IMPV-06-20 1 6-073 376 4 zit; Public Health Department Subdivision THE RETREAT m h; Environmental Health Division PIN# 460701388154 IR ° PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 4 is.2 v. NAME ON PERMIT: BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 Site Address: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 32,670.00 Acres:0.75 Directions: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house 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. a, As the property owner or authorized representative, I have received the above referenced permit(s) as requested inntthe application for service RBPR-04-2016-23756 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: 06/10/2016 • Owner/Authorized Representative Signature (� l�l/ 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.surveymonkey.com/s/EHCustomerService chpena t 06/13/2016 09:36 Page 3 of 3 4 ti CATANBA COUNTY Q • a '"0 r Case# IMPV-06-2016-073376 • •C " Public Health Department g r Subdivision THE RETREAT cir P Isq•�•I z.2.; Environmental Health Division o PIN# 460701388154 �\7�`-wA' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 } LOT# 4 1842 ,. — 1: O- 1 0 NAME ON PERMIT: BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 Site Address: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 32,670.00 Acres:0.75 Directions: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left Improvement Permit a''� � :�'t`1 itm i,i6, I^NIT AtL SYSTM XISTNG r las r I !uNM .11 r �ul Facility: Primary Residence - House Permit Category: Other Bedrooms 4 — WATER SUPPLY: Private Well 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: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Permit Conditions: *No grading or cutting allowed for the new garage. *This permit is issued to show the existing repair area can still be used with the addition of a new 28' x 29' garage. "The-repair drain lines were flagged in as shown on the site plan with a laser/transit on 6/8/16. 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 06/10/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/13/2016 09:36 Page 1 of 3 Catawba County Environmental Health TMpv,6_2o/ o73376 I * Il0 71„J,ny or Crit;m7 "ream Mew CFrA 6rrre.- , L. , ,,...:\ ill_ 4 ISO- - 3 t. 4-1 , \tVi\ \ .* � Q \ \ \ \ . 1 -1, II 4 I �. I . ii Parcel: 460701388154, 3659 LAKE BLUFF DR 1in=5Oft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Ceospatial Information Sm.iu e. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this repot 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 personal,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 20t4 Catawba County NC 06/1012016 .... _ . . _ • DEPAfMEl7I OFFNVI80NMEYr AND NATURAL RESOURCES 57zea DIVISION OF E NVIRONME ITAL HEALTH PROPERTY ID d: ON-SITE WASTEWATERSECIION COUNTY: SOWSITE EVALUATION / for ON SITE WASTEWATER SYSTEM OWNETL ■°/" l4' •PLICATlONDATE ADD: , IMIRMIleffar DATE EVALUATED: PROPOSED FACLLTIY: Y bNL PROPOSED DESIGN FLOW(.1949): K 10 . PROPERLY 517E LOCATION OPS[I> _ PROPPBTYRECORDFD: warm SUPPLY: B'Pdva[e U Puhne rwen 0 spent D Other EVALUATIONMEIHOD: D Auger Boring ErPU D Cut TYPE D Mnd OFWAEWAh3: BS Savage D ln� iPcs i - -- _z.._ o_—_-=•eilliii ems_ T — .r_ --- _-- - --__ _ _:: ifs_' r-_ _ 'l'.r �:=__r. .r. :;-_'::"_...._.::iii3_c_Fp:::_::r::c_: ^ __ =="r::=_:_:::::::::.::-::.;.b._..:...---T.._.L_;.::—_.r_c_�_n::::____-_::_ ...._-:::::::•:• _�;_::.._:._. N. ae c: sat� &MS n:_i'..1i__ =i_= 3..... 11EO. 4.-4g'Fa' �'iiiisir-::-=v —r.:.cav: _::_7___::::c :___._,....;::___; ec_ c :_-:_-:':__- ..:tEr==. :: ':__'--:.=-:_=i .5P.II :tit_itE..;._...___ , :i —=s; acco:=;;-_:=e : ,. .� -"_ z$101*F_- "_'v _r�c.�-�,��y____=_ __ _ .[:y:_y� a----::'::= =`` f =[�E'_ F ...5ii ;41/.4 - ii E . 7,,e-,41:...:-u aac--_S n 4° _ _._.._ �y',�1( ��(��y�y,.y�'/�� µ1(l ( _ $ �'y • rf- _ - PT11.' ..li.+��Y....-'..,�. ..._: :::� 1J1IIIYli_AY. .`�.: ie3�f[,. G_ .:'.WTAP �. =3TArls< +2.1F-40_14. ...,_ 's$3 ? -i :--- . `i' . i_ 4t0.:__: __ P= Q 'e:s= ,;. .. _ é'' ( r.c. -Fry.v( Fr ft r 1 58 • rr • • Al-LJi Syp VPr f 2 . _. - . t 35. • Pr • 3 4 nesaEltox ATMLSYSTF2t teErwne SYSTDc O1B FACTORS k AnflAle Spas C1945) SITE CLASSIFICATION(.1946(.1948): ''[[. Syva iyp:{s) EVALUATED BY: P Uk 44- - OTHER(S)PRESENT: - Die LIAR COMMENTS: