HomeMy WebLinkAboutIMPV-03-2016-069755.TIF ,4 • CATAWBACOUNTY Case#
IMPV-03-2016-069755
69755
T s[.'n L Public Health Department Subdivision PAUL MACKIE
d
: rot Environmental Health Division PIN# 367904830317
`&- PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 LOT# 1-2
/8.2 s.
NAME ON PERMIT: NEIL & NANCY TREADGOLD, 326 N PETERSON ST, STANLEY NC 28164
Site Address: 1743 BUFFALO SHOALS RD, CATAWBA NC 28609
Property Size: Square Feet: 58,806.00 Acres:1.35
Directions: NC 16 S, Balls Creek Rd, W Bandys Cross Rd in Catawba, Right onto W Bandys Cross Rd, Right onto
Buffalo Shoals Rd, Vacant Lot is btw 1735 & 1769.
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
...,c As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-02-2016-23152 by the following method(s):
Received in Person
/ Facsimile Transmittal (Return form with signature required)
.J Electronic Image Transmittal/ E-mail (Return receipt required)
v 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: 03/04/2016
-----_ Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Perlmittransmitte• .y Ya� � 4ji�,�c 1c11.� (name ofpersoo�nn7 .•end'ng pert, 'I) (�
Signature 1'kC(/ ,-PCB Date/TimeCS 1 # JO!'
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
_rcipano� 6?WIL r
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We want to hear from you. PI ase to a few moments to complete our customer service survey at:
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ehpermit 03/0412016 10:18 ?age 3 of 3
CATAWBA COUNTY ' "" Case p
IMPV-03-2016-069755 s� e.
t' Public Health Department 4v' ` Subdivision PAUL MACKIE
1 y 367904830317
Q .. „�; Environmental Health Division Y �•-!{- .5. PINiF
1842 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 '- `iu ° 4 LOT# 1-2 s.
NAME ON PERMIT: NEIL & NANCY TREADGOLD, 326 N PETERSON ST, STANLEY NC 28164
Site Address: 1743 BUFFALO SHOALS RD, CATAWBANC 28609
Property Size: Square Feet:58,806.00 Acres:1.35
Directions: NC 16 S, Balls Creek Rd, W Bandys Cross Rd in Catawba, Right onto W Bandys Cross Rd, Right onto
Buffalo Shoals Rd, Vacant Lot is btw 1735 & 1769.
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Public Water
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: 11IG -OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: *Do not grade, drive, or fill over any designated septic area.
REPAIR SYSTEM SPECIFICATIONS
- ----- — - - --- .._.-.--------_.-
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
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 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.
Robbie Phelps 03/04/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date:
03/04/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 03/04/2016 10:18 Page 1 of 3
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Parcel: 367904830317, 1743 BUFFALO SHOALS 1in=60ft
RD 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
03/04/2016
Department of Environment,Health,and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot#:
SOIL/SITE EVALUATION File#: 23152
for ON-SITE WASTEWATER SYSTEM AppID: 23152
Owner: Treadoold Applicant:
Address: 1743 Buffalo Shoals rd Date Evaluated: 2/26/2016
Proposed Facility: 4br Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: [x]Public [ ]Individual [ ]Well [ ]Spring [ ]Other
Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut
Type of Wastewater: [x ]Sewage [ ]Industrial Process [ ]Mixed
P:LIWO s ` ' `4111;4;s'3, fi " Y i r1, ry a . pI z + s". `y:{7 ] 3 x" "1:-. v r n 4°a t 3 , Itta`a I°".
Rr -1,+i IN ig �'¢ i f '`ak56ax x1 fa ;Mt ' 4` " t - i4 l r 4', a °xg x j.." }+ ,,r ' C:
" ° L SOIL' MORPHOLOGY. a . s°4i ?' ��a 'b 4 :., :+s ��
0`" .r 0,0 '" is IN h p »R. y "t 1t i i 5 xi-44 5x' sC.� 1 ,� itlii
F r s. $�2'IVr°' 4 7' P v 3 ' 4. -2 y x a° >35iiiRROFILE FACTORSri r.,`' a ,.;ic F „
s� v � � "� rs1941 e 3 a . a a "�— �3,&. t ,,
I ij r 194Q s� :i itie t i4e,1:c '�41-;4 r N`' It it e -4•+'..^ tt� .:r 1943" aPF $.{. e 0'' ifl r ° rotor. ~7ro v ..a�2l 3`fit}.
L 4~ it Landscape [Horizon''4'eS 1941' r all r;,"c1941 + p, ;"ii, fiJSollw' N''$ :‘,44•1 3 ae .1956 +.1944 v- Profile ,
E s ,0 ` ePosItioN ,'P Depth'. Structu e! 0•003 r .P.stence4�.: �, to 4:::y;fWetneess/ ' a nr>rSoit tra Sapro-'t'�pRestrii 'Pi'a Class r', '
-# ,:_ta,.,-Slope%.. L0I(IN.'y�St h g gy 4 k1 E: . :7`..a-Color �'.�'"- , , ,De th'I ) P Class," '`"Honzz .: &<AR„y .
Texture�,aU,,, �5„Mlneralo �I� p ( - sue. ,
1 5% 0-8 cl,wsbk fr
8-25 c,sbk fr,ss,sp
25-46 sap+c platy 25 0.3
2 8% 0-10 L fr
10-25 c,sbk fr,ss,sp
25-48 cl,sap,wsbk fr 48 0.3
3 8% 0-7 L fr
7-19 c,sbk fr,ss,sp
19-47 cl+sap,wsbk fr,ss,sp 47 0.3
4 8% 0-8 L fr
8-20 c,sbk fr,ss,sp
20-48 c+sap,wsbk 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:
Site LTAR 0.3 0.3 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
ER-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
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