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HomeMy WebLinkAboutRBPR-03-2016-23390.TIF -1/4S• THIS IS NOT A PERMIT Case # RBPR-03-2016-23390 FT lit 11 H CATAWBA COUNTY HEALTH DEPARTMENT O 47..rt PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ''V \J842 Residential Building Plan Review - Building New 444.11 ro o.x F } IMPROVEMENT- AUTH_CONST- NEW WELL 0 { moo; l�U1 ► Owner EY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610 C:8284615924 Parcel Owner GENERATION RENTALS LLP, 2840 TIMBERBROOK LN, MAIDEN NC 28650 C:8283128822 NAME TO APPEAR ON PERMIT MICKEY COOKE SITE ADDRESS: 4737 KENNETHS DR, MAIDEN NC 28650 PIN # 368601250307 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feel Acres 1.38 DIRECTIONS: E Maiden Rd to Kenneth Dr& Hwy 16 PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New 2 unit Duplex 82x29 w/ 2 bedrooms each Total 4 BdRms -480 gallons/day "1 Well to serve 2 Duplexes. 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? Yes Property Easements Description: 100 Feet off Rd APPLICATION FOR: New Structure STRUCTURE TYPE: MULTI-FAMILY RESIDENCE FACILITY TYPE: Multiple Family Residence OTHER DESCRIPTION: DESCRIPTION OF None EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 82 x 29 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplicauon 03/14/2016 17:09 Page 1 of 4' ' • CATAWBA COUNTY Case# RBPR-03-2016-23390 r tot ..iL Public Health Department Subdivision 4 ` ''',— t '-1 Environmental Health Division 19® PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 PIN# 368601250307 NAME ON PERMIT: ( MICKEY COOKE), 1803 HEWITT RD, CLAREMONT NC 28610 ( MICKEY COOKE) Site Address: 4737 KENNETHS DR, MAIDEN NC 28650 Property Size: Square Feet Acres 1.38 Directions: E Maiden Rd to Kenneth Dr& Hwy 16 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. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 n5s ;, v 2',yvlsr ¶3'e s �P '"k`'r'v t .4.4,,_r EC i � ;, 'N",. t7 a14'' � FEENAM Ea„ P° '''�t�'' " `'?F"?I y'e-i't $l- E.fl(nl�fti DATEr . FEEAMOUNTi�k ,;` ..�s�d s;§�m�tai �i t...�.a,7.,a, c a�,��_„�s.�r h.�� � Authorization to Construct Fee (New/Expansion) 03/14/2016 $300.00 Fee Improvement Permit Fee 03/14/2016 $150.00 Well Permit& Inspection Fee 03/14/2016 $300.00 ��rx�ierr e i�l,r[iHt .ro4r 4r�5ti N �.... ' _ TOTALtFEES�'�"f� 1�I¢a� -� p#1 a) .' "E€",g p a x$750 00 fil d ' h sa'.it ti.. as-rd4l I'acd9-4 ° ..a.a wa.giT:'''p, w;.wk,��..x"ilat... :m 3G.uat aSf c..:�;m'u'� 111 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 03/14/2016 17:09 Page 2 of 4 N4 A THIS IS NOT A PERMIT Case # RBPR-03-2016-23390 F' Q Q �-toi H CATAWBA COUNTY HEALTH DEPARTMENT :r J• v• 71f PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 8• 2 SM Residential Building Plan Review - Building New `o , • •o • o IMPROVEMENT- AUTH_CONST- NEW WELL CiPMM Owner MICKEY COOKE, 1803 HEWITT RD. CLAREMONT NC 28610 C:8284615924 Parcel Owner GENERATION RENTALS LLP, 2840 TIMBERBROOK LN, MAIDEN NC 28650 C:8283128822 NAME TO APPEAR ON PERMIT MICKEY COOKE SITE ADDRESS: 4737 KENNETHS DR, MAIDEN NC 28650 PIN # 368601250307 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.38 DIRECTIONS: E Maiden Rd to Kenneth Dr& Hwy 16 PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: New Duplex w/2 bedrooms each 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? Yes Property Easements Description: 100 Feet off Rd APPLICATION FOR: . New Structure STRUCTURE TYPE: MULTI-FAMILY RESIDENCE • FACILITY TYPE: Multiple Family Residence OTHER DESCRIPTION: DESCRIPTION OF None EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 82 x 29 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplicmion 