HomeMy WebLinkAboutIMPV-07-2016-075109.TIF t}A , CATAWBA COUNTY Case# IMPV-07-2016-075109
r.�'1i Public Health Department Subdivision LONG ISLAND AIRPORT P
/8I Environmental Health Division PIN# 471003310511
K�- PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOTS 1
/842-2
NAME ON PERMIT: NORBERTO & IRASEMA SANCHEZ, 1830 SUGARLOAF CLUB DR, DULUTH GA
30097
Site Address: 8304 AEROMARINE BLVD, CATAWBA NC 28609
Property Size: Square Feet:87,555.60 Acres:2.01
Directions: Hwy 150 East, Left on Sherrills Ford Rd, Right on Mollys Backbone, Right on Monbo, Right on Saunders,
Right on Aeromarine Dr, House is the 1st on Right with a circle drive.
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-02-2016-23279 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: 07/28/2016
Owner/Authorized Representative Signature
Date
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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clipcnnit 07/29/2016 11:59
ct,A CATAWBA COUNTY �e�I, :.o 1 R*.dQ Case# IMPV-07-2016-075109
,1/4 Public Health Department r '. r_441:: Subdivision LONG ISLAND AIRPORT P
< ti, + : � PINI 471003310511
II
,y , Environmental Health Division r •
t� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 'tib I"aLOT/I 1
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NAME ON PERMIT: NORBERTO & IRASEMA SANCHEZ, 1830 SUGARLOAF CLUB DR, DULUTH GA
30097
Site Address: 8304 AEROMARINE BLVD, CATAWBA NC 28609
Property Size: Square Feet:87,555.60 Acres:2.01
Directions: Hwy 150 East, Left on Sherrills Ford Rd, Right on Mollys Backbone, Right on Monbo, Right on Saunders,
Right on Aeromarine Dr, House is the 1st on Right with a circle drive.
Improvement Permit
. , I'pir..tAviiiJl �P d1 ikfc. .-, ;I;&iL..;..°IIAI Ycit m EXuISwITrING'x' i i y,P 4'IL I ¶I,�fin"
Facility: Primary Residence - House
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 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
Permit Conditions: * Do not grade, drive, or fill over any designated septic area.
*Some clean fill dirt will need to be brought in and placed over the end of the lowest drain line in the
existing system to restore the 15 ft bank setback
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 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 7reattnear and Disposal Systems' (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.
Robbie Phelps 07/28/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/28/2021
No grading or construction activity is allowed in areas designated Jar system and repair without approval of the Health Department.
ehpermit 07/29/2016 11:59
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Parcel: 471003310511, 8304 AEROMARINE lin=60ft
BLVD CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,.and
•
:y DEPAmI94T OF ENVIRONMENT AND NATURAL RESOURCES Shed�of
;; ' DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
. "-- ON-SITE WAS EWWATERSECIION
S.`�:- COUNTY:
•"" SOIUSII't EVALUATION
4 jar ON-SITE WASTEWATER SYSTEM
_ OWNER: �l/or�✓r o .SAv -L-1. PLICATION DATE `Z.-; 27 °r
-';-�'^ ADDRESS: n'�0y - -'Wrr.iL illi. DATE EVALUATED:
1/4.1 , PROPOSED FACILITY: 'SLR- PROPOSED DESIGN FLOW(.1949): IF b 0 . PROPERTY SITE
V. LOCATION OF SITE:: PROPERTY RECORDED:
` WATER SUPPLY: {I Private [3 Public a-Wel 0 Spring 0 Other
EVALUATION METHOD 0 Auger Boring Beit 0 Cut
•' ` 'TYPE OF WASTEWATER: 0 Mixed
Sewage 0 Industrial Process
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DESCRIPTION DCIn&LS\SfEM REPAIR SYSTEM OTHER FACTORS(.1946):
A�atT�ble Spat*(.1945) r SITE CLASSIFICATION(.1948): �/I r
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COMMENTS:
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Parcel: 471003310511, 8304 AEROMARINE 1in=60ft
BLVD CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geospatiat Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and