HomeMy WebLinkAboutIMPV-06-2016-073893.TIF nA CATAWBA COUNTY Case a IMPV-06-2016-073893
Flu L Public Health Department Subdivision AUTUMNWOODS PHASE
Z .,�; Environmental Health Division PINIt 460901085275
�Ot1" PO 13ox 389, 100-A Southwest Blvd,Newton,NC 28658 LO"f# 10&11
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NAME ON PERMIT: JOANNE BATTAGLIA, 2 LAKE SHORE DR, WATERVLIET NY 12189
Site Address: 1524 MARSHBROOKE LN, CATAWBA NC 28609
Property Size: Square Feet:68,824.80 Acres:1.58
Directions: Hwy 150, left Sherrills Ford Rd, right Island Point Rd, right Eulalia Ln, continue on Marshbrooke Ln, on corner
of Marshbooke Ln and Conestoga Crossing
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.
As the property owner or authorized representative. I have received the above referenced permit(s) as
requested in the application for service EHPR-OS-2016-23931 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 (ISA 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: 06/24/2016
Owner/Authorized Representative Signature
—� Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by \ • 11 flinS(name of persyn ending permit)
Signature\ 1 MO Date/Time g j lu A I V•qs
Method: Fax \/ L mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We want to h r from you. Please take a few moments to complete our customer service survey at:
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chpennit 06/24/2016 09:59 Pane 3 0113
pA • CATAWBA COUNTY D • r•_�0 Case# IMPV-06-2016-073893
�^ yz Public Health Department %�, `•. :;,‘..1.1. Subdivision AUTUMNWOODS PHASE•
\\\---: �l" Environmental Health Division ' 10.. 73 • PINN 460901085275 190 Y
�� PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 ' •� i t LO'ft! 10811
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NAME ON PERMIT: JOANNE BATTAGLIA, 2 LAKE SHORE DR, WATERVLIET NY 12189
Site Address: 1524 MARSHBROOKE LN, CATAWBA NC 28609
Property Size: Square Feet:68,824.80 Acres:1.58
Directions: Hwy 150, left Sherrills Ford Rd, right Island Point Rd, right Eulalia Ln, continue on Marshbrooke Ln, on corner
of Marshbooke Ln and Conestoga Crossing
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Private Well
Basement? Yes 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
PUMP *MAY BE* REQUIRED
Permit Conditions: Keep all parts of septic system and repair area minimum: 50'from any well, 50' from creek,15'from
building foundation ( side slope from basement cut), 10' from property lines. Lines to be installed on
contour. Do not grade drive or fill over system or repair area. Outlet plumbing from home will require
specific placement or a pump may be required.
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 Rules for Sewaee 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.
Jason Boyd 06/24/2016
AUTHORIZED STATE AGENT APPROVAL DAMN
06/24/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for.system and repair without approval of the Health Department.
chpcmui 06/24/2016 09:59 Page 1 of3
�t3A • CATAWBA COUNTY Permit# EHPR 5-16-23931
G Name Joanne Battaglia
ET Z Public Health Department S
miF Address 1524 Marshbrooke LN Catawba
J esib Environmental Health Division NC 28609
� 7,' PO Box 389, IOOA Southwest Blvd, Newton NC 28658
/842, 5, (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 460901085275
Site Plan Improvement Permit
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Department of Environment,Health, and Natural Resources Sheet:
Division of Environmental Health Properly ID:
On-site Wastewater Section Lot#:
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: EHPR-5-16-23931
Owner: Joanne Battaglia Applicant:
Address: 1524 Marshbrooke Ln Catawba NC Date Evaluated: 6/20/2016
Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded.
Water Supply: pvt well [ ]Spring [ j Other
Evaluation Method: auger borings by Russell Williams with EHS present [ ]Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed
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1 LL 4-6% 0-8" topsoil
8-36" SC SS SEXP SP FR 48" PS.3
36-48" SC w/sap
2 same as 1 48" PS 3
3 same as 1,2 48" PS.3
4 same as 1,2,3
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IIIBG Others Present: Russell Williams
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge S-Sand 1.2-0.8 SG-Single Grain
SS-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
HS-Head Slope ABK-Angular Blocky
CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismatic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
CATAWBA Geospatial Permit Center
Information Services
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Parcel: 460901084484, 1510 MARSHBROOKE LN CATAWBA, 28609
Owners: JENKINS & DAVIDSON PROPERTIES LLC, null
Owner Address: PO BOX 5602
Values - Building(s): $0, Land: $14,000, Total: $14,000
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
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
06/24/2016