The URL can be used to link to this page

Home My WebLink AboutIMPV-06-2022-174573.TIF E:: • CATAWBACOUNTY .1.fl Public Health Department Subdivision • .,•-�, , Environmental Health Division PIN# 267803310683 likrt1� PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 w Site Address: 3219 LYNN MOUNTAIN RD,VALE NC 28168 Name on Permit: JESSE WELCH Property Size: Acres 5.94 Directions: Right off of W NC 10 Hwy onto Rhoney Farm Rd. Right off of Rhoney Farm Rd onto Lynn Mountain Rd. 5th lot on left. Owner/Authorized Representative Acknowledgement of Permit Receipt yv v"I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. Js the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-04-2022-40793, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) ! -I Electronic Image Transmittal/E-mail (Return receipt required) UP�V V"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: 06/24/2022 Owner/Authorized Representative Signature (Al(/4 --- Date 06/29/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time (11 J� Method: Fax ./ Email US Mail /f Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yo Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService PSI 1 flake_ 0 ya Act. c'cM ri_r I chpo nit 0s/27,2022 07 21 CATAWBAl COUNTY Case# IMPV-06 2022-174573 ��• Public Health Department Subdivision � Environmental Health Division PIN# 267803310683 %ally: PO Box 389.25 Government Drive,Newton,NC 28658 LOT# 2 Site Address: 3219 LYNN MOUNTAIN RD,VALE NC 28168 Name on Permit: JESSE WELCH Property Size: Acres 5.94 Directions: Right off of W NC 10 Hwy onto Rhoney Farm Rd. Right off of Rhoney Farm Rd onto Lynn Mountain Rd. 5th lot on left. Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 g.p.d Type of Facility: Primary Residence-New House Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: LOW PROFILE CHAMBER System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: -See AC 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 Pennit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions arc 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 I8A.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. Any permit issued for a conventional system may be used for an accepted system without Environmental I lealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 3/41 ()17A.- 06/24/2022 Authorized State Agent Permit Issuance Date 6/24/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department �h�:nuit 06/28/2022 09:37 Catawba County Environmental Health C_tt LID PI i Sitt(41 I10F3 • 110f ( • I ■ I I �`I 3` Sl av- Ids` .. I RgPa-oil-Za7? -i/a 1 D I TrFY-D(v-P71-/7 i I QGY1,-p!D -to7t -I�WS7y a — - I Zs A - S �occK •1( - It: -6 y1l la 38 XZV, . 0t ..51 p`�59 ae 37- o • ,� •, CZ ::310 51 I-1 I m y V«K(S) !o jcll' 1 S 5S 0 ..b• f il la I Ulbkatk S 1 i lost Kimik ..i, `��l -� 6 IITV • I 0 0164 I Ile • I I d Lbo i • C333 * Well ` I .♦ I Parcel:267803310683, 3219 LYNN MOUNTAIN 11n100ft RD VALE,28168 Ibis mapfmsport modal r pupated bom be Calmar.Colby.NC o.olpdbi k*dIr don Santana Cabtaa Carley has mode ortntan/r dons b swum tbe aooua y d location and burning Nan>otion trined on fhb map at data on Mb moat pta.a Comb promise and mammal 01.Ildepwt0.tttv.licitlon d.ery dila cardoined an this iraphapart paled by t4.user.Ito()tarty d Cornea.le ens+blwa apana,and pnioaA rfr m tiff n mp rt Product a h labiaat&dim and*el not be hekl try and all �_ « •wfrdw loot,Indirect or aorr.qurtdttl ankh Moo a mp Capllrleitl=14 CalarO.Cant NC 07/15/2019 6 SYSTEM Line# Color Length Hole Size FlowITap gad Trench Area Cony LTAR 25%LTAR 50%LTAR 1 80 SCH 40 1/2 7.11 36.55 240 0.15 0.11 0.08 2 80 SCH 40 1/2 7.11 36.55 240 0.15 0.11 0.08 3 80 SCI-1401/2 7.11 36.55 240 0.15 0.11 0.08 4 80 SCII401/2 7.11 36.55 240 0.15 0.11 0.08 5 80 SCI[40 1/2 7.11 36.55 240 0.15 0.11 0.08 6 80 SCH 40 1/2 7.11 36.55 240 0.15 0.11 0.08 total 480 galimin= 42.66 219.27 1440.00 0.15 0.11 0.08 Des.Flow 360 Pump Run= 5.14 soil LTAR 0.25 d i DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of Z 1 DIVISION OF PUBLIC IIEALTII.ENVIRONMENTAL HEALTH SECTION PROPERTY ID 4: Z6 n633IC16 ON-SITE WATER PROTECTION BRANCH COUNTY: Ca}a Lit ba SOIL/SITE EVALUATION ' for ON-SITE WASTEWATER SYSTEM (Complete all Gelds in full) OWNER: r55L WelCI, _ APPLICATION DATE bill ADDRESS: Po 1iDX Sor?, C1�r cry Iri lit AIL 7jDz/ DATE EVALUA5 ED: ! 