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Home My WebLink AboutIMPV-08-2023-203830.TIF • Art CATAWBA COUNTY i 1r I t Public Health Department Subdivision ASTORIA latt , s' Environmental Health Division PIN# 471001259586 V./if PO Box 389.25 Government Drive,Newton,NC 28658 I.OT# 29 /IVSite Address: 1236 ASTORIA PKWY,CATAWBA NC 28609 Name on Permit: SHELLEY SIMON Property Size: Acres 0.88 Directions: Right onto Regal Blvd off of Hopewell Church Rd.Property is lot 59 on Astoria Pkwy across from Regal Blvd. 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. X S44 As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-10-2021-39054,by the following method(s): Received in Person T Facsimile Transmittal(Return form with signature required) ./ Electronic Image Transmittal/E-mail (Return receipt required) y ✓ 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:08/31/2023 Owner/Authorized Representative Signature ___ __ Date_ /' 0/411-' otOot.� Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by_ _ - (nwne of person sending permit) Signature E_ ____ii _ Date/Time q//)/'3 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 yoiPlease hake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService L4&colt, 6 arnCast wt f-f ehlxmni 08;31/2023 14:35 • CATAWBA COUNTY Case# IMPV-08-2023-203830 Public Health Department Subdivision ASTORIA • .�i_ Environmental Health Division PIN# 471001259586 PO Box 384.25 Government Drive,Newton,NC 28658 t.OT# 29 Site Address: 1236 ASTORIA PKWY, CATAWBA NC 28609 Name on Permit: SHELLEY SIMON Property Size: Acres 0.88 Directions: Right onto Regal Blvd off of Hopewell Church Rd. Property is lot 59 on Astoria Pkwy across from Regal Blvd. Improvement Permit 1 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 Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 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: 25%REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS Permit Conditions: SEE AC FOR 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' 11 SA 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 1/ (7) 08/31/2023 Authorized State Agent Permit Issuance Date 8/31/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated_for system and repair without approval of the Health Department. ehpennit 09/13i2023 13:29 Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot S: SOIL/SITE EVALUATION File I: for ON-SITE WASTEWATER SYSTEM App1D: RBPR-10-21-39054 Owner. Shelley Simon Applicant: Address: 1236 Astoria Parkway Catawba Dale Evaluated: 4/282022 Proposed Facility: 3-BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt wen [ I Spring [ ]otter Evaluation Method: pits by Bart Abernethy [ J Cut Type of Wastewater: X Sewage [ J InduiGaal Process [ J Nixed b . R.�n 4~!�lYti • .v�.%cy�ti+r••� • r -ri�+t��i+�_•' ...'��.�, ., ..��.�• r'•i�.x'��. tr,.'g61.s�w�,`.-",fir -..�.;it.. .�:.�i;'}'R.a.j ':`t+..r'��= . ' • pal;MORPHOLOGY .. • " . . b. . • .w . F •. "r.e , �•r i1 i .1949 �. ,�.. • .. _. .. Y . • '� `PROFILE•FACTOfiS' • •' :•' ,."'• `~H 1944,.Mr u�-.�.� 1r��r� . . .:h...r .1 -. i1 B� ..:1 •.• .'.4 Depth • Structure!._. Cattalrteh e. WAtftssil- .Sb1 • -..Sip[o ,Row. _... :Sams.. Slope% . . (lN.)_ Texture,. ...MP.*t.00 _ • .. . :;.,,.,tea.. (I14,,_qs 1 LL 5% 0-4"A SUGR NS NP NEXP VFR 4-16"B C/ABK SS SP SEXP FR 16-60" CUw SBK SS SP SEXP FR 60' PS.3 2 LL 5% 0-2"A SUGR NS NP NEXP VFR 2-18"B C!w SBK SS SP SEXP FR 60" few sap PS.3 18-52"B CU w SBK SS SP SEXP FR inc 52-60" • 52-60•'BC CL+sap SS SP SEXP FR 3 LL 5% 0-6"A SUGR NS NP NEXP VFR 6-22"B Cl w SBK SS SP SEXP FR 1 22-60"B CU w SBK SS SP SEXP FR 60" PS.3 4 LL5% 0-8"A SUGR NSNPNEXPVFR 8-24"B Cl w ABK SS SP SEXP FR 24-60"B CU wSBK SS SP SEXP FR 60" PS.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) Ill G 25%red III E 50%reduction Others Present: Site LTAR .3 .3 Site Classification(.1948): P$ Site Evaluation By: Others Present: