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HomeMy WebLinkAboutRBPR-08-2016-24442.TIF ,g,A • THIS IS NOTA PERMIT Case # RBPR-08-2016-24442 T , G� CATAWBA COUNTY HEALTH DEPARTMENT O *gip 0 ' 01 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1N. \842 :M Residential Building Plan Review - Modular o ro o FOR ENVIROEl t ? • o Applicant *COMPETITIVE HOUSING CTR/BETTER HOUSING CTR., 521 E FLEMING DR, MORGANTON B:828-433-8983F:8284335795 Owner PHILLIP LEONARD, 2475 RIDGE E RD, SALISBURY NC 28144 C:7042454815 NAME TO APPEAR ON PERMIT Phillip Leonard SITE ADDRESS: 9496 GOLDEN EAGLE RD, VALE NC 28168 PIN # 265702598053 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 1.640 DIRECTIONS: HWY 18 SOUTH TURN LEFT ONTO GOLDEN EAGLE RD PROPERTY ON RIGHT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: NEW MODULAR HOME SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES', then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28X56&6X6 F DECK&4X4 REAR DECK #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 08/26/2016 14:13 Page 1 014 �aA CATAWBA COUNTY Case a RBPR-08-2016-24442 < l ill G Public Health Department Subdivision a®1 .''t Environmental Health Division PIN# 265702598053 "'d PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 /g 2 9, NAME ON PERMIT: ( PHILLIP LEONARD), 2475 RIDGE E RD, SALISBURY NC 28144 ( Phillip Leonard) Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet Acres 1.640 Directions: HWY 18 SOUTH TURN LEFT ONTO GOLDEN EAGLE RD PROPERTY ON RIGHT Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 i#t*Y#+iii######Wi##i########M##########Y%##ti#t###t##•M•#++##i#j***********+#####y Ni'�i h t F • 'I a I'iiH�P' ! �ll ''lIP' iI�nBDATEII�,pti, ,�I �JFEENAmEiIl��l �tJ,;��I11N'tl»�I��� � ..ua U'i � mmraa IIIIII��IIL11I('FEEAMOUNT Improvement Permit Fee 08/04/2016 $150.00 �e r 1 qNI! ��� 'i i Itp i qr q•;a ilil t!' 1O 11111�li'H TOTAlL4FEES I I I' 8' od0 lii�li hri{Ii4„r ��I�I�H I�����rhIMtl11 i ,...�,S150001. liL^w�ILL WBWNWW�6 .i,duuumnW IW Wwat 9t ultlww r., nu a l dl{ FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) f 9-ehappl ication 08/26/2016 14:13 Page 2 of 4 • HJ$A (" THIS IS NOT APERMIT Case# RBPR-08-2016-24442 d _f CATAWBA COUNTY HEALTH DEPARTMENT 0� L vjo 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 'r':` 4104 /842 sM Residential Building Plan Review - Modular o. :o A.o ti IMPROVEMENT o Ok.. $•, _ .. . Applicant *COMPETITIVE HOUSING CTR/ BETTER HOUSING CTR., 521 E FLEMING DR, MORGANTOD B:828-433-8983F:8284335795 Owner PHILLIP LEONARD,2475 RIDGE E RD,SALISBURY NC 28144 NAME TO APPEAR ON PERMIT Phillip Leonard SITE ADDRESS: 9496 GOLDEN EAGLE RD, VALE NC 28168 PIN # 265702598053 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres DIRECTIONS: HWY 18 SOUTH TURN LEFT ONTO GOLDEN EAGLE RD PROPERTY ON RIGHT PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: NEW MODULAR HOME SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: . Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 28X56&6X6 F DECK&4X4 REAR DECK #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ' ANY: YES Other described: E9-chapplication 08/04/2016 11:50 Page 1 of4 „ ACATAWBA COUNTY Case# RBPR-08-2016-24442 Public Health Department �� 2 Subdivision *Cs” Environmental Health Division PIN# 265702598053 ,PO Box 389, 100-A Southwest Blvd.Newton. NC 28658 ig‘ 2 w NAME ON PERMIT: (PHILLIP LEONARD), 2475 RIDGE E RD. SALISBURY NC 28144 ( Phillip Leonard) Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet Acres Directions: HWY 18 SOUTH TURN LEFT ONTO GOLDEN EAGLE RD PROPERTY ON RIGHT Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. . I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site acce Bible so that a complete site