03/14/2016 15:33 Page 1 of 4 „Ie i CATAWBA COUNTY Case# RBPR-03-2016-23390 :firPublic Health Department Subdivision < - Environmental Health Division 368601250307 n� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 PINK J .2 w NAME ON PERMIT: ( MICKEY COOKE), 1803 HEWITT RD, CLAREMONT NC 28610 ( MICKEY COOKE) ' Site Address: 4737 KENNETHS DR, MAIDEN NC 28650 Property Size: Square Feet Acres 1.38 Directions: E Maiden Rd to Kenneth Dr& Hwy 16 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 unders d that I am solely responsible for the proper identification and labe ing of all property lines and corners and making the site acc .so th t a co rrtI¢te site luation can be performed. Date: 3 — / �— /So Signature of Applicant or A_e UOff An Environmental Health Specialist will contact you within 5 worki g days of application date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/14/2016 $300.00 Fee Improvement Permit Fee 03/14/2016 $150.00 Well Permit & Inspection Fee 03/14/2016 5300.00 TOTAL FEES • • 8750.00 . 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 03/14/2016 15:33 Page 2 ofd CATAWBA THIS IS NOT A PERMIT COUNTY v CATAWBA COUNTY HEALTH DEPARTMENT ,, zai,-,mot_: North c7:.e� Z Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct 7 Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permitkeplacement Well ❑ Well Abandonment ❑ Well Repair n Existing System Inspection (Pre-Approval,Required) ❑ Application is for New Construction Existing Facility ❑ Property Address 4731— y73? Kc,,ue4(-1S .174 alp Subdivision n(.0 Acr✓ , /!!C, Lot# Acres ��®® Section/Bloot�cck/Phase 4 Driving Directions to Property Ef 119 _, e,,/t/ 6 1-0 / NNc'/) ,D -c t&y 16 NAME TO APPEAR ON PERMIT? r Owner ❑ Applicant ❑ Contractor Q, Applicant Contact Information Name nr`,ove v (0 4f)/4 �� Address rc�D I e vit Phone .02 — L4 (— S9.2t7 Cell Phone gi,Q8 — GM—sy,tL/ Owner Cooutact Information A y'j Name C e Nt(Q�'� `I`Wl4 Peoft�f' ' L7 /4-1 Address (9CvO --rIto&r Moo IL i 44, Phone Cell Phone 02g-3i2_—q 5.2 '2_ Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 0 Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site - I # of Bedrooms *j' Structure Dimensions # of Occupants \ IO Basement ❑ Yes ❑ No Basement Fixtures 111 Yes ❑ No ���111 The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property ip question. If the answer to any question is"yes", applicant must attach supporting documentation. ❑ Yes 2 N Does the site contain any jurisdictional wetlands? ❑ Yes [y No Does the site contain any existing wastewater systems? ❑ Yes 1111C Is any wastewater going to be generated on the site other than domestic sewage? �Q NAY C ao Is the site subject to approval by any other public agency? ✓ L Yes No Are there any easements or right of ways on this property? Describe /00 Ae o IF gd._ Existing water supply in use ❑ Individual Well n Community Well ❑ Semi-Public y ll ❑ County/City/Township Water Line Is a public water supply available? ** V 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 preference) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other )(Any THIS IS NOT A PERMIT couNTV VV 1) CATAWBA COUNTY HEALTH DEPARTMENT NwThin Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence n New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions #of Occupants Basement H Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes H No Plumbing H Yes H No Describe Plumbing Needed Multi-Family Residence# Units � #Bedrooms per Unit*j Total # Bedrooms *t Structure Dimensions a/ 1 �2 9 H Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area(Sq. Ft.) H Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes H No If Daycare Specify Occupancy Application for Well Co struction/Abandonment/Repair Proposed Well Type Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug H Unknown Well Repair Requested H Yes n No Describe Calculated Design Flow, Commercial j 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. 