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Home My WebLink AboutIMPV-11-09-2482.TIF IMPROVEMENT PERMIT 'CDP File Number 3 5 .g g , Catawba county Public Health Department County ID Number: EHPR-10 09 2198 Environmental Health Division Evaluated For: NEW P.0 Box 380, 100-A Southwest Blvd Newton NC 28658 Towrnship: Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL: 11/5/2014 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Hugh Rudisill Property Owner: Hickory Hollow, LLC Address: 1922 Wilson Ridge Address: 211 Fairway Dr. City: Maiden City: Fayetteville State/Zip: NC 28650 State/-Lip: NC 28305 Phone f Phone Property, Location & Site Information Address/Road ff; Subdivision: Country Valley Phase: Lot: 33 3622 Ole Country Lane Claremont NC 28610 Directions Structure: MOBILE HOME of Bedrooms: 3 Y of People: 'Water Supply: COMMUNITY System Specifications Initial System `Site Classification: PS Minimum Trench Depth: 1 8 Inches Design Flow: 3 6 0 Maximurm Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 0 Gallons 1-Piece: Yes ONo 'System Classification/Description: TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Required: ()Yes (\)N o 0 May Be Required Pump Tank: Gallons Proposed System: 11% REDUCTION 1-Piece: OYes ()No Repair System Required:&Yes ONO (--)No, but has Available Space Repair System "Site Classification: Ps Minimum Trench Depth: Inches Soil Application Rate: 0 3 Maximum Trench Depth. Inches 'System Class ificationlDescriptiow Pump Required: Yes ONo 0 May be Required TYPE IV A. ANY SYSTEP:I WITH LPP DISTRIBUTION primp Tank: Gallons 'Proposed Systern : 50% REDUCTION Pagel of 3 CDP File Number JJ~G.7 County ID Number: - - - *Site Modifications ❑ Open Fill Sheet No grading or coristruction activity is allowed in areas designated for system and repair without approval of Health Department. *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 5 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 thefacility 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 0 and appurtenances, the site for the 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 for failure of the system to satisfy the conditions, the rules, or this article. This pennit is subject to revocation if the site plan, plat, or intended use changes (NCGS 130A-335(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 (.1936(b)), Applicant/Legal Reps. Signature Required? C)Yes ONO ApplicantlLegal Reps. Signature;- Date: 06 /-0/ `Issued By, 2246 - Mecgen McBride Date of Issue: 1 1 ,I 0 5 / a 0 0 9 Authorized State Agent: OValid without Expiration? KAA PJ\ 11A, G Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** TotalTirne:(HH:MM) 0 0 Hours 0 0 t.iinules Page 2 of 3 CDP File Number: 35929 County ID Number: EHPR-10-09-2198 Drawing Type: Construction Authorization Date: 1 1/ 0 5/ a 0 0 9 Inch Dr~~~%na Scale: QBIock S.N/A i ! 4 ` { ; 4;75 D rs .9 VIA T~hk nn~ bc. ~ a ~Lt'P ~i 4(4 6r °2Ae t , ; , t , rn _FOL ' WY60 W: mop i V C r , d~ f , Page 3 of 3 NUUtNK Division of Environmental Health On-Site Wastewater Section `Date: i/ 2 9/)009 Soil/Site Evaluation 'File 9: 3 5 9 2 9 For On-Site Wastewater System PIN EHPR-10-09-2198 `Owner Hickory Hollow, LLC Proposed Facility MOBILE HOME Proposed Design Flaw (1949) .3 6 o Location of Site 3622 Ole Country Lane Property Size 0.49 Water Supply COMMUNITY Evaluation Method Auger gg Horizon SOIL MORPHOLOGY Profiles Lan scape Depth .1941 Other Profile POS Mineralogy Matrix Mottle Factors Slope ufo (IN) Texture Structure Consistence Color Color L 0-20 CL 2-hiodf sbk fr ss sp ,1942 wet. oo 20-48 nta 2-Mode abk if ss sp 1. 1943 Depth 0 ps GPS Saprolite: (in) 1944 Rest, Horizon EHS .1947 Class PS Megen lAcBric Profile 3 LTAR 2 L 0-48 CL 24.4odi sbk ft ss sp .1942.vel. % .1943 Depth 4 8 Ps GPS Saprolite:(in) 1944 Rest. Horizon 1947 Class PS EHS Copr rofile Megen McBric Ple 0 . 3 TO 3 L 0.48 CL 2-Mod+ sbk fr ss sp 1942 wel. % 11943 Depth 4 8 ps GPS Saprolite:(n) .1944 Rest. Horizon 1947 Class ps EHS Copy Profile Megen PhcBri( pTArRe -J~ .1942 Wet, % 1943 Depth GPs Saprolfte-jin) 1944 Rest. Horizon ` EHS 1947 Class Copy Profile Profile LTAR 194 2 1v et. Qty .1943 Depth GPS Saprolite:{in) ,1944 Rest. Horizon 1967 Class c EHS Copy rofile Profile LTAR Available Space (1945) .PS Other Factors(. 1946) PS Site Classification (.1948)Ps Initial LTAR: o . 3 Repair LTAR: o . 3 Others Present: Comments' "nfa" in profile 1 indicates SAP Evaluated By: Megen McBride IVIrUCIV R Division of Environmental Health On-Site Wastewater Section Date: l e/ 2 9 1 2 e e 9 Soil/Site Evaluation Fit e 3 5 9 ] 9 For On-Site Wastewater System PIS! 9: 1940 Horizon SOIL MORPHOLOGY Profile; Landscape Depth .1941 Other Profile POS0 (IN) Mineralogy Matrix Mottle Factors Slope /o Texture Structure Consistence Color Color 1942 Wet. .1943 Depth CPS Saprolite:(in) .1944 Rest. Horizon 1947 Class EHS Copyrofil_~ Profile tt~rll LTAR ,1942 Net, 9`0 .1943 Depth GPS Saprolite:(in) 1944 Rest. Horizon _ .1947 Class EHS Copy0rofife Profile LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) 19.14 Rest. Horizon EHS 1917 Class Copy rofile IProfile LTAR .194 Wet. % .1943 Depth GPS Saprofite:(in) .1944 Rest, Horizon 1947 Class EH5 Copy PProfif Profile LTAR 1942 Wet, % .1943 Depth GPS Saprolite_(in) .1944 Rest. Horizon n - EHS 19x7 Class Copy, ro„1 Prorrie LTAR Comments: r►tiut.i~ niiuyc 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 N - n Scale - To slaw (KAiw OVA Mo tl ale Comer-~ 1-anL Profile: 1 X Y Z Profile: 2) X Y Profile: 3 ' X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: j X Y Z Profile: Lv;: X Y Z Profile: { X Y Z Profile: X Y Z EHPR-10-09-2198 Rudisill TRACKING INFORMATION Date Calls 10/22/2009 1St Contact - Discussion Only ...(mm) Left message for Hugh Rudisill to call me when lot was ready. 10/22/2009 Site Ready to be Flagged ...(mm) 10/26/2009 Site Flagged ...(mm) Met Travis Mann (he happened to be here in NC this week) and Hugh Rudisill on site. 10/27/2009 Site Ready to be Evaluated ...(mm) Travis Maim called, said holes were ready. 10/29/2009 Site Evaluated... (mm) 10/29/2009 Approved for Issuance ...(mm) Other Date Comments/Field Notes 10/22/2009 (mm)Travis Mann called... Travis Mann is one of the owners of the MOH park, He lives in Australia so Hugh Rudisill is here in the area coordinating things. Lot is ready. Wants to meet. Will call him when I'm going out.