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Home My WebLink AboutIMPV-03-2016-070385.TIF 8. CATAWBA COUNTY Case# IMPV-03-20 1 6-070385 :7'r 4. ,s Public Health Department Subdivision % 0 4 4 Environmental Health Division I'IN# 366701496393 ' - PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 3 1g42 o NAME ON PERMIT: WESLEY & SARAH DELLINGER, 3394 N OLIVERS CROSS RD, NEWTON NC 28658 Site Address: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:87,120.00 Acres:2.0 Directions: Hwy 16 South, Right Providence Mill Road, Left onto N Olivers Xrd, Property on the Left Owner/Authorized Representative Acknowledgement of Permit Receipt of r certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the Y property described above. ..1,_. As the property owner or authorized representative. I have received the above referenced permit(s) as ( o_requested in the application for service EHPR-01-2016-23029 by the following method(s): •JReceived in Person Facsimile.Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) BAs 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: 03/24/2016 Owner/Authorized Representative Signature4AiLe t Cb.& -�--tv----- Date?- aLi - aO/ti 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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 03/24/2016 08:25 Page 3 of 3 ,gA CATAWBA COUNTY I" 1 r''� Case# 0 IMPV-03-2016-070385 i .t. j Public Health Department ` � ��I' Subdivision itt 2 n ,s PIN# q YI Environmental Health Division 366701496393 � �- PO Box 389. 100-A Southwest Blvd, Newton;NC 28658 ��" LOT# 3 1642 :�. „, 012.S-rr NAME ON PERMIT: WESLEY & SARAH DELLINGER, 3394 N OLIVERS CROSS RD, NEWTON NC 28658 Site Address: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:87,120.00 Acres:2.0 Directions: Hwy 16 South, Right Providence Mill Road, Left onto N Olivers Xrd, Property on the Left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No 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: IIIG - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system minimum: 100' from any well, 10' from property lines,5' from home including decks. 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: HIG - 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 sus•ension/revocation of existin. .ermits. 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 Seu'aee 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. Jason Bovd 03/24/2016 AUTHORIZED STATE AGENT APPROVAL DATE 03/24/2021 Permit Expiration Date: IVo grading or construction activiy is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 03/21/2016 08:25 Page I of �A CATAWBACOUNTY Permit it EHPR-I-16-23029 G Name Wesley and Sarah Dellinger G Public Flealth Department < ^*'' Environmental Health Division Address 3400 N Olivers Crossroads U -Yr � PO Box 389, IOOA Southwest Blvd. Newton NC 28658 Newton NC /gt]2 sM (828)465-8270 Fax (828)465-8276 "IDD(328)465-8200 {PIN# �.J. C 7366701493693 OD . 5-be J2r ' Ic- JYSTCrn N,, .L.., u(J • Site ' an p ' ' • La-+ t(01 �x'sk:rt.� 3 I f ,zs ' N0 w°- I \ tt2 c( ' oq w� l �r T. 14., 0 N a ' 2 N Saf L, 71 . 0 Th. aSpa SI -2 �or L( V e_P� as2 L(s ' 20L3 a2 q 46. ( D, A'-,a S „r„..7 3i17 /is S .) Scale 1 I I C_ of 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-1-16-23029 Owner: Wesley and Sarah Dellinger Applicant: Address: 3400 N Olivers CrossRoads Newton NC Date Evaluated: 2/8/2016 Proposed Facility: 3 BR home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: well [ ]Spring [ ]Other Evaluation Method: pits by Shane Jarrett [ ]Cut Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed P '" "! " ^, '.,1"tl F r'a pn q " z r rm. yy�'hv r i h" fira rt 1,t^ 'q 11 . .g}rc x ,[ (r ik`£ "a�!" �, ]H¢�h e 4s a , .I.■ b ,, aP l �,na'41 4� § b p:p St-,!; E#1P.L.F''1 I k' 2' k „ 5,017�a Y l . ,4 ,11T;L:d . §R {' �.+ k " Y 3 ,0w , i ,..a' liti!`'r' a� gpi i" ` ' ' i i t r antErfl gjm " � r 9.0 , -/+� ,,f�I {. k0 -oh + h .4 iz 6,,, OIL MO RP HOLOGYji�.��3y ' ° '"�' _, b 3cl ! I�'z 4�" � M...+Sr I or"; F., r , 4 4 -1 .. t " 9'Jl'I'n i .• f'n PROFILE FACTOR SF . ., 4 �iy,r, i L I'LL:1I Landscape (Horn s 7941",' =+ g 194 Soil '; 1194 ° ] u .956 ° §,`1944a Profile '�. t'1 tPosltlori(a Depth 3;a Structur%�,�"d3 i Consistence i ! Wetness/ t" +Soila6 Sa roar r @" ' m. P tr rCl s , ' Res �sa std s " / Ns d ( .) .°;max., . g sfzik o« s� " T t . t ) .pth(I Fd / ,_ if a on a r TI #. 411%;g,+s�Slope:/; L (I N:) j r1�-Textures:G�y,.tag ....Mmeralogy;�,,r��, „x;�.8�?KColor,,"�.t ;�;gDepthp(IN) :-!Class „rr,Honz�' .&'LTAR'�.,F�.. 1 LL 6-8% 0-6" topsoil 6-36" SC SS SP SEXP FR 36-48" SC w(sap firmwl some platy 36" PS.25 2 same as 1 36" PS 25 3 LL 10-12% same as 1,2,3 4 LL 10-12% 0-6 topsoil 6-48" SC SS SP SEXP FR some yellow mottles 36"+ 48" PS.25 5 LL 5-7% 0-6" topsoil 6-24" SCL SS SEXP SP FR 24"+ SC chroma 224"+ 24" US 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: Ryan Pruitt, Dellingers, Shane Jarrett Site LTAR .25 25 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 tc- Cy5-k erN J (NI JJ V� ' to 7 Jr 11 ' 1 mil 21 L 1,a/ #y • FFs