7 If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well pennit 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent ��� ��' Date Printed Name of Owner or Agent ;`C/��' Catawba County Environmental Health \ \ \ o \ t'it J N. to pi a478\ j CO ia fr.,A. ,IIL•N \ G k/'.`, 2 \ 7 ). n \ 3� @�i (,„) 0, ° 97,5 \k 9."'t1 / 'r4 • a b . ., .4733 / t .47 C3 ft . i (2/e .- vAs. 384.74 x z Y •4733 Parcel: 368601250307, MAIDEN, 28650 1in=60ft 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 03/14/2016 ! a ° ! F e .'0/ *`''- Z e m • igg 'Y Q4. 5 9e'IOU 2 4 s 'b t)n na pa : ` O ^ R vi 1114 H �� s `d Pik; 'Ee�4iE8�1 ° 4 Ik ry^i,iii, �� lte o V CO -gei 8 L ��F�a FP @3! �r 4` �. j ss fiq{ b. w Q ! xa 01 CC 3 VI poi e! i _ 101-14-i 4 e ' `n • G C2 (I G i� r l si s[ h 6 l` 3q 5 t lC tlp e C 9 ! • S ft la R S nl Y ,?,7.0 i F e e e H 1: �o fd ., ! 0 E m 1 A515AlFi9f e Vy ] F e(° d €h} Zs e ° rc 8 e't Y52 0910 S 11 °a fU06L9,y $s q_E F ;a¢ '__- I 669JJY.,ON KIQY20 `]'N n lq d Sse 9° 8 o M,2, - 4''r 'b0 H1iW t9re 9S'l6rp a tttttt off Cr . 2y �.----- nxx g5' 3 m y : �� ° -rS6=.ff1.60S {p f� OS ! p. • 'e60e1—._ y 4LSn.60 ¢6 Cy b a N 1605_ dig iC] 090L1 - u9S_ -I tc u _ .] ' °�L,C4.6° S� `! 93 YEYEYE•E B'6l1 i C r 4.). A ill ` eF[2iFy i EFg e LH '— b28 1 lq s �1 ' ,wor .cob`, °� I a y1 %; N< G6°!1 lO S I hR SO y - e ki fl n=l 2\F- I 1\ ! o [ Gf. NZ WI I1` YYY 'PG E- ` .. b8 `-� O d _ji Qb 'q�, ~Qmm I Im ;;P J•gL�H OON -, '`I G Vy�yy& kh g jly1 Qe at \�f - 1° A. 1212 to 'PC !K . 3 9 1°° 4 it k(p Y ee Y €yy pPpC t 7., Pod Y4, Ii3 /1e e v $ ass �Y it $ Q6 R \f 9 4 to £t c i A 'il silk y It111 5pl !VI d tlP i I .. .me I I I Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 368601250307 Owner: GENERATION RENTALS LLP Parcel Address: Owner2: City: MAIDEN, 28650 Address: 2840 TIMBERBROOK LN LRK(REID): 803921 Address2: Deed Book/Page: 3329/0208 City: MAIDEN Subdivision: State/Zip: NC 28650-9752 Lots/Block: 1/ Last Sale: School Information: Plat Book/Page: 75/112 School District: COUNTY Legal: LOT 1 PLAT 75-112 Elementary School: TUTTLE Middle School: MAIDEN Calculated Acreage: 1.380 High School: MAIDEN Tax Map: Township: MOUNTAIN CREEK 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-40 Building(s) Value: $0 Zoning2: Land Value: $14,700 Zoning3: Assessed Total Value: $14,700 Zoning Overlay: RP-O Year Built/Remodeled: / Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 4019 WaterShed: 2010 Census Tract: 011602 Voter Precinct: P31 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 ijidn thereof by any person or entity. ©2015, Catawba County Government, North Carolina. All rights reserved. r� /bfl3q o) n13 c 1 � � 17 • L\Tdal -Tow ticso http://gis.catawbacountync.gov/nomap/parcel_report.php?key=368601250307&typ=P 3/14/2016 tlo , CATAWBA COUNTY El• 1 A Q Case ti IMPV-12-2015-067601 itv, Public Health Department s + r Subdivision 2 ---s7�.' -1 Environmental Health Division , 'Y• • : •a } I'IN# 368601159155 PO Dos 389. 100-A Southwest Blvd,Newton,NC 28658 G.�+r��.51 t ',OM 1 in 'S ' tL T. .y.