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Home My WebLink AboutIMPV-11-2022-184881.TIF rZ CATAWBA COUNTY Case II IMPV-11-2022-184881 -i.IN Public Health Department Subdivision It • 1!I Environmental Health Division PINN 460701095413 �\ y/� PO Box 389,25 Government Drive,Newton,NC 28658 LOIN 4 Sits Address: 6857 LOCKE DR, SHERRILLS FORD NC 28673 Naar on Permit. KEVIN LYNCH Property Size: Acres 1.350 Directions: NC 10, right onto Murrays Mill Rd,left onto Sherrill.Ford Rd, right onto Mount Pleasant Rd. right onto Locke Dr,propety on the left Owner/Authorized Representative Acknowledgement of Permit Receipt '" I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. lv+As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-09-2022-42301, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) (4`_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(ISA 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: 11/21/2022 6(C______ Owner/Authorized Representative Signature (�:— ___.._ _ Date "L (i1 _ / Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature --V— Date/Time 1)/i i/ 2 Method: Fax J 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 youPlease flake a few momentts tto complette our custtomer service survey art , http://www.surveymonkey.com/s/EHCusttomerService g/*lei% MO b fciscstn sei2e . Ai ,2„7a022 11 07 is r elrlCATAWBA COUNTY Case# IMPV-11-2022-184881 Public Health DepartmentNewton,NC 28658 Subdivision EnviPOBoxronmenta389,25lHealthGover Divisionnment PIN# 4607010954134Drive, LOT# Site Address: 6857 LOCKE DR,SHERRILLS FORD NC 28673 Name on Permit: KEVIN LYNCH Property Size: Acres 1.350 Directions: NC 10,right onto Murrays Mill Rd, left onto Sherrills Ford Rd, right onto Mount Pleasant Rd.right onto Locke Dr, propety on the 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 p.p.d Type of Facility: Primary Residence- New House Basement? Yes Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50% REDUCTION HORIZONTAL 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: 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 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. 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. a , (Ec1re &.k; i. 12/01/2022 Authorized State Agent Permit Issuance Date 12/1/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermi i 12/16/2(122 13:53 S h CS"- 7 O 1 A C. Z 7 ....L..� VI 'f'c 7 Vu 7 / / / �'t 2 N a a� -o st \ ecii, ki / , 4 li A 1 o -, /S Z 5, V - �k '1 il rg% 1 / 'D /, \t _ i- /1 ft 1 - _ - / CO n / p 1 T. Q /O / 11 i O DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet I of 2 DIVLSION OF ENVIRONMENTAL HEALTH PROPERTY ID#: U 6 p 1 r'1 su+3 .0N-SITE WASTEWATER SECTION COUNTY: 0`c+7,)."., SOIL/SITE EVALUATION for ON-Sill WASTEWATER SYSTEM OWNER: )- -eV i 0 LAI I)r h APPLICATION DATE cl I/11?t z A ADDRESS: />r?3 ic(VVr Ar. .Sorrr;111 1=n(4. NC; 2987? DATE EVALUATED: r+i1 1)702; PROPOSED FACILITY: Ntw I-1+4 1 r PROPOSED DESIGN FLOW(.1949): 3 0, Cl . PROPERTY SIZE: 1. 3 S' 9 c Y LOCATION OF SITE: (,-<Cl t t'c I'r Dr, L r+-GI, r'y+r✓ I'; i r, 'v(' ? r•,'-, ? PROPERTY RECORDED: 1 I CI P I) WATER SUPPLY: 0 Private d Public Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring B'Pit 0 Cut . TYPE OF WASTEWATER: (Sewage 0 Industrial Process Q lvExed ..................... 