HomeMy WebLinkAboutIMPV-03-2016-069928.TIF sy, • CATAWBA COUNTY Case# IMPV-03-2016-069928
r '" 1 Public Health Department Subdivision STILLWATER KNOLL
< - ;� Environmental Health Division PINS 460712971451
°w, PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOTS 15
18. 5.
NAME ON PERMIT: CJ HOMES, INC, 8311 AEROMARINE BLVD, CATAWBA NC 28609
Site Address: 3573 STILL KNOLL LN, SHERRILLS FORD NC 28673
Property Size: Square Feet: 23,086.80 Acres:0.53
Directions: Hwy 150, Left onto Slanting Bridge Rd, Left onto Stillwater Dr, Right onto Still Knoll Lane, House is on the left
after the existing house.
Owner/Authorized Representative Acknowledgement of Permit Receipt
•N I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
-
JAs the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-02-2016-23168 by the following method(s):
IReceived 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 / qq �/�
—> Owner/Authorized Representative Signature a,� C ti AA-4„„ X}'
Date 2 -_2C(-/(q
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name oJ'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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ehpennit 03/10/2016 08:14 Page3of3
s$ CATAWBA COUNTY Q f a Case# IMPV-03-2016-069928
.0 " Public Health Department �'. `••. Subdivision STILLWATER KNOLL
G - ,-; ,� Environmental Health Division Ix } - �+ PIN# 460712971451
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 e . ti� i• LOTH 15
NAME ON PERMIT: CJ HOMES, INC, 8311 AEROMARINE BLVD, CATAWBA NC 28609
Site Address: 3573 STILL KNOLL LN, SHERRILLS FORD NC 28673
Property Size: Square Feet: 23,086.80 Acres:0.53
Directions: Hwy 150, Left onto Slanting Bridge Rd, Left onto Stillwater Dr, Right onto Still Knoll Lane, House is on the left
after the existing house.
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic 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: II1G-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: 25% REDUCTION
Type: 1I10 -OTHER NON-CONY TRENCH SYSTEMS
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 for Sewage Treatment and Disposal Systems' (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 03/09/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date:
03/09/2021
Mo grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/10/2016 08:14 Page 1 of 3
Catawba County Environmental Health
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Parcel: 460712971451, 3573 STILL KNOLL LN 1in=40ft
SHERRILLS FORD, 28673
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 intonation 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
03/09/2016
Catawba County Environmental Health
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Parcel: 460712971451, 3573 STILL KNOLL LN 1in=40ft
SHERRILLS FORD, 28673
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
03/0912016
Department of Environment,Health,and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot#: 15
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: 23168
Owner: Don Wiswall Applicant:
Address: 3573ti11 Knoll Ln Date Evaluated: 3-316
Proposed Facility: 3br Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]Public [ ]Individual [x]Well [ ]Spring [ 1 Other
Evaluation Method: [ 1 Auger Boring [x]Pit I I Cut
Type of Wastewater: [x ]Sewage [ ]Industrial Process [ ]Mixed
P K say' g Lai; a a& ^r it �r ! ! 1 rm-x`97 + k+a-rsna7 r r'T._stn ,g*a.�,yr .�,"Itli Z vi ` 1'
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'R b s` s s- ^ � y.4', ` ag e. ? • x a. "'^6-.0�„ " 'g a -£s' 1.,:
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O1,iggoit r - ° f SOIL MORPHOLOGY . '°'s x si4 "b`l S x ``-4"a
� S' "tit 9 m 9y tx� mot` c � Ski ..,� v� v^ v �� xk',.
4,:k24;F td Ytk i ergs`' �' 194" } 1tTx 1Bi&t a ° gitsta,ROFILElFACTORS '_ a , . ' ,� i , Sp
ir1940 ri*k r['.e..ia li ,r 4 10. °sM? q fvttl942�vr'i4,)a`fz ` I'�gra f4,0:ys.y° rw lW, .T {v s'.
L, 1 ; Lgu[ann+ cap $ ri, g '4 ,' .l:l A£ 7S • i °, M *'r �e=} ''v.i9 hair ..q*r� t rs ,F
= Landscape 1HOnzori ze 1941. to 1941E r� 3 4. :'+� 1943'4.la _1956, 944 ' "Profiler
5,r'° �i $ _.. '' r i d.,... s ess ar. i^ tS - a R ryfs
E ::e rositton/ Depth Structure/ z `Consistence x, ' We rir t. '+s, +gaSal t Sapro x Restr x + Class ' `
r#_'+.2 s azi„Slopee%''h ,ia(INa)'°�, !a�. .TextuureP�'i 0 ia.1'Mineralogyu,0/@ j r �.' °a .`[Color a�-„ �.i,.�5`;Depth(INi) Class 4 "'IT Honz .,.,'";&.LTAR ri,
1 L,9% 0-10 cl,wsbk fr
10-48 c,sbk fr,ss,sp 48 0.3
2 L,9% 0-14 c,sbk fr,ss,sp
14-48 s+sap,wsbk fr,ss,sp 48 0.3
3 L,9% 1 c,sbk fr,ss,sp
26-48 c+sap fr,ss,sp 48 0.3
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) Soil Evaluation By:
-
System Type(s) Others Present:
She LTAR Site Classification(.1948):
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