evaluation can be performed. Date: :— 4-1_ / Signature of Applicant or Agent NAA - (---2-,----c An Environmental Health Specialist will contact y iivyithin 5 working days of application date. If you need further information or assistance please call 828-466-7291 FEENAME DATE FEE'AMOUNT" Improvement Permit Fee 08/04/2016 5150.00 TOTAL FEES $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED • SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • • • E9-chappl ication 08/04/2016 11:50 Page 2 of 4 CATAWBA BA THIS IS NOT APERMIT c.2.1;; lL�VV 1J CATAWBA COUNTY HEALTH DEPARTMENT Ne;,bG Application for Environmental Services Pagel Improvement Permit Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit E Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) n Application is for New Construction ❑ Existing Facility ❑ Property Address °ft L' C ° 1 L z r, e,„9 ) a Subdivision fQ& Vre \ c hC , Lot# Acres (, 6 *<' Section/Block/Phase Driving Directions to Property I-1Lo '-I I �' S"'^ k f -C-' D//I \- U G'o far_ q-« 9, 1� g Pro reuk2 O ,n 2-/ NAME TO APPEAR ON PERMIT? ' Owner ❑ Applicant [ Contractor Applicant Contact Information Name pin', 11 ,E L.-. 0 nR r Address tf 91v ('o o (fie . ek 2 is AY Ur /c 4C Phone 20Lp— 2 9-S-- +i) / c Cell Phone Owner Contact Information Name PFI'. 11 `,� Leona - ,\,. Address ct io G e. )&.e,,-1 eA-S f e gcC V rn 1 e Phone -2 0 y-- p.y S — Li._; 7 j Cell Phone Contractor Contact Information Name (I, r-i n q I I. c Address s Z I e Al -,/ 9 !e ..n , r o rc,/in_1,r y(( , Phone Esln- 4-�3 _ o oS Cell Phone c-�K- y-1-3 _ 0 0 C WHO WILL BE THE PRIMARY CONTACT? [J Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site /--) o A # of Bedrooms *t c3r Structure Dimensions `g3 # of Occupants 2- Basement ❑ Yes [1No Basement Fixtures 0 Yes ®-No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes in No Does the site contain any jurisdictional wetlands? Ef-Yes ® No Does the site contain any existing wastewater systems? ©/Yes ®--No Is any wastewater going to be generated on the site other than domestic sewage? AYes fl 4o Is the site subject to approval by any other public agency? in Yes 6No Are there any easements or right of ways on this property? Describe Existing water supply in use IZf Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired Syst m Type(s): \v (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other X Any riCCAZ CATAWBA THIS IS NOT A PERMIT / _X� COOUNTYCATAWBA COUNTY HEALTH DEPARTMENT Cp - Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence 0 New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description Tn 5 D,� . fir— - e .Cr x S 3 yRr 7 13-,A v` �( Structure Dimensions # of Occupants Basement ❑ Yes E No Basement Fixtures ® Yes No ❑ Accessory Structure(s) Describe #of New Bedrooms *j if applicable Structure Dimensions # of Occupants Accessory Dwelling H Yes [ No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total# Bedrooms *j Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well H Community Well Abandonment Type —1 Drilled ❑ Bored ❑ Dug [ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial j Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. j- If structure is plumbed but no bedrooms,calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,' site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I ani solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date Co Printed Name of Owner or Agent -51) . 'r C P-e-e C e Catawba County Environmental Health (\\\ C\ I v i 1074 726.50 NiWI' 1 449.00 . .I r . . 4 i 4fr, W cf� J iiiiiL Ala ...s.„ . (ye 111CS"11111111141111%hh I141 I�l. • Y 11 PI 104m' IP h A yr 1 t1.. 