HomeMy WebLinkAboutIMPV-11-09-2456.TIF
CDP File Number JJ.7VI County ID Number: . .
*Site Modifications ❑ 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 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.
*All parts of septic system must be minimum: 100' from any well, 15' from home, 10' from property lines*Lines will be required to be installed on
contour*Do not grade, drive, or fill over system or repair area*Lot originally evaluated for 4 SR system under WLS 2006-01528 by George
Pendegrass*Lot will require additional clearing and exact driveway location will be required prior to issuance of Authorization to Construct*Driveway
configuration may result in change of system type to 50% reduction for repair
The Improvement Permit shall be valid fors years from date of issue with a site plan (means a drawing not necessarily drawn to
Site Pan 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
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 satisfythe conditions, the rules, or this article. This permit 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 (.1938(b)).
Applicant/Legal Reps. Signature Required? /Yes Q No
Applicant/Legal Reps. Signature: Date:
*Issued By: 1810- Boyd, Jason Date of Issue: 1 1 / 0 5 / a 0 0 9
Authorized State Agent: OValid without Expiration?
r, Hand Drawing 0Import Drawing
**Site Plan/Drawing attached.** Total Time:(HH:MM)
Hours Minutes
Page 2 of 3
CDP File Number: 35907 County File Number: 460603240164
Drawing Type: Improvement Permit Date: 1 1 0 5 2 0 0 9
Inch
Scale: 1 QBIock = 6 ft.
Drawing QN!A
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Page 3 of 3
CATANVBA COUNTY
Public Health Denartment Case # WLS2006-01528
Environmental Health Division Subdivision PEBBLE BAY PHASE 5
- PO Box 389, 100-A Soutliwe_a Blvd. Newton. NC 28658 '11~ Sect/BL/Ph/Lot # 235
1'929)465-8270 FAX(828)465-8276 TDD (828) 465-8200 PIN#
911460601164071-235
Applicant/Owner PEBBLE BAY OF CATAWBA LLC
Site Address: ROAD B (PEBBLE BAY PH 5) DENVER NC
Property Size: SF 104 ACRES
Directions: CATAWBA-BURRIS RD/ FIT BANKHEAD/ RT SALLY BROOK Q'
Improvement Permit
Permit Valid For: Five years -AL No Expiration
Facility (Residential): House
House X Mobile Home Multi-Family Bedrooms 4 New? `Y, Addition?
Projected Daily Flow y g.p.d Water Supply Private Well? Public?-A, Semi-Public?
Basement: N Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain):
Proposed Wastewater System: Type: 3
Proposed Repair: 67 5'70 5, " lky, 36
Permit Conditions:
Owner or Legal Representativ Signature: Date:
/Z
Authorized State Agent: % Date: /'o
The issuance of this permit by the Health Department does not Luarantee the issuance of other permits. It is the responsibility of the applicant/property
owner to insure that all Catau"ba County PlanninJZoning and Building Inspections requirements are met. This Improvement Permit is subject to
revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement 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 Stistenis' (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.
Authorization to Construct Wastewater System (Required for Building Permit)
See .cite plan. and additional attachments ( )
Proposed Wastewater System: Type: Wastewater Flow g.p.d
New Repair Expansion Soil LTAR: g.p.d./ft2
Type of Facility:
Basement: N Basement Plumbing: N HoiTuh/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
Trench Width ft Minimum Soil Cover Minimum Trench Seperation ft
Distribution: Distribution Box Seri~PDistribution Pressure Manifold LPP Other
Additional Specifications:
Authorized State Agent: Date:
Permit Expiration Date:
1 have read and accept the specifications and all conditions of this pennit as indicated.
Owner or Legal Representative Signature: Date:
Form B
P
rATidamril F.-\r1 t•LSnvv.m1
CATAWBA COUNTY
Public Health Department Case # WLS2006-01528
j Emiromnental Health Division Subdivision PEBBLE BAY PHASE 5
YO Box 389, 100-A Southwest Blvd. Newton, NC 28655 Sect/BIJPh/Lot # 235
\vs, j' (838) 465-8270 FAX (828) 465-8276 TDD (8281 465-8200 PIN# 911460601164071-235
Applicant/Owner PEBBLE BAY OF CATAWBA
Site Address: ROAD B (PEBBLE BAY PH 5) DENVER NC
Property S SF 104 ACRES
Directions: CATAWBA-BURRIS RD/ RT BANKHEAD/ RT SALLY BROOK
® improvement Permit Authorization To Construct Yell Permit
SITE PLAN f
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Scale
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 pl or site conditions are altered.
