Loading...
HomeMy WebLinkAboutIMPV-04-2023-193756.TIF cEnvi� CATAWBA COUNTY• _ .t.IR• Public Health Department Subdivision �1 , ronmental Health Division PIN# 364917028135 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 1140 SMYRE FARM RD, NEWTON NC 28658 Name on Permit: ALEXANDER SIGMON Property Size: Acres 5.9 Directions: From 321 left on Smyre farm @ DMV property on 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. XAs the property owner or authorized representative,I have received the above referenced 1pere'r"``mit(s)as requested in the application for service RBPR-12-2021-39506,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) - As the property owner or authorized representative I have reviewed and understand the specific conditions 1 o 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: 04/17/2023 Owner/Authorized Representative Signature ----, Date(O(I 12'3 Documentation of Permit(s)TransmittaI (permit transmitted by electronic or other means) Permit transmitted by _ (name of person sending permit) Signature Date/Time Method: 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 yoLPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 513 ° 113 :Lr..ni•a 05/15/2023 15:29 �� CATAWBA COUNTY Case# IMPV-04-2023-193756 ti 111,y Public Health Department Subdivision • 71 ' Environmental Health Division PIN# 364917028135 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# /8 Site Address: 1140 SMYRE FARM RD, NEWTON NC 28658 Name on Permit: ALEXANDER SIGMON Property Size: Acres 5.9 Directions: From 321 left on Smyre farm©DMV property 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 480 g.p.d Type of Facility: Primary Residence Basement? NO Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS 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 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. 31i6te 1117e6 05/15/2023 Authorized State Agent Permit Issuance Date 5/15/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 05/31/2023 10:28 Catawba County Environmental Health 0 CD 1E7 le lt .3 `t 5°\4 ..-ram R.44�-\1/1A �3� 15 -45\a 14 - �1.4',\R' � ,�13' 143�5� _ 8- 1l N t % D r �� to -1- Q 450 3 W� 5a f C N 1# PofCh Is, .. P(p S/B� Lta � � a1/1J7 0 St) s z Noust 'if ;, �a 11 1. 2Y \o4 t■ ,'• �.5. p. •1 • i :J \\.7 q' q a —IS b k $ 1. •1068 ' 614 N1 1. SMYRE FA RD Ili ib 111.1n �p C ,4,2 .�_:. o C.1\ 2126 MI A 5O to -1... TrE±71773111 •2128 1 •1105 �1.7- 1 �11I9•T;29 7� _( r— ■) Parcel: 364917028135, 1140 SMYRE FARM RD 1 in=100ft NEWTON, 28658 This map/r•port product was prepared from the Catawba County NC Gewpatlal Information Services. Catawba County has made substanbal efforts to ensure the accuracy of location end Iab&Ing Information contained on this map or data on this report.Catawba County promotes and recommends the Independent verKicatlon of any data contained on this map/report product by tho user.The County of Catawba,Its employees.agents.end personnel,dlsdann,end shall not be held liable for any end all damages,loss or liability,whether direct,Indirect or consequential which apses or may arise from thn meplreport product or the use thereof by any parson or entity. Copyright 2023 Catawba County NC 04/14/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES JON.. DIVISION OF PUBLIC