HomeMy WebLinkAboutIMPV-02-2016-069567.TIF ' Case#
,nA CATASVBACOUNTY 0 !;11 Subdivision
� r 0 IMPV-02-2016-069567
e 11 '1 Public Health Department
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Subdivision•4 a�! Environmental Health Division 1 r I'IN# 366703041295
d1 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 O•i 0 ' LOT/t
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NAME ON PERMIT: JAMES FLYNN, PO BOX 1811, DENVER NC 28037
Site Address: 3890 DAVIS RD, MAIDEN NC 28650
Property Size: Square Feet: 129,373.20 Acres:2.97
Directions: Hwy 16 S / right Buffalo Shoals Rd/ right Davis Rd/ lot approx 3/4 mile on right
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Public Water
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: No Expiration: _X_
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: See AC for permit conditions
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: 1118 - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
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.
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 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 Rues 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.
Jason Boyd 02/26/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 02/25/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elipennit 04/15/2016 08:31 Page 1 of3
1/, Al CATAWBA COUNTY Permit# RBPR-9-15-22302
G Name James Flynn
r 2 Public Health Department
$ °°F101 ` Environmental Health Division Address 3890 Davis Rd Maiden NC
J � 19 PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 3 66703 04 1295
I842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan uthorization to Construct
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Scale
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Department of Environment,Health,and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot#:
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: RBPR-9-15-22302
Owner: James Flynn Applicant:
Address: 3890 Davis Rd Maiden NC Date Evaluated: 2/9/2016
Proposed Facility: 4BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: public [ ]Spring [ ]Other
Evaluation Method: pits by Britt Bass [ J Cut
Type of Wastewater: X Sewage [ ]Industrial Proc(ess, [ 3 Mixed
P t •h s r3'n+ LO' d}'l ir ° #f T` t�t,e:,ar'�w R Ill •
s$" e uOILMO
•F -y r i 3x el:-.6�
L , PO
1 :194,0-1:-. 942 y { 9
Landcape Horizon 1941 1941 -+ Soil t x g
.1943 1 1956 1944 Profile
E ; IPosiUon%1, Depth," Structure/ [`j �4 Consistence -+� Wetnss/ 17 'Soil -SaproRestr Class 1 •
#, �,:1�,ti,Slope%', (IN.)v�`.�,�.a Texture, ,,.i,.„r�Mmeralogy , [ r .� tCOlorL,i‘v. 2 D`eptht(IN!) Glasst,r, Honz 11 LTAR;
1 LL 3-5% 0-6" topsoil
6-36" SC SS SP SEXP FR Some yellow
36-48"+ C mottling throughout 48" PS.3
2 same as 1
3
4
5
6
7
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IIIB Others Present: James Flynn Britt Bass Ryan Pruitt
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge I S-Sand 1.2-0.8 SG-Single Grain
SS-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope II SL-Sandy Loam 0.8-0.6 OR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
HS-Head Slope ABK-Angular Blocky
CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismatic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralociv
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
2 � '
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DERARTMEn OFENVIRONMENT AND NATURAL.RF.SOURCES
SAect_IL 0/1_
DPYISION OF FXVI_RONMENTAL HEALTH
PROPERTY ID.1: •
3N-SITE WASTEWATF-R.SECTION
COUNTY:Zi
SOIL/SITE EVAEIJA170N
s 2e.xxo-coz
. for ON-SITE 'WASTEWATER SYSTEM
rvi.,;79.2: fro 4 ....14 i .. mtC-AD -...-- APPLICATION.DATE
DATE EVALUATED: -2/.j ...( L., elk
franhat • .4....,
kOPOSED FACELITY: t . PROPOSED DESIGN FLOW(.19.19): di PROPERTY SIZE:
OC.A.710N OF SITE.
PROPERTY RECORDED:
*TER SUPPLY: 0 Public 0 wcu 0 Spring 0 Other
/71.11.TATION' .. OD: SLA-uger Boring 0 Pit 0 Cut
:'-.PE OF WASTEWATER: ill wage 0 Industrial Prccess D :1/4/lx
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CPIPTION .INTIIAL SYSTEM I REPAIR SYSTEM OTHER FACTORS(.1946): .1
ISpace(1945) / PS SITE CLASSIFICATION(.1948): lir
;c(s) se w_cat WAN EVALUATED BY: ..641.4.1
en'
, r... • OWER(S)PRESENT: MIR
LEGEND.
use the ollowt"z standard abbre-viations
•
CONVENTIONAL LPP MINERALOGY/ •••.•Y-
• LANDSCAPE POSIT/ON sCR OUP 'fE•y-r c ,lac?LTAR• .1957 LIAR• CONSBT£N E ---•-^ �..v.
