Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
RBPR-03-2016-23332.TIF
vS$A •G THIS IS NOT A PERMIT Case # RBPR-03-2016-23332 F' d y CATAWBA COUNTY HEALTH DEPARTMENT 0` iovd s '''" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 0. { it /g. 2 su Residential Building Plan Review - Building New o •o" ' o :. IMPROVEMENT- AUTH CONST 0 0. •Contractor *MIKE PALMER HOMES, INC. (MICHAEL PALMER), 6211 DENVER INDUSTRIAL PARK RD, DENVER NC 28037 B:7042576422 C:7045I69227F:7049730002 MIKEPALMER @MIKEPALMERHOMES.COM Owner BEARNHARD REARDEN.418776 FELDSPAR PL. ALDIE VA 20105 C:704-405-0514" NAME TO APPEAR ON PERMIT Bearnhard Rearden SITE ADDRESS: 7329 BAY COVE CT, DENVER NC 28037 PIN # 460603240164 NAME of SUBDIVISION: PEBBLE BAY PH 5 Lot# 235 Section/Block PROPERTY SIZE: Square Feet Acres 1.5 DIRECTIONS: 16S/ Hwy 150/left Campground Rd/left Catawba Burris Rd/right Bankhead /right Sallybrook/right Bay Cove Ct/lot on left PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Community Well DESCRIBE WORK: 2 story dwelling w/attached garage SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 74 x 60 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: E9-ehapplicatlon 03/07/2016 11:32 Page 1 of 5 j3,A CATr WBA COUNTY Case# RBPR-03-2016-23332 Public Health Department Subdivision PEBBLE BAY PH 5 „fir0i)4 Environmental Health Division PIN# 460603240164 '°3-Y PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 /842 s. NAME ON PERMIT: (BEARNHARD REARDEN).418776 FELDSPAR PL.ALDIE VA 20105 ( Bearnhard Rearden) Site Address: 7329 BAY COVE CT, DENVER NC 28037 _ Property Size: Square Feet Acres 1.5 Directions: 16S/Hwy 150/left Campground Rd/left Catawba Burris Rd/right Bankhead/right Sallybrook/right Bay Cove Ct/lot on left Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site s s at a complete site evaluation can be performed. Date: �' 7- ( fo Signature of Applicant or Agent c - An Environmental Health Specialist will contact you within orkina days of application date. If you need Further information or assistance please call 828-466-7291 AREA1 • :: .FEENAME DATE :_ 3 FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/07/2016 $300.00 Fee Improvement Permit Fee 03/07/2016 $150.00 TOTAL FEES $450.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 03/07/2016 1 1:32 Page 2 of 5 CATA ]R A THIS IS NOT A PERMIT cous ry r CATAWBA COUNTY HEALTH DEPARTMENT `--,,,,v-i''''.• ...,... Application for Environmental Services Page 1 --' Improvement Permit Authorization to Construct ®r Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) fl Application is for New Construction /4i, Existing Facility ❑ Property Address 139R t t (Ouc C-F Subdivision Pe 19 t (-1 I Lot# a3c) Acres Section/Block/Phase Driving Directions to Property H� ( 11_ I d -✓ Cr, a Coo. t.. L I I •u ens Q RA- tk,n F�'t ceri K4 IA o cco lel Coue CA- , In Ors LT NAME TO APPEAR ON PERMIT? jOwner ❑ Applicant a'i ontractor Applicant Contact Information o` m f o 1 a PI ime ca ( - - intrillin Cell Phone Owner Contact Information (� Name rocc -a °E' ,.)et�ei'tC `fie .ae Address 9( c 'lc &105 For i -Vdi e- 1M 2..8'lo5 Phone `-(p c( -(4U J-DC,5 f `I Cell Phone Contractor Contact Information Name Mme QS AboQ'e Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑✓Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions _ #of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes $J No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in estion. If the answer to any question is "yes", applicant must attach supporting documentation. fl Yes NN Does the site contain any jurisdictional wetlands? n Yes :fly-- Does the site contain any existing wastewater systems? 