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
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;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
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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.
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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 <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
0--7 t.y6/< sac F=rC SEC
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) O S oSITE CLASSIFICATION(.1948): 75
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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,
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Parcel: 362905187425, 1588 FAIRWAY DR Ln lin=100ft
NEWTON, 28658 �'�
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