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Home My WebLink AboutIMPV-11-09-2337.TIF IMPROVEMENT PERMIT Y Catawba County Public Health Department *CDP File Number 3 5 $ 4 7 Environmental Health Division County ID Number: EHPR-10-09-2264 P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW OV 11-014,337 Newton NC 28658 PERMIT VALID UNTIL: 1112!2014 Phone: (828)-465-8270 Fax: (828) 465-8276 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Donnie And Kathy Fulbright Property Owner: Donnie and Kathy Fulbright Address: 2198 Willow Creek Dr Address: 2198 Willow Creek Dr City: Newton City: Newton State2ip: NC 28658 State2ip: NC 28658 Phone Phone Property Location & Site Information Address/Road Subdivision: Phase: Lot: 5927 Startown Rd Maiden NC 28650 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: *Water Supply: NEW WELL System Specifications Initial System *Site Classification: PS Minimum Trench Depth: 3 0 Inches Design Flow: 3 6 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 0 Gallons 1-Piece: QYes QNo *System Classification/Description: TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Required: QYes Q No O May Be Required Pump Tank: Gallons sed System: 25% REDUCTION *Proposed 1-Piece: QYes QNo Repair System Required: QYes ONo ONo, but has Available Space Repair System *Site Classification: PS Minimum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Maximum Trench Depth: 3 6 Inches *System Classification/Description: Pump Required: QYes @ No Q Maybe Required TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Tank: Gallons *Proposed System: 25% REDUCTION Page 1 of 3 CDP File Number 35847 County ID Number: EHPR-10-09-2264 *Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health-°Uepartment. *Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. The Improvement Permit shall be valid for 6 years from date of issue with a site plan (means a drawing not necessarily drawn to Site Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the issuance and may revoke the permits forfailure of the system to satisfythe conditions, the rules, orthis article. This permit Is subject to revocation if the site plan, plat, or Intended use changes (NCGS 130A335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting, and repair (.1938(b)). Applicant/Legal Reps. Signature Required? OYes ONO Applicant/Legal Reps. Signature: Date: ll / _ 3 l 0O *Issued By: 1952 - Phelps, Robert Date of Issue: 1 1 / 0 a / a 0 0 9 Authorized State Agent: OValid without Expiration? Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** TotalTime:(HH:MM) 0 Hours Minutes Page 2 of 3 CDP File Number: 35847 County ID Number: E"PR-io os-22sa Drawing Type: Construction Authorization Date: 1 1 0 a/;2 0 0 9 Q Inch Scale: QBIock = ft. Drawing 0NlA ~ i - - r - - - - - --ZSI _ ~a - - - - - - - s - Y - I------ i- r o 7 i - - - - - - - - - o ` i - - - i i I ; ; = - _ _ - - - _ - Page 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 1/ 0 3 1 )009 Soil/Site Evaluation *File 3 5 8 4 7 For On-Site Wastewater System PIN EHPR-10-09-2264 *Ownerponnie and Kathy Fulbright Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site 5927 Startown Rd Property Size 47.37 Water Supply NEW WELL Evaluation Method Pit 1940 Horizon SOIL MORPHOLOGY Landscape Depth .1941 Other Profile Profle# Slope % Mineralogy Matrix Mottle Factors (IN) Texture Structure Consistence Color Color 1 0-5 .1942 Wet- % 5-44 C sbk fr ss sp 1943 Depth 5 5 GPS Saprolite: (in) 44-5 SC sbk fr ss sp .1944.Rest. Horizon ,1947 Class EH S Profile LTAR 0 . 3 a 0-27 CL sbk fr ss sp 1942 Wet- % 27-50 C sbk fr ss sp .1943 Depth 5 0 GPS Saprolite:(in) .1944 Rest. Horizon trA 1947 Class EHS Cop rofile PtoAfile 0 3 3 0-32 CL sbk fr ss sp 1942 Wet. 32-50 C sbk fr ss Sp .1943 Depth 5 0 GPS Saprolite:(in) _1944 Rest. Horizon r 1947 Class EHS Cop rofile Profile 0 3 LTAR q 0-25 CL sbk fr ss SP .1942 Wet. % 25-50 C sbk fr ss sp .1943 Depth 5 0 GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class I1 Copy rofile EHS Pf RAW 0 3 uu .1942 Wet. % .1943 Depth US Saprolite:(in) .1944 Rest_ Horizon .1947 Class EHS Cop rofile Profile LTAR Available Space (.1945) Other Factors(. 1946) Site Classification (.1948)Ps Initial LTAR: 0 . 3 Repair LTAR: 0 . 3 Others Present: Comments: Evaluated By: Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 1/ 0 3! a 0 0 9 Soil/Site Evaluation File 3 5 8 4 7 For On-Site Wastewater System PIN E H P R- 1 0- 0 9 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color .1942 Wet- % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon EHS .1947 Class Copy,~rofil Profile u LTAR _1942 Wet- % 1943 Depth GPS Saprolite:(in) 1944 Rest. Horizon EHS .1947 Class Copy[Tfil P MAR LfAR _ 1942 Wet. % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon EHS .1947 Class Copy,_Profil Profile u LTAR .1942 Wet- % .1943 Depth GPS Saprolite:(in) 144.Rest. orizon EHS p.1947 Class Copynofil LfA e ~~JJ .1942 Wet. % 1943 Depth GPS Saprolite:(in) 144.Rest. orizon EHS .11947 Class Copy,P~ofil LI ASR Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. The "Import" button, attaches the drawing, or other image into the space below. - Open Drawing Form 44- r'~ 1 Profile: 1 X Y Z Profile: 2 (2 X Y _ Z . Profile: 3 ~ X Y Z Profile: 4 (2 X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z , Profile: X Y Z Profile: X Y Z Profile: X Y . Z . EHPR 2264 TRACKING INFORMATION Date Calls 10-27-09 1St Contact - Discussion Only 10-28-09 Site Ready to be Flagged 10-28-09 Site Flagged 10-29-09 Site Ready to be Evaluated 10-30-09 Site Evaluated 10-30-09 Approved for Issuance Other Date Comments/Field Notes