0 Yes NV Is any wastewater going to be generated on the site other than domestic sewage? AYes E � Is the site subject to approval by any other public agency? fl Yes fl'�V No Are there any easements or right of ways on this property'? Describe Existing water supply in use ❑ Individual Well vI/Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ttt Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your reference) ❑ Accepted ❑ Alternative h Conventional ❑ Innovative ❑ Other ❑ Any cAT A THIS IS NOT A PERMIT COUNTY ' CATAWBA COUNTY HEALTH DEPARTMENT a � a„„.,,,,,,, . Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence n Addition to Residence # of New Bedrooms *t Project Description 5/ F Structure Dimensions !74 (00 # of Occupan Basement ❑ Ycs 2-No Basement Fixtures ® Yes No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes n No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence#Units #Bedrooms per Unit*j' Total #Bedrooms *t Structure Dimensions ❑ Food Service Specify Type #Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) n Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts ❑ Other Facility Type Specify If Church # of Scats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well Lu Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. j If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date 3 - -2 - co Printed Name of Owner or Agent \ n it ---s-r c • \\/ \ - ,; ;; V. --------------} \\ ---- \ar \ \ IJ ` )§ a lA ` t> /{ ac 11 y\ g ¢ © : , / ® \. ( / J w \ h. » } in oxi tz1 R; 01 o § la � ° ------ BAY COVE mr m 0 ) �f §: \ { \ , 7. ! , ® = / j ! Di/ / \ � )/ \a/} / ) \ +\ » . , , � ` ©, c . 2 » � : _!z: (\ < - ,i § / \ , i,« , ©� Cl) § s $ ; � x ^ ° , \ Catawba County Environmental Health \____LI__ if .7323 /414.5 07321 1111 J ` 75.54 °' 0 400..36 ca P _._ 110.5 • fl rn vi w co Ick 7337 w O N 1 b' �1 U A� 0 Parcel: 460603240164, 7329 BAY COVE CT 1 in=60ft DENVER, 28037 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 03/07/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460603240164 Owner: REARDEN ELIJAH BERNHARD Parcel Address: 7329 BAY COVE CT Owner2: REARDEN JENENE B City: DENVER, 28037 Address: 41876 FELDSPAR PL LRK(REID): 803115 Address2: Deed Book/Page: 3199/0831 City: ALDIE Subdivision: PEBBLE BAY PH 5 State/Zip: VA 20105-2901 Lots/Block: 235/ Last Sale: $38,000 on 2013-07-15 School Information: Plat Book/Page: 65/146 School District: COUNTY Legal: LOT 235 PLAT 65-146 Elementary School: SHERRILLS FORD Calculated Acreage: 1.500 Middle School: MILL CREEK High School: BANDYS Tax Map: Township: MOUNTAIN CREEK School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $43,400 Zoning3: Assessed Total Value: $43,400 Zoning Overlay: CRC-O,WP-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460600J Building Details 2010 Census Block: 4017 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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. ©2015, Catawba County Government, North Carolina. All rights reserved. �,� „r\ :Di anion \I\QA/1 c17. llian 4E0 E p ► deco http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460603240164&typ=P 3/7/2016 sIMPROVEMENT PERMIT, .r 'CDP File Number 3 5 9 0 7 2 atawba County Public Health Department Count ID Number:a�osg3 aoisa Environmental Health Division y .f� Y /D C9 �3r1 P.0 Bqx 3$9, 100-A Southwest Blvd valuated For: NEW J -I I-04)J PERMIT VALID UNTIL: J� OYa ° Newton NC 28658 11/5/2014 Di Phone: (828)-465-8270 