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Home My WebLink AboutIMPV-02-2016-069585.TIF i9 CATAWBA COUNTY Case# , v^ • i�ii L Public Health Department Subdivision 2 14-0; Environmental Health Division PIN# 367804525501 Y 1 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 /842 s. NAME ON PERMIT: JEFFERY GOODSON, 678 MOCK MILL RD, STATESVILLE NC 28677 Site Address: 4573 BURLWOOD PL, CATAWBA NC 28609 Property Size: Square Feet:24,393.60 Acres:0.56 Directions: Hwy 16 to Drum Rd/turn left on Buffalo Shoals Rd/right on Little Mtn Rd/right on Beverly Hills Dr!left on Burlwood PI/2nd trailer on right Owner/Authorized Representative Acknowledgement of Permit Receipt � c I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. C(5 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-12-2015-22934 by the following method(s): JReceived in Person Facsimile Transmittal (Return form with signature required) / Electronic Image Transmittal/E-mail (Return receipt required) (U 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 (15A NCAC 18A .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 6-00&)- -P-1-Owner/Authorri�zedd Reprr/esentative Signature Date 9 - a2_ l(� Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerservice ehpermit 02/29/2016 08109 Page 3 of 3 �.1' #, A CATAWBA COUNTY O r - . . Case O IMPV-02-2016-069585 All• ,GL Public Health Department WO• • ..1 Subdivision ® ` 367804525501 4 Environmental Health Division � � r. PIN#t P PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 ` , 1 c � • LOTif 2 18.2 ,w It r NAME ON PERMIT: JEFFERY GOODSON, 678 MOCK MILL RD, STATESVILLE NC 28677 Site Address: 4573 BURLWOOD PL, CATAWBA NC 28609 Property Size: Square Feet:24,393.60 Acres:0.56 Directions: Hwy 16 to Drum Rd/turn left on Buffalo Shoals Rd/right on Little Mtn Rd/right on Beverly Hills Dr/left on Burlwood PI/2nd trailer on right Improvement Permit Facility: Primary Residence - House Permit Category: Expansion Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: 1110 - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITI-I LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR 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 Rules for Sewaee Treatment and Disposal Svstenrs' (I5A 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. Robbie Phelps 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. ehpenmt 02/29/2016 08:09 Page I of 3 Catawba County Environmental Health Qvk, -Z -7o/6 ` 06,136 • BURi.W000 P( • (747) N. ~ 3 730,00 75.25 wild alwNdo `! +>, a 1e w O yf 3 6.4 / r `' SYI • • .-c- �- L (758) ti' 0 3 7 n/e1L,� C /� / \ / 4 � _ /y � / f alit • 1 1114. 12s.0f N°BLE OR . • �3t80 • Parcel: 367804525501, 4573 BURLWOOD PL 1in=40ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 02/26/2016 „ . u.'..'t."....2iA f - WxS auh.ri �. _ ._. e'„ 'a[ ..�”. b _ _ 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: 22934 Owner: Jeff Goodson Applicant: Address: 4573 Burlwood PI Date Evaluated: 2/1/2016 Proposed Facility: 3br Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: [ ]Public [ ] Individual [x]Well [ ]Spring [ ]Other Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut Type of Wastewater: [x ]Sewage [ ] Industrial Process [ ]Mixed p ,,t: P yW aX^.5 tCC� q�q ,fifH'FY-F^ 'E ,[T�. �'NF ¢L'� + �`6 *2�e Them„ , Y' t ui s s1+ "T g rr'Y"' £lr7C' .T �,1'f � x5 7 i K x�"'e c'�:. r 40 ! tm Y' 0 t 4 '" ,fltt :A . "' k r 'ANN r M1 i .!=8'+`f 1''dif m 014 2c fr.-11" is& 3t-:y'ih ,;. i , .. R G ..0„orf 11,1: a ,v ' r ;('-iSOIL MORPHOLOGY }a��d n,r `'`i ,> OW b .r"'.�' i 't-t ? 4'.{ ` GS �'�'. i v F ,-q V gt{ .l.. i�, "1F . r 1n m�& t ��, �i'9.a �+ �p '� r�'� � s1 � r Em F d-, y I :14' tsv Bm '' 3 k x .' y. A�194t . #v* y T m sc =;PROFILErFACTTORSTr't"'z xE. iv x.. 'a, 7.4" x e'. o . e 1940.: ,z si,'4-m 1.. 4 a`;r i gym"b t s ' + `i; M 51942,Er.-.,i§- + it' .{4;AC-414i.a-.fit i -.ts .,04.;4444,-° 4 L `} r t tiandepagrll 4Horp S uctur'`! r,Fi ns stence "t„t)'t 4',„.j Wetne s/ 1r,,y� 'i1 Soil 7 5 p o ry Res"tr 'r k i Class pte, . E a+,.` t:PAiiiprt/ r l De th Structurelm # '14.:4'2 NSlope%4.a,1 #(INL)?;. Texture ,N Mineralogy,=a� ro "'•.'"P*Colo 4r , ;.„,a8: 1.D'e"[ith;(IN)t ''CI sa s'w":�£iNorz , _,`&ttLTAR'."NN't 1 8%L 0-9 scl,wsbk fr 9-30 c,sbk fr,ss,sp 30-43 cl,wsbk fr,ss,sp 43 0.3 2 8%L 0-33 c,sbk fr,ss,sp 33-54 cl,sbk fr,ss,sp 54 0.3 3 8%L 0-6 scl,wsbk fr,ss,sp 6-48 c,sbk fr,ss,sp 48 0.3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 50% Others Present: Steve Price Site LTAR 0.3 0.3 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 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Sill 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 ER-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Catawba County Environmental Health - •p- . , - . __ - 1 �� y • j • vs {;. f.° s - .;; • - . - - - - -le J _ L ; J ' } 4/_.614.j 2 -M •--- �:. . 91 .. .,.' :- ,Igglii. .4'4Nekirtt0' - I' +� . . . , / / .1 • _ . foBt.E....,t , • _ .. • . r T s f ,} yr Parcel: 367804525501, 4573 BURLWOOD PL 1in=40ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. " Copyright 2014 Catawba County NC 02/26/2016