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Home My WebLink AboutIMPV-07-2016-074426.TIF ti ,ACATAWBA COUNTY Case# i / �G Public Health Department Subdivision J��I ,�;Environmental Health Division I'IN# 365802899441 """ ' Yi PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTR TR 2 / 2 NAME ON PERMIT: TRACY HOKE, 2355 BUSS DR, MAIDEN NC 28650 Site Address: 2355 BUSS DR, MAIDEN NC 28650 Property Size: Square Feet: 176,418.00 Acres:4.05 Directions: Hwy 16 S, turn on Providence Mill Rd, 1/2 mi turn right on Buss, Go all the way down property at end of road Owner/Authorized Representative Acknowledgement of Permit Receipt 11 I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the s..'"f``ii prdperty described above. ‘sij As the property owner or authorized representative, I have received the above referenced permit(s) as re As int e application for service RBPR-06-2016-24111 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) Am. As the property owner or authorized representative I have reviewed and understand the specific conditions of t/e 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: 07/12/2016 3 Owner/Authorized Representative Signature /46 Li Date 9- //' /6 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/ENCustomerService ehpennii 07/12/2016 10:18 v,A CATAWBA COUNTY 0 --"•r 6 0 Case# IMPV-07-2016-074426• .CiGZ Public Health Department fi47y, •• T�} '� Subdivision -{'+L_ 'J: PIN# 4 �r�T Environmental Health Division ' ti �+ 365802899441 it PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LOT# TR 2 /842 :Y :` • •-.:R-1 - {:•. { 0r Lo - NAME ON PERMIT: TRACY HOKE, 2355 BUSS DR, MAIDEN NC 28650 Site Address: 2355 BUSS DR, MAIDEN NC 28650 Property Size: Square Feet: 176,418.00 Acres:4.05 Directions: Hwy 16 S, turn on Providence Mill Rd, 1/2 mi turn right on Buss, Go all the way down property at end of road Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No 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: MC -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: See AC for permit conditions REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP PUMP *MAY BE* 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 far Setvape Treatment and Disposal Systems' (ISA NCAC ISA .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 07/12/2016 AUTHORIZED STATE AGENT APPROVAL DAVE Permit Expiration Date: 07/12/2021 No grading or consn'action activity is allowed in areas designated for system rind repair without approval of the Health Department. ch perm it 07/12/2016 10:18 \�'A • Permit # RBPR 6-16-24111 4'ABA 2 CATAWBA COUNTY Name Tracy Hoke I Public ealth Department Q ' ►el ti Environs -ntal Health Division Address 2355 Buss Dr Maiden NC U 1.�� PO Box 38 IOOA Southwest Blvd, Newton NC 28658 PIN# 365802899441 is 42 m (828)465-8270 t x (828)465-8276 'IUD(828)465-8200 . he Plan Authorization to Construct r r•-� Q55o �J.,�k., ., T rare- , "F �l� 1 a.t_r•• N-C'L� s�.P�J �� .� So 1 f1ry P ' r r`.•LQ 6 . •yJ 3(j2 2t` «0,- i 2L, ( Z l ZS ' ceri 12 3 p. L. }„ ti Otr,,., r\e tr Sy5+1-1‘-, � f°- zLI9 W�IV t' T^e4 tuns e3 - W I f ra_c 1 , ZbLl-FFr /0.0 ‘1- IP I.- Ire \\I Scale � o4) Department of Environment,Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: RBPR-6-16-24111 Owner: Tracy Hoke Applicant: Address: 2355 Buss Dr Maiden NC Date Evaluated: 7/8/2016 Proposed Facility: 3 BR home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by owner [ ]Cut Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed � r nnr r p r . i"i'Ilryl'' ' 1 'I' �II IP�� "�NI u P ' I� 'i �"Il ' �rTASIIII'll'orVi R 7 �I� 'e!I' tl.r� l[ry�'iIl Ijlljtll IItilll �'at lil lk iI" II` 11_� 1nI•'i �.III�I{��1�`i iri ip a�51rifilj �I Ir��l� .I i9.II��,�. Y A} )ll' i j' I {e�3 7RI, .'[k: r 11IIrd 1�..' i I ]i II k i rpa I ?l],llll Illil��lIt is�I 111101 NIr� !!I"1[,� N .+ Il ] It �1 iti !" Ir� 11, ll r 4i t� �n il� ] ' II�. ,' I� "^ ' I _l I a 4 r i " .� Iii ;i r 1I ( i 1, I;,i,.,Ir.ry 114li111 lfip-FP." } 1r ill !, Ii lVti ,MOR,PHttOd illia�wlY��ptW r akuil !lir`IitI I, li h�PROFILEIECIORS'(!: n{�"1i .s..ilp Js i p "p'j`,VI r 1I,1', IF I I 'I I� , I'll 1941�.uI;� ��IIIIfiNI iili3 Si]�� ( k ��I�:pix. I I u p r I r I"1, 1n9 lr 1�,1940i 1i.� r !!j!( I,.l i1ipl)IIlr I' :,#' ' ifll lilt !rib"' -d4 1 1942" ll�:�,i r' P �)+}1 3Pn lotriria t( I� e II i>re,,{(.`y- s�' �� nd scap U5 4 I 'o il '1(A':19 I � r ^ry 1 I9 Ir 11(lli i 11.�y " jflt1 I� o I� I_l!. ' , q 'II�f'�rl�3 ^ ..195;"9'�� rtt 4411 11 tcF Ii,"fl �Ifry{i'. L ,hi+ ;rrl Landseapeddyrl Hor¢oni. 'la�,"y}}.119�Ijr.i I Al it n"941aIg1,. ,r 1101, wlii� ffigi Soil�iiii ill 1943 M'1956 9944 , rPrdrit `I'... E '1,"EII Posdwn/+1 ' De,th 1111 YSltructure// , cnsistences..i t Q'111 i 'I Wetness/1{Jj I ipI ow p'Sodlil It i �.Sa Epi yReslr :ill`,� Il'r�Glass1t 1,{r- #t. I' i 'i S o e°/'I u' ;1 .i 1 11MIfllTeztu e;4, >v'i I;'Mineraloa'h ro, „ i t :u Color;t.l�fil! -i i1LII.0 ,Dei5th11(I t 1,* 'Class0 „IIHo�iz I I6. {'&LIAR.�IIr '�+ p ( ) I �� ' �� sv:�. .alt � ; Il Y� p 1 LL 3-5% 0-6" topsoil 6-24" SCL SS SP SEX FR 48" 24-48" SC PS.3 2 same as 1 48" 3 same as 1,2 48" Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG IIIG Others Present: Tracy Hoke Site LIAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I 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