HomeMy WebLinkAboutIMPV-07-2016-075124.TIF A CATAWBA COUNTY Case#
F.7 .. Public Health Department Subdivision MUNDY ACRES PHASE III
C *co a Environmental Health Division PIN# 369604624404
Gi PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 9
/842 5M
NAME ON PERMIT: RANDALL WRIGHT, 6891 LONG ISLAND RD, CATAWBA NC 28609
1 Site Address: 6600 LINEBERGER RD, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: Hwy 16 S, turn left on Grassy Creek Rd, Right onto Gates Dr, Turn right onto Sandras Ct, turn right on Helens
Way Turn left on Lineberger Rd.
Owner/Authorized Representative Acknowledgement of Permit Receipt
V' certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
roperty described above.
V2
As the property owner or authorized representative, I have received the above referenced permit(s) as
'requested in the application for service RBPR-06-2016-24097 by the following method(s):
I Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
')/it(
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: 07/29/2016 / ) r i
Owner/Authori ed Representative Signature �S�tJ�i:_i1 .4_/LA
Uate t i /
r
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 07/29/2016 10:42
si.\5 CATAWBA COUNTY CPI x S❑e Case# IMPV-07-2016-075124
^Q' �a��� Public llealthDepartment ��'r�qy`•• Subdivision MUNDY ACRES PHASE III
< ---^lel�4 ,ti Environmental Health Division i . '4l.r '73PINK 369604624404
� s PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 '• � �_ � r LO"f# 9
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NAME ON PERMIT: RANDALL WRIGHT, 6891 LONG ISLAND RD, CATAWBA NC 28609
Site Address: 6600 LINEBERGER RD, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: Hwy 16 S, turn left on Grassy Creek Rd, Right onto Gates Dr, Turn right onto Sandras Ct, turn right on Helens
Way Turn left on Lineberger Rd.
Improvement Pet mit
Facility: Primary Residence
Permit Category: Expansion 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: See AC for permit conditions
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 13uild i 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 Sewage 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.
Jason Boyd 07/29/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/29/2021
Aro grading or construction activity is allowed in areas designatedfor system and repair without approval of the health Department.
ehpermit 07/29/2016 10:42
sN3APermit# RBPR-6-l6-24097
G CATAWBA COUNTY
Name Randall Wright
•-7 _'tr'. 't 2 Public Health Department
< ,�,,,,�,. „ ..:� Address 6600 Lineberger Rd Denver NC
C7 w we ,,, Environmental Health Division PIN# 369604624404
PO Box 389, 100A Southwest Blvd, Newton NC 28658
/842 sw (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Authorization to Construct
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Department at Environment,Health,and Natural Resources Sheet:
Division of Environmemal Health Properly ID:
On-sire Wastewater Section Lot#:
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: RBPR 5-14-19015
Owner: Spencer Garman Applicant:
Address: F6001 inebercer.Re Denver NC Date Evaluated: 5/21/2014
Proposed Faciily: 2 BR Home Design Flow(.1949) i'.49 Property Size:
Location of Site: Properly Recorded:
Water Supply: public [ ]Spring I ]Other
Evaluation Method: post holes by owner [ ]Cut
Type of Wastewater. X Sewage 1 1 Industrial Process ( ;Mixed
'P.._� -e• 1 14- .,� _ - ,� r r - ; t 5vjp� y s ,.:'aL " L rv[
R,, 4 .,I� f i .•_` �.I t ri �r. .- . . �f it�t + ,�1 R r� �'ty�r_ � r A ��1. tt. is �} - i
lr n , '940 ° y. rt . t " -, _,,� : 1942 ` •,n. ,.- 4r.. r r1 ., P
C : �1LarMsrape+ Honzon 1341- �, 194 ;'.. i c Sad x.7943 ' 19�¢? 1944 .,- ,1?n crofilc
r= v+Pos doN Depth SINc,ufel .Ccosislence �'Nehessl - SoJ', Sapro! Restr . fesClass
#', ._�• ;:,S.ope,o (IN.Y. ,Tedbre,.. .:'6Lneralogy.: •`. Color .r••., -b ptn�(LN,I Classy Hcrizr lu 4LIAR
LL 6% 0-6" topsoil PS.3
6-36" SCL
36-48" SC 5S SP SEXP FR 46"
2 same as 1
3
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Description INtlal System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIA IIIG Others Present.
Site LIAR _ .3 Site Classincation(.1948): PS
Site Evaluation 6y:
OlhOrs Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Rldge I S-Sand 1.2•0.8 SG-Single Grain
S5-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope II SL-Sandy Learn 0.8-0.5 CR-Granular
NS-Nose Slope L-Loarn SBK-Subangular Blocky
HS-Head Slope ABK-Angular Blocky
CC-Concave Slope III SI-Sill 0.5-0.3 PL-Platy
CV-Convex Slope SICL-Silly Clay PR-Prismatic
7-Terrace Loam
FP-Flood Plain CL Clay Learn
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
• Consistence Consistence Minora lo9Y
Moist SEXP-Sllghlly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm 5-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Skotch of Soil Evaluation Locations
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