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HomeMy WebLinkAboutIMPV-07-2016-074132.TIF /�A CATAWBA COUNTY Case# Com'/r" Public Health Department Subdivision vVYNSWEPT PH 1 ®. „"It, Environmental Health Division PIN# 367804516438 ' ,1 PO Box 389, 100-A Southwest Blvd. Newton. NC 28658 LOT# 28 /842 , NAME ON-PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER NC 28037 Site Address: 4548 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet:33,541.20 Acres:0.77 Directions: Hwy 16 turn on Cayton Dr(just before Rant Drum) Property on Left 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. s the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-06-2016-24121 by the following method(s):J�./ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) XAs 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: 07/01/2016 Owner/Authorized Representative Signature / � -. Z Date 5- I - / le 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 ehpemtit 07/01/2016 11:16 1 CATAWBA COUNTY n n Case N IMPV-07-20 1 6-074 1 32 .��(•" •� Public Health Department eg-t Subdivision WYNSWEPT PH 1 4 : Environmental Health Division rvit r PINK 36780 4516438 _t: PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 LOT/ 28 1• .2 s. , s D fr J. NAME ON PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER NC 28037 Site Address: 4548 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet: 33,541.20 Acres:0.77 Directions: Hwy 16 turn on Cayton Dr (just before Rant Drum) Property on Left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private 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: 111B - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: See AC for permit conditions REPAIR SYSTEM SPECIFICATIONS Repair System Required? Proposed Wastewater System: Type: **** no system class assigned **** 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 app lie a'Uproperty 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 Lay SewaRe Treatment and Disposal Systems' (15A NCAC I8A.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 STATE 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. Opium 07/01/2016 11.16 ''' r CATA\IBACOUNTY Permit/ —RBPR6-16-24121 Name Mike Palmer Homes INC / Public Health Department t .� P Address 4548 Capron Dr Maiden NC "9 v: Environmental Health Division " .h c PIN/ 367804516438 PO Box 389, 100A Southwest Blvd. Newton NC 28658 -- l8 2 w (828)465-8270 Fax (828)465-8276 TOO(828)465-8200 Site Authorization to Construct } 1 10b 1d 9-5 it 37 , .-1s ' p rLss„r lad. I ' � \ yN . rl: O. I / 5jc-l.._3vl Co - - _— _ / (Q '/`. .-.. LI /L' 5 "" - — - • \ — _ _ ..- 2i ) Z. - _A - A l , nt, 57e2., ) , I 0 0' g l l II . O%-' _1:3 r m ."., I Z/ 0 . 00 or C 1J, ^-N,e • i 5ci ' o d r WtiL.t- V f Pig° U A Y 51 (65. 5* , Scale II - 5a NCDENR ' • Division of Environmental Health On-Site Wastewater Section Date: 0 x / 0 4 / x 0 0 9 Soil/Site Evaluation 'File#: a 4 5 1 5 For On-Site Wastewater System PIN #: 0 8 0 1 0 6 2 `Owner DANNY EDWARDS HECHT DEVELOPMENT CO Proposed Facility SINGLE FAMILY "" Proposed Design Flow(.1949) 0 0 6 0 o Location of Site 4548 PEMBROKE PINE ST Property Size 0.79 Water Supply NEW WELL Evaluation Method Pit 1940 Horizon SOIL MORPHOLOGY ' Profile# Landscape Depth .1941 Other Profile Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 0 0 1 L 0-24 scl sbk "fr ss sp .1942 Wet 24-48 sc sbk fr ss sp 1943 Depth 4 8 8 % .1944 Rest. •GPS Horizon Saprolite. 1947 Class Ps t�� r Profile LTAR 0 . 3 5 0 0 2 L 0-24 scl sbk ft ss sp 1942 Wet 24.48 sc sbk fr ss sp . .1943 Depth 4 8 . 8 % • .1944 Rest • Horizon . GPS Saprolite 1947 Class Ps Profile 0 3 5 LTAR— 0 0 3 L 0-24 scl sbk fr SS sp 1942 Wet • 24-48 sc sbk Er ss sp .1943 Depth 4 8 8 % 1944 Rest Horizon GPS Saprolite: .1947 Class Ps Profile LTAR 0 • 3 5 I .1942 Wet. Te I 1943 Depth .1944 Rest. GPS Horizon Saprolite: .1947 Class al p LTAR_ .1942 Wet . %n .1943 Depth 1944 Rest • - Horizon GPS Saprolite .1947 Class l Profile • LTAR - Available Space (.1945) Ps Other Factors(.1946) Site Classification: Ps Initial LTAR: o . 3 5 Repair LTAR: 0 . 3 5 Others Present: Comments: Evaluated By: Boyd.Jason