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HomeMy WebLinkAboutCBPR-04-2018-28861.tif ����.,'�,;;}}'+,�yy� c".1 THIS IS NOT A PERMIT Case# CBPR-04-2018-28861 Aft x �•nv,�_f ■ CAI-AWBA COUNTY HEALTH DEPARTMENT ❑� ,�❑ \; v PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES .+ Xti 4, 1842 s. Commercial Building Plan Review- Building New AUTH_CONST- NEW WELL Architect G 13 ENGINEERING, I'LLC (GARY BARNES)„ 13:7043615339 Contact Person *FOUI2TEES INC (TOM LAWLEY). PO BOX 2429,DENVER NC 28037- B:(704)361-3130 BUILDTHELAKEaGMAIL.COM Contractor *FOURTEES INC (TOM LAWI.,EY). PO BOX 2429, DENVER NC 28037- 13:(704)3fi1-3130 BUILDTFIELAKEaGMAIL.COM Owner DANIEL THOMPSON. 158 158 TOWN LOOP APT 205,MOORESVILLE NC 28117-0023 NAME TO APPEAR ON PERMIT *FOURTEES INC (Tom LAWLEY) SITE ADDRESS: 8200 CLIPPER CT,CATAWBA NC 28609 PIN # 471003208018 NAME of SUBDIVISION: LONG ISLAND AIRPORT PH 4 Lot d 7 Section/Black PROPERTY SIZE: Square Feet 165,528.00 Acres 3.8 DIRECTIONS: 8200 Clipper Ct PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: Revise ACNVell added**60 x 60 Air plane Hanger with 35 x 30 1 bed room residence attached. Hanger does not meet the definition of a Residential Hanger. Hanger is over 2000 sq ft. **future home 3 bedroom 87x87 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: **NO STRUCTURE SELECTED** FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 87x87 res w/att gar,35x30 acc dwel/60x60 hanger BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: YES INNOVATIVE: ANY: Other described: 25%reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ehapplicaion 04(240018 15:42 Page 1 of4 �P'A '1'1115 IS NOT A PERMIT Case# CBPR-04-2018-28861 vQ (nj• CATAWBA COUNTY HEALTH DEPARTMENT actid*� \ *D PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 4. �I \14$42 SM Commercial Building Plan Review- Building New ; 0+ • 0 0 r. #'fi AUTH CONST- NEW WELL t%D. ••.a Architect G 13 ENGINEERING.I'LLC (GARY BARNES), B:7043615339 Contact Person *FOURTEES INC (TOM LAWLEY),PO BOX 2429,DENVER NC 28037- 13:(704)361-3130 BUILD'ITIELAKEaGMAIL.COM Contractor *FOURTEES INC (TOM LAWLEY). PO BOX 2429, DENVER NC 28037- I3:(704)361-3130 I3UILD'THELAKE tr GNIAIL.COM Owner DANIEL THOMPSON. 158 158 TOWN LOOP APT 205. MOORESVILLE NC 28117-0023 NAME TO APPEAR ON PERMIT *FOURTEES INC (Tom LAWLEY) SITE ADDRESS: 8200 CLIPPER CT.CATAWBA NC 28609 PIN # 471003208018 NAME of SUBDIVISION: LONG ISLAND AIRPORT PH 4 Lot q 7 Section/Block PROPERTY SIZE: Square Feet 165,528.00 Acres 3.8 DIRECTIONS: 8200 Clipper Ct PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY: Private Well DESCRIBE WORK: Revise AC/Well added**60 x 60 Air plane Hanger with 35 x 35 1 bed room residence attached. Hanger does not meet the definition of a Residential Hanger. Hanger is over 2000 sq ft. "`future home 3 bedroom 87x87 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: "NO STRUCTURE SELECTED" FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x100 res w/50x30 gar,35x35 ace dwel/60x60 hanger BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: YES INNOVATIVE: ANY: Other described: 25%reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ehapplicetma 04/24/201% 14:40 Page 1 of 4 THIS IS NOT A PERMIT Case# CBPR-04-2018-28861 � 2 r.., CATAWBA COUNTY HEALTH DEPARTMENT ti o.1.5c._ 7 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '1' • Ig42 :M Commercial Building Plan Review- Building New0 • • o� to}. IMPROVEMENT- AUTH_CONST- NEW WELLL o- , Architect G B ENGINEERING.PLLC (GARY 13ARNES),. 