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Home My WebLink AboutIMPV-06-2016-073569.TIF �y,A • CATAWBA COUNTY Case# _ ___ F ln Public Health Department Subdivision AVIAN WOODS PH 3 s ; Environmental Health Division PIN# 372012853846 "4k PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 47 /g.2 s. NAME ON PERMIT: CHONG SMITH, 702 6TH AV NE, CONOVER NC 28613 Site Address: 2150 MILTON ST, NEWTON NC 28658 Property Size: Square Feet:41,382.00 Acres:0.95 Directions: Settlemyer Bridge Rd, left on Startown, left on Milton, Property on Left. Corner lot. Owner/Authorized Representative Acknowledgement of Permit Receipt / C4 I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the N. property described above. C As the property owner or authorized representative, I have received the above referenced pennit(s) as requested in he application for service RBPR-04-2016-23759 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) (i S As the property owner or authorized representative I have reviewed and understand the specific conditions ciCof 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: 06/16/2016 / • Owner/Authorized Representative Signatut- `� ,A, Date (///(, 1 pc/( (/ . 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 ehperniit 06/16/2016 09:55 Page 3 of Case/t 17 CATAWBACOUNTY � ' ."p f IMPV-06-2016-073569 (.., "nGy Public Health Department •r' Subdivision AVIAN WOODS PH 3 Q1, a „', Environmental Health Division r •r PIN# 372012853846 PO Dox 389. 100-A Southwest Blvd,Newton,NC 28658 { �. t LOT# 47 Ig.2 ,� A 0 . o . o NAME ON PERMIT: CHONG SMITH, 702 6TH AV NE, CONOVER NC 28613 Site Address: 2150 MILTON ST, NEWTON NC 28658 Property Size: Square Feet:41,382.00 Acres:0.95 Directions: Settlemyer Bridge Rd, left on Startown, left on Milton, Property on Left. Corner lot. Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 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: IIIG- OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP *MAY BE* 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. Steven Price 06/16/2016 AUTHORIZED STATE AGENT APPROVAL DATE 06/16/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemtit 06/16/2016 09:55 Page I of3 .r r.4 4J: ^.i, r +i .«-..*:-L't a,.,.: �', e . s` . s.>, -s , , s RBPR 04-2016-23759 2150 Milton St, Newton AC • Do not cut,drive, fill,or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank and 300 linear feet of 25%reduction system with maximum trench depth of 30 inches; proposed (4) lines 75 ft each on contour. • Final grade of septic area must shed surface water off and away from system. WELL • Well should be 5 ft from property lines; 25 ft from structures; 50 ft from septic systems; and out of right-of-ways and easements. Z90 .5.s ry re-P, ht essr rte" st -0 P•p r 1 � � I �, 0 sot Qclk� ` I N/1 I-D- DEPARTMENT OF HEALTH AND HUMAN SERVICES />e 0 cr-zo16 - 23717 Sheet/of? DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY 1D#: ON-SITE WATER PROTECTION BRANCH COUNTY:Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM -- (Complete all fields in full) ^rr OWNER: J( ) k CaoIC _ APPLICATION DATE ADDRESS: DATE EVALUATED: 574) PROPOSED FACILITY: 3 4r PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: 2Jf77 /1-"-, (A ft PROPERTY RECORDED: WATER SUPPLY: ❑Private tkPublic kWell ❑ Spring ❑Other EVALUATION METHOD: ❑Auger Boring 1aPit ❑Cut TYPE OF WASTEWATER: 4 Sewage ❑Industrial Process ❑Mixed e ' o ' SOIL MORPHOLOGY OTHER a (.1941) PROFILE FACTORS, . 1 1940 E•" LANDSCAPE HORIZON ` - - ° - POSITION/.,-�c DEPTH "`' t/<r '� . PROFII.E ,'.19d1 " .1941 �50II. -' 1943 '�19$6 1944 CLASS ,. _ STRUCTURE/ CONSISTENCE/ .;WETNESS/ °:SOIL SAPRO' RESTR &LIAR 3 ,- r, , "TEXTURE _ MINERALOGY COLOR .-"DEPTH :CLASS HORIZ • , 6 -l9 s6& c. re. Sir Sa A t/4-- P-5 L5 r9-33 (disk CL r-- Se- A) q o. 3 1 /o'4 33-Sb `SSE cc 1/1 -re--re-,...4... D- Ij s 6 1c C frtSLr Ps N rs LS /S-5Y 'lac c--<-Ire Fe-SC" .✓`1i>- 3? 0. 3 2 r-sr SG„ Sy, L f,G fe • 0-23 SSE c Fit SC 2S L5 23- S, `'.c& CC% Fe se' N-1- y,6 PS NA" I 3 Y6,5.3 i&&0 1-1-4-k. rt15E 0. 3 S . O--Lo S6,E. C !'/g St- `!o �s vv7i �� LS zo—vo h''cJIc CC- .lam v4)il 4 SZ Yo- IS ,3c, s , l So 1-/e ar �• 3 i DESCRIPTION MITIAI.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): P �� 4 SITE CLASSIFICATION(.1948): P1 P_5 Available Space(.1945) EVALUATED BY: 'S�"" /1, System Type(s) ` � ° ZS(/� �� ‘-ti OTHER(S)PRESENT: Site LTAR )I.3 D- S COMMENTS: Updated February 2014 1oie Y-X 213-7 Catawba County Environmental Health Pei'heck \\:::\s\NNIN 4 .37 ----. - -\ 43,52 \ PI • of • • '' SI\ 3 it,„Arto so _._ .„.... .., _ z.-- , iv:v?!.::, g / .., i • _ , I ,..._ ,I„ ____ ___t _ a= 04kt, ,.,‘ tit -,,,... „.._ , ,y, G, , T v t % `1'i ° n W ‘I r l 12 07 ' 61.69 ---N...\\\\�1 ' :. \ loci `� ,sue" HiliN 50( p� Parcel: 372012853846, 2150 MILTON ST 1 in=50ft 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