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HomeMy WebLinkAboutIMPV-08-2016-075694.TIF igxa ',y CATAWBA COUNTY Case O. "' ,, �\ Public Health Department Subdivision FAIRWAY ACRES � 0 J Environmental Health Division - PINH 362905187425 i �'',,5, .PO Box 389,.100-A Southwest Blvd,Newton,NC 28655 LOTS 15 NAME ON PERMIT: JEFFREY CLINE, 1588 FAIRWAY DR, NEWTON NC 28601 Site Address: 1588 FAIRWAY DR, NEWTON NC 28658 Property Size: Square Feet:30,927.60 Acres:0.71 • Directions: . Sandy Ford rd to Fairway Dr, cross branch, lot on right Owner/Authorized Representative Acknowledgement of Permit Receipt rAi certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the roperty described above. „)<,/ As the property owner or authorized representative. I have received the above referenced permit(s)as requested in the application for service REtPR=06-2016-24189 by the following method(s): I Received in Person Facsimile Transmittal (Return form with signature recjuired) Electronic Image Transmittal/E-mail (Return receipt required) VIlkAs 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 aptly io the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: OB/15/2016 • Owner/Authorized.Representative Signature 4„,,,e,,, Date � , 6 Documentation of Permit(s) Traiismittal (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/EKustomerService i ;6p_nuh 08/15/2016 08:49 ' ' CATAWBA COUNTY Vie. - e Case# IMPV-08-2016-075694 ,Tin Public Health Department F' Subdivision FAIRWAY ACRES H 4 Environmental Health Division I ,:•'r . PIN# 362905187425 m PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 ,,,e Q' �: LOT# 15 .-.I.7 a 1— t• 0 L 14 NAME ON PERMIT: JEFFREY CLINE, 1588 FAIRWAY DR, NEWTON NC 28601 Site Address: 1588 FAIRWAY DR, NEWTON NC 28658 Property Size: Square Feet: 30,927.60 Acres:0.71 Directions: Sandy Ford rd to Fairway Dr, cross branch, lot on right Improvement Permit Facility: Primary Residence Permit Category: Expansion Bedrooms 4 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No 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: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Adding additional 25% reduction lines to an existing bed for expansion. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP 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 Treatment and Disposal Systems' (15A 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 08/15/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/13/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 08/15/2016 08.49 IP&AC RBPR 06-2016-24189 1588 Fairway Dr,Newton • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. Old septic tank under deck must be pumped out and crushed in place. • Install 225 linear feet of 25%reduction system with maximum trench depth of 15 inches; proposed 3 lines total, each line 75ift on contour. A minimum of 6"of suitable cover will need to be brought in to add cover over the new drainlines. • Distribution box with 4 outlets will be the distribution device withl outlet feeding the existing bed and 1 outlet feeding each of the 3 new drainlines. • Final grade of septic area must shed surface water off and away from system. • a' iv 4Z / lV A Or O.CX / a•sw / S° tie-, Sr 6% yes q1 / •. czstiw sf Eust1 &` / �/ t\/ oU I;... C/7-1( " k ClO •/ / 1 Vki J4 1✓ 100 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba SOIL/SITE EVALUATION for ONSITE WASTEWATER SYSTEM �Q/ (Complete all fields in full) OWNER: \...1444)2T"4n4) �" f', _ APPLICATION DATE ADDRESS: DATE EVALUATED: 77z04 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: ireg Fr-r„ 0� PROPERTY RECORDED: WATER SUPPLY: ❑Private 0 Public ,i,.,(Well I:Spring 0 Other EVALUATION METHOD: ^)4 Aup=er Boring .0 Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed • P o SOIL MORPHOLO9Y OTHER F (.1941 PROFILE FACTORS 1 • 1940 L LANDSCAPE HORIZON POSITION/ DEPTH ' 1942 PROFILE a SLOPE% (IN) .1941 .1941 SOH. .1943 .1956 .1944 CLASS STRUCTURE/ . CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0--7 t.y6/< sac F=rC SEC Ls .il�-- -° 4 et- N� Ps 7-3o S6(c c F4 sLf 1 I o 6 a, /..-.4.4a.z7T l G.. • o..�l w14SML •cCL f/L J� 1.-r5 sst c r-,t _cc ma- 2 a 3y u.� "AA2 u5 Is- 3Y �.sak `` y F2 Sr'� _ a.3 • [o[, 3Y I- Lit _yt, or(, '"S& sc..L fic 36- `5 , 6- 3 c F 2S6/ c it St N•r dA- �5 tdo N "�'�' 3 br -S-`l0 "5&L CL `fp F!1 SSC : p.3 • o-8 "$6t. st..t r-2 IC (a �5 g- Z7 s61CG FitArw 4- Li �S 4 SSG 2_7 k o-z� • EU— DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) O S oSITE CLASSIFICATION(.1948): 75 • ^, � System Types) e + L I EVALUATED BY: / 2'14 2-1 LI (P OTHER(S)PRESENT: Site LTAR 0. 270- O. 2-75- COMMENTS: 75COMMENTS: LPL 861- 7,4,-tux, Catawba County Environmental Health p4 G Oil.7 i I 604.1 / Ikt411iir 4,410. ..... .. do. .e.. IF _ t 4. 4). \ \ .. ':°./.ce; itietp• 411i ( / Ili ligiffil let 4 a tt.,.".__. .; / (IP 14 ciiiminum:1-.."— 0 Pfr" -- -.' :4-t\K,,.__,.,Hi I 4. 4 I I I I I I b3/4414s."..res". 4°I. k. t r........AA 4 _a-a.- •.• — • 8 \ • • �.. 206.r•. A Parcel: 362905187425, 1588 FAIRWAY DR Ln lin=100ft NEWTON, 28658 �'� lam' Int up/ /6° I'.oy IPS' Ir.✓ This map/report product was prepared from the Catawba County,NC Geospatial Inttfnnation Servii . 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