— �S t��l�yy'{. ti NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610 Site Address: 4737/4739 KENNETHS OR, MAIDEN NC 28650 Property Size: Square Feet:60,112.80 Acres:1.38 Directions: Hwy 16 S, exit 150, turn left, .4 mile left on E Maiden Rd, right on Kenneth Dr, on left Improvement Permit Facility: Multi-Family Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPEC[FICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 460 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Permit issued for subdivision of property for 4 BR duplex. Keep all parts of septic and repair minimum: 100' from any well, 10' from property lines, 5' from bldg foundation. Do not grade drive or fill over system or repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, cc 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 olute applicanUp roperty owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are stet. This Improvement Permit is subject to revocation if the site plan,plat or the intended use charges,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 •t.nmc nnrl Rules for Selectee Treatment owl Diwavol Systems' (1 S%NCAC ISA.I900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for tiny given period of time. Jason Boyd 12/16/2015 Atimokl2GU STATE AOL'N'I' APPROVAL DAB: 12/15/2020 Permit Expiration Date: No grading or construction activity is allowed in areas designated fbr system and repair without approval of the Health Department. chpermit 12/16/2015 11:28 Page I cr3 �V' Permit # EHPR-10-15-22474 I .�. G CATAWBA COUNTY Naitte Mickey Cooke 1 i�® T- Public Health Department Address 1 4737 Kenneths Dr Maiden NC Ns`01 Environmental Health Division i i1° Y PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN 368601159155 I /842 y" (028)465-0270 Fax (828)465-8276 TDD(828)465-0200 Site Plan Improvement Permit 36-L SJ4c fr.. tNI 6 A26A 316 . 141 •%6 " • 0 / 6( 8e 0.ef 36 ' I ' 1 '7'' G '1 1 1 , , 51„ .,-- 1 TL`- 4y vV l 18_---1- r 1ur, Ll^- to 1.-f f Sys+Q^ 51Y54e-r ors. vPpt l s t 7p,s ?. Zslo 10 Fa..D 0( pump nc./ ,et s;101 got IZP - 3 g r 1 Scale b O Department of Environment.Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOILISITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-10-15-22474 Owner: Mickey Cooke Applicant: Address: 4737 Kennelhg Dr Maiden NC Date Evaluated: 12/1112015 Proposed Facility 4 BR duplex Design Flew(.1949) 480 Property Size: Location of Site: Properly Recorded: Water Supply: public [ ]Spring ( ]Other Evaluation Method: pits by Doc Brice [ ]Cut Type of Wastewater: X Sewage [ ]Industrial Process f I Mixed P .. o i SOIL MORPHOLOGY b • I F . .1944 :1 PROFILE FACTORS • 1. .1940 _. .. - . .1942' L I Landscape Horizon/ .1941 .1941 Boil, • .1943 ' .1956 , .1944 Profile E Position/ Depth ;: Structure/ Consistence. Wetness/ , Soil: ! Sapro i :Restr : Class X _ Slope% (IN!).-j _ Texture .. .. .. Color, , _ ,Depth,(IN.), Class .;_ :Holt -&LTAR._„ 1 LL 4-6% 0-6" topsoil 6-24' SCL SS,SP,SEXP,FR 48" PS.3 24-48•" SC 2 sarr:e as 1 48" PS.3 3 same as 1,2 48" PS.3 4 Description Initial System Repair System Other Factors(.1946): Availaole Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) Ills HIS Others Present: Mr Cooke and son,Doc Brice installer Site LIAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: Permit Sued to allow for 50xB0 mnetal bldg FILE rt, Landscape Position Group Texture .1955 LIAR Structure R-Ridge I S-Sand 1,2-0.B SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope OR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-NOSe Slope L-Loarn SBK-Subangular Blocky HS-Head Slope ARK-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 Loans IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Minoralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Finn 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 tD - >i1�� $ Zw! it YtG 6 ° L � a 7°