Fax: (828)465-8276 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. P°SC Applicant: Jeremy And Stephanie Wilson \ (-Property Owner: Jeremy and Stephanie Wilson Address: 12427 Willingdon Road Address: 12427 Willingdon Road City: Huntersville City: Huntersville State/Zip: NC 28144 State/Zip: NC 28144 9) CP Phone #: (704) 609-6167 / \ phone#: V Property Location & Site Information (Address/Road #: Subdivision: Pebble Bay Phase: Lot: 235 7329 Bay Cove Court Denver NC Directions Structure: SINGLE FAMILY Hwy 16 S, through 150, LT Campground Rd, LT Catawba Burris RD, RT onto Bankhead, RT onto *of Bedrooms: 5 Sallybrook, Go to Bay Cove CT, Lot on LT #of People: crater Supply: COMMUNITY \\ System Specifications (Initial System \ Site Classification: PS Minimum Trench Depth: Inches Design Flow: 6 0 0 Maximum Trench Depth: 2 4 Inches Soil Application Rate: 3 5 Septic Tank: 1 5 0 0 Gallons 1-Piece: °Yes ONo *System Classification/Description: TYPE III G.OTHER NQN-CONY.TRENCH SYSTEMS Pump Required: °Yes No O May Be Required Pump Tank: Gallons 'Proposed System: 25%REDUCTION f 1-Piece: °Yes ONo // Repair System Required/Yes O No ONo, but has Available Space Repair System Site Classification: PS Minimum Trench Depth: Inches Soil Application Rate: 3 5 Maximum Trench Depth: a 4 Inches System Classification/Description: Pump Required: °Yes /No O May be Required TYPE III G.OTHER NON-CONV.TRENCH SYSTEMS Pump Tank: Gallons 'Proposed System: 25%REDUCTION Page 1 of 3 CDP File Number "a "r 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 BR system under WLS 2006-01528 by George PendegrasstLot will require additional clearing and exact driveway location will be required prior to issuance of Authorization to Construcitriveway configuration may result in change of system type to 50%reduction for repair The Improvement Permit shall be valid for5 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 0 No Applicant/Legal Reps. Signature Y�7 aan 31(14-0-4644— Date: ' I 06 1 'Issued By: 1610-Boyd,Jason Date of Issue: 1 1 / 0 5 / x 0 0 9 Authorized State Agent: e-r/ OValid without Expiration? Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** TotalTme:(HH:MM) Hours Minutes Page 2 of 3 35907 460603240164 CDP File Number: County File Number: Drawing Type: Improvement Permit Date: 1 1 / 0 5 / 2 0 0 9 0Inch Scale: 1 OBIock = 0 6 0 ft. Drawing ON/A j 1 [sin 1 � 1 � CVrtvelW¢Y1V+ . _ L 1-- i I I I 1 i. 1 I 1 Awa; + e bt I (� I 1 I I 6g . — 1 !- - - � - _ ne. a�a E. 10,111a.-) is r t I-a --7- 1 - I-- -__� -_ l %\r till P� I�-_ i I I , 1 I _ _ - I i 5 0+-,? 1 _ j -r– 1 Il e Gc�l"�p l- pl'r ., G rc,9 a-- I I __—' I i I I _ II S �: ■ cl .L 1 1 I x_ c n, IPc�IC l Mc r•ict_pa a'f lolr 1 _ —r OBI_ .._ — r F1 i vs,lef l- rt1• r-- -- — - ---II 1 o` i l - _ ;- _ .._�N -- _-- __ — _— __j +rrl 1 1 1 I-- ( - -_- -r • —S .F T— Y � j I 1 L_ 1_ - 1 _ !a.55b 40-°/`'c#._- - -- ------- -1 —L— I 1.._-- 1 IOr OQGb�Ir j I I I �) t� r 1 IV 1. 1 1 1 r —l3 Y Co VII� o � {- I I 1 1 i I 1 i 1 I•1 _...-_ —i .—' —_'- - - - •. I i - i li-__ _L— ' 1 Page 3 of 3 CATA1WBA COUNTY PA�S,� /s'" '.",. Public Health Department Case# WLS2006-01528 s, `' " Ent irinunenial Health Division Subdivision PEBBLE BAY PRASE 5 C �' / 110 Box 389.100-A Southwest Blvd.Neutnn-NC 28658 A� Sect/BL/Ph/Lot# 235 ` `—' i8?8)465-8270 FAX 1828)465-8276 TDD(8281465-8200 P114# ..�' .:�' � 911460601164071-235 Applicant/Owner PEBBLE BAY OF CATAIVB.A LLC Site Address: ROAD B(PEBBLE BAY PH 5) DENVER NC Property Size: SF 104 ACRES Directions: CATAWBA-BURRIS RD/RT BANKHEAD/RT SALLY BROOK Q Improvement Permit Permit Valid For: Five years K No Expiration 0.."