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
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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
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• 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