HomeMy WebLinkAboutIMPV-08-2016-075582.TIF M. • CATAWBA COUNTY Case ft IMPV-08-2016-075582
:a-1tf Public Health Dcpamncnt Subdivision
r ira Environmental Health Division PINK 363910453129 il
-4lO, PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 2
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NAME ON PERMIT: DAVID JOHNSON, 1546 GLENNOAKS DR, NEWTON NC 28658
Site Address: 1546 GLENNOAKS DR NEWTON NC 28656
Property Size: Square Feet: 175,111 .20 Acres:4.02
Directions: Hwy 70 West, Left onto Northwest Blvd, Right onot Hwy 10, Left on Jarrett Farm Rd at the stop sign, Go over
Grandview Dr onto Glenoaks Dr, Lot is on the Left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
aI certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
fj__ As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-06-2016-24185 by the following methad(s): •
Received in Person
it Facsimile Transmittal (Return form with signature required)
�A —Electronic Image Transmittal/ E-mail (Return receipt required)
%!U� As the property owner or authorized representative I have reviewed and understand the specific conditions
11f-- 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 ISA .1900),and/or .
Well Construction Standards (1SA NCAC 2C .0100), shall apply to the issuance of this permit and the
construction of the wastewater system and/or water supply' -II permitted.
Permit Issue Date: 08/10/2016 •
/ �'
Owner/Auth. ized ' presentative Signature appr/ lir
/ Date r ii •
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by �et .EnY J b .S (name of person sending pe
Signature 'I � Date/Time€/ g��it
Method: Fax "s /Pnail US Mail Other
Owner's request to send bly(tthhe above
yi-nndiiccaat/edd method of transmittal in lieu of signature
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ehlxrmit 08/16/2016 08:54
1
CATAWBA COUNTY
DI Case# IMPV-08-2016-075582
e�'1 m cf2 Public Health Department f ` Subdivision
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4 '"A�3'm'q �"kc; Environmental Health Division I� ti 173 PINI! 363910453129
r>• ' Newton.NC 28658 n r LOT# 2
I 0 Box 389. 100-A Southwest Blvd, �J�j_ ,�
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NAME ON PERMIT: DAVID JOHNSON, 1546 GLENNOAKS DR, NEWTON NC 28658
Site Address: 1546 GLENNOAKS DR, NEWTON NC 28658
Property Size: Square Feet: 175,111 .20 Acres:4.02
Directions: Hwy 70 West, Left onto Northwest Blvd, Right onot Hwy 10, Left on Jarrett Farm Rd at the stop sign, Go over
Grandview Dr onto Glenoaks Dr, Lot is on the Left.
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing?
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: *Do not grade, fill, or drive over any septic area.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: I11G -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 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 Sewace Treatment and Disposal Systems' (ISA NCAC 18A.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 08/10/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/10/2021
No grading or construction activiq'is allowed in areas designated for system and repair without approval of the Health Department.
ehperutil Mt 6/2016 08'.54
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Catawba ,ounty Etivirorimental Health
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Parcel: 363910453129, 1546 GLENNOAKS DR lin=60ft
NEWTON, 28658
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.
Copyright 2014 Catawba County NC
08/15/2016
•
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 4:
.ONSITE WASTEWATER SECION COUNTY:
SOIIJSrl'E EVALUATIC N
n "� for ON-SITE WASTEWATER SYSTEM
OWNER: 0414 r/ I k M J'o�, APPLICATION DATE_
ADDRESS �i n kin IAkr W,- DATE EVALUATED: 0-4-/6
PROPOSED FACILITY: "7I41L PROPOSED DESIGN FLOW(.1949): 174 a PROPERTY SDP-
LOCATION OF SITE PROPERTY RECORDED:
WATER SUPPLY: ErPrinte 0 Public a-Well 0 Spring 0 Oma
p
EVALUATION METHOD: 0 Auger Boring EJ PIC 0 Cin
TYPE OF WASTEWATER: ?::Sewage 0 Industrial Farces 0 Mixed
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DESCRIPTION A'tnAL SYSTEM REPAIR sYSTEN OTHER FACTARS(.1946):
Amiable Span(1945) S SITE CLASSIFICATIOT (.1948):
SS'gtemTYpxs) `Z 5-Pi: 2_546 EVALUATED BY:
OTHERS)PRESENT:
• Site LIAR . 't'7 22
COMMENTS:
Catawba County Environmental Health
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Parcel: 363910453129, 1546 GLENNOAKS DR lin=60ft
NEWTON, 28658
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
pers0nnel,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
08/15/2016