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Home My WebLink AboutEHPR-12-2013-18283 (2).TIF CATAWBA COUNTY Case # OP-12-09-3115 G Public Health Department Subdivision Environmental Health Division d ~M PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 PIN# 362601295680 1 w Applicant/Owner RICHARD C BORG Site Address: 4250 HERTER RD RD, LINCOLNTON, NC Property Size: SF ACRES Directions: Catawba County Health Department Operation Permit System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS (In accordance with Table Va) Description: Q Types V and VI systems expire in 5 years. Owner must contact health department 6 months prior to exiration for permit renewal. PERMIT CONDITIONS: 1. All maintenance, monitoring, and performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961 2. Operation & Maintenance Specifics: Subsurface system operator required? Yes No_X_ If yes, see attached sheet for additional operation conditions, maintenance and reporting. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization. Willis Septic Tank #1189 12/04/2009 SYSTEM INSTALLER INSTALLATION DATE Luke Sears 12/04/2009 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F 02/10/10 12:53 - 74+C ;1.r"k""r Q -4 p O 5 . l \-Aov 5e ~~3A CATAWBA COUNTY Case # WLS2008-01 137 Public-Health hepatunent Z Environnirmal Health Division Subdivision t PO Box 389, 100-A Southwest Blvd. Newton. NC 28658 Sect/BL/Ph/Lot # 184~W (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 P1N# 362601295680 Applicant/Owner RICHARD C BORG Site Address: 4250 HERTER RD LINCOLNTON NC Property Size: SF 27.16 ACRES Directions: FROM 321 BUS TO HWY 10/ TURN RT AND GO TO LT ON STARTOWN RD/ RT ON BLACKBURN BRIDGE RD/LT ON HERTER RD/ APROX 3//4 MILE ON LT WELL PERMIT Proposed Use: Private Public Semi-Public Other GROUTING DEPTH: MINIMUM 20 FEET SETBACKS: 1. BUILDNG FOUNDATIONS 25 FT. 5. UNDERGROUND STORAGE TANKS 100 FT. 2. EXISTING & PROPOSED SEPTIC SYSTEMS - MIN. 50 FT. 6. STREAMS/BROOKS/CREEKS 50 FT. 3. EXISTING & PROPOSED SEPTIC REPAIR AREA - MIN. 50 FT. 7. LAKES/PONDS RESERVOIRS 50 FT. 4. SEWAGE PUMP SUPPLY LINE 50 FT. ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT. The well driller must verify all sepearations are adhered to before drilling the well. If the well driller is unable to maintain any of the above separations. contact the Health Department at (828) 465-8270 before drilling the well. SEE SIT L F PER TED WELL LOCATION Z. & 02 ISSUED BY PERMIT ISSUANCE / - v - CUSTOMER SIGNATURE DATE WELL INSPECTION: GROUTED DEPTH: 20' DATE: ,1e'Fr INITIALS: APPROVED CASING: PVC STEEL DATE: %'o k INITIALS: CASING HEIGHT 12" ABOVE LAND SURFACE V DATE: /o- r INITIALS: WELL COMPLETION REPORT RECEIVED DATE: /C) - INITIALS: WELL HEAD APPROVED ✓ DATE: /U ' INITIALS: WATER SAMPLEZDR N: BA IO f N/N DATE: LERDATE 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 constructed in accordance with all state and local ations an es. The Well Completion Report must be submitted to the Health Department within 30 days upon completion a wel . TIFICATE OF COMPLETION LIJTHORI D STATE AG APPROVAL DATE ,Ar den....OF.,,,.,.411'U pp ,1,, 12/22/08 12:25 T ^"pn.JvLIIIH.."'t PU' "'" t 0 ^l~ Dn54ecL ; CATAWBA COUNTY HEALTH DEPARTMENT rv ' / Telephone (828) 465-8270 TDD (828) 465-8200 WLS # ')..oc b - ODd'll Improvement Permit~ AC_ RepairPenwt._ Operation Permit._ System Type_ Well peJ?1it._ R~l~cemep.t Well~ Owner/Agenl lc...h",-rd L. I~or Phone lOll - 'lC)'8- ISoO Address 5 'is If 00 vv ^ (: ,0.-' d W c>., r Or ,,," r I 0 th_ N'- Subdivision Section/Block/Phase R.c> CJ"'J -S "3 C) \ e T c c.. r<>j,.j Property Address 4 (S) 00 Facility' House Mobile Home_ Business_Multi-family_ Other' Pin Number Other Zoning Approval # # Bedrooms ,5 # Seats # Employees Applicalion Rate · Lf GPD Flow boo Hot Tub or Spa yes/no Special Fixtures Basemen~o 100 % RepaiY Area@lO Basement Plumbing@/no Water Supply' Private Well.