HomeMy WebLinkAboutIMPV-07-2016-074813.TIF rv,A CATAWBA COUNTY Case 4 _
71 j. Public Health Department Subdivision
2 H Environmental Health Division PIN# 376303114866
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Peet: 63,597.60 Acres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded Lot)
Owner/Authorized Representative Acknowledgement of Permit Receipt
ea 4
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in e application for service4RBPR-06-2016-24092 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
the property owner or authorized representative I have reviewed and understand the specific conditions
As s
'-k 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: 07/21/2016
--e, Owner/Authorized Representative Signature Signature ai1ilif a :�-r
4111.Date -7/2;71 (YJ
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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ehpermit 07212016 12:50
.a3A CATAWBA COUNTY Qe ' ' • ...zip Case# IMPV-07-2016-074813
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jilt/ Public Health Department y g Subdivision
4 e „�, Environmental Health Division •} • —05:11 PIN# 376303114866
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 Y' •D • U LOT#
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NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Feet:63,597.60 Acres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded Lot)
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: IIIG -OTHER NON-CONN TRENCH SYSTEMS
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IHB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP 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 arc 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 Sewage Treatment and Disposal Systems' (15A 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.
Steven Price 07/21/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/21/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpenu it 07/21/2016 12:50
RBYR 06-2016-24092
3887 Bottom Ln, Claremont
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 100 ft from shared well; 5 ft from
building foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank.
• Install 300 linear feet of 25% reduction system with maximum trench depth of 30 inches;
proposed 3 lines total at 100 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet ( of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTIONQ(�p p�,_ zof6-Z pat PROPERTY ID it:
ON-SITE WATER PROTECTION BRANCH 1-''� COUNTY:_Catawba
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: Kckety ' l✓tut _ APPLICATION DATE
ADDRESS: DATE EVALUATED: 7/yrs
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: 38 81 ES.40.' Lo. PROPERTY RECORDED:
WATER SUPPLY: ❑Private U Public 3tl Well U Spring U Other
EVALUATION METHOD: 0Auger Boring U Pit ❑ Cut TYPE OF WASTEWATER: U Sewage U Industrial Process ❑ Mixed
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L.. e r .1 _ .-:4-..,t,•.
. s P ,""�ti SOIL+'MORPHOLOGY _ � � r; OTER _ �. �
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1940,. �. - .a
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' PROFILE
POST PIONI DEPTH z • t
I N ' SLOPE V- (INa) • 1941 r .1941 ` SOIL 1943t" c.";1044 6 1944 CLASS '
f STRUIT Ul2El 4* CONSISTENCE/ -R ET.NESS/') SOD I SAPRO: %RESTR <AR
it . - ,TEXTURE: ,` MINERAL OCY -'' COLOR`•--t r DEPTH. I CLASS tiflORIZ '.i
0;2.9 S3k C 6( SC PS
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): y
PS (5 SITE CLASSIFICATION(.1948): /S
Available Space(.1945) /f' Q
Ay EVALUATED BY: S1v^'- '^
System'Type(s) (z-St 4,4 2 2 /I A,y OTHER(S)PRESENT:
Site LTAR o. 3 a.3
COMMENTS.
Updated February,2014
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Catawba County Environmental Health �`� `'
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Parcel: 376303114866, 3887 BOTTOM LN lin=60ft
CLAREMONT, 28610
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