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Home My WebLink AboutIMPV-3-11-16002.TIF , • CATAWBA COUNTY Case# IMPV -3 -11 -16002 I ? G Public Health Department H H Environmental Health Division 1 0 7 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 842 /M P1N# 362720910903 Applicant/Owner George Henry Smith Jr Site Address: 6456 STARTOWN RD, Maiden, NC Property Size: SF 12.56 ACRES Directions: Hwy 10 / Left on Startown / 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR -3 -11 -9664 , 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 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: 03/14/2011 Owner /Authorized Representative Signature Date Documentation of Permit(s) Transmittal (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 acknowledges the conditions and statements above. 03/14/11 08:54 (v'A CATAWBA COUNTY Case # IMPV -3 -11 -16002 G Public Health Department MK f Environmental Health Division Subdivision L) PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # t8 sM PIN# 362720910903 Applicant/Owner George Henry Smith Jr Site Address: 6456 STARTOWN RD, Maiden, NC Property Size: SF 12.56 ACRES Directions: Hwy 10 / Left on Startown / property on left Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Facility: Primary Residence Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X_ No Expiration: Projected Daily Flow 240 9•P.d Proposed Wastewater System: Type: IIA - CONV SYSTEM (SINGLE- FAMILY OR 480 GPD OR LESS) Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS 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 Jason Boyd 03/14/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/12/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/22/11 14:53 �gA Permit # EHPR -3 -11 -9664 • C ATAWBA COUNTY Q' Name George Henry Smith Jr. Min '2- Public Health Department as Environmental Health Division Address 6456 Startown Road Maiden NC U 'a‘` PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 362720910903 842 sM (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200 Site Plan Improvement Permit so\ c_4 fir,, - P2\ I° -sow'- Y pr.bil \ l',4 / X A if P c 14- n 3 c7' P .{-., rt kp‹ I . rn 54 L✓2 An �n I'TrsM 1 0rDP'. 7 ((, J 5 ipr) Iv, koM..__ /1 ` 1 1 Q. �.-) J a t c IQ_ 7. Pc. ". 4 �Y I ` 1,..) 1 2q , *4 + 1.-,.‘ r V2e.4 I r\ 1 1 Z � C)9 1 1 Cr r „fort 1 S +(. I. ■ _ , I 0P rq_pes,1 -, . -P -x is . n n a is R (i,e.. 1 0 ) 1. Per'' ..c y,, ...„..._ T *. ,_, ' tillp r rcpt . D. F. , I s o . 7,2La. ��p <<p 4 ,-< a 1 d I 7 «D LA rc, Q- 4 3 c..., 'rr...sL 0 1 V S4- r ow -, k o� a Scale 11 1 S Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On -site Wastewater Section Lot #: SOIL/SITE EVALUATION File #: for ON -SITE WASTEWATER SYSTEM AppID: EHPR 3 -11 9664 Owner: George Henry Smith Jr. Applicant: Address: 6456 Startown Rd Maiden NC Date Evaluated: 3/9/2011 Proposed Facility: 2 BR Home Design Flow (.1949) 240 qpd Property Size: 12.56 acres Location of Site: Property Recorded: Water Supply: Private well behind home [ ] Spring [ ] Other Evaluation Method: Auger Boring Pit [ ] Cut Type of Wastewater: X Sewage [ ] Industrial Process [ ] Mixed P v R o SOIL MORPHOLOGY b F .1941 PROFILE FACTORS I .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR 1 LL4% 0 -34" SC SS,SP,SEXP, FR .3 PS 34" + rock Description Initial System Repair System Other Factors (.1946): Available Space (.1945) ps Soil Evaluation By: Jason Boyd System Type(s) IIIG Others Present: Meoen McBride Site LTAR .3 Site Classification (.1948): PS Site Evaluation By: Jason Boyd Others Present: