HomeMy WebLinkAboutIMPV-03-2016-070083.TIF IgA CATAWBA COUNTY Case# _ __ _ __
.T I Public Health Department Subdivision PEBBLE BAY PH 5
4 (3 Environmental Health Division PIN# 460603330618
^ PO Box 389, 100-A Southwest I3lvd,Newton,NC 28658 LOT# 241
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NAME ON PERMIT: CARROL FISHER CONSTRUCTION COMPANY, 614 N MAIN ST, SALISBURY NC
28144
Site Address: 7365 BAY COVE CT, DENVER NC 28037
Property Size: Square Feet:45,302.40 Acres:1.04
Directions: Catawba Burris Rd /right Bankhead/ Right Sallybrook/ right Bay Cove/enter Gate/ lot on left Gate Code
#1379
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-02-2016-23289 by the following method(s):
./ Received 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: 03/16/2016 -�� Ca
Owner/Authorized Representative Signature /
Date 1) H — I (7
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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 03/16/2016 08:04 Page 3 of3
g CATAWBACOUNTY 0 �0'r- .g 0 Case# IMPV-03-2016-070083
a 1, Public Health Department rf: e Subdivision PEBBLE BAY PH 5
Q Environmental Health Division PIN# 460603330618
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ LOT# 241
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NAME ON PERMIT: CARROL FISHER CONSTRUCTION COMPANY, 614 N MAIN ST, SALISBURY NC
28144
Site Address: 7365 BAY COVE CT, DENVER NC 28037
Property Size: Square Feet:45,302.40 Acres:1.04
Directions: Catawba Burris Rd / right Bankhead / Right Sallybrook/ right Bay Cove/ enter Gate/ lot on left Gate Code
#1379
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Community Well
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: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: See AC for permit conditions
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, 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 Sewace Treatment and Disposal Systems' (15A NCAC ISA .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 03/16/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/16/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/16/2016 08:04 Page 1 of3
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Department of Environment,Health,and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot#:
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: RBPR-2-16-23289
Owner: RBPR-2-16-23289 Applicant:
Address: Fisher Construction Date Evaluated: 3/9/2016
Proposed Facility: 4 BR home Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: community well [ ]Spring [ ]Other
Evaluation Method: pits by Roddi Long [ I Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed
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x E i p r rS01l rMORPHOLOGY� o f 1 !b F y +.Pt . �Pl U
•Os r. ¢ 5e1 „+ p`�ra.,x `},p� g k941 y,i. a9 �l' L" ER r P,� �6�+ - a ua (mft �s '�+ 2 J
p g .: �«? '�$_ r ���9��;µ *rra z�`Z t 1941 @ b3+.a$-i3 a. a �a"� .+�M PROFILE]FQ�iaTORS ea'�.,.a rar��`�.$ ;�
40 'E. s 19411! +a ,' ., 1941 rL:targi � a'� l �,.. .� b y� tied�19 6 x Proflle
L%"4 Landscape Honzon: ':P
E a..'P, os Int :[2:601" lh �Structure!#�) Consistence a Wetness'/ 2 P loll Sapro* estr ° Glassy
p au�:Texture, ."s d "Mineralogy vt^..___., >rColor ki s°.,P°s',De 'i(�) C ssb.".p. THonz,.j . j _&'LTA:4g:
1 LL 3-5% 0-6" topsoil PS.3
6-30" SC SS SP SEXP FR wsbk
30-48" SC w/sap 30"
2 LL 3-5% 0-6" topsoil PS.3
6-24" SCL
24-48" SC w/some sap SS SP SEXP FR WSBK 48"
3
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IIIG Others Present:
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge I 5-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-Silly 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
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