Loading...
HomeMy WebLinkAboutIMPV-08-2016-075427.TIF IaCATAAVBA COUNTY Case# IMPV-08-2016-075427 Q asiQt 's �G Public Health Department Subdivision 2 '�o:, Environmental• Health Division PIM 267701463999 1PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOT# 1842 w NAME ON'PERMIT: CYNTHIA RECTOR, 3726 RHONEY FARM RD, VALE 28168 Site Address: 3726 RHONEY FARM RD, VALE NC 28168 Property Size: Square Feet: 35,283.60 Acres:0.81 Directions: Hwy 10, turn right on Rhoney Farm Rd, property on right (long gravel drive) Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. )k--2 . )5±vNAs the property owner or authorized representative, I have received the above referenced permit(s) as requested int e application for service RBPR-06-2016-24146 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) s 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: 08/08/2016 y i. Owner/Authorized Representative Signature =�,Jl/r/V�!`'a Date 81 t a) I. 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 ehpennit 08/08/2016 10:50 CATAWBA COUNTY © ���e Case# IMPV-08-2016-075427 • Public Health Department ' Subdivision r n PIN# 267701463999 2 -�- ,•t, Environmental Health Division i $r b PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 n 13 LOT# 1842 gt. • Oi NAME ON PERMIT: CYNTHIA RECTOR, 3726 RHONEY FARM RD, VALE 28168 Site Address: 3726 RHONEY FARM RD, VALE NC 28168 Property Size: Square Feet: 35,283.60 Acres:0.81 Directions: Hwy 10, turn right on Rhoney Farm Rd, property on right (long gravel drive) Improvement Permit Facility: Primary Residence Permit Category: Other Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: No Expiration: _X^ Projected Daily Flow 360 g.p.d Proposed Wastewater System: Type: IIB - CONV SYSTEM WITH <750 LINEAR FEET OF LINE Permit Conditions: Existing system permit#6284 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 initials stem installation or the suspension/revocation of existin. permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicanUproperty 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 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. Steven Price 08/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/06/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department, ehpermii 08/08/2016 10:50 RBPR 06-2016-24146 3726 Rhoney Farm Rd, Vale • Do not cut, drive, fill, or grade over septic or repair areas. • This is an improvement permit only and is not intended for septic installation purposes. • New 3 bedroom mobile home proposed. Will connect to existing septic system. • Existing septic system was visually functioning 7/26/2016, however no guarantee can be given as to its longevity. • New home, including decks and porches must be 5 ft from septic system and 25 ft from well. U ` Y %HO' %Ai7 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES kW-46- Zo/L,- Z1/4W /4 Sheet ( of/ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID ti: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM pp (Complete all fields in full) OWNER: CVS-fGI l`er.-�,.� _ APPLICATION DATE ADDRESS: DATE EVALUATED: 7//5( PROPOSED FACILITY: 3&2 PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: -Z 7ZA 4{, F�«r Q� PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public XI*Well ❑ Spring ❑Other EVALUATION METHOD: Ti Auger Boring Pit ❑Cut TYPE OF WASTEWATER: : Sewage ❑Industrial Process ❑Mixed r . y r P o SOIL MORPHOLOGY OTHER P (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH • PROFILE, # SLOPE/ (IN.) .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ • CONSISTENCE/ - WETNESS/ SOIL SAPRO- RESTR &LTAR • TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ D--(Q 'J61C scc Fir Sr- ATA- 5 N4 4/ yy - (-S • ED-3? .S6/e c T/ s� 3 L ✓� 1 Q zre • • D,( Z 1.'S.6z sct_ /52 sC S2L5 /2-- 32 J6k- C f/ 1r ,Je-• 3z -v,r- A/4- es- 2 - 0. Z5- S'L • 3 - • 4 • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) L�� (15. SITE CLASSIFICATION(.1948):/J n EVALUATED BY: S G � System 1 pe(s) ` � LA - OTHER(S)PRESENT: Site LTAR .L7r COMMENTS: (OM. bC —Zeit,— l' uy‘, Catawba County Environmental Health 7'- he 7 \ \ Nirs,e\N----, __-- --.- 1 <� 09.91 _______777-72.------- � f 110.\/ 6p �1Or /rel.. kgs k. If '1/4N ' �2 ....1\\)\\\\\\:\:\is'\\\„/ 4 i �u' wit ,/ . ' fJ/ 9993 100.00 21-----0\ t 40111L \\\\* $ .7 7\' pr t__ 1 ti� ` 0 © t } ` oy i � i a ' \, \-\ 50.1, \ - . ,Y '�, \ ��o / ti :Vcnktipl\ 44CV 91. Zk r� \ VeL ttl+ i ...C?"\1 1 \ \\I\ \\c S \ \ \zrtila \ Parcel: 267701463999, 3726 RHONEY FARM 1 in=60ft RD VALE, 28168 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