13:7043615339 Contact Person *FOURTEES INC (TOM LAWLEY).PO BOX 2429,DENVER NC28037- B:(704)361-3130 BUILDTIIELAKE@GMAIL.COM Contractor *FOURFEFIS INC (TOM LAWLEY), PO BOX 2429,DENVER NC 28037- B:(704)361-3130 BUILDTHELAKEaGMAIL.COM Owner DANIEL'I l IOMIPSON_, 158 158 TOWN LOOP AI'T 205,MOORESVILLE NC 28117-0023 NAME TO APPEAR ON PERMIT *FOURTEES INC (Tom LAWLEY) SITE ADDRESS: 8200 CLIPPER CT,CAIAWI3A NC 28609 PIN# 471003208018 NAV IE of SUBDIVISION: Lot ISLAND AIRPORT PH4 Lot 4 7 Section/Block PROPERTY SIZE: Square Feet 165,528.00 Acres 3.8 DIRECTIONS: 8200 Clipper Ct PRIMARY CONTACT: Contracttpf: SEWER TYPE: Septic Tank GALLONS PER DAY: —600 WATER SUPPLY: Private Well DESCRIBE WORK: Revise AC/Well added-60 x 60 Air plane Hanger with 35 x 35 1 bed room residence attached. Hanger does not meet the definition of a Residential Hanger. Hanger is over 2000 sq ft. **future home 3 bedroom 87x87 SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: **NQ.STRUCTURE'SECECTED" 'T r},1„` Srl.1C j1L(y L FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 80x100 res w/50x30 gar,35x35 ace dwell60x60 hanger BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: YES INNOVATIVE: ANY: Other described: 25%reduction APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO clam:I cation 04/23/2018 16:23 Paye I of-1 _e • CXIA BA COUNTY Case n CB PR-04-2018-28861 /.T Public Health Department Subdivision LONG ISLAND AIRPORT PH 4 < � Environmental Health Division PINM 471003208018 ��► PO Box 339,100-A Southwest Blvd,Newton.NC 23653 42 NAME ON PERMIT: (DANIEL TFIOMPSON), 158 158 TOWN LOOP APT 205, MOORESVILLE NC 28117-0023 ( DANIEL THOMPSON) Site Address: 8200 CLIPPER CT,CAI'AWI3A NC 28609 Property Size: Square Feet 165,528.00 Acres 3.8 Directions: 8200 Clipper Ct Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete she evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. � Date: 3 /7 U)b Signature of Applicant or Agent I / If you aced further information or assistance please call 828-466-7291 AREA1 ♦}##}#}#}#1}}#}}}ii}iii##ti#i#Ft#}#!###}}#}}#}}}}}#}}##}#}itiF#}Yi}#Y}!}i}}Y}#*F4*F}3####>i#k##}##}#}#}}}#}# FEENAMIi DATE FEE AAIOUN'I' County Plan Review Fee 04/10/2018 $250.00 Authorization to Construct Fee (New/Expansion) 04/23/2018 $300.00 Fee Well Permit& Inspection Fee 04/23/2018 $300.00 TO'T'AL FEES 8850.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) cliapp14auion 042312018 15:59 Page 2 o14 CA'I'AWBA CP2- opt—a� l� — ,,cask THIS IS NOTA PERMIT COUNTY --• . CATAWBA COUNTY HEALTH DEPARTMENT . Application for Environmental Services Appl►cahon is'.;fur New Construction Existing Facility. ❑ Improvement Permit Rat:horization to Construct I 'New Septic ❑ Septic Repair/Malfunction ] Septic Relocation ❑ Septic Expansion n Existing System Inspection or Reconnection 'New Well ❑ Replacement Well In Well Abandonment ❑ Well Repair Property Address 82-o0 CUQpt' Cr at - - oAC Subdivision Lot # Acres Driving Directions to Property Mom a1v Q- . le.t3/4 b' r>e ro reran moi- - L e a cu peer c-t• Applicant Contact Information Name --ftr Address Phone Cell Phone 7b4- 3ta�-3131 Owner Contact Information Name Address Phone _ Cell Phone Contractor Contact Information Name - '�r-I[L3 L License # (plla-S Address Po aD4 33qg [MWrel•Jr.1L ? 8\V7 -- Phone Cell Phone 701/4{ 3lc 1- 3 IS 0 Name to Appear on Permit? ❑ Owner ❑ Applicant 2 Contractor Who will be the Primary Contact? ❑ Owner ❑ Applicant contractor Existing Structures on'S►te? : . ❑ Yes Et'N-o If yes, describe #of Bedrooms * #of Occupants Structure Dimensions Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water.