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HomeMy WebLinkAboutIMPV-11-2022-184507.tif .1 , , aeyy. CATAWBA COUNTY 1t Public Health Department Subdivision ,t. ,s Environmental Health Division PiNa 380704617378 +\/1� Po Box alto.25 Government Drive.Newton.NC 26658tali LOT'll 2 SMe Address: 8994 REEPSVILLE RD,VALE NC 26168 Name on Permit BRANDON /ANN-MAR1E BOYLES Property Size: Acres 43.480 Directions: 321 to Hwy 10 to Reepsville Rd Owner/Authorized Representative Acknowledgement of Permit Receipt 1 certify that 1 am the owner nr authorized agent(owner's authnrir rtinn required)representing the owner of the property described above. j/As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2022-42009,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) t 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(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: 11/152022 _,2 / Vie.4.41.-------' ;1_,...„.„......_-------- Owner/Authorized Representative Signature Date //--- C 2-v? 2-- . Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by Inurrtc of person sending permit) Signature__ _.-__- - Ilate/Time i 1 /4/7 Z. Method: Y��Fax /Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yaPlease hake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ERCusttomerService t r-. Inns n. I /w,..., CATAWBA COUNTYt ii C( Case II IMI'V-I1-2022-184507 Public Health Department Subdivision Environmental Health Division PIN# 360704617378 PO Box 389,25 Government Drive,Newton,NC 28658 LOP, 2 w Site Address: 8994 REEPSVILLE RD,VALE NC 28168 Name on Permit: BRANDON /ANN-MARIE BOYLES Property Size: Acres 43.480 Directions: 321 to Hwy 10 to Reepsville Rd 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 480 g.p.d Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump 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 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' (15A NCAC I 8A.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 Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. °I1614 61171 \ 11/15/2022 Authorized State Agent Permit Issuance Date 11/15/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpo.ndt 11/17/2022 16:21 Catawba County Environmental Health ►(aP(l-08',Zoft -W1oo7 .1,.11- )t -zv22- 1$y507 Av - II -14tt 5o' / l Qk 4 \c,r� •999 D�,sr! Wpy 1 $° ti' 6:j as 30' �c s O—/5D �S w-!0i r Se°l, rid y0 Yb' • 8 `5(IFt REEPSVILLE RD 1 fn=100ft VALE, 28168 Thu map/report product was prepared from the Catawba County,NC Osospetial Inlormatkwi Services. Catawba County has mode substantial efforts to snwre the accuracy of t calron and labolfrib Inlrxmetion u,nIeInWl nn Ihis snap nr data on this reprxt CaIxvrba County promotes and recommends the independent verification of any data contained on this maplruport produ&I by llw uwr the County of CrUwba,its ernpluyees,'yen*.Ind personnel,darda+rn,and that not tm held liable Ior any end all rlarnagas,loss of liability,whether dart!,Indirect or CAruaqu•ntial which arises or may arise from the maplreport product or the use thereof by any per sun or entity. Copyright 2021 Catawba County NC 11/16/2022 DEPARTMENT OF IfEALTH AND HUMAN SERVICES Sheer 1 of Z DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID N:e,x3n ON-SITE WATER PROTECTION BRANCH COUNTY: SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: Brd on Q,i/ A— a,te go PS _ APPLICATION DATE thlii_t ADDRESS: DATE EVALUATED: PROPOSED FACILITY: CW u e PROPOSED DESIGN FLOW .1949): D PROPERTY SIZE: 61, Zi- 4CcS LOCATION OF SITE: Q9 y Olt YiI it 0 Vail M K U( PROPERTY RECORDED: WATER SUPPLY: gPrivaie 0 Public ell ❑Spring 0 Other �� EVALUATION METHOD: 0 Auger Boring l3 it ❑Cut TYPE OF WASTEWATER: ElSewage 0 Industrial Process 0 Mixed i ► .• • P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTIt .1942 PROFILE H SLOPE% (1N) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR<' r TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ /''r L5 0—� SC 56V .1sis ► sI?2 — Zo 3X C 56K rr tj SAX I, 1 Ct C S&K r P� 0 •1, 38 50 6 ��ss,s��� 5 c�� DI • 50-too L 5M' VFr,ns,nffS 0. 3 0-18" C Mg Fr,s ,5 1 51xr J�—qo et BC 56k Fr,ss,$ )Sty II ii S 2 40- 55 Sit. 5AP 4 ns,ra S �{0 5��- Qr �P '01 i _ O. 3 • CS 0.3Z , ` 561 K ! 'F 'StSW . QS 3Z +�5 C 8C 8 cr ss 6SF u 3 45-50 5i 1, 5AP ifprig . rns,� jS q5 S'I. 0. 3 LS o-rz . SC S8k . s1V I SE(' Ii-3(0 C yak . 5 4 — 0 C k ' � 40 el .36 L ,6( 58 Vie/SS,sQ 5CC 2 ,, 0.3 ... I - - DESCRIPTION MNI b%SYSTEM REPAIR SYSIl:M OTI IER FACTORS (.1946): t 5 Available Space(.1945) p 5 PC 1 SITE CLASSIFICATION OM): _ _ f 7 VI' , nre._..M� System Iype{s) 25°l. red 50°� EVALUATED R()PRESLNT: ` °' Or Site LIAR 0.3 O. 3 COMMENTS: ""' Updated February 2014 SOIL/SITE EVALUATION sheer Z of Z_ (Con►mnito►wn Sheet-Complete all field in f!1) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: Z ENVIRONMENTAL HEALTH SECTION COUNTY: c.t+, A ON-SITE WATER PROTECTION BRANCH 41. • • • • r R SOIL MORPHOLOGY OTHER o F (.1941) PROFILE FACTORS 1 .1940 P LANDSCAPE IlORIZ .1941 POSITION/ ON .1941 .1941 SOIL .1943 .1956 .194-t PROFILE a SLOPE% pEYI Ii STRUCTURE! CONSISTENCE) AA ETNESS/ SOIL SAPRO RESTR CLASS (IN.) TEXTURE MLNERALOGY COLOR DEPTH CLASS HORIZ &LTAR LS 0- it sc- t ct k vr, , 5gst , PS Zi-qv .L 6( wet F,ijt551 5 (I I(5 1/O-5`( $ L 5A1 , 1nt,nQ, 5bXP 5tL �j 4 3 . . . COMMENTS: i, Updated February 2014 Catawba County Environmental Health >fBPQ-oS -7,7t-WZno9 1-4 • ,1Nt •89•• .6:23 • (sere)) © 5ar j?r S Jq Parcel: 360704617378,8992'REEPSVILLE RD 1in=100ft VALE, 28168 This map/report product was prepared from the Catawba County,NC Goospatlel 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 end 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 hold 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 2021 Catawba County NC 11/15/2022