_ � STC UC>'UR
CC(Concave Slope) f S(Sand) ' 1_2 —��
O
CV(Drainage( onex Wape) LS(Loamy Sand) C.8 5.6-0.4 1 ¢•expansive; G(Siay,[e Gabs)
SEXP 1�(E$1/flay P��ive)" M(,vLtssivc)
cS(Debris Slump) Il SL(Sandy Loan) 0.3.0.6 OA-03 CR(CZanb) .
r. (Flood Plain) L(Loav
FS goer Slope)
) GR(Grmalr)
SEX H(Find Slope) III SCL(Sandy Clay Loam 0.6- �(fl ) gWU Block
F.(L'sw Slope) Sit.(Silt Loam) ) 03 0.]-0.L• PC(Platy)
N(Noe Slop.) CL(Clay Loan) PR(ptis-oagc)
.It gales) SiCL(Silty Ciay Loam) .
.5(Shoulde Slap) $1(Silt) hf T, . Wr7.'
T(Tecate)
IV SC(Sandy Clay) 0.4.0.1 0,2-0.05 FIt(Friable)
SS 15 m, �Y)
S iC(Silly Clay)
•'I (Clay)
F1(Firm)
SSSStshcy Sticky)
C )
• O(Orgnrlc) None VFl(Vary Finn y.Vey Sdei• v5 del Ricky)
EFi(F_x [char Peen) 4P Now.plani j
*Adjust LTAR due Co depth,cooslsteoc;si necure,toll wetness,landscape,poslt!ou,mstcwattr flow and qualify- • Sr ISJpFUfy Nark)
•
NO S P(Ptak)
RORZONDEP711 . In T Tales below natural soil surface VP(Very P!udc)
DE177IOFFI11 In inches from land surface
RE57RIC77YEROR.7011 hiic6fcss tad depth from lard stsfac
•
SAPRCL71 S(suitable)or ll(unsuifablc) •
SOIL 1iT7i•sS IncSet hum land surface'to E- .wJv or inches from Loth striae to soil colors with alumna],or Isis-:Y
CLIS!fFIC4770N S(Suitable),PS(Pm visionally Soluble),sr 1./(Unsuitable) "'Ord ®sell color chip 2csiyadon
Evaluation of sapto We SS be by pia-
Long-ferns Aec.-ptaea Ewe(LTAR):golIday;fit .
•' t Show u roftle loco dons on d other she features(dimensions..reference or benchmark and North). .
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Review(.;".,'g)
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C}■ 03/11/2016 10:11AM 8284648874 MADISON HOMEEUILDERS PAGE 01/01
•
7
j■ CATAWBA COUNTY Cusc#its
1i Public Health Depnnment Subdivision
it 4‘Environmentall•tealthDivision PINY 366703041295
Illirt?.— is PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
NAME ON PERMIT: JAMES FLYNN, PO BOX 1811, DENVER NC 28037
Site Address: 3890 DAVIS RD, MAIDEN NC 28650
Property Size: Square Fcci: 129,373.20 Acres:2.97
Directions: Hwy 16 5/right Buffalo Shoals Rd/right Davis Rd/ lot approx 3/4 mile on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
VI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the
property described above,
VAs the property owner or authorized representative, I have received the above referenced permit(s)as
7C requested in the application for service RBPR-09-2015-22302 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
agf As the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the North
Carolina Laws and Rules for Sewage Treatment and Disposal Systems (1SA NCAC 1SA .1900), and/or
Well Construction Standards (15A NCAC 2C.0100), shall apply to the issuance of this permit and the
construction of the wastewater system and/or water supply well permitted.
•
Permit Issue Date: 02/26/2016 .
