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Home My WebLink AboutRBPR-08-2012-16077.TIF~ _ CA`I'AWt3_~1 COUNTY ' 0""~~~° ' Cxse # WLS2007-00413 /~~ 3 s\ Ribl'icH~dth'Deplrtrnent /~% Enviminnental Hc~dth Division Sti)1dIV15101] ,`. \J\' ~ / PO Box 389, l0U-A SoutLwest Blvd, Newton, NC 28658 SeCtBUPI]/L,ot # 56 ~~,q ~ : ~~ (8281465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 462802568108 Applicant/Owner: STEVEN QUATE Site Address: 2697 WESTVIEW DR SHERRILLS FORD NC Property Size: SF .47 ACRES Directions: SHERRILLS FORD TO ISLAND POINT/ LFT ON RIVIERA DR/ RT ON WETVIEW/ LOT # 56 ON RT Catawba County Health Department Operation Permit ~. 3 ~,~, t{a'~ sT ~ G~n k p.c3oX Wp~ (boo R~r ~ ~" 5~($- ~rcw p ~ Iba7 ~'f 27~~ _ Z2' System Code ._.. ~~ System Type: _ Description:~Yl~tll~ ~f ~r, - Di~(i~Z1^4~fiypes V and VI systems expire in 5 years. (In accordance with Table Va) Owner must conta-~alth department 6 months prior to exiration for permit renewal. PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule. 1961. III. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes Nq If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions oft Improv ment Permit and Construction Authorization. ~ 2 l ( ~~ Syste Inst n a ion a e onz a e ge ' ~~ Date of O rati n ermit Issurance Form F r:\Tid emark\FannsVWLSavu. rut j e r~~:r. \ ~.f~ I„R. W Iit~ C~ UN I ~r / r~~ `33 -'"•i\ Pabltc'~e:.~ih iJep~inment tf~ Case # WLS2007-00413 < Y ~ ~` ~ }.:itviromnen[al Health Division ~ SL1bd1V1S10I] ' ~Ki prl Bos 389, 100-A Southwest Blvd, Newton, NC 28658 ~' SeCtBIJPh/Lot # j6 \J ~~,,~: i~ (828) 46~-8270 [''AX (828) d6~-8276 TDD (828) 46~-8200 I~m# 462802568108 Applicant/Owner STEVEN QUATE Site Address: 2697 WESTVIEW DR SHERRILLS FORD NC D~~ Property Size: SF 47 ACRES Directions: SHERRILLS FORD TO ISLAND POINT/ LFT ON RIVIERA DR/ RT ON WETVIEW/ LOT # 56 ON RT Improvement Permit Permit Valid For: Five years ~ No Expiration Facility (Residential): House Projected Daily Flow Basement: N House X Mobile Home Multi-Family Bedrooms ~ New? ~g.p.d Water SupplyPrivate Well? ~ Public? Semi-Public? Basement Plumbing: N _ HotTnb/Spa: N Special Fixhires (explain): Proposed Wastewater System: Proposed Repair: _ Permit Conditions: Type: ~~' 3~ Owner or Legal Representative Sign Authorized State Agent: ~C~~~-';e Addition? Date: Date: y ? The issuance of this pet7nit by the Health Department does not guarantee the issuance of other permits. IC is the responsibility of the applicant/property owner to insure that all Catawba County PlanninJZoning and Building Inspections requirements are met. This Improvement Pernut is subject to revocation it' the site plan, plat or the intended use changes, ur if site conditions are altered. The Improvement Pernut is not affected by a change in ownership of the propertyy. 'this Pernut was issued in compliance with the provisions of the North Carolina 'L.riws and Rules for .Sewage Treatment mzd Disposal Systems' (1~A NCAC 18x1 .7900). Neither Cata~~'ba County nor the Environmental health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) * See site plan azzd additr~on.al attczc•ltzrzents (' Proposed Wastewater System: (pr,~-~~~ New Repair Expansion Type of Facility: ~'~ Basement: N Basement Phimbinc: N HotTub/Spa: N Special Fixtures (explain): Wastewater System Requirements Tank Size: Septic Tank ~~ gal Pump Tank gal Grease Trap gal Drainfield: Total Area: ~ sq ft Total Length: ~~ ft Maximum Trench Depth .~~ in o~, Trench Width .3 ft Minimum Soil Cover __~ Minimum Trench Seperation / ft Distribution: Distribution Box ~ SerialnDistribution Pressure Manifold LPP Other Additional Specifications: Authorized State Agent: Permit Expiration Date: y~ y ~ i Z--- 1 have read and accept th.e speci.