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IMPV-06-2016-073748.TIF
,v,A • CATAWBA COUNTY Case# IMPV-06-2016-073748 iC' ©zt Public Health Department Subdivision PEBBLE BAY PH 4 C Y; o�; Environmental Health Division PINN 369604742935 -AP PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 154 /8.1 4.. NAME ON PERMIT: STEFAN & LISA KOENIG, 7018 RIDGEWAY RD, STANLEY NC 28164 Site Address: 6652 GOOSE POINT DR, DENVER NC 28037 Property Size: Square Feet:45,302.40 Acres:1.04 Directions: From Denver: Hwy 16 North, Right on Campground Rd, Left on Catawba Burris Rd, Left onto Goose Point Dr, Lot is at the end of the road on Right. Owner/Authorized Representative Acknowledgement of Permit Receipt NA I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-04-2016-23658 by the following method(s): Received in Person acsimile 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: 06/21/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by It A I i 1 111 (name of person sending permit Signature ttgJ &AL- Date/Time / Z( / • IQ9.-D 1119 Method: Fax _ Email US Mail Other vner's request to send b the above indicated method of transmittal in lieu of signature - h We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpcnnit 06/21/2016 09:39 Page 3 of 3 ' r Case ft ,<tiA CATAWBA COUNTY 0 0 IMPV-06-2016-073748 . ��.'G Public Health Department �+.t Subdivision PEBBLE BAY PH 4 4 �gl Environmental Health Division } 'r PIN# 369604742935• e� ^c PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �� r LOT# 154 1gg2 ,u _y� -1�' �t 0 °r, ° . NAME ON PERMIT: STEFAN & LISA KOENIG, 7018 RIDGEWAY RD, STANLEY NC 28164 Site Address: 6652 GOOSE POINT DR, DENVER NC 28037 Property Size: Square Feet:45,302.40 Acres:1.04 Directions: From Denver: Hwy 16 North, Right on Campground Rd, Left on Catawba Burris Rd, Left onto Goose Point Dr, Lot is at the end of the road on Right. Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Community Well Basement? Yes Basement Plumbing? Yes 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: WA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Permit Conditions: *The driveway can only be 10 feet wide and must be up against the property line as shown on the site plan. *Do not grade, fill, or drive over any designated septic area. *Do not remove the flags that are currently marking the septic drain lines. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION Type: WA-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 Sevaee 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 06/21/2016 AUTHORIZED STATE AGENT APPROVAL DATE 06/21/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/21/2016 09:39 Page I of3 9P-10a8011 Ell 3 Rm ; DEPABIMDJT OFFNVIRONMFM AND NATURAL RESOURMS 5heet—Of- DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID X: ON-SITE WASTEWATERSECIION COUNTY: SOHJSITE EVALUATION OWNER (li Hky,s for ON-SITE WAASTEWATERESYSTEM ADDRESS: lbrz (stow Pant Or DATE EVALUATED: t-4)-(4 PROPOSED FACII Y: PROPOSED DESIGN FLOW(.1949): . PROPERTY SITE LOCATION OF SITE PROPERTY RECORDED: WATER SUPPLY: 0 Private Fir Public GYwel 0 spring 0 Other EVALUATION METHOD: 0 Auger Boring 2 P1± 0 Cut TYPE,OF WASTEWATER: lit Sewage B Lt al Process 0 Mixed . '� -'---..._ _.._...- --....----...-..------'-'--'—'_...._......._........ _-- - .. ' _` ___-'_' .-.-: �_._...,_ .x :-=_.-._ =e:::;,:: gli :: ,::,:,-,v..:,n..,..._. .,z".-art:mss?:....r,.:=K-__::: :_: :_, -:-=?: :e:e :: ' " i]Y:�S.Gtr=_ta_s ::: : : _..�1:fikeK_ ::::.� = _-=i'. !t- i:=_i :[` [':_a::: a-:::EL.ii. _;'__ _„-_x _;;;;_ _aa9df _a_:__::::_r_=.:_€;====ii.=.i: PRFIL' Fki�Ts _ _�_. �FYT'H::3-_....°..5ffi.....(:1. 1Ft�,i.: :::::.._::�� �? aC:{ €`i:EihS& ,._,_._. ....._...= .._ . -..__,._.::: � . .. __?:?::::::-:.-: . '.:._� .��._.Y '" 'i€ t= kDEBSS_ aiC{; M Tgtle::it&R:TABei n- 6 L ✓fr I-- 6-217 CL rS F^ tirr 1 1S /(o 23-4% C4.--U .•rSh Pr rr r, . Ltg. S I 0- . . .L.. .._ . .,.,. ,Fr' L- 6- 2�6 yy c L n;c•, 74,k Pi- jr J p < .� • 2 i)'!o 2 b c i-- -;rc n Tr 7r pp G Pr- o-6 Jr L L {-26 CL ,-[k Ir-f rr ri u d,- 15 3 \ )J" 26-0 C +rvrrih rr-srIr rr 0-22 CL ..rbK rr rr,i 224- rl-ec k 2 2- i s 4 01,9 r I Enclunimi ncrnALSYSTEM "PAIR OTHER FACTORS(.1946): Available Span(.1945) f S SITE CLAssmcAnoN(.1946):�n1 fir s stew.Type(c) c 0"t o dry EVALUATED BY: (1-s�'a. /1•6> !V OTHER(S)PRESENT: • . Site LIAR c ?7 r (5.- COMMENTS: alrent .<'" ;N, ,^a«?,t'(5.'< t.. c}v.-`>_rr. .r:'6,.:"'1 '. .. G,.1+'tsA.F„I.,sv',` • r4..&•4•,w:'!•. Zi)49' wT"f ?'f- :cy a,n` 9'.e'i;'„.�'�'.,: +�:..X' .. ;*`?.. Catawba County Environmental Health f if 1 y cr., .:-...i._. ,: ry / 1 f i t , / X50 ( I . \ \ / err, l \ , \ \ \ \ \ . \\ \ N \ \ \ \ \ \ \ ,, ■ \ \ \\\\ \\ \\ \>\. \T\ .,..-7_7-77-----7 ' /111°',44 ., - ..y. / //7/ #17/ - } V - 1 l �, �I 1 ( rV �_ N \-., �`` \ �\ ` \\ , 'I ! \ �� / /7 0 6656 \ o \ \ \ --- \ \ \\ \ \ ‘ \ ‘ •4. `\ \1 ,1 i% \ .....1 1 \- \4N '`` t ` I IJ . - , > \ _ / �p } 1 rA 1 64.0' ¢_ v \ v5 \ \ 1y /671 y,w \ \` \i 1 \ S \ \ 1, \\\ \ ' { \ \ !+\ 1 I \ , 1 \ k KC Parcel: 369604742935, 6652 GOOSE POINT DR iin=60ft DENVER, 28037 This map/report product was prepared horn 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 personnel,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 2014 Catawba County NC 06/21/2016 • iif40nrit` n if'sv' ++r r 'g'... F y rz ' -:!..t1:4"4, ..< Pr',t,, re.q dM.V” -4.>,Y rv4,,�rD a �4et r ..3•a J _ a i,, x, ' c°. ,.t .6u54.,r',S 1v Ys"I - R