-L Public_ Semi-Public_ ************************************************************************************************************************ 1 I I I I I . I I I I I I Filter Required I Riser required when _ I tank is more than 6 I H inches deep. I . Q"... r t.:.J **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** ************************************************************************************************************************ An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. Permit Date cd 0' Owner/Agent EHS Approval Date Date of Results Type of System: Trench Septic Tank Size ( t f /l -< Lot# \... <... kbl.) r>r'\ NC p_ Pump/Panel_ Panel_ LPP _ Other Nitrification Field. Total Square Feet Depth of Stone Total Length of All Trenches Number of Trenches , ( Maximum Trench Depth Distance of Nearest Well 100 *WELL RECORD REQUIRED AT COMPLETION* *************************************************** (t~Il"'- 1(' ~ 5~pt,c- :S '(sf:!...."",- (V\ \13 t- ~ e.... t"\, ^' I \ \00 C'lSo ~ .\- \0 i\".. \ t,o ^ va....^ i 100 r 1'0 tv'\. Ct" Y \r-' L t I t r", "'" p n" rq' h.1 \ I 1\ <>....) .p r.. "" c... re....'l.. k l\); I o '") ..-\".d> d 0 C' 0_ ~ \~ ;<:: 'I So +- I s I Pr;;, ."" ho"'^-<L. r- r- r C r:u.. k: 4- <:1 t.l "" C1 l+ - e ~ T'" \ R o<::d' s,~:; T'~b~;;f Well Installed By Well Grout Approval Date Date Sample Collected Results White - Office Date Well Head Yellow Owner/Agent EHS Pink Building Inspection Authorization to Construct �gp CATAWBA COUNTY Case # AUTH -3 -11 -16167 Al ublic Health De F Q' j-1 Subdivision y Environmental Health Division u e PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # I8, s. PIN# 362601295680 Applicant/Owner RICHARD BORG Site Address: 4250 HERTER RD, Lincolnton, NC Property Size: SF 27.159 ACRES Directions: HWY 10 W LEFT ON STARTOWN RD, RIGHT ON BLACKBURN BRIDGE RD, 1 MILE LEFT ON HERTER RD, PROPERTY IS .8 MILE ON LEFT Authorizat to Construct Perm Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 600 g.p. Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS Soil LTAR: 0.4 g.p.d. /ft2 Permit Category: New Septic Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 5 Wastewater System Requirements Tank Size: New Tank 1,500 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,152 sq ft Total Length: 384 ft Maximum Trench Depth 28 in Aggregate Depth in Trench Width 3.0 ft Minimum Soil Cover 12.0 in Minimum Trench Separation 9 . 0 ft on center Number of Drain Lines 4 Distribution: Serial Additional Specifications: Installer is to call this office prior to system installation to schedule a pre - construction meeting. 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. » » > DO NOT INSTALL SYSTEM UNDER WET CONDITIONS « «< Proposed Repair System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LTAR: 0.4 g.p.d. /ft2 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 Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Authorization to Construct 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. Megen McBride 03/21/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/19/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/21/11 08:37 yy gA • CATAWBA COUNTY Case # WELL -3 -11 -16168 Public Health Department Subdivision Environmental Health Division e S PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # �,s 2 5. PIN# 362601295680 Applicant/Owner RICHARD BORG Site Address: 4250 HERTER RD, Lincolnton, NC Property Size: SF 27.159 ACRES Directions: HWY 10 W LEFT ON STARTOWN RD, RIGHT ON BLACKBURN BRIDGE RD, 1 MILE LEFT ON HERTER RD, PROPERTY IS .8 MILE ON LEFT WELL PERMIT WATER SUPPLY: Individual Well SETBACKS: 1. BUILDNG FOUNDATIONS 25 FT. 2. EXISTING & PROPOSED SEPTIC SYSTEMS - MIN.50 FT. 3. EXISTING & PROPOSED SEPTIC REPAIR AREA - MIN. 50 FT. 4. SEWAGE PUMP SUPPLY LINE 50 FT. 5. UNDERGROUND STORAGE TANKS 100 FT. 6. STREAMS /BROOKS /CREEKS 50 FT. 7. LAKES/PONDS RESERVOIRS 50 FT. ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT. The well driller must verify all setbacks before drilling the well. If the well driller is unable to maintain any of the above setbacks, contact Catawba County Environmental Health at (828) 465 -8270 before drilling the well. Grouting Depth: Minimum 20 Feet Casing Height: 12" Above Land Surface SEE SITE PLAN FOR PERMITTED WELL LOCATION Megen McBride 03/21/2011 ISSUED BY PERMIT ISSUANCE 03/21/11 08:37 AC , \N-I- EH?3iV10 1 +250 Ile Pd. Loco!14,n X7. 151 acres * *11 i 0 164-- P4 Sc6 . of .5)0 . 4 - 764 4Kncle s v 0�� 3 * S�{t& . SIcwt tA- k 50 ki. -Go, a"I 1 Well, lb -q. fror piper Iises I5-Vros" ` "' baseNeyr1 cL, 544.- f'vo► TIP -4 ' , 504I_- ik crees. JS-1c or corer, 1 qoK 4 00 Pi anvc, ,q rage, cv(, ov - 1I aV se c, Qyea . U Q,�in � L 'C ((ik a 3o4.t propocica wen d is 1 ,�roow- ho �s� te sc 5,i N404 ctees, 50 -4 fvo&I 4, 15■[.1. - from Si r/C 51, - { - c, , l in (') 1'r011,e614 Ii AC . c reek . i I F ---- Irv.• 1 Jib l ertcr ,