Loading...
HomeMy WebLinkAboutIMPV-08-2016-075806.TIF cs ,� CATAWBA COUNTY Case# IMPV-08-2016-075806 .7 ©,y Public Health Department Subdivision G e Q1. `•vow '51,Environmental Health Division PIM! 366702676508 `11 - PO Box 389, 100-A Southwest Blvd. Newton,NC 28658 LOT# /8.2 :. . NAME ON PERMIT: SEAN SERMON, 2057 BISON TRL, MAIDEN NC 28650 Site Address: 3649 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:46,173.60 Acres:1.06 Directions: Hwy 16 S, right at Drums Crossroads, 1 1/2 mi turn on N Olivers Crossroads Lot on 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. As the property owner or authorized representative, I have received the above referenced permit(s) as `( requested in the application for service RBPR-06-2016-24139 by the following method(s): _---"IZeceived in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) As 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: 08/16/2016 Owner/Authorized Representative Signature Date S �/� /iiir Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 chpemtit 08/16/2016 16:56 //y,�A d, CATAWBA COUNTY ❑s : 1 ' 0; : .c Case# IMPV-08-2016-075806 ©� Public Health Department Subdivision 4 'o t „'�, Environmental Health Division .41 o OI. PIM/ 366702676508 ‘K:7:(12PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 _ _ r LO"f# 4s oo , o . NAME ON PERMIT: SEAN SERMON, 2057 BISON TRL, MAIDEN NC 28650 Site Address: 3649 N ()LIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:46,173.60 Acres:1.06 Directions: Hwy 16 S, right at Drums Crossroads, 1 1/2 mi turn on N Olivers Crossroads Lot on left Improvement Permit '�'f� ' 99is'a!If tlf Uli-r, �r;�. Y iris Im 1�1 gyotwEXTSTI�NGIi�-a lll '� a: ���11r 1, „ �R 77 ��, rlin.k,:, t .Irl!?Alla ....,..,.,, I - „, 2,,,- - tlu� i.,,, fi�ILL-A—•du;bl, &IN! laic '�Ill,•.,.�.r Facility: Primary Residence - House Permit Category: Other 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: CONVENTIONAL Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: 'All parts of the new house and deck must be placed at least 5 feet from any part of the existing septic system and 25 feet from the existing well. 'See permit#001887 and letter from Duke Power for details about the existing septic system. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: II1G -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 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. Robbie Phelps 08/16/2016 AUTHORIZED STATE AGENT APPROVAL DATE 08/16/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpernsit 08/16/2016 16:56 ���- � 20/6 075-8 06 Catawba /_,oum Environmental Health • . .4iiiiiiir • 4180 Zt0 i N P Jo 9 F o , W L o N 1$2 .37 r. 0 N i 3 d ° . OW 1✓.21i ° E M 8 EISA ° ^ S N u -•. ,P 1'G 1.0 llewA�Y N ;N SZ iVif WU s N Yuifl ir iia 190.78 top` 190.78 • Parcel: 366702676508, 3649 N OLIVERS lin=50ft CROSS RD NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospadal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable far any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 08/16/2016 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed_et_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID N: ON-SITE WASTEWATER SECTION COUNTY: SOILAI'lb EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER S as if Strn a r, PLICATION DATE ADDRESS- 4 N j/ 0 ,w.r ,c, DATE EVALUATED: ei" PROPOSED FACILITY: 5!`212- PROPOSED DESIGN FLOW(.1949):_,ice PROPERTY SIM: 7-7-i�fC LOCATION OF SITE: PROPEBTYRECORDID: WATER SUPPLY: 0-Private LI Public aWeil U Spring 0 Other EVATDATION METHOD: 0 Auger Boring ETPit ➢ Cut 1YPE OF WASTTWA'h3t: lY Sesvagc O I>adusmal P�oceu O Meed _gr_.v:::. ._..-_.......__. .... y� �/y��y� :r ...•....r....r...n..r...'un....nnu. )nm-nv.nr _..L n.... - S�aL MV8Lat7TA�Y � �rl. ..__...... __... .., t 4Ir ._. _. _.........._ r1 OFT �ACXotts -- . . .... ...._..........._...-...... ................._ : __::::: sib_€_[_'..._.. .....................:_.----..._............... - _-- - 19d1 .7 # _1956 add ' :iSPC : ZOA S4dL _ +_ _XOSI•iT011f: Dtrra f + sou &4 i s ,.DEET$ . CL1 ..................................... ..........: ::- . . ...'............................................. .. 'CQL'Qlc. ��_c't,ASS'__ 4 -(L pit (t SP( ('2-‘11 c L JSh. T ,fp 1 1/1-42 GL Ak P Yaw '3° ifZS6 L ;f414 Ft iv rp C1+to•-f,7-- I . •in2I . If 0— . ; II— I. S-94 yes c_t ash 2s 2 35-L( CL -- Ja/4 ftriit, 36 - - 45 C C4rtpt.2 021 CL k-t ih Fr t di °(y21—"AS GL rbk y pos.^91L 7� ( 2J' 3 J 5g-q2_ C -- (,44 Pre G�vem�Z 4 DFSCRJPnoW INTIIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Spate(.1945) s- SITE CLASSIFICATION(.1946); • �f Sycmm lypxa) 2 °(a EVALUATED BY: 124k /14- OTHER(S)PRESENT: • Site LIAR ZS COMMENTS: Catawba County Environmental Health • ......10fr-. V I .-.**:-4 ✓f 2.1:-"'",i,.........f•. Z�• _ ,- � • _ �� : , -�-E • 4* • _. ft,'r • te` :s:.. .._ . ` - .: l' .x - __i4, —— ._ - r joittitio . . r ....... V �¢ . .' _J - _ _. • •• Ya- i ^ i i s f. • r."--.-.----.: ;-. «u4; 37$ ,. * ° p �f 4' riI s( � R y • ' ..0 �'' ' -'V S•� XI` V d l''':!.2: M r .•...s r „aa •�a.ra ._�_ u:.. ,a <;: .. Parcel: 366702676508, 3649 N OLIVERS 1 in=50ft CROSS RD NEWTON, 28658 This map/report product was prepared front 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 shalt 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 08/16/2016