=Supply? o''T ;'� ,0 Individual Well ❑ Community Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes No Wcll"Construction/Abanlloninept/Repair Proposed Well Type a-Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?,aYes ❑ No CATAWBA THIS IS NOT A PERMIT COuNry .--., CATAWBA COUNTY HEALTH DEPARTMENT ,,,.,.o.,„„n. Application for Environmental Services =Proposed New Constructton -Residential Primary ResidenceNew Residence ❑ Addition to Residence #of New Bedrooms-' Project Description p� a rpwc �aJ , vttr L..)\-1,o- Psy&r1 vat`s!• Structure Dimensions LO'I\0u 311. 30 #of Occupants l -x,Z,/c1/4?- 1-4zM Cr Basement ❑ Yes .B No Basement Plumbing ❑ Ycs ❑ No Sart. Accessory Structure(s)Describe Structure Dimensions 2/7 '65 7 Plumbing ❑ Yes ❑ No Describe Plumbing Needed Accessory Dwelling ❑ Yes ❑ No #of New Bedrooms *t #of Occupants Proposed New -IRIS tl'_RC tion ; Commercial. Food Service Specify Type if Seats Floor Space-Entire Food Service Facility (Sq. Ft.) #Employees per Shifa II of Shifts Dining Area(Sq. Ft.) • Business/Other Specify Type Structure Dimensions Retail Floor Space it of Employees per Shift li of Shifts If Church #of Seats Commercial Kitchen 9 Yes 9 No If Daycare,#of Children If Multi-Family Residence, #of Apartments //Bedrooms per Apartment*t Total # Bedrooms *t Other Information Calculated Design Flow, Commercial t (This value will be determined by Ell staff) ) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes", applicant must attach supporting documentation, 0 Yes el`No Does the site contain any jurisdictional wetlands? I ❑ Yes EiNo Does the site contain any existing wastewater systems? ❑ Yes Pf�10 Is any wastewater going to be generated on the site other than domestic sewage? i XYes f No Is the site subject to approval by any other public agency? ❑ Yes 0 No Are there any casements or right of ways on this property? Describe II applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of youry reference) ❑ Accepted 0 Alternative 2tonventional 0 Innovative 0 Other 0 Any ' *Any room that will be intended for sleepingat the time of construction or for future consideration should he noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of-building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE.PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULEI Completed applications are valid for a period oft years. Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked it'the information on this i application/site plan elanigcs or if the intended use for the proposed facility changes. Penn its may he revoked if site conditions are altered r such that they effect permit conditions or installation requirements. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials arc granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that 1 mu solely responsible for the proper identification and labeling of all property lines and corners and making fire site accessible so that a complete site evaluation can be perfor ed. The undersigned is the owner of the pnperty or l.it a,ent of the owner. Signature of Owner or Legal Agent Date t/,s 12 Ot C) i Printed Name of Owner or Legal Agent "foh1 Lr�-') Uf ' - 4 f ik'4@ :.,,-••-,-, al v ° 1 CO L 41 I is. U ilk t. t `8 �j. k Z •k.i .0C N • UC J. '' o 0 asfld • ;.:11.1.,:1„.. i Io �a is {�� yh m c , M U ii 8 it S y _ ti 09 _` 3.6Z ,09.9ES 5 1. 4 .,._ I C rri 1 ,-;film h rn E „ � ` ati � , 4 i r V ti m .a ZA _� ffi in -cc e .: g '` ® .. m ..�`` S ,n .` • i t -•.!:- fitaSe //�&Le�s�� t`�r� I 1 4' 4A.'.- .£! e i s' j Catawba County Environmental Health t �' i .7. 4).b.‘:;‘ v A Z r PI 5 00 m as Ngo. c a 47.39 � „to f 4 a., 19 90 ,. 