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IMPV-07-2016-074945.TIF
Sv _ CATAWBA COUNTY Case# .,, __ _ - T� G Public Health Department Subdivision THOMASVILLE ACRES � © 373305283897 Q ��, Cnvironmcntal Health Division PIN# � � PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1,01'4 17 1g42 sw NAME ON PERMIT: *RMR CONSTRUCTION CO INC, 119 CONOVER BLVD E, CONOVER NC 28613- Site Address: 4735 COUNTY HOME RD, CONOVER NC 28613 Property Size: Square Feet:46,609.20 Acres:1.07 Directions: Springs Rd E, turn right onto County Home Rd, pass Thomasville Rd on Right, property on the right Owner/Authorized Representative Acknowledgement of Permit Receipt i`' I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. it-v-& As the property owner or authorized representative, I have received the above referenced permit(s) as requested innthe application for service RBPR-06-2016-24175 by the following method(s): \/ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) As 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: 07/26/2016 // ^ ,-..., --- -74:7-c2-9 / Owner/Authorized Representative Signature / "� Date I l a —7 I / C3 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 ehpermii 07/26/2016 12:49 sisA CATAWBACOUNTY ❑e tea' •rl`•-❑e case# IMPV-07-2016-074945 ' THOMASVILLE ACRES .E' Public Health Department .�ti Subdivision <�4 Environmental Health Division i�•1 : PIM/ 373305283897 t PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Ir;D • ifej LOT# 17 • J t ..v Or . 1o • • .• NAME ON PERMIT: *RMR CONSTRUCTION CO INC, 119 CONOVER BLVD E, CONOVER NC 28613- Site Address: 4735 COUNTY HOME RD, CONOVER NC 28613 Property Size: Square Feet:46,609.20 Acres:1.07 Directions: Springs Rd E, turn right onto County Home Rd, pass Thomasville Rd on Right, property on the right Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water 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: IIIG - OTHER NON-CONN TRENCH SYSTEMS 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 for Sewage Treatment and Disposal Systems' (ISA 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. Steven Price 07/26/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/26/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 07/26/2016 12:49 RBPR 06-2016-24175 4735 County Home Rd, Conover • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 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 4 lines at 75 ft each on contour. • Final grade of septic area must shed surface water off and away from system. c-2_I 110 j act tea Q./ kr- i j sr gO'Al 01 ' o ix' I� Go 1l, 0' Qw� M. w1 go O u ,t oG- 29i - ztr75- A- L: Catawba County Environmental Health 119.: 90 1 24.6 i 290.: Al ., , pr : IPP il trie-j zy •tti 414 eis k h 11101 d") 7J 671.0211111111 0 0 /16I i/ O V / C--...1 r-r----- M 1 . i C ;r 3qp 11 `` ,r C 6,„ D6- atc- ay/-7j- PROPERTY ID e Sheet_I of DEPARTMENT OF HCAND HUMAN SERVICES COUNTY' Catawba_ DIVISION OIP PUBLIC IEA LTH,ENVIRONMENTAL HEALTH SECTION ON-SITE.WATER PROTECTION BRANCH SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) D h,e k ` APPLICA'T'ION DATE OWNER: F DATE EVALUATED: 7 ADDRESS: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: PROPERTY RECORDED: LOCATION OF SITE: c/lir 6,4_ti h‘--, /4( WATER SUPPLY: U Private 2 Public U Well U Spring U Other EVALUATION METHOD: ,k(Aug.er Boring ,L Pit ❑Cut TYPE OF WASTEWATER: r'CSewage U Industrial Process U Mixed k 1. R .i `..?'„A'..,; +V > b R d ° SOIL MORPHOLOGY OTHER l il r /A (:1941)z s.`1 °yf .i,ROFIL FACTORS; 4- 3. 'f '4-4:3/4C. yu 4 ,t . s 1940",/ iY r 1d' , l,_ 4 t V °2 T fl, F L^ `LANDSCAPE $ORIZON _ ., PROFILE: - li DEPTH x r a 1 ? 1943 ^ 1 1956 • ` 1944 CLASS"'. q. SLOPE°/> (�`ti1941 1_ .194] ) : n � t ;) lk (STRUCTURE/ CONSISTENCE/ WETNESS(. t+ SOIL = ,, APRO"'.�SRESTR ' <AR'_ , ti TEXTURE '. r MINERALOGY ss-COLOR ':_"'F DEPTH`..CLASS _,1TORIZ D-/o t✓s'tc S _ h2 . -1� y y x/'rl- wt2- t1:3 fF LS /o— LL J6 L he w O✓S 126- YY ("Sit k._ fit AT .„, •o- 9 wsbL St-C-- KL Sc< el- ILS ¢_ 2s 5 61 C K � t/a �f Ai 1- A/ 2 s'°6 25-c- y wSk 44- Pr 5 0.27 '140 D —g vis6 St-t- {-,t- 3e �I �S b�� G 5 S— 33 s6ic- c_ I s� IgfA- �(g v✓a- AM 3 St 33- 9 v •••,SMe- c_c- (L s� _ 0-3 • 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): P s SITE CLASSIFICATION(.1948): Ys Available Space(.1945) �/ ! EVALUATED BY: S4'.- `� System Type(s) 2-)t 41 OTHER(S)PRESENT: Site LTAR p 3 a.S COMMENTS: So--c rock ,ti, 0,......,R. (Q Updated February 2014