HEALTH.ENVIRONMENTAL HEALTH SECTION PROPERTY m 4.tilliftli- S0rUSITE ON-SITEiOITE WATER PROTBCTN BRANCH COUNTY"EVALUATION far ON-SITE WASTEWATER SYSTEM tcaapiar v rides I.iI) OWNER: AJ,X 4 Si' _ APPLICATION DATE-j 21 ADDRESS:/ 0 �ij r iftLe lin I114� DATE EVALUATED: Z 1Q LE PROPOSED FACILTIY:X«,r !l_ PROP2SED DESIGN FLOW(.1949):War D 6 SIZE: S/P PROPERTY . t I�4f LOCATION OF STIE: !J f� n allot /, /►/2P ', AleWa PROPERTY RECORDED: WATER SUPPLY: 9')'rivlte CfPubbc i3'EIrdI 0 Spring 0 Other EVA+ATION METHOD: 0 Aug Writ t 0 R: II-Sewage TYPE OF WASTEWATER 0 Industrial Process 0 Mixed P o SOIL MORPHOLOGY OTHER 0 ✓ (.1941) PROFILE FACTORS I .1940 g LANDscAn HORIZON - POSITION/ DEPTH .1942 PROFILE • SLOPE% (Ia) .1941 .1941 SOIL .1943 .195E .1944 CLASS STRUCTVRFJ CO:NSISTENCFJ WETNESS/ SOIL SAPRO RESTR 4 LTAR TEXTURE MNNERALOGY COLOR DEPTH CLASS L HORIZ t5 , o-iy c ithsr 1,,‹,. /spy Ps iii-is' a Le 16* 6.,ss ft 'a w 1 3y-53 _CC it , f,y,f 05°10 D. 2-45 . 0-Alc At .6-, s,se, 1)5 U /6- by CL !k 1► Fr0 s, 51. 0. zq-5 Li °-I , ` 4iK gi i sg ff 1 0- y8" ,U, 8c SA ,FrissiSri u 3 lia-Go , 5M 5.� ,�Frfns,np, ,- r Yg $1 L Sol, p 275 L 5 0-lb , C ASK Frs,sf,S:_, QS At -3(/ cc, isc sat F ss,s4,JE • • .(...- 4 3V-Go fAP S(. v44,nvin/, ' . 3y 51 519 _ O. 75 DESCRIPTION RIITIAL 6YST[I+' ! RIIPAIR SYSTEM OTHER FACTORS(.I 46): es. �� , SITS CLASSIFICATION(.I9411): PS Aradsble Soma(.1945) 4 BVALUATED BY: C1�CV 1ArtoiL Me iin Syrian'Pods)) t,S 1O red ZS% fed OTHER(S)PRESENT: V . Site LTAR O.14j 0•Z 35 . CO% NTS: Mill L 3.iF.7,•"LAVA0Ploin Ali..-r.Jv Ir.'.waara/S i s&C• pirr oilfield a!AV DEPARTMENT OP HEALTH AND HUMAN SERVICES PROPERTY ID N: / _ zr s DIVISION OF PUBLIC HEALTH DATE OF EVALUATION:ZJIOIZL_„_, ENVIRONMENTAL HEALTH SECTION COUNTY: kL' ON-SITE WATER PROTECTION BRANCH f • • • ♦ o SOIL MORPHOLOGY OTHER ► (.1941) PROFILE FACTORS .1940 L LANDSCAPE L IfORIZ .1942 POSITION/ ON .1%1 .1941 SOIL ,1 .19% .1944 ►ROME • SLOPE% DEPTH STRUCTURFJ CONSISTENCE/ WETNESS/ SOIL SAPRO REtiTR CLASS (IN.) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR . 0- 9 C lik A $ f ef s 9 Lk el ec vim'_fry iii.s �✓O (jd w s,'(, to-ss S¢P RI- , Lift',ill,ny sq 0.Z35 0-10 C Mt 'LFr S/S�` S°f S rv-35 CL 6C W�}IgK_-Frf ss,5�1 SExr ►, PS (D 35-50 S,}Q Si L v1,4 a5�all styr 35 $ • • - - . I , ,I ( I + I • ,I A. V. 11 1 COMMENTS: ♦ Catawba County Environmental Health CI .. \\,.................„,..........„.........„,g...n...,z, .. -.Wob tv- Oy- 1023- 03351,9 SS [ Sy , ri ❑ ; e. �q'+� �p,�P9 yu6R v1 g?I VII :w 94ss 10.1! to MI iz' Pr �+ .it40 t� Q iike 814 00,9 1 ili Si `.., so - it vt tie11 • rIP" tjin \ s n." ED' Parcel: 384917028135, 1140 SMYRE FARM RD 1ln=100ft NEWTON, 28658 TN@ mspfrepo i product was prev«te limn th.Ca+.ww County.NO t Intranstlort Senecas. C.bwbs County Pes made substantial.flab to ensure the accarray of too-Alan end labsins orm tIon oonf.4»0 on this map or daison hiss report.Ca1wbs County promotes and recommends V.independent verlbatbn deity date aonW on fhb sn p fipgd product by the usor.Tho County of Catawba,is.mploy.as.1140nb,end personnel,disdain,and WW1 not be hid Mbis br any and al dsensees of,llotss or rebYN whe ther ether drool, d or w Indtr. oonsuenll l which rises or may .rise Isom I s rrhnDheport product or• use UlMeof by 2021 Catawba County NC