• Owner/Authorized Representative Signature tGz.v.d Sae
/\ Date 3--Pea
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by I $'1 L• ea ' ■t (name of person sending permit)
� 1�
Signature �� vl&(I • ' i/ti Li Date�me) b (l!,>`J "I o W
Method: Fax \e Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We want tcr hear from you. Please take a few moments to complete our customer service survey at:
http://www.surveymonkey.com/s/EHcustomerService
0 z€- `!6c-?2-7 ,
chpermit 02/26/2016 09:16 Page 4 or
�B CATA\\'BA COUNTY 0 ; '- ' .1; a..�� Case 1t IMPV-02-2016-069567
6 Public Health Department � '..0 Subdivision
P 366703041295
Q _"°`� 4 Environmental Health Division I r PIN#
� �® PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 .1:17 •D i O'� LOTH
1842 ,. — -
ell.
D ° • ° .
NAME ON PERMIT: JAMES FLYNN, PO BOX 1811 , DENVER NC 28037
Site Address: 3890 DAVIS RD, MAIDEN NC 28650
Property Size: Square Feet: 129,373.20 Acres:2.97
Directions: Hwy 16 S/ right Buffalo Shoals Rd/ right Davis Rd/ lot approx 3/4 mile on right
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Public Water
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: No Expiration: _X_
Projected Daily Flow 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: See AC for permit conditions
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: 11113 - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
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.
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
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 Ru/es far Sewage Treatment and Disposal Systems' (15A NCAC ISA.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.
Jason Boyd 02/26/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 02/25/2021
No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department.
ehpermit 02/26/2016 09:44 Page 1 of 3
f1\A Permit # RBPR-9-15-22302
CATAWBA COUNTY
Q' Name James Flynn
1- 'L Public Health Department
d """°*a-, ,,S Environmental Health Division
0. Address 3890 Davis Rd Maiden NC
f,'9''' PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN# 366703041295
1842 sM (328)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan ;authorization to Construct
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was Lot) 6 - oo ( ( . «-t e_ +es4-
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Scale ° "
Department of Environment, Health,and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot#:
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: RBPR-9-15-22302
Owner: James Flynn Applicant:
Address: 3890 Davis Rd Maiden NC Date Evaluated: 2/9/2016
Proposed Facility: 4BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: public [ ]Spring [ ]Other
Evaluation Method: pits by Britt Bass [ ]Cut
Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed
Pr ;j r rii--ncro
f 941`i w MSr,H u! �[ .,. 1 a44w ^y „e 1TF is,- rz e f e�vr}s`re alQt.;/s sg"�l
g
Ri to it C Y g fi 11- 1;4 E {y € c .2 gia E 4 al f n
'
NAP, F. +y at t " � 3 x` , e '+5
o . N g E rr SOIL MORPHOLOGY x r rie .,,,,4 f `r i § v 2" r irr'
L, n ROFILEIFACtk8 #� 'a` * ' 4m b i,
�94. s r� G ¥i -4-x P m s' 942 '1za � �L&dcp Horizon 944 1941[ 1ro x-1943 . 956x r .4944/-r f Profile
w„� r nssk ertn1, a'S � � rT. R'YX r 3
rE r Poittont Dp h Structure r a IConsistencetra rfi a Wetness/ 4 ?[[Sol , [Sapro r l Rester 4.Cla7.
S:/SlopeWtl-A 5 Texture ik'MineraloLf,r:.,. a,;„".Colort „t Depth(IN) rClassL .
1 LL 3-5% 0-6" topsoil
6-36" SC SS SP SEXP FR Some yellow
36-48"+ C mottling throughout 48" PS.3
2 same as 1
3
4
5
6
7
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IIIB Others Present: James Flynn Britt Bass Ryan Pruitt
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LIAR Structure
R-Ridge I S-Sand 1.2-0.8 SG-Single Grain
SS-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
HS-Head Slope ABK-Angular Blocky
CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismatic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
Z
L
L3 # — 7o
D`:•A-'L7M-ENT OF ENVIRON4LENT AND NATURAL RESOURCES
DrrISION•OF F4∎JIRONMEM•AL r_T!-!
