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Home My WebLink AboutIMPV-07-2016-074944.TIF v,A CATAWBACOUNTY Case# IMPV-07-2016-074944 .0 ¢ Public Health Department Subdivision QUAIL CREEK < /oar4 '' Environmental Health Division PIN# 367804505486 � pu PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 1,0T# 39 IH.-2 :w NAME ON PERMIT: "STEVE A DELLINGER, 3599 KELSIE LN, MAIDEN NC 28650 Site Address: 3273 BIRD DOG LN, MAIDEN NC 28650 Property Size: Square Feet: 23,522.40 Acres:0.54 Directions: Hwy 16 South to Quail Creek Development on the Left side of Road, Left onto Pine Leaf Dr, Right Briar Creek Rd, Left onto Bird Dog Lane, 3rd Lot on the 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-06-2016-24054 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) 5 As the property owner or authorized representative I have reviewed and understand the specific conditions r. 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 (ISA NCAC 2C .0100),/shall apply to the issuance of this permit and the construction of the wastewater system and/or water susply well permitted. ////// Permit Issue Date: 07/25/2016 �1 �� Owner/Authorized Representative Signature s ar u i Date s_ C) ,, 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.comis/EHCustomerService eliperinil 07/26/2016 08:12 a CATH VBA COUNTY Qe i ❑s Case IMPV-07-2016-074944 7 � Public Health Department T" -Pi' Subdivision QUAIL CREEK 4V-`- ,`„ Environmental Health Division PIM/ 367804505486 \ ®- ,. PO Box 389. 100-A Southwest Blvd.Newton, NC 28658 L � �±• f LOTH 39 4t y. .4. :- OA ie El .. ' NAME ON PERMIT: *STEVE A DELLINGER, 3599 KELSIE LN, MAIDEN NC 28650 Site Address: 3273 BIRD DOG LN, MAIDEN NC 28650 Property Size: Square Feet: 23,522.40 Acres:0.54 Directions: Hwy 16 South to Quail Creek Development on the Left side of Road, Left onto Pine Leaf Dr, Right Briar Creek Rd, Left onto Bird Dog Lane, 3rd Lot on the Left. Improvement Permit Facility: Primary Residence - House 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: IIIG - OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: *Do not drive, grade, or fill over any designated septic area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP 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 applicant/property owner to insure that all Catawba County Planning/Zoning and I3uildi ng 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 for Sewnee Treatment and Disposal Systems' (ISA 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. Robbie Phelps 07/25/2016 AUII IORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/23/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 07/26/2016 08:12 Catawba County Environmental Health in-TV— 7- 2°16 o7 f9% 8 �h' 727.09 t • J• JS' 0 47B e asio, 7,, , Auo ^� Ill n' .— I'- KIr 0/4 SS- J. rah 5��9 411 ?q) _ - -! 8> 7 S 2 � çrdkZ. b Na'/p- ��7 / C' e� Sp- -u CV dLA 2 v pV 278 O //...,.....„.„._ 4 & q0 1965 7 d/M- a nn7 5.O ‘44.,,,‘ 1 Parcel: 367804505486, 3273 BIRD DOG LN lin=50ft MAIDEN, 28650 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: 2454 Owner: Vickie Blanton Applicant: Address: 3273 Bird Don Ln Date Evaluated: Proposed Facility: 3br Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: [ ]Public [ ]Individual [x]Well [ ]Spring [ ]Other Evaluation Method: [ ]Auger Boring (xi Pit [ ]Cut Type of Wastewater: [x ]Sewage [ ]Industrial Process [ )Mixed P t •)L) `'D {Iri l][11F i l yi +.a!I(f II11'i I 11,IIll) I l ly 14 .. .. . mi 0+•', ',.m iu+ 2):77 pin P r+�., IIII,,, ring,.. + p )_,.C 1 JI M'" P !I,1�1 II ,� I f'� !1111 I�I'�f Ij Y' I� ff 41h , III�� 1tilt)]llI y h ,� try rill! fIi R ,•, 1I:+1) 11. y i r1 X1I,1p111 I ittlit!1, t) : -,!'i�'II!1III' liI1,1�UI,Irrl I' i)1#10,41l ')1 1141III11 r 1:][ti,! IJ i ;[: 0..5: II ,';' i!lil"" + O " ;i, r lip rxi�al;'I I i flj�,ll r SOIL;IMORPHOLOGY ,.u, ,l+ q, it r; I1 : ,,a'a air lh,I ,bhylllltilik.'�,!, ;7+'k;i ;41„ti 'iL111: .-!{II1I '',,,,„10.7''' rl!`i11l�l:r NV ,F,F. 9` `li iim4i4' It+l 1111.1 I..,`ii ii 'Iil","a,i,t.. ylllll<r11941.. ni ii trl'iaDiliPV; 18ullidipiIIf+;rP„ROFlIIEGFACTORS., ' mild.; +.i,° I•II' 'n,l1-1' i I 1 .ri �IIIIi 1940 NI" 1!II1Ii.,:,1,11�i„II i,li P t x111I!ill IIII 11 t r" I ri ti •n r, ' 1 vil"PU!l qu!1942�111'ilpll'll 11• ,.,•'�'li II i `"miffil i Il I r 'Ir , , iii .r i 1164 u h I� .I, L r 11 „ ,. II . l !I�I '{',f,, I;' +�;dL,I liai .�,I ll9 !!•„„(1;,.1943,..11111 1I, gI56 u!. 4lrgC y l e i I+,Landscape Honzoh,, II� �m 941" UI, iU11l�HII (m . 1941ah!�Ill,,�i 1' 'Soinllil�[)` �� ryi'ii1I1956 it r 1+944 p,+ Profle k' # p. N I Depth hSimcture/ I dr onsistence ul''I (,0 Wetness/,hl{'�A;,. �ISoiFjj Sapro,;n itRestr ))+!-11 Class 7 qA osit+o I . ,vu.r i _I { Y rxi ,P .n a'' U )l I I lMineralo +I I _ . ��11111 .De ( I) l� n,.' o iz l ri.,q, p -8 x III Slo a o,,,,t a. (IN s' Texture,lld„� ._ gy .:$vJ,ri Ill..�. . .Color,.�'. pth IN �i,;Class i Honzllll _ ..i 8 LTAR- ;,k. 1 L,6% 0-4 scl,wsbk fr 4-29 c,sbk ss,sp,fr 29-48 cl,wsbk fr,ss,sp 48 0.3 2 L,6% 0-4 scl,wsbk fr 4-27 c,sbk fr,ss,sp 27-45 cl,wsbk fr,ss,sp 45 0.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 50% Others Present: Site LTAR 0.3 0.3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.6 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 W C.