AZM llq,&06r~ /OX- 46 7 Z_- 4e--'
Au ized State Agent Date Form C
r.V d-4rk\Forms\ :iZVaoa.roi
DEPARTNIENT OF ENVIRONIv ENT AND NATURAL RESOURCES Sheet / of /
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID R:O7o-d~Fj
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION'
for ON-SITE WASTEWATER SYSTEM
OWNER:e 6 61 -e ~ O; Cce 6oi pA' LLAPPLICATION DATE ( `~l - - 70
ADDRESS: (0 IM1~ S 1 S iE,Etr s BL,aY DATE EVALUATED/e-//-C-
PROPOSED FACILITY: U PROPOSED DESIGN FLOW (.1949): 1~-3 PROPERTY SIZE:
LOCATION' OF SITE: S 33' PROPERTY RECORDED:
WATER SUPPLY: ❑ Private P:~,ublic Well U Spring ❑ Other
EVALUATION METHOD: ❑ Auger Boring )84,it ❑ Cut
TYPE OF WASTEWATER: ewage ❑ Industrial Process ❑ Mixed
P
R SOIL MORPHOLOGY OTHER
0
F (:1941) PROFILE -FACTORS
I. .1940
T LAND- HORI- 1942
E
SCAPE ZON 1941 f 1941 SOIL .1943 .1956 .1944 PROFILE
# POSPITON% . 'DEPTH:. STRUCTURE1 I CONSISTENCE/ WETNESS/ ' _SOI1L - SAPRO RESTR CLASS
:SLOPE % (IN..) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ & LTAR
V a4i S C~ i kv
~ -tl1 ~ cL i 5
b ~5cc ~r ell yZ
3
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1
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946):
Available Space (.1945) ,S S SITE CLASSIFICATION (.1948):
System Type(s) AP o2J e70 cS EVALUATED BY:
OTHER(S) PRESENT:
Site LTAR • 3 5 .3 5
COMMENTS:
LEGEND
use the following standard abbreviations
SOu. CONVENTIONAL LPP MINERALOGY/
LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR• .1957 LTAR* CONSISTENCE STRUCTURE
CC (Concave Slope) I S (Sand) 1.2-0.8 0.6-0.4 NEXP (Non-expansive) G (Single Grain)
CV (Convex Slope) LS (Loamy Sand) SEXP (Slightly Expansive) M (Massive)
D (Drainage Way) EX? (Expansive) CR (Crumb)
DS (Debris Slump) 17 SL (Sandy Loam) 0.8-0.6 0.4-0.3 GR (Granular)
FP (Flood Plain) L (Loam) SBK (Subangular Blocky)
FS (Foot Slope) ABK (Angular Blocky)
H (Head Slope) III Si(Silt) 0.6-0.3 0.3-0.15 PL (Platy)
L (Linear Slope) SiCL (Silty Clay Loam) PR (Prismatic)
N (Nose Slope) CL (Clay Loam)
R (Ridge) SCL (Sandy Clay Loam) MOIST WET
S (Shoulder Slope) SLC (Silt Loam Clay)
T ('t'errace) VFR (Very Friable) TS (Non-sticky)
IV SC (Sandy Clay) 0.4-0.1 0.2-0.05 FR (Friable) SS (Slightly Sticky)
Sic (Silty Clay) Fl (Firm) S (Sticky)
VFI (Very Firm v. Very Sticky) VS (Very Sticky)
O (Organic) None EFI (Extremely Firm) NP (Non-plastic)
SP (Slightly Plastic)
*Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater flow and quality. P (Plastic)
NOTES VP (Very Plastic)
HORIZON DEPTH In inches below natural soil surface
DEPTH OFF7LL In inches from land surface
RESTRICTIVE HORIZON Thickness and depth from land surface
1 94PROLITE S(suitable) or U(unsuitable)
SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less - record Mtmsell color chip designation
CLASSIFICATION S (Suitable), PS (Provisionally Suitable), or U (Unsuitable)
Evaluation of saprolite shall be by pits.
Long-term Acceptance Rate (LTAR)> gal/day/ft'
Show profile locations and other site features (dimensions, reference or benchmark-, and North).
.
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Review (i`#)
SOIL/SITE EVALUATION Sheet _Of_
(Continuation Sheet)
TRACKING INFORMATION
Date Calls
10/24/09 1" Contact - Discussion Only EHPR-10-09-2311
10/27/09 Site Ready to be Flagged
10/27/09 Site Flagged
11/3/09 Site Ready to be Evaluated
11/3/09 Site Evaluated
11/5/09 Approved for Issuance
Other
Date Comments/Field Notes
11/3/09 Met with Mr. and Mrs. Wilson on lot. Discussed options for driveway configuration and
approximate size of system. Expressed concerns about tree removal.