` Facility(Residential): House House X Mobile Home Multi-Family Bedrooms 4 New? ik Addition? Projected Daily Flow 4' 7 g.p.d Water SupplyPrivate Well? Public? pc Semi-Public? Basement: N Basement Plumbing: N Hot/T�ub/Spa: N Special Fixtures(explain):• Proposed Wastewater System: 025% 5. c4-' ,C eCue- Type: 3 G- Proposed Repair: a5 5a Ste 7&(-4A4-v,.. 36 Permit Conditions: Owner or Legal Representativ- Signature:— _/ .` �- _ -lSrr_oC%>r Date: Authorized State Agent: 4'__.r A� ?- Date: /D/Z—6 The issuance of this permit by the Health Department does not cum-anted the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Pl:nnindZonine and Buildine 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 184.1900). 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 site plan and additional attachments I ) Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair Expansion Soil LIAR: g.p.d.tft2 Type of Facility: Basement: N Basement Plumbing: N HotTub/Spa: N Special Fixtures(explain): Wastewater System Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfleld: Total Area: sq ft Total Length: It Maximum Trench Depth - in Trench Width It Minimum Soil Cover Minimum Trench Seperation ft Distribution: Distribution Box SerithDistribution_ Pressure Manifold_ LPP Other Additional Specifications: Authorized State Agent: Date: Permit Expiration Date: I have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: .� / Form B r 'And rim:AV-arm MUSE:vo.nn CATAWBA COUNTY Case# WLS2006-01528 • -• Public Health Depanment `- Subdivision Emimmuentnl Health Division PEBBLE BAY PHASE 5 'N1:7 Q , PO BON 389,100-A Southwest Blvd.Newton,NC 28658 SectBUPh/Lot# 235 (8281465-8270 FAX(828j 465-8276 TDD(828)465-8200 P1N# 911460601154071-235 Applicant/Owner PEBBLE BAY OF CATAWBA Site Address: ROAD B(PEBBLE BAY PH 5) DENVER NC Properly S SF 104 ACRES Directions: CATAWBA-BURRIS RD/RT BANKHEAD/ RT SALLY BROOK ® Improvement Permit ® Authorization To Construct ® Well Permit SITE PLAN (o0 3CP u° t ea 350 �k° t to A-2 Pay" a5% Si 3e (Zed tic a-- I?-5 la /- GO 130, Scale /ZcYa'Y3 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. LL ' d . Au iced State Agent if Date Form C r:Vl2ar,u an, V a1 000..o: DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed! I of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID r(To-OT$.2r ON-SITE WAS 1 EWATER SECTION COUNTY: C.,4' • SOIL/SITE EVALUATION �) {1n Jam_ for ON-SITE WASTEWATER SYSTEM OWNER: / OWNER: TP 1061f° �'+L( C( CG it( ube LLLAPPLICATION DATE et - of (" 7e ADDRESS: (aI LI !,) /V\ha,...) $rl 5If4C-(S BWZY DATE EVALUATED/0-//--Co PROPOSED FACILITY: IL SL PROPOSED DESIGN FLOW(.1949): C3 PROPERTY SIZE: LOCATION OF SITE: {tab kro .13(4./U PGks4 S Lot' 2 PROPERTY RECORDED: WATER SUPPLY: ❑Private blic Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Baring it ❑Cut TYPE OF WASTEWATER Jirs.Scwage ❑Industrial Process ❑Mixed R .'SOIL MORPHOLOGY � . . :, OT'HF.R F , (:1941) PROFILE FACTORS- : I. .1940- _. ...-.•E LAND- HORI- i -.1942 • ' SCAM ZON .1941 .1941 SOIL .1943 .1956 .1944 -- PROFILE . 0 POSITION/ "DEPTH. STRUCTURE/ 'I CONSISTENCE! • WETNESS/ ' SOIL - SAPRO RESTR CLASS :SLOPE% (IN.) TEXTURE. . ' MINERALOGY COLOR' DEPTH CLASS HORIZ :_ &LIAR I b-tZ 45/c 5CC 'r l5 I-'a`► 15K Scc FMS 5-64'0 y�- 1 4 4 N-14- w.434.- sec. Pi' -3-C I (7 -CO 11!c cct i P1' r10'90 I S8/c 5Cc 1 n_, cal y z 5 2 it - 4657c, XL F 1 a_.1 I 3 I I I I I I 4 ..:.iS'3' v • sS. _ .T aW:5^v ..::G. - :3 2.. K +. e -..T .... .