HomeMy WebLinkAboutIMPV-03-2016-070290.TIF ALA CATAWBA COUNTY Case# IMPV-03-2016-070290
,7 Public Health Department Subdivision
Environmental Health Division PIN# 367801083068
PO Box 389, 100-A Southwest Blvd, Newton. NC 28658 I.OT# 2
/8. 2 w
NAME ON PERMIT: CHRIS TIMBERLAKE, 3900 LITTLE MOUNTAIN RD, NEWTON NC 28658
Site Address: 3948 LITTLE MOUNTAIN RD, NEWTON NC 28658
Property Size: Square Feet:65,775.60 Acres:1.51
Directions: Hwy 16 South from Newton, Left on Balls Creek Rd, Bear Right onto Little Mtn Rd, Property is on the left
about .86 miles south of Balls Creek Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
(1,6 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
eiwiC As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-02-2016-23187 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: 03/22/2016 �� ��
Owner/Authorized Representative Signature (�t%t%r-<- --1--1/4.-JJ
Date
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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I
,9A • CATAWBA COUNTY 0 I �' 1'=5 0 Case# IMPV-03-2016-070290•
,_rr Subdivision
C' G Public Health Department
i�
tit zr' ' '3 PIN# 367801083068
< ab a Environmental Health Division I • L
/8.2PO Box 389. 100-A Southwest Blvd.Newton, NC 28658 r' i'• t LOT# 2
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NAME ON PERMIT: CHRIS TIMBERLAKE, 3900 LITTLE MOUNTAIN RD, NEWTON NC 28658
Site Address: 3948 LITTLE MOUNTAIN RD, NEWTON NC 28658
Property Size: Square Feet:65,775.60 Acres:1.51
Directions: Hwy 16 South from Newton, Left on Balls Creek Rd, Bear Right onto Little Mtn Rd, Property is on the left
about .86 miles south of Balls Creek Rd
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Private 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: Keep all parts of septic system and any future repair system minimum: 50' from any well, 10' from
new property lines, 5' from home including decks or porches. Lines to be installed on contour. Do
not grade drive or fill over system or repair area.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: 1110 -OTI-IER 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/Zon ins 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 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 Bovd 03/22/2016
AUTHORIZED STATE AGENT APPROVAL DATE
03/22/2021
Permit Expiration Date:
No grading or construction activiy is allowed in areas designated far system and repair without approval of the Health Department.
ehpemtit 03/22/2016 08:37 Page 1 of 3
44.0 A , Permit# EHPR 2-16-23187 i
G CATAWBA COUNTY S Name Chris Timberlake
�� Public Healtth h Department I Address 3948 Little Mtn Rd NC
d " ''� Environmental Health Division
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C PO Box 389, 100A Southwest Blvd Newton NC 28658 366802976803
1842 sw (828)465-8270 Fax (828)465-8276 TDD 428)465-8200
Sit: Plan Improvement Permit
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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: EHPR-2-16-23187
Owner: Chris Timberlake Applicant:
Address: 3948 Little Mtn Rd Newton NC Date Evaluated: 3/3/2016
Proposed Facility: 4 BR Home Design Flow(.1949) 480 god Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ ]Spring [ ]Other
Evaluation Method: pits by applicant [ ]Cut
Type of Wastewater: X'S+e,.wage [ ] Industrial Process [ I Mixed}ryy f...
kP 3.` T��`y3-� P a$"`"Yyi I 2"' 4E 9 R "yf -j 1` "G'} Ii'h t'fq @ 4 34 'c+Y-k P ,,yam nay y K' 2 al,3
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Fp»,„ 4 tr rn 4 ,. ,`y d rrrs3' 1941 a ,,4 ace . ;R`'a`.r... " rs ,...d. ICE FACTORS~`.: , :s;t g'�w, '4 *x +`a
I `"f"� 19401 �4 r,�u,�z X34 e, ..'t ! r"fi' '$I*`s .r 1 ' $3373;31F-7710 i 3 1L ..
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L,. r Landscape-1(Horizon 1941'x° Y �` : 1941r a Soil -1943 1956,., S estr x ,`"`Profile L '
rE s °* Posfion%, ` De th r+Structure/�Te tn,. Consistence ��r� Wetness/ 'r':° ", Soil ilk:`Sa ro ,'Restr Glass,
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.jam '' .Ss i ,(I .) W' exture tea „x'e er n -zPy W r b is orgies I ept`u ) la a e :iz 7
#.Ye-"'. 7 � Slope:/o'��±�„ (IN;�s��x1 �Texture-.�, 3 ':,':.�MmeralogY�:�,Tw,„. �„ ..:��w..Coloi'� ae.��s.?Depth(IN:j �.61ass., .� Honz ,,._. '-B.LTARR ,..
1 LL 2-3% 0-6" topsoil
6-24" SCL SS,SP,SEXP,FR 48" PS.3
24-48" SC
2 LL 2-3% 0-6" topsoil
6-24" SCL 48" PS.3
24-48" SC SS,SP,SEXP,FR
3 LL 2-3% same as 1,2 48" PS.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: Chris Timberlake,excavator operator
-
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 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
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