The URL can be used to link to this page

Home My WebLink AboutIMPV-07-2016-074127.TIF ,5) CATAWBA COUNTY Case P IMPV-07-2016-074 127 ±-kfi $ 4 Public Health Deportment Subdivision < ; Wmy Environmental Health Division I'INN 460712765388 "-� PU Box 389. 100-A Southwest 111vd.Newton.NC 26658 LOT/ 197 8.1 W NAME oN PERMIT: CAROLINA CENTERS LLC, 227 TRADE W ST 1000, CHARLOTTE NC 28202 Site Address: 3631 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:29,620.80 Acres:0.68 Directions: Hwy 150, Left onto Cheviot Hi11s, Lot is on the Left Owner/Authorized Representative Acknowledgement of Permit Receipt f NISI certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the f}., property described above. X01 ks the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service EHPR-06-2016-24158 by the following method(s): _ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) ` , aAs the property owner or authorized representative I have reviewed and understand the specific conditions `h 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: 07/01/2016 C Owner/Authorized Representative Signature ', ..iti. ( 1 rJ�1_ t t ca— \>Date —7 . 1t-1`l(,,, Documentation of Permit(s) Transmittal (permit transmitted b lectronic or other means)k. Permit transmitted)y Swat_' ` I .tit (name of person en ing permit) 1� ( � 11� Signaturc\l .CV1�/"""`-' 1 � `,^ Date/Time / �Y� 1 ' Method: Fax '-/ D''nail_US Mail Other Owne 's request to send by the above indicated method of transmittal in lieu of signature 0 We want to hear from you. Please take a few oments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService dipenuii 07/01/2016 10:02 ,SSA CATAWBA COUNTY 0 r r 0 Case# IMPV-07-2016-074127 Public Health Department ` Subdivision ° � PIN# 460712765388 6 � Environmental Health Division �� `C I ' • r: O dos 389. 100-A Southwest Blvd,d,Newton.NC 28658 C LO•f# 197 V 8J 0 o "Gr • a. NAME ON PERMIT: CAROLINA CENTERS LLC, 227 TRADE W ST 1000, CHARLOTTE NC 28202 Site Address: 3631 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:29,620.80 Acres:0.68 Directions: Hwy 150, Left onto Cheviot Hills, Lot is on the Left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 4 - WATER SUPPLY: Private 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: Proposal for off site lot submitted by Kathleen Saunders LSS. Keep all parts of septic system and any repair minimum: 50' from any well, 10' from property lines, 10' from home(tanks on walk out side of basement) 50' from lake. Lines to be installed on contour and were shot in with laser by LSS on off site lot. Do not grade drive or fill over system or repair area. Prior to issuance of Authorization to Construct, a preconstruction conference with builder and installer will be required. Home lot and off site lots will need to be cleared and lines shot in again as needed. If survey stakes are not maintained, a new survey will need to be done prior to issuance of AC REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA- ANY SYSTEM WITH LYE 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 applicanu'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 am!Rides for Sewage 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. Jason Boyd 07/01/2016 AUTHORIZED STAVE AGENT APPROVAL DATE Permit Expiration Date: 07/01/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpcmrit 07/01/2016 10:02 C.Q►TAWBA Geospatial Permit Center Information Services • • ., 2111‘440r. 41 . Y .41/ * ,,,.. ;1;1. 13. •, 15.57 4.g 14.88 11. �:,tit% �i '1 20.98 ' w I Z,+, / 15.1 ' � � b 15.0V- 95 t' o .f A r s' 4 li 4.16.57 ' ,• 4o ° � 1 ... 41114 die 4*c:13 1 NW 41111111114111111111117 i C �t� s • Q. a� `3d it:4 21 fir' —' ■.3�- ry 7` 1 ll dQ A N • W+E t'I r Z. P + L ,, ,.,4-,. , 1in=80ft s Parcel: 460712765388, 3631 CHEVLOT HILLS RD SHERRILLS FORD, 28673 Owners: CAROLINA CENTERS LLC, null Owner Address: 227 WEST TRADE ST STE 1000 Values - Building(s): $6,100, Land: $128,500, Total: $134,600 S : .__. Pi - c\ ( /4PC - 6 - 16 - ; LIf This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 07/01/2016 a „ LL.H v P 6 to { q. ;-.-/ nR�/-RPN_ , r\,ji ro �j to' .h.-�_o, n . T}a PV P E. VY O _ Rz 52 Repair W" f`' `` 4 P 54[L ° 0 03 - K,-4 'tier,,,- (. o y4,2) 25 56 ••�) osr N 1 -- z z �a l a.00.rrrzrJ _, " t$• 1it'fSI R9 - 1-15 it'? i,' 1 1 T 1J S „l, sG g'i Li PPEPS S L 4 MZr.Gf.f ZS „ 0, Same Re pG,r a uw `s�i° tx st `n .� a � ZVUQ 2'' cc '4 Tin” rO °3 ! • 4x8:, . y ■ v we mSIo Qf o w ) J 1 a W r f / 8 z ,6G4c, —� -' 1Ur i Wed w^• 60' 2 �+ 4- ;• 0 LP - — _ CO.t` \ ,_ 1 cead" on QI2j9 � N U �Wp / N N.a N f d u, O cri t ay U FW 0 t i UO „"� 1 ° a 1 r ri ? on �N� N 03� S m a p _ v�° Y o ado p'KN t: U DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheer I of DIVISION OF PUBLIC HEALTH.ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:__11,1 ON"SITE WATER PROTECTION BRANCH COUNTY: . .. i SOIL/SITE EVALUATION for ON-SITE WASTE WATER SYSTEM (Complete all fields in full) :.()/ J17,,--�} OWNER: Il p 0.� ;y r, I - L'C.- n _ APPLICATION DATE ADDRESS: DATE EVALUATED: — PROPOSED FACILITY: "c F r2 PROPOSED DESIGN FLOW(1949): 480 PROPERTY SIZE: LOCATION OF SITE: +.','7 V' t In t F=',^. .?r>-,%r,-i PROPERTY RECORDED: WATER SUPPLY: 0 Privnte ❑Public t Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring O:Pit 0 Cut TYPE OF WASTEWATER: %Sewage 0 Industrial Process 0 Mixed ' P r r n 0 I SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS .1940 E LANDSCAPE HORIZON POSITION! DEPTH 194 I PROFILE e SLOPE% (IN.) !- .1941 SOIL .1943 .195(, ,1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS! SOIL SAPRO RESTR &LIAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0-5 Frr:r iaR c` cG -,. /-C Q 5- li IIRIIII.:. ■ I__. I- ,O no s;1;; ;;l^1 t F 0-, allill 1 . 3O---l5 nMv, '8 ki r C_cz17. .� '1(5-MD ri?R L &r, M i"r;■l 'I I 0- 1= r o GR. a Ft,._ 'r iA.iC1 1::(H: 5 Irno 9,Y. CL i f. Li q-!t in S 1 `=.py I Y 1` . • . aill , ' • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): PJLA S j��+ SITE CLASSIFICATION(.1948):___i).5 AvailableSpaee(.1945) I l 7 EVALUATED BY: \C System Type(s) -�- -11C_ OTHER(S)PRESENT: GL H _ Site LTAR n.33 .. -. COMMENTS: . Updaed February 2014