4904 SNIVbe e ....A 0 • rTh\' . •, sz5 82® • G4 259.38 ______________ G�\ ., • # • QQ rel °401111) ALVA . Ilikii 800 . \ I n.� 795 ' il'.ire-Xl vS 0 elav Parcel: 471003208018, 8200 CLIPPER CT 1in=100ft CATAWBA, 28609 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 04/23/2018 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 471003208018 Owner: THOMPSON DANIEL W Parcel Address: 8200 CLIPPER CT Owner2: THOMPSON TERESA E City: CATAWBA, 28609 Address: 158 TOWN LOOP APT 205 LRK(REID): 301098 Address2: Deed Book/Page: 3373/0045 City: MOORESVILLE Subdivision: LONG ISLAND AIRPORT PH 4 State/Zip: NC 28117-0023 Lots/Block: 7/ Last Sale: $190,000 on 2005-03-10 School Information: School District: COUNTY Plat Book/Page: 50/159 Legal: LOT 7 PL 50-159 Elementary School: CATAWBA Middle School: MILL CREEK Calculated Acreage: 3.800 High School: BANDYS Tax Map: Township: CATAWBA School Map State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $146,400 Zoning3: Assessed Total Value: $146,400 Zoning Overlay: CRC-O,WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel it: Building Details 2010 Census Block: 1018 WaterShed: WS-IV Critical Area 2010 Census Tract: 011503 Voter Precinct: P21 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospafial 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. ©2017, Catawba County Government, North Carolina. All rights reserved. jaw (,Doll Vs00 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=471003208018&typ=P 4/23/2018 eQ .g1:1 Case if IMPV-ll-2016-078663 CATAWBA COUNTY y le.g1:1 r �;Q: 3`t u} Subdivision LONG ISLAND AIRPORT P s Public Health Department d• }�; d} d Environmental Health Division F -01 �t P[Nii 471003208018 14+` PO Box 389. 100-A Southwest Bled,Newton. NC 28658 •� LO.17; 7 ai aitrreca NAME ON PERMIT: DAN THOMPSON, 9903 LEAVESLY TRAIL, SANTEE CA 92071 Site Address: 8200 CLIPPER CT, CATAWBA NC 28609 Property Size: Square Feet: 165,528.00 Acres:3.800 Directions: 16 5, left Sherrills Ford, right Molly Backbone, right Monbo, right Saunders, right Aeromarine, on left at Clipper Ct Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms— 5 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 600 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IUG -OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and any future repair system minimum: 100' from any well, 10' from property lines, 15' from any bank cut(side slope), 25' from bank cut ( up slope), 10' from building foundations. Lines to be installed on contour. Do not grade drive or fill over system or repair area. Proposal by Tony Jacobs LSS. System, is designed for 3 BR home and 2 BR accessory structure. Minimum: 1500 gallon tanks. NOT FOR INSTALLATION PURPOSES. AUTHORIZATION TO CONSTRUCT REQUIRED PRIOR TO OBTAINING BUILDING PERMITS. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 1110 -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 Catawha 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 n change in ownership of the property. 'this permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Se:rake Treatment and Disposal.Spsteru.s' (I5A NCAC 18A .1900). Neither Catatvba County nor the Environ nental Ilenllh Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Jason Boyd 11/04/2016 AUTHORIZED STATE AOTTNT APPROVAI.DAt h 11/04/2021 Permit Expiration Date: No grading or construction activity is a//owed in meas designated for system and repair without approval of the Health Department. Opcimit 11/04/2016 08:20 ---• — Coftee.kck._silbp‘oA_Cte.._•io_i_1311,1,..,,t-,.:••..