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Home My WebLink AboutIMPV-07-2016-075001.TIF ,z.-c, _ * CATAWBA COUNTY Case# ,¢-ri'I +� Public Health Department Subdivision 7. IR�0t,� Environmental Health Division PIM 365801350239 tw / PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 •1842 :w NAME ON PERMIT: TODD THOMPSON, PO BOX 436, MAIDEN NC 28650 Site Address: 3046 POND RD, MAIDEN NC 28650 Property Size: Square Feet: 223,462.80 Acres:5.13 Directions: Hwy 16 S, right on Providence Mill Rd, Right on Pond Rd, 1/2 mile on right Owner/Authorized Representative Acknowledgement of Permit Receipt II certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. ii)(. ill As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-07-2016-24238 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: 07/27/2016 / S�Owner/Authorized Representative Signature / L _...---- Date Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (mmme 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 ehpennit 07/27/2016 09:53 17��'�• \-3A • CATAWBA COUNTY ® Q Case# IMPV-07-2016-075001 Public Health Department eit Subdivision 's , Environmental Health Division ti't I'IN#• 365801350239 h 175 Tyt� PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 k 'e. a • 0 A LOT# 2 18.2 ,u , ❑° 11-1ofzr. , tioti • NAME ON PERMIT: TODD THOMPSON, PO BOX 436, MAIDEN NC 28650 Site Address: 3046 POND RD, MAIDEN NC 28650 Property Size: Square Feet:223,462.80 Acres:5.13 Directions: Hwy 16 S, right on Providence Mill Rd, Right on Pond Rd, 1/2 mile on right Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: See AC for 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 St'stem.s' (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 07/27/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/27/2021 No grading or construction activiq,is allowed in areas designated for system and repair without approval of the Health Department. chpermit 07/27/2016 09:53 \3A • Permit # RBPR-7-16-24238 CATAWBA COUNTY Q G Name Todd Thompson 2 Public Health Department Address 3046 Pond Rd Maiden NC C(J :tr. „`'8, Environmental Health Division PIN# 365801350239 117PO Box 389, 100A Southwest Blvd, Newton NC 28658 /84,2, sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 m', (0 Site Plan Authorization to Construct Lo -\--- -H ' _ pp - C M o ,) e P oar+`( 1 , , l 5 3 Wa-L L N)� 1,,L U v 0 t�ki- , v try— i1 `o0 f In (•7 J ' \ s \ 5 6-6 • \N 12 ) ro P � � 7 �L(5 . 3 1' , '- . i SJ , ,z11; 1( / 11-1 / �1 9-3-7b n 1 1 n3 } C li /�l ) ) ( JD -I- r4.—,, ,n1.,2 � (�c) l.� / IO JJ q� 1l2 � t --s. A C.p •- , n A r'�" , g r ero I`Le) ✓ {- ^ J (I , Scale I Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR6-13-17562 Owner: Todd Thompson Applicant: Address: Pond Rd Maiden NC Date Evaluated: 6/26/2013 Proposed Facility: 4 BR home Design Flow(.1949) 480 Property Size: 1 Location of Site: Property Recorded. Water Supply: pvt well [ ]Spring I I Other Evaluation Method: pits by Dewey Grant [ ]Cut Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed P . . R O • SOIL MORPHOLOGY b F .1941 PROFILE FACTORS I .1940 • • .1942 - ' L Landscape Horizon .1941 .1941 Soil .1943 • .1956 . .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ `Soil Sapro Restr Class # Slope% (IN.)' Texture Mineralogy Color Depth(IN.) Class Hartz ' 8 LTAR 1 LL 6% 0-6" topsoil 48" PS.3 6-34" SCL SS,SP,SEXP, FR 34-48" SC wisap 2 same as 1 3 same as 1 and 2 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) MG IIIG Others Present: Scott Strait Todd Thompson Dewey Grant Site LTAR .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 IL 0 r J\ J