03HER :::: ::::::S E:E:E::... ZAN...... ::: ::::::::::19d1: ........::: :'.'.::::: ::_:::1441• • SOIL 1943 ......::196''...... .1944.......::: f:€ ::P.QS1Tz07!Il: €lIEP'i'IiSTRIIC�Uit£f::::::::......:GON51S'i'F`TifCFJ ..iI ET't�Dfi5f.. $OI�. :::S4p:B0::::: $tS:T#t:::: :::. .:. :.- :: SLAPL% i : .N :::::::...........''...:.T".R............... LASS::::: ---• E?�TLR&.-.....--... MIAERALDGY" ;;;:�.4..LOR;:::::::�DEP:TRs ..�1:ASS.... ::::HORIZ::::`. . ::::::: :::&:LTAR d- ( : ! wp1( r(!>f'.'ts�s/Se 1 (5 ,ils 5(,,/,.dy ' r, ., 1.•.... n d V ,• , ''.- ? I; ,.--/ , ..., ,,.1 wQ aL 'ScNS� raee (, 1I • o I . I , (O'• O 71- C 1/ VI�/�(' 1, Y,l !i; 1•G • t- 2 S r %, '.-.�,3 ,. Pi- ,ii, '. , ' foe i' / 1 1.l, '. b-;9 c ws�( r•+i Ic ,('r,'�, /g•:%6 C, wA./I,)" ri //{i/ J,.` � 1 ,/ Sri 3 S /4 ?, , 5�-SI- '- r� 1 -tc / c ( S1 3�L,__ v Wa+�,�� of��r1Sa 6 Ci CL wAe 1 rr ISSIc0c 1.0 C.1 t. w.:qt( r; /C jp/c ,fillotc!.la' ' . - 4 5 i 4 70 . , ) ; • ' DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available (.1945) S' S SITE CLASSIFICATION(.1948): _ r• System Typos) f 0 y„ ,l „1� EVALUATED BY: b 1 1 P /r' '� 1 u 1 90 OTHER(S)PRESENT: • . Site LIAR O., a . 1 COMMENTS: DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet of - DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: 1-1(/,1,-1 f:"i,"%I' ON-SITE WASTEWATER SECTION COUNTY: "'P'- SOIL/SITE EVALUATION for ON-SU'E WASTEWATER SYSTE\'l OWNER: of /fr471q,•; ,:•;'; APPLICATION DATE ADDRESS: ' DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SILL: LOCATION OF SITE: _ PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring 0 Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed -R ii ::::c:::-:::: :::::c:::' '' o ., iiiii::::::::::s::::::::: .... ............. : .O La11 R1' C( 7>OGY:.. O 1[t R ............................ ...............C;a941 PI OI`ILE-TACTORS i : : : SS.E;;:::::. A1A........::BOI1•....:::::::::: ::: ' ......:::':::: ::::::':: : ::......:::'::...:::::::: -.. 1.94Z....... ..................... ...........-......... ....:.... ....ScAPE...... AN , ::....: ::.: 194�:.:. :�:::141 : : :.;.SOIL-............. .:..::: _:::::::1956...... ; .19dd:::::::::':P.. E.I s.TF::t ::iEPQS� OWi iDEPTII STIW,CU.REi.:;.::::: .:::::COSISTEN.CEI .: .% ET1ESS1 $OIL:as :]!EStiPEO `. I ST ::.....` .R :d . ;iii`i iiiSLOPE%::::,....(N) .....-::: =:TEkt•URE AlY0LOGY :: . COLORi::::::DEPTH '::CLA EORZ':i:..`"&LIAR: 0 pc- o. c .. ',� r; �.Jf -. lo�,�fy _ s> l a o �. a- C C/, LA/; /1( I /(.fI r r ' S I i 1-1 • / r 4J • 0 •zz CL lx/t/( 11/, /', j' S 51 5'9eLti bZ C-),�;;' ltiAt'K r1 / , .j./: Ibi'F' (.4 (2 r c1.i . DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Atailabk Space(.1445) S SITE CLASSIFICATION(.1948): Syst�r Typ_(s) SO 9, frt).h�,,,y, D n EVALUATED BY: !%l r�P �J�r l tr,f r _ OTHER(S) PRESENT: - [Site LTAR 0, - 0. 1 COMMENTS: •Z,, ,......... .....3 \l z .".;. __.„.. ,,,, v .......) .11,,, 7:_) ... • Q . \--' -- V. 0 .t. \4 —SJ n • ..L kA z ... .... ..., . , -..., s‘ /. ) . ..,-- c, s, / / 7 \\ S'• ,. 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