The URL can be used to link to this page

Home My WebLink AboutIMPV-08-2016-075879.TIF xtsA . CATAWBA COUNTY Case# IMPV-08-2016-075879 iT L Public Health Department Subdivision 44, Environmental Health Division PIN# 374501486478 '® PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# PT 1 18.2 . NAME ON PERMIT: PETER & JACKIE HATCH, 121 SPRING CREEK CT, WINSTON SALEM NC 27106 Site Address: 6565 PROSPECT DR, CONOVER NC 28613 Property Size: Square Feet:40,946.40 Acres:0.94 Directions: HWY 16 North, Right onto St. Peters Church Rd, Right onto Valwood, Left onto Wedgewood, Left onto Prospect, Home is on the Left. Owner/Authorized Representative Acknowledgement of Permit Receipt -.2CI 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 EHPR-06-2016-24134 by the following method(s): Received in Person acsimile 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 OSA 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: 08/18/2016 Owner/Authorized Representative Signature -5 Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by" s, S (name of person sending permit) Signature l �( Date/Time Nalco ®D•w Method: Fax mail US Mail Other Owner's req est to sen bAle e above indicated method of transmittal in lieu of signature p9 ' " We want to hear frem you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpermit 08/18/2016 09:44 `1\3A •. CATAWBA COUNTY ❑e te.0:R - ❑� Case# IMPV-08-2016-075879 .Q' ru'1� Public Health Department r 1 Subdivision Gi Environmental Health Division i ti r • PIN# 374501486478 _ " . PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 V G a'. . LO'f# PT 1 18.2 s i yet - +r ; f ti ❑rM 8 • � • . NAME ON PERMIT: PETER & JACKIE HATCH, 121 SPRING'CREEK CT, WINSTON SALEM NC 27106 Site Address: 6565 PROSPECT DR, CONOVER NC 28613 Property Size: Square Feet:40,946.40 Acres:0.94 Directions: HWY 16 North, Right onto St. Peters Church Rd, Right onto Valwood, Left onto Wedgewood, Left onto Prospect, Home is on the Left. Improvement Permit Facility: Primary Residence - house Permit Category: Other Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: 1I1B - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED • Permit Conditions: Septic system relocation due to existing trenches partially across property line. AC permit required for septic installation specifications. Existing drainfield trenches will be unhooked within the 10ft property line setback and packed with clean, dry clay. Remaining portion of existing trenches can be used as future repair. Additional future repair area will require the removal of fill material prior to installation. Installation of relocated drainfield may require the removal of trees. Additionally, any underground utilities in the septic area must be re-routed. Survey stakes marking property lines and 50ft lake setback must be in place for septic installation. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED ehpermit 08/18/2016 09:44 (11yA CATAWBACOUNTv Case# IMPV-08-2016-075879 �G Public Health Department Subdivision dna '2 Environmental Health Division PIN# 374501486478 db PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# PT 1 18421_ 842 w NAME ON PERMIT: PETER & JACKIE HATCH, 121 SPRING CREEK CT, WINSTON SALEM NC 27106 Site Address: 6565 PROSPECT DR, CONOVER NC 28613 Property Size: Square Feet:40,946.40 Acres:0.94 Directions: HWY 16 North, Right onto St. Peters Church Rd, Right onto Valwood, Left onto Wedgewood, Left onto Prospect, Home is on the Left. 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' (I5A 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. Megen McBride 08/18/2016 AUTHORIZED STATE AGENT APPROVAL DATE 08/18/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 08/18/2016 09:44 -:P LHPg-o,- )016-D1 BE-I 6565 Prosper} [fir (,onouer *This refrAil !S YS0f tr:tenckrj Tel 9E1-1-t SCc r i- 1riSkctIIcckiDho ie D 0 n o4 a61 , 31ad.e., CA i or . ‘k o t' setf;c au:6 . LaVQl 50'SE:kbnc,6 , W O - - �*' — �5'1 P, ``' .°I / 3&e(1room Pte 0 i \\ o, I w i, a S ` et 51e o% r tj° r (I ci S ��ocoW �q4; vis e ritcON./1;19 ' 'it' Q 4a 176e (5.%‘ ��11 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES . Shed_of_, DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID R: ,ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION _ q r ON-5111 WASTEWATER SYSTEM (EOWNER: Qoe r k U0.Gkie, s`I&4ck APPLICATION DATE 6 }I I. MW-01,--DO (E,-atir3N ADDRESS: DATE EVALUATED: Sr-//-/F PROPOSED FACILITY: edrj ii vsc PROPOSED DESIGN FLOW(A949): 31,O . PROPERTY SIZE: ('i.clq or ire LOCATION OF SITE: 6565 P105f Dr. rnt,1oVCr PROPERTY RECORDED: WATER SUPPLY: ii Private 0 Public 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring $ Pit 0 Cut • TYPE OF WASTEWATER: i Sewage 0 Indus� r,al Ptoss 0 Mixed r r - I .................... _:::SOIL.MOkrnOLOG:V............::......... .... .. ... ani .. ... .- ...... -(390) `"'PRb. . 1`��'F0 . . • " s . _I . .. . ...- ROIL. 143 i43 . ��SAF - 7ON il:q:' 1941 oul SF& t kESTY ROPiE e POST1IOI?L P TR . .:..STRUCTLIw tUHS1STENCE. . ..WETINESS$ iO . ' OSS SLOPE' :::_ {CR).. . . T TURg MINERALOGY - OI,OIt ::_DEP.Ta -CL4S$ HORIZ:, O-g sbk. CL -Fr,sex L 2-5o Sbk C,1 ilmica_SAP -Fr sexy, , • 1 SO-tig WSbk-Ct- LI mirRIr5AP cr. _ Lig _- -- 195 5yo • • I 0-11 • 0-2'D 1. •U'F ll 1.. DO-Li I s6K G 1 -Fi,cop 2 '- I(1• 70 wsyK CI- DI sM? • -fr,se .— 7a — — 0.3 ( ' • I • I J • 3 • I . 4 DESCRIPTION I TTTt.L SYSTEM REPAIR SYSTEM OTHER FACTORS(A946): SITE CLASSIFICATION(.1945): Acarb`+le Space(.1945) A. ii System Typxs) EVALUATED BY: Meciph l'` fI}y(iCAe, Sleuev- I i:?G OTHER(S)PRESENT: O Kellet .Icert(nour . . Site LIAR COMMENTS• A por+im- mC —ihc 9x.i Iinr, rirhi-iiield is PCrosS -1-We 5itte p•Derr Line. 'Mays(' of I a Kt s&b4Ck- belew 'theSIC-icon aha (itt r'Aa4erid .tr(e,(d g6od& ake. ..5 S.fM.; :-k IS Emptier 10 a ins-kit a [or�plc{c Y ( P net,'slsleth -Foy 3 VR and dr<ijmc r. rc ri,, LaKQ/ / ' i 50' akP, — -- ccbGlK- r s_i_ � k�(0' •jam, Q��4'� 'moi 3 0(- i {i�s� l ' SS,i j I \it@ V i \ 1 ' 1 ,) \ ll •Well I \ 4 a \ 0.<1\., QI e cpck1 r t