~icatiozzs azid all c zdrtiozis of this permit as in.rli~cnted. < 9 Owner or Legal Representative Sign re: Date: (y~~ Form B Type: 3 ~ Wastewater Flow 3 (,d g.p.d Soil LTAR: . g.p.d./ft2 Date: ~~~'- 7 fit/ r: \T i d en t o rk\ Fo n ~ s\tLVLC a n v. rv t aP ~,,.~ cA'rawi3.n couN~rY / ~ `~•>_A 1'trhlic Health Depeirtrnent Case # WLS2007-00413 4 ~~"~ Enviromnental He<dth Division Subdlv[slOn ,`. / / PO Box 389. 100-A Soutlrwee[ Blvd, Newton, NC 28658 Sect/BUPl]/L,ot # 5~ ~~-~ ~ (828) 46~-8270 PAX (828) 465-8276 TDD (828) 46~-8200 PIN# ~-=' ~ 46280ti68108 Applicant /Owner: STEVEN QUATE Site Address: 2697 WESTVIEW DR SHERRILLS FORD NC Property size: SF .47 ACRES Directions: SHERRILLS FORD TO ISLAND POINT/ LFT ON RIVIERA DR/ RT ON WETVIEW/ LOT # 56 ON RT WELL PERMIT Proposed lJse: Private ~ Public Semi-Public Other GROUTING DEPTH: MINIMUM 20 FEET SL1'13ACKS: I. BIJILDNG FOUNDATIONS 25 FI'. 5. UNDERGROUND STORAGE TANKS 100 FT. 2. EX1S"PING & PROPOSED SEPTIC SY57•EMS -MIN. 50 FT. 6. STREAMSBROOKS/C12EEKS 50 FT. 3. EXIS'T'ING & PROPOSED SEPTIC REPAIR AREA -MIN. 50 FT. 7. LAKES/PONDS RESERVOIRS SO Ft. 4. SEWAGE PUMP SUPPLY LINE 50 FT. ALL OTHER POSSIBLE SOURCES OP' GROUND WATER CONTAMINATION 100 TT. 7•he well driller nnut verify all sepearations are adhered to before drilling the well. If the well driller is unable to n'raintain any of the ahove separations, contact the Healt}r DeparVnent a[ (828) 465-8270 before drilling the well. SEE SITE PLAN FOR PERMITTED WELL LOCATION ~~~ "7 Permit Issuance llate: WTL.I_ INSPECTION: DATE: ~ ~ ~~ 7 DATE: S ~~" ~ DATE: .~~ /~'~1 DATE: DATE: U IMTIALS: ~P~~ INITIALS: ~ INITIALS: _ INITIALS: _ IMTIALS: _~ GROUTED DEPTH: 20' r APPROVED CASING: PVC CASING HEIGHT 12" ABOVE LAND SURFACE'S WELL COMPLETION REPORT RECET}/ED WELL HAD APPROVED I/ it Well Driller S ~~" 7 Date Drilled Well permits are valid for 5 years from the date of issuance and are subject to suspension and/or revocation fro non-compliance with appropriate state and local rules and regulations, or if false information was given in order to obtain a permit. Wells shall. be construAc,•ted in accordal e with all state and local regulations and rules. The Well Completion Report must be submitted to the Health Depart~le~t within 30~ays upon completion of a well. Y ~ '~ Auth -~ ed State Agent Final pproval Date Form D r r \T i d em rr r k\ Fo n n s~f l VL1' n v u. ro ~ ,~ ~ `~ . CA`I'AW13:1 COUNTY ~'~ r_A Public I-leadth iJeparunent ~~~~ ~ Environmental 1-health Division PO BaK 389, 100-A Sout}nvest Blvd, Newton, NC 28658 ~~~~ /~- vM,,, i (828) 465-8270 FA.`C (828) 465-8276 TDD (828) 465-5200 Case # Subdivision Sect/BL/PU/Lot # PIN# WLS2007-00413 462802568108 56 Applicant/Owner STEVEN QUATE Site Address: 2697 WESTVIEW DR SHERRILLS FORD NC Property S SF 47 ACRES Directions: SHERRILLS FORD TO ISLAND POINT/ LFT ON RIVIERA DR/ RT ON WETVIEW/ LOT # 56 ON RT ® Improvement Permit ® Authorization '1'o Construct SITE PLAN Well Permit r+<,s -c ~y J , k ~~ `R~P~- ~3 ~ 1- ~c Scale ~~ V~ System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. Aw>Ehorized ate Agent " Date Form C r: \T i d enm rk~Fo n n sV N~LSn uv. r~ t . ~ .~ , . DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DMSION OF ENVIRONMENTAL HEALTH ON-SITE WASTEWATER SECTION w~s~mD.6 Qa80(o Sheet _ of PROPERTY ID #• COUNTY SOIL/SITE EVALUATION ,for t~N-SI~'E '~'AS'I'E~ATE~ S~'STE+.1VI OWNER. I~~.,r3 A- Nn 2 rrr~-J APPLICATION ADDRESS: .D G 9 7 ~fr~s"?"vi L~J n~;t~~ SSc ~~ ~ N, C PROPOSED FACII.ITY _Ifa4 s-~ PROPOSED DESIGN FLOW (194! LOCATION OF SITE, cL:-rsr ~o _ GG cvA cS~ira, i4~,~i~,ay ~ WATER SUPPLY ®Private 0 Public 0 Well ~ Spring ~ Other EVALUATION METHOD• ~ Auger Boring ®Pit ~ Cut TYPE OF WASTEWATER. ~ Sewave n i,,,t„~+,;~t n..,.,.e.... Il ~ ~__ _ .z 1 a:ll ~~ Y'~ t.~/ PROPERTY SIZE. -LS.~~~ Ao2_c~ PROPERTY RECORDED•