1\ lt)... Parcel: 265702598053, 9496 GOLDEN EAGLE 1 in=80ft RD VALE, 28168 This map/repod 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 personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 08/04/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 265702598053 Owner: LEONARD PHILLIP OSKER Parcel Address: 9496 GOLDEN EAGLE RD Owner2: City: VALE, 28168 Address: 2475 E RIDGE RD LRK(REID): 9699 Address2: Deed Book/Page: 2789/1224 City: SALISBURY Subdivision: State/Zip: NC 28144-1277 Lots/Block: / School Information: Last Sale: $10,000 on 2006-10-24 Plat Book/Page: School District: COUNTY Legal: 9496 GOLDEN EAGLE RD Elementary School: BANOAK Middle School: JACOBS FORK Calculated Acreage: 1.640 Tax Map: 010 B 03003 High School: FRED T FOARD Township: BANDYS School Map State Road #: 18 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: COOKSVILLE Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $11,000 Zoning3: Assessed Total Value: $11,000 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: PLATEAU Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-02-20 Building Permits for this parcel. Firm Panel #: 3710264600L Building Details 2010 Census Block: 1018 WaterShed: WS-III Protected Area 2010 Census Tract: 011802 Voter Precinct: P2 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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 personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity, ©2016, Catawba County Government, North Carolina. All rights reserved. ISO °nal TO(4 aCC) 5 http://gis.catawbacountync.gov/nomap/parcel_report.php?key-265702598053&typ=P 8/4/2016 i",.. CATAWBA COUNTY El t" r" Q Case ft ft/WV-08-20 15-063659 :: j Public Health Department � � S•� Suhdivi;ion t�; P v,Yl $m•iroamental Health Division , `' PINK 265702598053 ''•'��2 1 PO Box 389. 100-A Southwest Blvd, Newton. NC 25658 inkv i• e. LOTH 47, Lik_e. NAME ON PERMIT: PHILLIP LEONARD, 2475 RIDGE E RD, SALISBURY NC 28144 Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet:71,438.40 Acres:1.64 Directions: Hwy 18 South 20 miles from 140 on rt, end of road Improvement Permit Facility: Primary Residence - mobile home Permit Category: New Septic 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: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 11IG - OTHER NON-CONV 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 ouuruntee the issuance of littler permits. It is the responsibility of the applicant/properly owner to insure That all Catawba County Planning/Zoning and Building Inspections requirements arc 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 nut affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Lmvs and/indes/?w Semaaee T'reulnren(and Disposal Systems' (15A NCAC ISA.1904 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. Mogen McBride 08/11/2015 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08!10!2020 No grading or catstruction activity is al/owed in areas designated for system amid repair wit/tom approval of the Health Department. rlhperuhih OS/1112015 II:i2 Page I oil IP, AC,\AIau_ lgo r07-0015-) c 1416 Golden Cult Rd, Vale, 1 34,4 Iboo({lor stsiok0.nk and 3064. (4 )5% rC104,,,S-,; 3-Oft {rend,es. rns-1a11 Brash-eld or con-tour, {step drairrflelA 5\161lov - 1v mox. kreck ate/k• 4. gtmovc -frees as Ward 4r s1slern i nsicdlal;on. I ` .K pump 0A, Grv3l,, and b�Ckfill did � ink i[ t-14-41A4 �as no-\ akrudc; bf,eh gortQ, -* Ser sjS{CM t iSl be, So 41. kin' r(t\\S, Sit ' 'van a1� 5 c-io(CS, incl adln) dcckS, Ib_ from fropt4JM livres , 50-(4' -Gym creeks I pond s, ° d sof of 661,i-of-oar avid. ea&CMen*S. 't Do not ache, 3ratle, co1, or - 1\ OVtr Stpli, areas. 