HomeMy WebLinkAboutIMPV-03-2016-069889.TIF .�1Imo• CATAWBA COUNTY Case# • _ ..
7,5:7(4 �\ Hlt Subdivision CRESCENT LAND AND TM`1
Environmental Public eah Health DiDepartment vision PIN# 460702750477
j PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 131
NAME ON PERMIT: GEORGE WEBB, 3933 APPERSON RD, EAST BEND NC 27018
Site Address: 3732 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: From Newton, take NC 16 south to NC 150 turn left on 150 and Cheviot Hills Road is about 4.4 miles on the
left. 3732 is about .4 miles on the left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
-v; I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the
property described above.
'Rik As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-08-2014-19714 , by the following method(s):
_VReceived in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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: 03/09/2016
caner/Authorized Representative Signature �, 7
Date 3—q— 1 co
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
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ehpermit 03/09/2016 1 5:13 Page 3 of 3
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� ■■ CATAWBA COUNTY a. CI • Cr. 0 Case# IMPV-03-2016-069889
Public Health Department h i r Subdivision CRESCENT LAND AND TIP
Environmental Health Division i' .� PIN# 460702750477
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 13. ` D LOT# 131
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NAME ON PERMIT: GEORGE WEBB, 3933 APPERSON RD, EAST BEND NC 27018
Site Address: 3732 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: From Newton, take NC 16 south to NC 150 turn left on 150 and Cheviot Hills Road is about 4.4 miles on the
left. 3732 is about.4 miles on the left.
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Private Well
Basement? Yes Basement Plumbing?Yes
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 50% REDUCTION
Type: IIIE-PPBPS GRAVITY DOSED SYSTEM
Permit Conditions: See AC for permit conditions
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Not Required, has space
Proposed Wastewater System: PRETREATMENT
Type: VD-OTHER <3,000 GPD WITH PRETREATMENT
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 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 03/09/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpemiit 03/09/2016 15:13 Page 1 of 3
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MICHAEL ATHANAS&ASSOCIATES
LICENSED SOIL SCIENTIST
361 Ennis Rd.
Weddington,NC 28173
(704)576-3887
Reference: Data Sheet for 3732 Cheviot Hills Rd., CL&T Sec32 Lot 131
House Footprint: See Attached Plan
Building Setbacks: 30' front, 15' side, 50' lake
Water Source: Private well
Number of Bedrooms: 3/360 GPD
Proposed LTAR: 0.4 GPD/FT2
Proposed System Type: PPBPS
Proposed Repair System Type: Limited
Distribution: Gravity-Distribution Box
Septic Tank Size: 1000 gallons
Proposed Trench Bottom: 36"
Proposed Trench Width: 24"
Total# of Panels: 32 (8 per line)
Line Design Length Actual Length
Blue 1 38'/37' 80'
Orange 2 38'137' 80'
Initial System: 150' Repair System: Limited
Comments:
Catawba County Environmental Health has determined this lot to be repair exempt. A
pretreatment repair would be possible within the 50' lake setback. The existing building in the
proposed initial system area must be removed. The new system will be installed on 8' centers.
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of_I
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER:_George Webb APPLICATION DATE
ADDRESS: DATE EVALUATED:
PROPOSED FACILITY:_3 bdrm PROPOSED DESIGN FLOW(.1949):_360GPD PROPERTY SIZE:
LOCATION OF SITE:3732 Cheviot Hills PROPERTY RECORDED:
WATER SUPPLY: E Private ❑Public E Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auger Boring E Pit ❑Cut TYPE OF WASTEWATER: E Sewage ❑Industrial Process ❑Mixed
SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
.1940
LANDSCAPE HORIZON
POSITION/ DEPTH 1942 PROFILE
# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
LS 3% 0-12 R CL WSBK FR SS SP N A 12" N/A PS 0.4-0.5
PS
12-60 SL SAP M VFR NS NP
1
LS 3% 0-16 R C SBK FR SS SP N 30" N/A PS 0.4
F-C SAP
16-30 R CL WSBK FR SS SP
2 30-60 SL SAP M VFR SS SP PS
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948): PS
Available Space(.1945) 300 FT2 LIMITED
EVALUATED BY: MA&A
System Type(s) PPBPS OTHER(S)PRESENT:
Site LTAR 0.4
COMMENTS:
Updated February 2014