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Home My WebLink AboutIMPV-11-09-2489.TIF IMPROVEMENT PERMIT For. Office U se. Only 'CDP F,ie Number 3 5 9 ~ 0A Catawba County Public Health Department ' Environmental Health Division County ID Number: FHP1 -?009-2202 ~ 9 - Evaluated For' P.0 Box 389, 100-A Southwest Blvd Newton NC 28658 Tow nshtp: l M fit! Phone: (828)-465-8270 Fax: (828) 465-8276 pEarAIT va.€ io urrTll: 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,rZip: NC 28650 State/Zip: NC 28305 Phone n: Phone m Pro ert location & Site Information Address/Road Subdivision: Cm,+y j Ukl Phase: Lot: 3612 Ole Country Lane Claremont NC 28610 Directions Structure: MOBILE HOME n of Bedrooms: 3 w of People: `Water Supply: COt~4MUNITY System Specifications Initial System f 'Site Classification: PS Minimum Trench Depth: 1 8 Inches Design Flow: 3 6 0 Maximum `french Depth: 3 0 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 0 Gallons 1-Piece: cL}Yes ONo `System Classification/Description: TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Required: ()Yes NO C May Be Required Pump Tank: Gallons Proposed System: 25°loREOUCTION 1-Piece: c~Yes ~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 Pump Required: K>Yes (:)No Q May be Required System Classification/Description, TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: Gallons 'Proposed System: 50% REDUCTION Pagel o f 3 CDP File Number 35930 County ID Number: EHPR-10-09-2202 *Site Modifications 0 Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this pennit 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 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 C) 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 permit is subject to revocation If the site plan, plat or intended use changes (NCGS 130A-335(q). The person owning or controlling the system shall be responsible far 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? C)Yes ONO / Applicant/Legal Reps. Signature: Date: 'Issued By: 2246-MecuenMcBride Date of Issue: 1 1/ 0 5/ x 0 0 9 Authorized State Agent: Ck- OValid without Expiration? VHand Drawing 01mport Drawing **Site Plan/Drawing attached.** TotalTime(HHJAFA) 0 0 Hours 0 0 Minutes Page 2 of 3 CDP Pile Number: 35930 County ID Number: EHPR-10-09-2202 Drawing Type: Construction Authorization Date: 1 1 0 5/ a 0 0 9 Inch Dra~vi11Q Scale: 061ock = ft. C N IA, f t t ( # 1 . F Ov ~ h 15' . 3 r~,~CC tea Se 4 c Re lcAjV" ~Yt S _ e T~ ~Ic YAP, last & 4e . MQ, i _ . \ID WA Cv Wb¢ ~ t . : i i t r Page 3 of 3 NUUtNN Division of Environmental Health 'gate: > ® r a ! a a © 9 On-Site Wastewater Section Soil/Site Evaluation 'File h: 3 5 9 3 0 For On-Site Wastewater System PIN 9: EHPR-10-09-2202 'Owner Hickory Hollow,.LLC Proposed Facility MOBILE HOME Proposed Design Flow (1949) _ 3 6 0 Location of Site 3612 Ole Country Lane Property Size afY(5 Water Supply COMMUNITY Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth 1941 Other Profile Slope% (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color L 0-30 2-Mode sbk If ss sp .1942 wet. % 30-48 24Modi abk fr ss sp .1943 Depth 3 0 PS CPS Saprotite: (in) .1944 Rest. Horizon EHS 1947 Class Ps Megen IllcBri( Profile L TAR 0 3 a L 0-30 2-lv'rod, sbk fr ss sp 1942 .vet. goo 30-48 2-Matto abk fr ss SP 1943 Depth 3 0 Ps GPS Saprolite:(in) 1944 Rest, Horizon .19x7 Class ps EHS COPY'-Prolile Megen McBri( PTO ile 0 . 3 3 L 0-20 CL 2-Mods sbk it ss sP 1942 wet. % 20-48 n/a 2-1,4ot}r abk fr ss sp 1943 Depth 0 Ps GPS saprolite:(In) 1944 Rest. Horizon r`- 1907 Class Ps Y - EHS COPY Profile Megen MCBri( IProtitQ 0 3 t.TAR ,1942 wet. % 1943 Depth GPS Saprolitejin) 1944 Rest_ Horizon 19.17 Class EHS Copy Profile Profile LT.AR 19,12 Wet. 4`0 .1943 Depth GPS Saprolite:fn) .194.1 ResL Horizon 1947 Class EHS Copy rotile Profile t-TAR Available Space (.1945) PS Other Factors(. 1946) PS Site Classification (.1948)Ps Initial LIAR: o . 3 Repair LTAR: o . 3 Others Present: Comments: Pits 1 and 2 were 0-30 inches of CL + SAP: 30-48 inches of SAP. The "n/a" in pit 3 is SAP. Evaluated By: Megen McBride IVL 1JCIVr1 Division of Environmental Health On-Site Wastewater Section Date: i 0 t a s l~ 0 0 9 Soil/Site Evaluation File: 3 5 9 3 0 For On-Site Wastewater System PIN 9: .1940 Horizon SOIL MORPHOLOGY Profile Landscape .1941 Other Profile Depth POS Slope o Depth Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 :Net. 0110 .1943 Depth GPS Saprotitejin) 1944 Rest. Horizon 1947 Class EHS copy Prof I Profile LTAR 1942 Wet, 1943 Depth GPS Saprolitejin) .1944 Rest. Horizon 1947 Class EHS C°pYrpr°fiie IProfile ~j t_TAR :1942 Wet, °Pp 1933 Depth CPS Saprolite:(in) 1944 Rest. Horizon .1947 Class it EHS Co~7 rotile Prorite t_Tr';R 1942 Wet. % .1943 Depth GPS Saprolite.(in) .1944 Rest. Horizon t 1947 Class EHS Copy Profile Profile LTAR .1942 Wet. % 1943 Depth CPS S3prolitejin) .1944 Rest. Horizon 1947 Class EHS Copy~rotfle Profile LTAR Comments: P%LLU%,li IIIIQy~i 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 ~i S C - TO Slew Q+~ ~.cr~TunS ovj~y PA O 7 Profile: 1 X Y Z Profile: 2 X Y Z Profile: 3 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 Profile: X Y Z EHPR-10-09-2202 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 Mann 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.