4' Well mus-1 be, a le6L51 -5of1• from Gree, ?oh,' - )-5-FJ. -I-rpm S\rucf. nes, irck)dir decks i porck?s - 5-fl from froper{.r line, - nnc, fnperiy line a5 ntecled - 5o41 -(WP\ setts cc, s sfem5 J ` * Keep Well od' of (it- or-%ra-jc , , easercnis, ' r.,fr sty ,a, .3s' he .IA' -Yo Se ----------------- �� 7SSk ��:+� I a. so 1J' 3 i proposed 5' Tang Pond 1 3 B R NI. 59'n 0 So' j5 1 L into dtcK A,^ r o •85' ni JS'. v 1 ,wr ac Wel AC CA 10' 111.00, S cy, Qd TOkwy Ig 1,15 V ' 1 DEP ARTMENTOFENVIRONMENC AND NATURAL RESOURCES Short_of_ DIVISION OF DiVIRONMENCAL HEALTH PROPERTY ID it: ,ON-SITE WASTEWATERSECITON COUNTY: SOIL/SITE EVALUATION ����� • 1 „ohAr 1 for ON-SITE WASTEWATER SYSTEM owNER: -gPPUCATIONDATE 1t 7I I5 R-Opfz:07. 7415-21i:16 ADDRESS: DATE EVAL AT 30 15 PROPOSED FACILITY: CAI PROPOSE-ElDESIGNFLOW(.1949): 5 60 . PROPERTY SIZE IJ 7. G V Acres LOCATION OF SITE:9 . Frt91P. Rd Vale, PROPERTY RECORDED: WATER SUPPLY: II Private 0 Public ® Wel 0 Spring 0 Other EVALUATION METHOD: 0 AugerBoring 0 Pi 0 cut (`1PLt'GV1iced oy 'boo et • TYPE OF WASTEWATER: gi Sewage 0 Industria!Praxis 0 t f xed • i .—T•r_.::c::1 ?•,-' . . _E34i(- _ 3i:isikcii::•aEiiii,itt: :::: ..... eF_li;r:,.. _ ...i,,if:m- ,; F.:. _._—...:.:..:......._.......I.... ......,.. C.�gl.�:::a::: ::::::.:-:::._-:_._.....:....._.....,:'''YRi3FiT,�EP'ii�CLf3It�i:i(:ii`,�; :_:_i_'._i� Tiic� �_°'ii ? ; , LIT:Oib^ ,BORT . . ' .1947. i - _ , 74 S-a0 -ZONA t . 4t.it ')9di. 'SOIL 49Q4: 4X956 -'�44 : P8rsi-E Ei POSi o'7! :DEPTFL ST1tt1C (1(, Co4$ISTEN 'J _ CI'£TTESSY SOIIr .AP9.;T- $f.STK t. CLASS 3 ;:Stout 1. .._ ii1 r "IAF�'T�?RE . :bS1A'.RIiAd.t?Gk c31JG;_ _ RErL: c�T5S , OM . . O-3o SCC., s -L 55, 5z),r rockraU�k0 — .<5D7. r : 1 J • 30 _ es . {57D 03 2 Saint. — 3(0 — _ PS . 03 3 • __ s�'"` _ 3� _ _ P3 o, 3 • . 4 • { DFs«IPr1DN NmALSYSTPM PSA SYSTE.t OTFIER FACTORS(.1946): Aratitle Sim(.iS45) PS I rSITE CLASSIFICATION(.1948): SyuntoTy q iTt rr EVALUATED BY: neOe MC$nde OTi R(S)PRESENT: . ate Wit. 0:3 0,3 COMMENTS; 1 * P groWnerno well on prore+1, OlavJe{I Was Locke a' a{ 64h?r end u� fl 1 i{ ba - s '(Geer Tec in. I m1 195' 10loo' a mPoS<rt ntw 36�k1H 1 Golden Cale, Rd , (Not Scalci) C S C.ATAWBACOUNT\' ❑! Case ti AU'I'II-03-2015-063661 nr, Public Health Department T•• ' J ,j� 9 C3; Subdivision —rex;I Environmental Health Division I+ .• .+i4 PINI! 265702598053 PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 (� 4,,v1,-L',..0az WTI/ IItan NAME ON PERMIT: PHILLJP LEONARD, 2475 RIDGE E RD, SALISBURY NC 28144 Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet:71,438.40 Acres:1.64 Directions: Hwy 18 South 20 miles from 140 on rt, end of road Authorization to Construct Permit Authorization to Construct Wastewater System !Required for Building Permit) * See site plan and number of additional attachments( ). Proposed Wastewater System: 25%REDUCTION Wastewater Flow 360 g.p.d Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 • Permit Category: New Septic Type of Facility: Primary Residence -mobile home Basemen!? No Basement Plumbing?No Bedrooms: 3 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 18 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center Number of Drain Lines 3 Distribution: Serial Pre Treatment: NONE Additional Specifications: 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. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LIAR: 0.3 g.p.d.Ift2 ehpermit 08/112015 11:13 Pagel nr4 IS': CATAWBA COUNTY Case p AU"fli-(15.2015.06366 1 (--- f�t'I + Public Health Department Subdivision 6,1 V).Env:ronmcnlal Health Division PIM 265702598053 \\��/� PO Bos 389, 100-A Southwest Blvd.Newton. NC 28658 DO.L,i NAME ON PERMIT: PHILLIP LEONARD, 2475 RIDGE E RD, SALISBURY NC 28144 Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet:71,438.40 Acres:1.64 Directions: Hwy 18 South 20 miles from 140 on rt, end of road The issuance of:his 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/Zonine and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes.or if site conditions are altered. The Authorization to Construct 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(or Sen-tee Treatment and Minima Systems' (I5A NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to iiutetinn satisfactorily for arty aivrn period of time. Megen McBride 08111/2015 AUTI IORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/10/2020 Aro grading or construction activity is allotted in areas designated for system and repair without approval of the Health Department. rhp<m:it 03/1 1/2013 11:13 Page 2 oto TP, AL,VJEu, K(5.??.-D7-%15-2Ig% . 1996 Gdden Eo kt Kd, Val& 1 all Ibbtllar c c kctr4.- qna 3W{{. 1)5% ftaoccov1 ; 3-fob% irencl,es, Tns-Iall drcorfieJd bh COMcxK. <cep am;r{setcak sl,titlav,I - it"" m • krehck Depk.• 9 Rtmovt +ees as nacler -ler sistem i nskallahon. * Qum , °,A, cosi,, and beck-(1I\ aiJIt -kt4 if -4-ha-3 has vs,0-\ a`reodcl Ieeh done,. -,fi S j, 5,15,1„„, M,ts- ibe, 50 1. krom \4465, S-11. -f' in all. 5tnitiOlen, int/Wiry\ aaks, Ib .cl. from froper4. livres , 5o4' frvnl creeks a ponds, ancl sub- of ritAtkiis us- I eat ntn{5. 't Do noj ati4E, jrade, [04, or -x\14 Ovev Sep-ht areas, 4' Well mos-1 be✓ 64 lee-s1- -60cl. front creek , find - 15-11. Gum 5 ruc{ures, intkAiri decks i porcht.5 - 5-R. fromro eq P roped/ line - nnJ P"pfr4'/ 1i/V, as needed 1 - 5 o 4 • '&opv S trti c, s Sf em S * keep We\I ov' of rl-t- ti•Wo..is , , easernto•15, re A. _�5 2J__ lo, a 1-3. ' yo .IA' . . -40' _..� Sef,{,gi�pp- >5 k Red 4re4 5p' •73' 35 proposed S. Tog �Ond 36R M}{_ 51,as M 1� "onto duK 'tilt. / 3o ss' 75. _`u � bleat mr O Arta Io. C/ YtRd 7; IfwiIg' 1st,— C.ATAIVBA COUNTY ❑Bt 1 j© Case OP-08-2015-064213 Q'f Public Health Department ,yam 3Subdivision < -Environmental Health Division r Ya } PINY265702598053 � � w PO Box 389. 10(1-A Southwest Blvd. Newton.NC 28658 r • Lap NAME ON PERMIT: PHILLIP LEONARD, 2475 RIDGE E RD, SALISBURY NC 28144 Site Address: 9496 GOLDEN EAGLE RD, VALE NC 28168 Property Size: Square Feet:71,438.40 Acres:1.64 Directions: Hwy 18 South 20 miles from 140 on rt, end of road Catawba County Health Department Operation Permit System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS (In accordance with Table Va) Description: 25% REDUCTION System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard Types V and VI systems expire in 5 years. Owner must contact health department 6 months prior to expiration for permit renewal. System Installation Comments: PERMIT CONDITIONS: 1. All maintenance, monitoring, and performance requirements shall be in accordance with 15A NCAC 18.1900, Rule .1961 2. Operation & Maintenance Specifics: Subsurface system operator required? Yes_ No_X_ If yes, see attached sheet for additional operation conditions, maintenance and reporting. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization. Gary Leatherman #1111 08/24/2015 SYSTEM INS'IALLER INSTALLATION DATE Megen McBride 08/27/2015 AU'T'HORIZED S'T'ATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form I' chpernit 03/27/2015 09:18 Pate I of OP FSPR o7•2o15-)I%96 9q* Golden EOke, Rd,\Jalt, 4' Sisktk-ns;ailed (I2Mh5 1:1 Gar \20c4,1`errAah t Se trc TGhk GS; Iloolo, Sig- Icor Geri i 0'71. &1 D55,, �P v r-t10Yn * Se?-11c- fe ai( GUN SC\i-(-{ed 0Q( due -b RreUS o{ St'wl(pw rock acsco`(ered &irw, -lanIL i 55-1-a 4`a. te• J 41 New MN nor ON 5I1e, CGA- -imG 0-C sep-lic 'InSh(IafibR or well orou-ino. New mobilt. kovQ , Inciudin5 a.eCKS -i pord',Ds , rnv51 6L a-}- 1ecsk J1"i. -Golm Sepik fGn and et scur-Gc(d o+ )5f4• -00m we LI. o' "' S'egif c Frit /lea. asloged. r75xyp 11'))o till 9' \`; 15). proposed new 3BxhH *well 18' ��J