--:1 „2„:,„•,„t.. ...,.....,-„„..c.,:t•t.:-:.74:2zr:j..:;!.:''.',1.•••• ,.,.-:,•:- - •—••••••••:..................................... •• •• . • "24' . 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' 'flt) •.‘ r•.. :_.„.. ., ,f.r.z) .7. ;, ,;..I'• 1-ty . ...._. ,..,__ . . • . . . • ----.---- .C..f, "-as], ; - - . • . ema,•' J / 7./ ;Err e ch-:. - --- ',---- ... .v. .,o; -9- _ 4. • ..,. . .,.. :- .: . 7. '7" • C4 es 41 4 a...‘._. . 1 r • . . . • GRAVITY DISTRIBUTION,1,0 25% REDUCTION SEPTIC SYSTEM POR SUBSURFACE WASTEWATER'DISPOSAL 3200 Clipper Court. Catawba,NC 28609: Prepared'for: Dan and Teresa Thornpson 9907 Lcavcrsly Trail Swmtee, California 92071 Prepared by: Jacobs Oi -Sitc.Developinrit,;Iiic. 168 Broadlill Diive • Nlc•oresville,North Carolina.28i 17 office 704,662-9845 cell 7041582-921.9 toneycjaceb@gtriail.coiit October 7, 2013 y s4, a ,i' 7titer IA 0-JA ' 4; ;411. T y �,.5 \+. •�1. 1' ...A n't r T i. W VS 6-M-VIRTA 0,941 u lT� Toney ;Jac. . r: ' • • .Copyto:.Jasom13oyd,:REHS • Catiwba County Enviirdairiental,:llealtli Newiun,,NC2$658 . j boyd.'r�ca to w ba county nc.gnv 828 244-0943 1 . . 8200 Clipper Colirt • Number of Bedrooms 3 in home & I in.apartine4 connecte&to hanger—design for 5 bedroom :Basement or crawl. baseinent: .D.eSign.flow ( pd) 600 S.cptiCikairilc 1•500:gtil, PrImarySystem:LTA'? (gpdif9) 03 Piimary.system..type 25% reduction Number.21.lineS 3.e 167' end fed Total linearfept .500 Trent:h. Width ' • 3' rni½ OT equi'valent • Trenbh,spaeifig 9mitt:on:conic ug Treneh depth 28"lon the hizh,side. Slope correction 3431 Repair.depth 28" ori high.side bistributiOn device, 3 'tap.P-box with speed:.leyelers Lengthand diameter ofsupply pipe approk..I25' of.3" or zl." sch 40 PVC with cleanoutS per Code 25%.roduction Total 500' Repair'loading-rate.(gpdlig) ). 03 • I SO IUSITE:EVA t_U .ATION . . Fl!'. ' t " • for OW. rit.WASTEWAtElEt SYSTEM Appto:. • 1 • berner; 1.74*?11::f 1.4.,,,,h.;.'ini,/ • . f,pplicar3t V i A i Aricirss:. it ef-.-A ,;:? L,jitilZi9('-- . Oiile Evalcia led: .1:;tr 1,1 b ! ,Plinposed:Faolity: ,At 4? J' A A i ,' .ign Elai.v( /$ .1949) 1*.i; ' PropeiV V Size: 71' i'1 .(7.---'''' _. . • Location of ate: j 11 ' V .• - pioparty Recorded _ . . it yotei:.Scipptic: [ 1 Public ‘1 )Individual [ J WeJ [ 3prifie :H.O!F3r ... EvalUaUdñ MS1.404-: ...1-INiger Oaring 1 )Cui ' :Tyee 61-Wastewater. 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'il. )12 1 i ij /117 k ) 1- ii."1-1/4/6 j I):41)61 iiii.eei itorc •!1 ,. /..,lf ; 4; •") Or? , - )01139- ; yfiliic r) - 40 • i : . • . i . , - etie, erl& i) ni(- - Al4 4s .L, • • ,+.J7/ AJ.Eit•f:Iii .,..., ••• 5114-9- v v • ;„ . . •i• .pt -'ig .,t1• c3 41-4-?•/).,,ii c.I. , 0 •-) 11?' . • >/.2 - 7 • . . 422,0 •11 il, •.•••., iti7i a .•/ r rt A7;f2••• 0) /- 5- .g 4 1 3 . ••‘-', '.::) 4-1) ri\I IRec, 1rk... ,.,.... .. irrea! 'VI/. • r-, t•••;, •5•P,Si .',t5 i 0, , 3 ' 3,1.7-te••• ;,4-..•••:,vs1,1„1-4,1,4A.toliv.71,14 c,-;,,,, ,/' .., • - - . . •• ,._ ,i- , - 04' ,a f''..;•.`: il.,... P.:kir 44 •• . ? ,• -i-r.,4) D . iD ,„ , . , if ._• 5:eL, i. :lirci'144).! Cr '.ei., •-..,..;..2z)t.,1. , hvi ! Ai ?e‘17-. 7:.,,, 7i- ‘,..!,-,•4,4.:i.ii,prit..,11...);.,.-1,:.5:k144,))).1. • ;• ,• ,/rQ- / • 7 •:,,, . - . . . . . . . , 1 Oescrilition intil'System: : :Repair aysteuit. Other Faders(.1946):, „ • ; • Available Spate(¶945) i . ‘I' : i 94:. ' Soil Evaluationor ,;(44):1,,, ,,.v ? .1;-;/,‘"./ .12!Sithehl:T*(S) •2 li'ne tel ,Hf:ti1 . Others Pre-S(6): /%.:"1i . . . ; . Silo LIAR -.le,:;,) (A ;!.3 SitetassiEcalion(;141:1): I/'”) • • $I!e Ewelualionpie Othurs Present • • ' • • , . . 1 i I .