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Home My WebLink AboutIMPV-09-2016-076469.TIF c.A \ CATAWBA COUNTY Case# IMPV-09-2016-076469 C ��,�,yyp�G Public Health Department Subdivision OLDE SAVANNAH EeAa Q -t�.�t Environmental Health Division P1N# 375207782631 � PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3 /80 :M NAME ON PERMIT: SHANE LEDFORD, 4433 MADECONIA CHURCH RD, VALE NC 28168 . Site Address: 2721 CHARLESTON CT, CLAREMONT NC 28610 Property Size: Square Feet:33,541.20 Acres:0.77 Directions: 1-40 to Rockbard exit, At Rockbarn trun into Olde Savannah the subdivision opposite to Rock Barn, 1st Street on Left, House at the end of culdesac. Owner/Authorized Representative Acknowledgement of Permit Receipt 3QL I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. ooz_ As the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service EHPR-06-2016-24206 , by the following method(s): /Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) SQL As the property owner or authorized representative I have reviewed and understand the specific conditions N 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: 09/06/2016 _`.� Owner/Authorized Representative Signature / — /, Date / Ot g Documentation of Permit(s) Transmittal (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/EHCustomerService ehpcnnh 09/07/2016 12:14 CATAWBA COUNTY ❑ r' 'rte ❑e Cased IMPV-09-2016-076469 -� � Public Health Department i is brit Subdivision OLDE SAVANNAH ,H Environmental Health Division G •r . O r PIM/ 375207782631 NI' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ , it L&I 3 /842 : a f A rY. G .O+ NAME ON PERMIT: SHANE LEDFORD, 4433 MADECONIA CHURCH RD, VALE NC 28168 Site Address: 2721 CHARLESTON CT, CLAREMONT NC 28610 Property Size: Square Feet:33,541.20 Aeres:0.77 Directions: 1-40 to Rockbard exit, At Rockbarn trun into Olde Savannah the subdivision opposite to Rock Barn, 1st Street on Left, House at the end of culdesac. Improvement Permit Facility: Primary Residence Permit Category: Other Bedrooms 4 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _ No Expiration: _X_ Projected Daily Flow 480 g.p.d Proposed Wastewater System: CONVENTIONAL Type: IIA- CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) PUMP *MAY BE* REQUIRED Permit Conditions: 37 feet of existing drainfield will be impacted by closet addition. A/C permit will be required. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION 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' (ISA 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 09/06/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/03/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 09/07/2016 12:14 l P PHPR 06-2016-24206 2721 Charleston Court, Claremont • Do not cut, drive, fill, or grade over septic or repair areas. • This is an improvement permit only and is not intended for septic installation purposes. • The proposed closet addition will impact the upper 4 lines in the existing drainfield. A total of 37 feet of line will be lost due to the addition and required setbacks. This length will need to be added as a new line and will require an Authorization to Construct application and permit. ya"C paxi, LPP izat Gars c• l ,oma sr I Alt, lot Dr:w pp'' Catawba County Environmental Health ?7f 0G. 2424) P+ " _______ ---968 _- 166 RLO' 77.78 -0;85 Npppoowo--- o C Cr.--4„... 7 _ rr _ 9.991 1 04.38 9.18 - y i94 f A 9 \ : ' •:,,- `12.1'' -�-/ . '") O g I- 4 - _ -1.47-03- - - \ . _ .\\, t - � . �_ -- _..... ".... N's\-..._,77.<1\ / 9$^ Parcel: 375207782631, 2721 CHARLESTON CT lin=50ft CLAREMONT, 28610 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 DEPARTMENT OF HEALTH AND HUMAN SERVICES QId / 0 6 - Zo IL"- Z'fZ Sheet / of 1 DIVISION OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION fir ON-SITE WASTEWATER SYSTEM `` r',� (Complete all fields in full) OWNER: Jahy 3C-S3 _ APPLICATION DATE ADDRESS: DATE EVALUATED: 0,6 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): '- o PROPERTY SIZE: s, 77 LOCATION OF SITE: 2721 C i -Ics-fr c_.i'h PROPERTY RECORDED: WATER SUPPLY: U Private XPublic U Well U Spring U Other EVALUATION METHOD: U Auger Boring %Pit ❑Cut TYPE OF WASTEWATER: Sewage U Industrial Process U Mixed • • • • • SOIL MORPHOLOGY OTHER e (.1941) PROFILE FACTORS .1940 LANDSCAPE HORIZON • POSITION/ DEPTH PROFILE # SLOPE% (IN.) .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 5- 56L Cc_ f Jcr (i5 3n t�d A5c E cc_ "-.4:), t J(;r N _ QS - 1IN 4 `ig w o- !SI 2 3 - 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): 1 Available Space(.1940 (15 �� SITE CLASSIFICATION(.19 ,1- System Type(s) �6 4, EVALUATED BY: SA-. A S OTHER(S)PRESENT: c:.,.I TAP m 9... fir # i.P