HomeMy WebLinkAboutIMPV-04-2023-192892.TIF �yia CATAWBA COUNTY Case# IMPV-04-2023-192892
U,-J,Z Public Health Department Subdivision CAROLINA CENTERS LLC
Q Environmental Health Division PIN# 461801193017
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/84 w
Site Address: 8178 ISLAND POINT RD, SHERRILLS FORD NC 28673
Name on Permit: CANESIAN THEORY HOLDINGS LLC
Property Size: Acres 64.04
Directions: Sherrills Ford Rd, right Island Point Rd,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 1,004 g p d
Type of Facility: Food Service- 100 meals per day, 15 Bar stools, 6 employees, and retail-450sgft.
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Private Well Maximum Occupants:
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION PRODUCT, NO REDUCTION GIVEN
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION PRODUCT,NO REDUCTION GIVEN
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
Permit Conditions: The well supplying the food service facility must be brought into compliance with 15NCAC 18
A.1722 before the AC will be issued.
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'Taws and
Rules for Sewaxe 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 Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
/ /- 4e.,e_____
04/03/2023
Authorized State Agent Permit Issuance Dam.:
4/3/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
04/I2/2023 09:48
Ci3i) - 1).-,20),„2.- 1/G2cia
WELL 1OLtr v _ 1
Pwctl ID: M1 601 09 1 26 5
MCCONNELL JAM ES OT15
MCCaF6F.Ll LACY uLSCM
Oa- 2579 PG 1'79J
I
IIII
)11
i
I
1
rvr etaa:+9 t A.
10
1 A
iI4', 1 Pettc41 ID• o16n119.7017
C.WE41AM MEOPY 140tD1465 tu.0
ISM 4364 PG 604 •
us
N.
I.f ot eMetad L %F.Ms%
// \
Porch ii): 46060'2976991 I / /// \\
aDEUMSOM kCw,1R6 LEIMS �/
R06'.N]C14 1707911E LEd ,
Ott 3)75 PG: 26 ; \
i
S r
I I I
P..„m 4613019161W
j Ll1.15CX JAMES M I Paste O. 461601076346 I
C LU.SOk 5A!�RA J I Ca".£JAM MEOW,11£YGRtGS 1I.0
? 06 V2,PG 1462 Oa .1476 PC AO
1
I
ft
I I I
1
1 a 1 r
f t
f
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet
o
DIVISION OF PUBLIC IIEAL'I'H,ENVIRONMENTAL HEALTH SECTION -- —_
PROPERTY ID x:
ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba_
SOIL/SIT.E EVALUATION _
for ON-SITE WASTEWATER SYSTEM
4J) <
(Complete all fields in full)
OWNER: dlPxsp�l _ jy, �t' (La4e�?)yY (�:.1,e., APPLICATION DATE
ADDRESS: — -- _—_ _ �— DATE EVALUATED:
PROPOSED FACILITY: PROPOSED DESIGN _— DATE
FLOW(.1949):__ PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED: —
SUPPLY: 0 Private 0 Public lI Well D Spring n Other----------
WATER
EVALUATION METHOD: 0 Auger Boring U Pit 0 Cut TYPE OF WASTEWATER i:3 Sewage 0 Industrial Process U Mixed
•
y K
`4 a'. i "f .e3L y �£s ...t, '. 9 ; { £ S�''^yy 5. yY f F FCSi. r1 f of 2'f ::.?�� Sf '°° xr ,�
'T '� #9 .: P t { i. , a> 5; 3" ; jE, '1 s'xw „- a,.f Y wy
} ✓gy �f 3 5 f rr!. yc, £$t :, tO SI 6 '.Itw ')f� f "l.. • g '� y ,i ,
A+/ tyi'Sfr :,tW y1. ;, ':: -:$0 4`J. �. t 5
�IY 9'qe��'` e z ti t(,
�: 49r r. fi h .., , x�', ;� `i 1) f .4 f fro �t 1 '.FACT 'I - , to 5`
f l E
#Y � ,.'1; �. 'iIt yes r
.);;,,,,;,,,.:,,„„,•,„.;
.,,,,
.,. ,:.,,,,,„,,,,,.„. -• ,:
...,• '-:k :
•sL�! f (J!L's_ tx K.i c., 4, z `'<:; a idy'.f E.ili : -L.
..e
iRU 'a 4
: r,..
6-21 _(/- ` 6/
i *_()
/1/1 6 r 1422,K`fir c_.5x7 Lii
1 /,,.3-''
N.5
} ---
.4
21 RI •
I
Ly, .
. ,,,p21/4....5-
I X- L-i(
(e _ *,i
_ — lid
L,
, 7 -31 C:5,0 fr,&5:1, r-Oi
• 3-56 ,hp_,L14)( AT (--, -4-- 1,2.5
q"
cy-L _&—,,,,.,:5_46,4,1_____ :::,._. ,.. Z,..2-- ,fr.?5-*
46' .i
I J
DESCRIPTION
Available Space(1945) 6INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):_ �_—
- i-/ SITE CLASSIFICATION(.194g :._-+ — — -.—._.--___ _
VALUATED BY: I
_ _.—.._..V / _..System Type(s) I f`''— _._—.-----_---
U'I'IiER(S)PRESS _ _ _._._._._._ _._._. _-___ —_ .