5 PROPOSED FACILITY: J1j' ./ H�s�- PROPOSED DESIGN FLOW(.1949): 3100 (�PD PROPERTY SIZE: • ' CSC( S LOCATION OF SITE: 32// Lynn MD GLe4aiii PEE VII II A/G Z8/09 PROPERTY RECORDED: WATER SUPPLY: Er-Private ❑Public Q,eII 0 Spring ❑Other / EVALUATION METHOD: D Auger Boring Pit 0 Cut TYPE OF WASTEWATER: ET"Sewage 0 Industrial Process D Mixed • . . • • i P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTH PROFILE # SLOPE% (IN.) .1942 .194I .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SA PRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ A L0-8 CL 5131( ,,Ss,sfior ioyi g - l5 c Mett 1 15 -37 C a-s1+° P 1 1 o yi 8 z jS fib e l0 37- ios 31¢P 1 @ 2y6 • 0 c CL J&( ; J X hv to -- 1� C WSBIC �. $3/ss,Sr5P,, SAX '' 2 q- 38 ba P ) 9 a. l' o/ L/�c 0- ? cL $' (( ss, , S�i 5 Zy c Aak ;, sSse,s ps 3 o Zy-5Z 2aU( 2V 13 �° 0 Z2 s L /> - 0- 8 CL 56e fc4$5,Se sr f)s g- zz c 36k 1 ,I/ 2 Z II zz 3z 12o(K $o�° _ D. 225 DESCRIPTION INITIAL SYSTEM REPAIR SYSTI±M O'I•H ER FACTORS(.1946):f ___. }5 Available Space(.1943) nS U SITE CLASSIFICATION(.1948): f__ p EVALUATED BY: EIT ?(1cQ System Type(s) L PC D(IQ oil IER(S)PRESENT: Site LTAR 0. Z 5 0. 112 5- COMMENTS: Updated February 2014 SOIL/SITE EVALUATION Sheet Z ,./ L (Continuation Sheet-Complete all field in full) 9 DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID If: z�7 .0STIUtfi DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: 7//j/ZL _._ ENVIRONMENTAL HEALTH SECTION COUNTY:�4}-yl,t, y___ ON-SITE WATER PROTECTION BRANCH • • • • r P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZ .1942 .1956 1941 PROFILE POSITION! .1941 .1941 SOIL 1943 SAPRO xt Tx CLASS4 SLOPE% STRUCTURE! CONSISTENCE/ WETNESS/ SOIL DEPTH TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR (IN.) _ t /1, b.4(1 CL S61( -rr SS,S', car)y-3(o CffAUC�� Ask L I S S A-55 (�oQIsitP4- 3b 13010 O. ZS L 0-/3 CL 56k if, ssi 111 SLXf e S ,3-zco C ALk 4. 1 zO 111 z - 1{o 120(v /5/f O. 2Z5 D-/Z CL S6K vr, ss,sf, stir 7. sY 7/3 . L )2,2' C h6i( g, 55, fl s 0 to it 7 0 29-30 C AO Fri 55/5e, SEX( z.SY 4 ((8 133 �0 36-(18 C 4- Ur[50 .‘, 1 t 3D 0. 2 S ( -6k yertow� p-/y Cc 513( v, s5,S�Sam Liiw S L _z ak ss s to u c� It F a o 29-�s Q9uL Age 21C�1cA4c �S 1a O, Z5 0- 9 CL 3BI( vE,_ss,sel cu 0 �� S 1- 70 C so i& 53IS i_ S 2 sort 1 3 9o�, _zQ 32 C SAP W ►, 25 12 32-50 (lock /SRQ 4 A- foci COMMENTS: Updated February 2014 7 Catawba County Environmental Health Fit- Lta ns 11111wwwww""I'Ml 4 . • I .I., IIIII ill .10011.11:181 WI% III ' . t . is : • - e_:.:, ii,„„„„, ..7 \iiii..:, MI iii „„, , impla 111111d.." -., I Ili 1111% 1416 la;• 41‘21111 simmillii0 11%1 Ili .aimilli.1 1(171 glillillililit iril;:-.4. I 1 I T �. . . .'mail.111 fir nini".111111141 .6 illIll.S"AlIP. - ' III • , "r- ,., ;,,o(r,,,� r.,.. is ,. . , --...-..., El 7/\:,..2,-... Parcel:287803310683, 3219 LYNN MOUNTAIN LOC ,lions 5ade 11n=100ft RD VALE, 28168 Thtiz maplreport product was angered hose the caba rea ,NC trdan mtlon seMoes. Catew6. he mad.subetar l etbrb b onsurd t s exam y ci k k n and�bebld0on on mep a dom on this sport Glsiaaba ptonwiM drtd namrtr�nela tus MidapwWwtt rardlodion of wy da4 ao�dnmd on the nwpkeport product by the user.The Courtly of[Mewba.Re en glow s.apt,and pereoer�dsois�tt�arrd ohsR not be head isbb for any and damps.loos or May,whe.r direct.Yrdireot or aonsequentsl witch arteee or nmyr arise from thJs rt Imp report induct or the use thereof by 12,Pram at _ County NC Copp*,2014��a 07/15/2019 .,