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HomeMy WebLinkAboutIMPV-06-2016-073957.TIF k Case:pA CATAWBA COUNTY C .,.. ---_ -.__- - i ,L Public Health Department Subdivision SYLVIA S PROPST HEIRS d r ", Environmental I-Iealth Division PIN# k 373310258593 W° PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LOT# 1-4 84%lu NAME ON PERMIT: JOHN BANDY, 1646 MACHINE SHOP RD, HICKORY NC 28602 Site Address: 4108 LB PROPST DR, CONOVER NC 28613 Property Size: Square Feet:2,010,729.60. Acres:46.16 Directions: County Home Rd, turn left on LB Prospt Dr(past Sipes Orchard Home) Take left onto gravel dr. Follow signs to 4108 LB Propst Dr 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. gir As the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service RBPR-OS-2016-23958 - by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) kAs 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: 06/28/2016 Owner/Authorized Representative Signature ..,,L t�-� Date 7/ur`/G 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 ehpermit 06/28/2016 14:24 Page 3 of 3 CATAWBA COUNTY 0 r 1 r 0 Case# IMPV-06-2016-073957 e`• t j Public Health Department !J. •• -1 �} Subdivision SYLVIA S PROPST HEIRS ,'7.- is on „"l,) Environmental Health Division r' 'fir• PINft 373310258593 4�.cdb PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1 : LOT# 1-4_yi /842 vi r o NAME ON PERMIT: JOHN BANDY, 1646 MACHINE SHOP RD, HICKORY NC 28602 Site Address: 4108 LB PROPST DR, CONOVER NC 28613 Property Size: Square Feet:2,010,729.60 Acres:46.16 Directions: County Home Rd, turn left on LB Prospt Dr(past Sipes Orchard Home) Take left onto gravel dr. Follow signs to 4108 LB Propst Dr Improvement Permit Facility: Accessory Structure - barn Permit Category: New Septic Bedrooms WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 100 g.p.d Proposed Wastewater System: 25% REDUCTION Type: 1110 -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS 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' (I5A 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 06/28/2016 AUTHORIZED STATE AGENT APPROVAL DATE 06/28/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehperutit 06/28/2016 14:24 Page I of 3 RBPR 05-2016-23958 4108 LB PROPST DR, CONOVER • 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. • Install 100 linear feet of 25%reduction system with maximum trench depth of 18 inches; proposed (2), 50 ft lines on contour. Additional cover is required if trench depth is less than 18 inches deep. • Final grade of septic area must shed surface water off and away from system. (cc 5`r QC'a Z81 ISS !!PS ' WZ9 ezr V I GJ � LF 2>G0-4f,ed l fet,c ttcA ?JO( DEPARTMENT OF HEALTI I AND HUMAN SERVICES KAP4 DS-zo(G - 2.3 951 Sheet / of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: 8...911-, 4,-,d7 _ APPLICATION DATE ADDRESS:_ DATE EVALUATED: 6//y PROPOSED FACILITY: _ PROPOSED DESIGN FLOW(A949): PROPERTY SIZE: LOCATION OF SITE: 570 p Lr( flys f A PROPERTY RECORDED: _ WATER SUPPLY: ❑Private ❑Public 5.9-Well ❑Spring ❑Other EVALUATION METHOD: $Auger Boring la-Pit ❑Cut TYPE OF WASTEWATER: 24 Sewage Li Industrial Process ❑Mixed <: ' o , ` �' > SOIL MORPHOLOGY .g " OTHI•ER c i N F:. "r , z "..p.(.1.2.410 '' PROFILE''P CTORS . 1 i. ° � h, s. < g LANDSCAPEq HORIZON F K a n ' e. rt POSITION/ ' DEPTH r p SLOPE,%' (IN•.)6 s, ~1941 .1941 w. _CLAASSE c 9 ',�. ;, 44'11' $_, FSO1L �� 1943a {{'' 1956 ,:1944 - STRUCTURE/ CONSISTENCE/„ WETNESS/ , SOH, SKPRO RESTR &%TAR` ;A - z :TEXTURE' ?MINERALOGY `COLOR 'DEPTH LASS 4;HORmZ Dr2 1 S6(c C 11 SC g Ztf- 30 Vet. u ( F4 SL �9r, (t Ail- At IPS 1 St 30 "f 8 wL1s�c, it � �` 0-L. us/t_ Cc (--1 SC - G-2S s-a t c_ ry it' PS 2 SG tS3� '�sse ctr y,c sr nne- 3o u Al .�� o, 3 0'((0 `✓1—/T/I� b-z-s- ScQ C (-( Se" IS It -3( Wf6(c ct--`v, (--r se; PS 3 s'6 3(-Lts v(sre j tNa- 3I u.Ai kv4 o zS 0-419 6LSL `' e". 4 fl _.56,r 6 iS ‘ - / - SFS(L G r' ✓(cf JG' Mir 30 Cgs- MA- Un0 4 1 Jrz /S-3 o sb(G C t'/ 1'( sc' S a.4 " sip co`pd-- DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) �J �� SITE CLASSIFICATION(.1948): / �f System'type(s) 7,✓4 ,�f vi t. 4� EVALUATED BY: .54..-- t'^-^ OTHER(S)PRESENT: Site LIAR D. 2f 0. 21- COMMENTS: Updated February 2014 SOIL/SITE EVALUATION Sheer Z of Z (Continuation Sheet-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES fg �llp - Z35 PROPERTY ID#: DIVISION OF PUBLIC HEALTH 11``'' DATE OF EVALUATION: c/iY ENVIRONMENTAL HEALTH SECTION COUNTY: C-k-4t ON-SITE WATER PROTECTION BRANCH D= SOIL'MORPHQLOGY `' OTHER it F - ',(.1941) ; ' '.`•P.ROFILE FACTORS.. , t LANDSCAPE HORIZ 1942' ,POSITION! L ' .„ 1941, z e .1941, SOIL - 43' .1956 r 1944 PROFILE" StiOPEJ STRUCTURE!' CONSISTENCE/ WETNESS/ SOILS 'SAPRO- RESTR.. CLASS EPTII =:TEXTURE r MINERALOGY, 'COLOR" o t . - t,, DEPTH CLASS ;DORIZ : ..&LTARbG ZJ -g ". fc SGT Se" 'e-G s4Lc NJC WA 3� N� n/ t Z l y-2-y Sae, C /`'l SCE 0. ZS • COMMENTS: Updated February 2014 g6it bile, 2-39.57 2-39.57, Catawba county Environmental Health \1/4...c...: A . ) i rwest".\ 40.ficrisl k . . i . .. ,. ,, itbIiIA il • /1/2/ . Parcel: 373310258593, 4108 LB PROPST DR Rrc. " +' © rD 1 in=100ft CONOVER, 28613 8% ac' /oo' 63 541 s/' y5' 39 1 7o' ,A/ P2 33' 41.' 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 06/16/2016