-..r a .../'. +Y+ ,_ .na s.. . -..'c t. . DESCRIPTION INITIAL SYSTEM I REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) 5 S - SITE CLASSIFICATION(.1948): ps I System Type(s) tii 025% 1&5 EVALUATED BY: OTHER(S)PRESENT: Site LTAR • 35 1 35 COMMENTS: • LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTLTtE .1955 LIAR• .1957 LTAR CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 NEXP(Non-expansive) 0(Single Grain) CV(Convex Slope) LS(Loamy Sand) SEXP(Slightly Expansive) M(Massive) D(Drainage Way) EXP(Expansive) CR(Crumb) DS(Debris Slump) U SL(Sandy Loam) 0.8-0.6 0.4-0.3 GR(Granular) FP(Flood Plain) L(Loam) SHK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) III Si(Sih) 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) I R(Ridge) SCL(Sandy Clay Loam) MOIST WET f S(Shoulder Slope) SLC(Belt Loam Clay) 7(Terrace) VFR(way Friable: NS(Nm-tky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) 5S(Slightly Sacks) SiC(Silty Clay) Fl(Firm) S(Sticky) VFl(Vey Firm v.Vay Sticky) VS(Vary Seely) 0(Organic) None ED(Enremely Firm) NP(Noo-pbt) SP(Slight's Plastic) *Adjust LTAR due to depth,consistence,structure,soil wemes,Irndtrape,position,wastewater flow and gtrelity. P(Plat) NOTES VP(Vey Plastic) HORIZON DEPTH In incises below natural soil surface • DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SO6 WETNESS Inches from land surface to Bee water or inches from land surface to soil colors with aroma 2 or less-record Maysell color chip designation CLASSIFICATION S(Suitable),PS(Rovisiooally Suitable),or U(Unsuitable) Evaluation ofsapmlite shall he by pia. Long-term Acceptance Rate(LTAR)u gaVdaYHY Show profile locations and other site features(dimensions,reference or benchmark,and North). } —., _ 3. __—�_ _ .._. 1 _. _. _ ) f - t I e.r..�___s, 1 t t t 1 i • 1 1 : , ' 1 1 r_ --- _- --• • • TT r t i • • . DEHNR(V«m:af0 - - - ReGew SOIL/SITE EVALUATION Sheet of (Continuation Sheet) • TRACKING INFORMATION Date Calls 10/24/09 1s' 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. —� CATAWBA COUNTY PLLeSai -i_` Public Health Department Case'p WLS2006-01528 • I "' Emtromecial Health Division Subdivision PEBBLE BAY PHASE 5 \ PO doe 389,1008A Southwest Blvd.Net‘ton,NC 28659 �� Sect/BL/Ph/Lot# 235 ` :-- is?9)465-8270 EAkt838)465-8276 TDD C6281465-3200 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/ RT BANKHEAD/RT SALLY BROOK ¢ ' Improvement Permit Q Permit Valid For: Five years x No Expiration Facility(Residential): House House X Mobile Home Dlulti-Family Bedrooms 4 New? K Addition? Projected Daily Flow 4'5o g•p.d Water Supply Private Well? Public? Semi-Public? Basement: N Basement Plumhing: N HotTuh/S/pa: /N Special Fixtures(explain): ? Proposed Wastewater System: °' % d/ee ,e''cd_e.,-r_.-: Type: `1 Proposed Repair: G}S % .S� c-e -., C,[, �-cam. 36 Permit Conditions: -------- Owner or Legal Representativ- Signature:— a '.a�.� _4,a,, Date: Authorized State Agent: ai - ray a . nee — Date: /Ore-- 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 Planni ne/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' (ISA NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function s:nisfacWrily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and additional attachments/ I Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair - Expansion Soil LIAR: g.p.d./ft2 Type of Facility: Basement: N Basement Plumbing: N HotTuh/Spa: N Special Fixtures(explain): - Wastewater System Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area: sq It Total Length: ft Maximum Trench Depth in Trench Width ft Minimum Soil Cover Minimum Trench Separation ft Distribution: Distribution Box SeridflDistribution 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 permit as indicated. Owner or Legal Representative Signature: Date: �[/ Form B P ..