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Home My WebLink AboutIMPV-06-2016-073785.TIF .^4A ,. CATAw13A COUNTY Case# ,Q' Public Health Department Subdivision SPRINGDALE < � ,? , Environmental Health Division PIN# 360801499601 PO Box 389, 100-A Southwest Blvd,Newton_NC 28658 LOT# 27 /8.2 w NAME ON PERMIT: DAVID STUMBO, 4534 ATHENS DRIVE, NEWTON NC 28658 Site Address: 4535 ATHENS DR, NEWTON NC 28658 Property Size: Square Feet: 18,295.20 Acres:0.42 Directions: Turn Right on 70, turn on Northwest Blvd, turn on NC 10, W C Street, turn on Springdale DR, turn on Athens DR Owner/Authorized Representative Acknowledgement of Permit Receipt '1 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 RBPR-06-2016-24084 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 77 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: 06/22/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by 110 electrro ic electronic or other means) Permit transmitted y 16 � 4 r Ai o )...- (ncnne of person se ding permit) Signature I 114,UU lik • Date/Time 2i-Is Method: Fax ,/ImailUS Mail Other Owner's request to send b ' tic above indicated (method of transmittal in lieu of signature coil 1 `t�-� We want to hear from you. Please t a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpermit 06/22/2016 08:09 Page 3 of 3 - : CATA\\'13A COUNTY � � „ • r. 0 Case# IMPV-06-2016-073785 :7, ra.1oG,y Public Health Department ; tiN r Subdivision SPRINGDALE 2[L"I c3 •} PINit 4 •°°� . I �� Environmental Health Division 1�,1++� �+ 360801499601 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 ��,,,� • r LOT# 27 5 tg.2 ,w :-+r. ,i . lc• NAME ON PERMIT: DAVID STUMBO, 4534 ATHENS DRIVE, NEWTON NC 28658 Site Address: 4535 ATHENS DR, NEWTON NC 28658 Property Size: Square Feet: 18,295.20 Aeres:0.42 Directions: Turn Right on 70, turn on Northwest Blvd, turn on NC 10, W C Street, turn on Springdale DR, turn on Athens DR Improvement Permit Facility: Primary Residence - mobile home Permit Category: Expansion Bedrooms 3 WATER SUPPLY: Community 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: 111G - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Existing system is gravel trenches. System is to be expanded using 25% reduction. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED xxxxx 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/Zonine 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 'Lea's and Rules for Sewage Treatment and Disposal Ststems' (15A NCAC ISA .1900). Neither Catawba Count-nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Meeen McBride 06/22/2016 AUTHORIZED STA'fEAGLNT APPROVAL DATE Permit Expiration Date: 06/22/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemut 06/22/2016 08:09 Page 1 of3 -I P, AG Expansion R$PR o6•2OI6-?(iozq LI535 Athens Or ei kcvi t1ns.tall 3 c rof boxes for each exis+in' grade) Ths+all a-7o -fl- -lrenckes & ;5)p Pedvc1 s- . Shs-la ll drrtiln-f=ie\c on CDh`Wr. 1 * ill Colonehts o S4$+eh�, Ihc'u�'��0� Sol'A p'r ' rorn lank- �p ara1a ela, Mv$l It 5.ft -Comm MoL.te kl lotm-, Sep-l;c. s/sfeM M'Jst be, Icc l- m 'ails, 10-1- -front roper I;les, 1044. -Ccom \'la\er lines, 5-P fran House, lrldudiv decks t PoecheS, and oo of a l ilk -4- wall and eosernenl5 . po no-I arm, 5racc, cut of -IN wer septic <2ys\ern l repair area lnd tail\ corned +0 CoMMuni+/ vJell . ne�6\04� kw-)51 ctea�clior> Ifs. tit Sef+IL Repair iv ID a. Area RernoJn P'Pe and 50/, Red. 00 -from Ias} lof. L1Pchs .. 101.4E- -Icernch so V1�at i+ w 11 meet ,o• l{ai deck s{a4r or (A/VW lo%Selbocic +0 pd Of 4o SYS*M (nsfalla};on Proteriy l'nt, c;r"" So�ha} Se�b�c g . • tyv�o ag 1 rs�n be ou1� nnaiY\ Ined. roes �etJOan Tnslall 3 drop\Dotes. Pm ocM, ,$•`° on each of the 3 'S 6crb exis4;i. gcqucl--rend rg 9. J Tao y° 7y 95. R1hMS Dr. lc_ yo, DEPAP.TA9a4I'OF ENVIRONMENT AND NATURAL RESOURCES Sheet_of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ,ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION I� for ON-SHE WASTEWATER SY '1'EA'I OWNER: 1 i1 S-f,Imbo APPLICATION DATE 6JIsjay Pfl-06"aolb 29019 ADDRESS: DATE EVALUATED: (, 16!(6 PROPOSED FACILITY: 3 BR MIt PROPOSED DESIGN FLOW(.1949): 360 PROPERTY SIZE: O.N)Ot/25 LOCATION OF Slit: 4535 A-Ihtns (. IVtrnor PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public ® Well 0 Spring ® Other COMM Utt WC.LI EVALUATION METHOD: 0p Auger Boring W Ni 0 Cut TYPE OF WASTEWAIFR F StH agc 0 Industrial Pmcess 0 Mixed _ 0 S(SIL MokkaoLoGg: OTHER (194t} PTt(3Ft�I FCC L(ST{ L -t ,g_ ZON 1941° .... . . 1941 SOIL+ T943: 1455 . 44 TRCFII;,C_' -x, FOslutlHr,Arir'H.,-.....stittlati tt- 05-Rank/VW: iY•R'tNESSf OtG_ .SAIRDI:::: hfl tt'.: "'' DRETK CGTSS:__, S1:011. {I•.}. -487:UE& .p111EI{ALDG`3" . CP1AK::_ „.4:“...." .. ., - W..::: .FIORAZ '... &T.TAB 0-% sbc C, fi, ss<,SeXp eg 1 590 �_ 03 • I I - . I . L ._ I 2 • I • 1 • 3 I I I . I 4 I DesaurnoN I D.*mnL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): • AcaibbIt Spas(.1945) I I P.5 SITE CLASSIFICATION(.1948): Sypcm Typ s) a - EVALUATED BY: �]M 1 OIHER(S)PRESENT: AI4N P. • . Site LTAR p,3 COMMENTS: gi6l16 L✓XK'tn c1/45 UnccNucq vIAL boci4,! a4 s"oveAs. -There are on�7 3 - 75c . -teerckes of rel. G5 75 75 co wtrAim^k 215' x 3= 645°'(}{ade, itm, vio,d> pb(15 360 : )a000 (convenito^ 555°' x 0,75= 416.;5 , 138:15 3 (one {ti✓ 3 FIR- 71110 more ft. b{ a57a (2 916(ea -5( Sislerk to Ibe Su& {cc 3 6i--) -This At eY .5 is o(1l1)4a , Ike CGS{ loik vtAk ve. O -4�--=__ re rrw44 -W reek I\ i se\bXk ` LSDP ,v\ti 1 \ CI I 0 (NOi Al0 Stele)