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Home My WebLink AboutIMPV-06-2016-073509.TIF a A • CATAWBA COUNTY Case# IMPV-06-2016-073509 Q j j j ,., Public Health Department Subdivision 6 t,� , Environmental Health Division PIN# 360804632203 '-- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT// TR 2 is, , NAME ON PERMIT: JOHNNY BUMGARNER, 4398 BILL & BEULAH LN, NEWTON NC 28658 Site Address: 4382 BILL& BEULAH LN, NEWTON NC 28658 Property Size: Square Feet:426,888.00 Acres:9.8 Directions: Hwy 10 West to Blackburn School Rd, 1/2 mile on Right Bill & Buelah Ln, Past small house on right. 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 /I" property described above. 0 A the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-03-2016-23469 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: 06/15/2016 A' Owner/Authorized Representative Signature , 1 740 i, / / Date 6(i/7 /6 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 elipemut 06/15/2016 11:35 Page 3 of3 , A CATAWBA COUNTY 0 -%' o 0 Case# IMPV-06-2016-073509 • ir R' r • Public Health Department Subdivision C Environmental Health Division Ft' .t," PIN# 360804632203 / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 -0� r 0 n Lon TR 2 :4Z cu — Prix J: O r 80 NAME ON PERMIT: JOHNNY BUMGARNER, 4398 BILL & BEULAH LN, NEWTON NC 28658 Site Address: 4382 BILL& BEULAH LN, NEWTON NC 28658 Property Size: Square Feet:426,888.00 Acres:9.8 Directions: Hwy 10 West to Blackburn School Rd, 1/2 mile on Right Bill & Buelah Ln, Past small house on right. Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 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: 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 Ru/es 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. Steven Price 06/15/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/15/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elipemut 06/15/2016 11:35 Page 1 of.] El-PR 03-2016-23469 4382 Bill &Beulah Ln,Newton • Do not cut, drive, fill, or grade over septic or repair areas. • This is an improvement permit only and is not intended for septic installation purposes. • Proposed subdivision. Lot lines shown are proposed and are marked in the field. Lot must be recorded prior to issuance of AC. • The site for house and driveway cannot be cut due to increased setback distances required and could eliminate system and repair areas and cause revocation of permit. to ja, s3y 1 A v `e `x a5^ T'o '; V t�e�' 9,,`°c`P • r. "� yr � $ 100 /.1 DEPARTMENT OF HEALTH AND HUMAN SERVICES C�J K 63--?0/6— Sheet ( oft DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION z�y�/r PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: 3011 n47 Q,,,,.,b,„i-_,,_ _ APPLICATION DATE ADDRESS: DATE EVALUATED: -7i3 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: ySVL d•(/ . &,,,/4 A 4, PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public ❑ Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring ❑Pit ❑Cut TYPE OF WASTEWATER: ❑ Sewage ❑Industrial Process ❑Mixed • • • . o SOIL MORPHOLOGY OTHE12 F'' (-1941) ' PROFILE FACTORS L 1940 g, LANDSCAPE HORIZON , •POSITION/*�'° DEPTH "' r"`` * '1 'I PROFILE . # SLOPE% �,') :;1941, ,•1941 SOIL 1943 n 1956 .1944 'CLASS. . STRUCTURE( } CONSISTENCE/• WETNESS% SOIL ' SAPRO •= RESTR &LTAR r :.:'COLOR ''DEPTH '•CLASS - - TEXTURE , -. MINERALOGY , ,HORIZ 3 ' D-4 'Sok cL ec se, pp'� C- ti siSrc cr_ FK fel A. 35- u✓� ^"g e5 1 It% V -33- wS61c S% .Str 0 35-5b w2 . sclp • o--H "&L cc_ Ise fe" /5 y /7 Set( c c r2 sV ,v.9— V Z AM r.1/1- 0. 2 74% 12— y2 wJ,t(c- c{_ 6-,e IC Sr '/w/t 6, • D-c w55k_ So YY ,St SL- vv� �S LS 6- 7-3 56/c GC- Sa Nk 3`f io D 3J' 3 24st z3-sy 'Sic Yf., r--� rr i. 3 Y-YY 4 SA-i L /-.c S[' 11/4./ =or wit 35 0 --2 "Set s—' Frc fcr e Ls z— ty s6c cc /=,c re— ,jA-- pi r NA- 4 -g, rY-s' s4, - e st (-it Sr o . 3s "'A-- rod• DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ��, SITE CLASSIFICATION(.1948): (5 �� Available Space(.1945) / ti EVALUATED BY: ' '-J-� System Typc(s) Z L ,e, 2 l� OTHER(S) PRESENT: Sac LTAR b. c o- . -- COMMENTS Updated February 2014 SOIL/SITE EVALUATION Sheet all (Continual Ion Sheet-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: tI4 DIVISION OF PUBLIC HEALTH & 03- 2o4- 73%I ENVIRONMENTAL HEALTH SECTION DATE OF EVALUATION: '3/i[1! COUNTY: ON-SITE WATER PROTECTION BRANCH . . . . . P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L E LANDSCAPE HOW .1942 •POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE is SLOPE V. DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS ON-) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR O-7 'Sok 6LC_ AC SE- LS . 7-lc -stk. c.L Se' +c k 110 j 15 N a 3 S 30t lC- yo "s6/c cc- r-R srr Yo r0 .cL &, st tcyt sr ws f.dc 1 I I I I I I I COMMENTS: 5t{Oe v3— 20/4 — 2.3y4p Catawba County Environmental Health ‘N"\\------\-- / // \ a° o• . L. // //it \c) 040, . ‹-s / /// 7 f � 1 l Gs off- gI� gL. .. re r '10 � �J' Pr q -----IN'N,1*<40irT' �eelQ ctr 40 F„.:;cpor, r--, N.\\ ..1;544 vx 4 1 1I t l`Il1l}\ 9 1.--:5------/ Parcel: 360804632203, 4360 BILL & BEULAH LN 1in=100ft 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