DN_SITO'WASTEWATER SECTION
•
Sheer:Loch
PROPERTY ID
SOIL/SITE EVALUATION COUNTY:
F2: „r_.
for ON-SITE -WAS 'EWATE R SYSTEM � Z
DDRE.DDRESS: .�.. i, 0 4 APPLiCA1'.OA°DATE �`S �� -
$D FACILITY: 2_�u %-- to .•%CATION OF SITE' L PROPOSED DESK FLOW(,1949): lit DATE EVALUATED: zI .r, a=��
'A ER SUPPLY: 3vatc PROPERLY SIZE: dt�
7ALtJA ION ts_ OD: Public wen G spring C other
PROPERTYREOORD
.a gcrBoring 0 Pit 0 Cut ED-�'---
.PS OF WASTEWATER: r�.
,::::�:•::::: :::::::: ::i::::::::::::::::::: wage � Industrial Prcrss
• xd
:rs; :[tF=
:. ...t. .t! 541 ;letOTtd.O ,dG�
i,: (Ts'i� aT
i! .'l.;wyo . aolzi �•,.p :;scar pan 1941 .....
,POSIT.ION! AEPT73 bY' GCT. t9a1 bt•.1, av,t..
CON$......Y�.. tivFTV$$51' Bill. .,
...;_S1,OPk`*? tLE) i E.'eputvi 3Jk 1h"dd: . . :..
,..: i�[�yfRCi; 'YOI,OI2: DEPTH.. Os7
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if alliallian_ �oY v
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3 .
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mmeammi `-Ig e . i
CRIPTlON � � .......... .
.INrnAL SYSTEM REPAIR SYSTEM .. ....... .
OTHER FACTORS(.1946); .1
Spat_(.1945) PS PS SITE CLASSIFICATION(.194s
x(s) .2 iJ_ , I r,_� EVALUATED BY: �((� '�
.v' ^r v �rs • OTHER(S)PRESENT: SS
G
S:
• LEGEND.
•
use the allowing standard abbreviations •
LANDSCAPE POSITION CROUP TEXTURE CONVENTIONAL LP? NEG ERALOCY/
1955 LIAR• .1957 LTA R• _T'ci-- N
CC(Concert Slope) I 5(Sara) ' 1.2 L)
CV(Coovea Slope) �-�$ 0.6-0,A
D(Drainage Way) I3(Loamy Sand) SEX?• cn-e:par!sive) G(Single Gnh}.
OS(Calais Slump) II SL(Sandy Loam) 0.3. 0,4.03 CR(Caleb) .
F?(Flood Plain) 0.6
FS C!cot Slope)
L(Loam) .. GR(Granular)
5/10((ScbragWar Block
H(1-Thad Slope) .^S , SCL(Sandy Clay Loam) 0.6_0J 0_3-0.12 ?L Pint-eOuRr Blocky)
L(L'mcar Slope) 5i1.(Silt Loam) PL(?;aty)
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N(Nme Slope) CL(Clay Loa") PR(Ptisoa6c)
•19-(Mgt) • SiCL(Siicy Cray Canna)
S(S)tWdc$lope) 5f(Sift) YI 7 .
T(Terrace)
Iv SC(Sandy Clay) 0,d-0.1 0._2-0.05 (Very Fria 50'P 5e
SIC(Silty['lay) Fl(Aims) SS(SSTS*Sd$;r]
• S SSdcky)C(Clay) Yn(Ve ny F'vm v.Very y Say) . VS Bitty
• Sticky)O(Org¢nic) None
EF1(Finamely Finns) NP(N:n-plaic)
'Adjust LTAR due co depth,coosisteact,strvcrurq soil wetness,landscape,pos(tloq wastewater now and alit SP(SL'yhly Nark)
NOTES quality. P(PEnic)
XORIIONDEPlN. . In:ncbes below natural soil=face VP(Very Nude)
DF_PJWI OFFZL 111 inches fins lard surface
REf771C77YEROA-7W 73Sc eas and depth turn Ind nafaac
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it SAPROIITE S(suimble)or U(unsui!ablo) '
E • SOIL FRIDIESS b:bbes Sum land eta. a CO L watt or itrbes from lm:d surface to soil colon nits ewes a 2 or leis
CL/SS'CRICAT ON S(Suitable),PS(?:ovisianaily Suichie),arU(lins:.itable) .-ar,1 Vlnnsell colts chip Ccsi�yativn
Evaluation of taprolin shin be by.pits
' Long-tent Ac-ptanc Rue(LTAR):Balfday;R' .
chow a ro(7e Inca Gans and other site features(dimensions.reference or benchmark and North)..
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Review(,t 4)
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