\TtLc,a-.F�..exbgl-mwm CATAWBA COUNTY Public Health Department Case 4 WLS2006-01528 a Division PEBBLE BAY PHASE 5 __�' � Environmental Health Dm=' Subdivision NO BON 3s9,100-A Southwest Blvd.Newton,NC 28658 SecIJBUPhJLot k 235 w-;.T'S (828)465-8270 FAX(S2S)465-8276 TDD(82 8)465-8200 PIN# 91146060116407 1-235 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 alImprovement Permit Authorization To Construct Well Permit SITE PLAN "75 (00 360 I to00t F� 36° 16 A-2 f-w a5% Si (Zed lc( u--- AN d tr C[X4 fa- 1?-5 rio /- /c� /0 Scale 20Y1-o 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. 4d 77A /O 't Ant ized State Agent Date Form C rAT1 emark∎Fumi.Abl:ISnv.r.�. DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet 1 of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID r:O&—d15i • ON-SITE WASTEWATER SECTION COUNTY: I • SOIL/SITE EVALUATION ,�) ( I, }� for ON-SITE WASTEWATER SYSTEM OWNER: r P 1410 10 DAL/ O CO 1-Ctt bPc L�APPLICATION DATE —I - U I }o ADDRESS: Co I � 1���►��(k�i sr 5}4C-L5 3Lte'Z'( DATE EVALUATED/0--//---Co PROPOSED FACILITY: I PROPOSED DESIGN FLOW(.1949): Yd PROPERTY SIZE: LOCATION OF SITE: au tce Bfy PirLtcc S t.Ur n2.3 PROPERTY RECORDED: WATER SUPPLY: ❑Private Eblic FV Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring ,' it ❑Cut TYPE OF WASTEWATER: p-Sewage ❑Industrial Process ❑Mixed P R D - - '- SOIL MORPHOLOGY - = OTHER F - (1941) PROFILE FACTORS .1940- - .. , ..-. L.E LAND- HORI- :. . . :1942 SCA.PE ZON .1941 ! 1941 .,_ . SOIL .1943 .1956 .1944 ' PROFILE is POSITION/ :DEPTH- STRUCTURE/ 1 CONSISTENCE/ WETNESS/ ' SOIL -.. SAPRO RESTR CLASS .: SLOPE% (LN.) TEXTURE i MINERALOGY COLOR DEPTH CLASS HORIZ .- <AR (2-'1' 4-k_ S« • 3T 1 ' 4, 4 -� -35` 1 I0 - 0 4c cL Fr I,/ • " b ft sec. f' e�ll> • qz, Ps 2 / vl 1, u - scL t ar a 3 3 • I I , I I 4 1 • DESCRIPTION INITIAL SYSTEM I REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): ?-5 Available Space(.1945) 5 I . .5 System Type(s) 0 02 c7 19Szd EVALUATED BY: 1 OTHER(S)PRESENT: Site LTAR • 35 -35 COMMENTS: • LEGEND use the following standard abbreviations SOIL CONVENTIONAL LP? MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LIAR• .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 NEXT(Non-expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) SEXP(Slightly Expansive) M(Massive) D(Drainage Way) EXP(Expansive) CR(Crumb) DS(Debris Slump) U SL(Sandy Loam) 0.8-0.6 0.4-0.3 OR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) HI 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(Tence) V}R(Vey Friable) NS(on-sticky) ' IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) Fl(Finn) S(Sticky) VFI(Very Finn v.Very Sticky) VS(Very Sticky) 0(Organic) None EFI(Extremely Firm) NP(N®-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 OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with thorns 2 or less-record Mumsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of snprolite shall be by pits. Long-term Acceptance Rate(LTARP gal/day/fe Show profile locations and other site features(dimensions.reference or benchmark,and North). y i i . _..._ ...._. -... ... .. ...- __.. .-.� .._...__._ .�. .. ..-.... ._ _. .I .._..._. ..".• ; . 1 . . . , . . : : . .r t I I _ Y 1 i. . • ..,.. . . . . . , . . . . _co I . DE}INR(s ,,,@) - - s.i , Review(rd4:40) SOIL/SITE EVALUATION Sheet of (Continuation Sheet)