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Home My WebLink AboutIMPV-09-2016-076528.TIF /�� . CATAWBA COUNTY Case# IMPV-09-2016-076528 n , Public Health Department Subdivision LULA MAE P WILLIS PROF d — i o Environmental Health Division PIN# 361803121102 wt PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3 /g.2 s. NAME ON PERMIT: JONATHAN KILLIAN, 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Site Address: 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Property Size: Square Feet:39,639.60 Acres:0.91 Directions: 321 S/ Rock Ford Rd/ left Hickory Lincolnton Hwy/ 1/2 mile lot on right Owner/Authorized Representative Acknowledgement of Permit Receipt J/ j icertify that I am the owner or authorized agent(owner's authorization required) representing the owner of the roperty described above. .Xs the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-07-2016-24389 , by the following method(s): y Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) .0 s 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: 09/07/2016 Iwner/Authorized Representative Signature `/ y li , Date az9)* 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 chperm it 09/07/2016 14:43 cA CATAWBA COUNTY ❑e 05 f�e Case# IMPV-09-2016-076528 G Public Health Department7 1 � Subdivision LULA MAE P WILLIS PROF e4: Environmental Health Division8 �y ' PIN# 361803121102 la4� PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 ,i •'{ LO"f# 3 E . AA0 .O . NAME ON PERMIT: JONATHAN KILLIAN, 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Site Address: 4433 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Property Size: Square Feet: 39,639.60 Acres:0.91 Directions: 321 S/ Rock Ford Rd/ left Hickory Lincolnton Hwy/ 1/2 mile lot on right Improvement Permit Facility: Primary Residence Permit Category: Other 13edrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: No Expiration: _X_ Projected Daily Flow 240 g.p.d Proposed Wastewater System: CONVENTIONAL Type: IIA- CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: New MH will utilize the existing septic system installed in 1992 permit#4956 REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR 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/Zonine 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 Ru/es for Sewage Treatment and Disposal Systems' (15A 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. Steven Price 09/07/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/07/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemiil 09/07/2016 14:43 rP RBPR 07-2016-24389 4433 Hickory Lincolnton Hwy, Newton • 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. • New 2 bedroom mobile home (MIH)proposed. Will connect to existing septic system. Existing MH to be removed. • Existing septic system was visually functioning 8/18/2016, however no guarantee can be given as to its longevity. The system is on the property but does not appear to meet the 10 ft setback from property line. • New home, including decks and porches must be 5 ft from septic system and 25 ft from well. 3221 a wig4 rn P 010 ' 4A th sr C! 315' .1' At =Lib DEPARTMENT OF HEALTH ANI)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 ON-SITE WASTEWATER SYSTEM qq (Complete all fields in full) OWNER: - r 3u-s )Cc\ _ APPLICATION DATE ADDRESS: DATE EVALUATED: Y/ry PROPOSED FACILITY: Zdr PROPOSED DESIGN FLOW(.1949): 'Z`(o PROPERTY SIZE: LOCATION OF SITE: rfV3j ({Tzaey 17L PROPERTY RECORDED:_ WATER SUPPLY: ❑Private ❑Public X. ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring , Pit U Cut TYPE OF WASTEWATER: ASewage ❑ Industrial Process ❑Mixed D SOIL MORPHOLOGY OTHER P (.1941) PROFILE FACTORS .1940 R LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE tt SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESER &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS BORIZ o —rl .hrs(c c A15er 1 �S y 3° A -6 C N k- 5� A)4- tv,9 a �S �� 3 SD (7-- Z,�3// ink. C r/ Sc-' L5 z3' 6'1/45, 5„,,) 14)4- Z3 / -6, _± citify 2 �� o 3 4 - DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) q j SITE CLASSIFICATION(.1948): Ps System Type(s) S 3' EVALUATED BY: V�' ��'>7 • OTHER(S)PRESENT: Site LTAR COMMENTS: Catawba County Environmental Health Ili- / • off'-----� 11 (za4) ay en / C C u> Ca in 0 199.88 166) (172) L\IJ 211.18— J 5 � � 7 129.29 243.84 372.60 1�x b aov �1_ z/ —_ �® r Z in J m a zz Ak.,� 0 toAti t f PI i Cr 1 ® — Y zo' a S ....N\ (375) N\\` 0 1 6.27 (105) \ .__— .----Th\ --Th Parcel: 361803121102, 4433 HICKORY 1 in=60ft LINCOLNTON HWY 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