Site LIAR t l 425. t -I 2 f
—
COMMENI'S:
Updated February 2014 �
• •
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_,.._-of. .._..
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY: Ca*awba_
SOIL/SITE EVALUATION -
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER:
ADDRESS:_ ___ �� ?3
_ r _-- C..L 6 h `- der- )--- APPLICATION DATE
+ DATE EVALUATED:
PROPOSED FACILITY: r a s` f,PR p POS D D I LO (.1949): __ PROPERTY SIZE:_ 7�
LOCATION OF SITE: 'LS ,„er � V� jr�� PROPERTY RECORDED: —� '
WATER SUPPLY: 0 Private 0 Public (.Nell Li Spring Other _ _ _
EVALUATION METHOD: 0 Au:er Boring limit ❑Cut TYPE OF WASTEWATER: 1 ewage 0 Industrial Process 0 Mixed
' ' � * ds y• 5 } i'1 *, 'r s A '4 r k z y fib.r si �
�. 'c� ,kY .q G,y, > ry
L
,s .11 a% 4' a% .'$ i 'say 's . a ' e�, -e a
} ¢ s w t.p } i 'y 5' } Y%r t �.A fad-�� - j
F P s t.}' 15 I
�z� `3 i 3 zi s:.. �; ) ;i. r< 4�� �. '� �� £ iY� e� N�g{i(�3 -� 2
. 4-, 4 S'CRlUt7totie`t C'4 s 1 tr '.'`SAIL SAI RO z s i ]ti*At' . s
(G... .L �S �LSD` .•.�
S y)■,..,..5 S
r `r '/j #� a -� _` -
in ..
2 110.7 a ! 0-G AD T-i- ,,, I
MIS SN
—
—
L
O!9 ., t j\
/ LI~JV C 5
.0,-(9.6 C c5-i +/- 'lz( (.2:5
5 4 �J ij�/C 4 v a .. r56 I
OiL
A � _, , )5
- a1,. . 'lc/. sE
i
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):(.194_ -._.._.-_._—_-.,._._.-..
Available Space(.{945) SITE CLASSIFICATION 8):__.__ _---
System Type(s) EVALUATED BY:_ _.__.._.._.--_.--- --
OTHER(S)PRESENT:_.._..._.-...--_____---. _______ __________
Site Site LIAR
COMMENTS:__
Updated February 2014
' .
'•?, • •
..', • .
Catawba County Environmental Health
* .N.4 1 : ,. : . •
1B
9,911(_
.... , , L
Z--:3 0- c---,-.-
:. ,,,, :.,...,;
1 I
;‘, a.6.,5-44 jr,_ 1 -5•6..( ,
- -
•
i
Iii911
-e'
- ' ci, •Al c-c':--"'1 -
1"
1 1 i. _-,..,,• e 1.... ,,, -
.c5,15e-
....... 1\ ‘
„.... no \\ 1
•
0 D \
6 i_. :5.. • , -
l• C' 6 I X\
.5P---- r
X iiiiiair;To . •4.;
•
\\ . ..•
. .
. .....6•94A
,..: .
1 '. ae.T ' . lirld,fe-:- ('•:1-- 1
. i \\ . 1 1 ' •il;
t 1
‹..4 K.
.../ . . .
r\i. 1 1 ' --.'" it,: 1 ri ._.1••-, - Le,
. .....,c...,„0 p '
..........e...„.„ 4 \it
1
A 76 -1-144' 6
44 i
1 :;....t
1
I 1 ii--• /-- r-, ,,, 117 I
......:.' .
.. , Oil.
. _r-4.c--
, ‘1
.. .. .
.. , .! .
yzi •
I 1 1 _V-14 7 f; i'l
; •
: .,,• .
...., \., ,4.,, vs) \
•
. e4 ' •?__••• 51 c
,,,,..,.. . . .
. 113 : 4---........... - ",,, ,,
...„, „... ,..• t
.,..) :.. A , 0 .,,,........v.,,,„..,..: ,...
,..,., ... ‘•,6 1111
4 - 0 • -
0 ..
... -.,..,..1 c...„. sat '. i , •
:1 ...... ctt ..., ...
••,' "--1. k
t. z:.:•.(v.!...-.,- .. t-, CI - . 6.,,, -; •',';:,e,'
•
. :.' ''..cl,:172.i; 1 'A. .,,.-..„...... •• . ,
. •
,.% •
... .•
fo,,,,,-A .:„.„.:4,-,... • .4.; :.
••,-. s:40.- • ''.x ,.: ,.
.•
. ,
. .,.,..,..Vti, •''>•- ••••
•
ve,1 • k \
;.: ..:,.:,..
• _ .. , •
Parcel: 461801193017, 8178 ISLAND POINT RD -e—' 5, 1=600ft
al, (7.,.. --i C.:SHERRILLS FORD, 28673
..,, ,.::::,:gk...
(7' (7(,/i c--- -/ i ly
.;2
1/e, ....
This map/report product was prepared from the Catawba County,NC Geospatlal Information$eqIces. 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 shill 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. .- /7 ---A Ceig Li--
2021 Catawba County NC
; L p (';-r () 1CP T 6 5 12/02/2022
1,.._ ). -7-- V/C Copyright V i f ---/‘.5(----•
71-e, it2-,--1
.,,• I
......___, ,