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HomeMy WebLinkAboutIMPV-03-2016-070484.TIF ,iA CATAWBA COUNTY Case# IMPV-03-2016-070484 Z' �ti L Public Health Department Subdivision ¢ '°°`wmY Y Environmental Health Division PIN/1 470002656275 41 PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# t 42 ,U NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: .7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet: 528,382.80 Acres:12.13 Directions:' Hwy 16 S, Hwy 150 E, left Sherrills Ford Rd, right Molly's Backbone, left Monbo, near cemetary Owner/Authorized Representative Acknowledgement of Permit Receipt certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the Y /t) rope ty described above. the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service EHPR-03-2016-23348 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) �'`djfSs 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: 03/28/2016 � ���� �J C/� Owner/Authorized Representative Signature l &- (J Date 7,,.2` 6 4, Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending perrnit) 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/EFICustomerService ehpermit 03/28/2016 09:02 Page 3 of 3 CATAWBA COUNTY .0 r Case IMPV-03-2016-070484 4` a Public Health Department T171 t�X�.3f' Subdivision Environmental Health Division •1 PIN# 470002656275 PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 • jj.; LO'f# • �I G •NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet: 528,382.80 Acres:12.13 Directions: Hwy 16 S, Hwy 150 E, left Sherrills Ford Rd, right Molly's Backbone, left Monbo, near cemetery Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: 1I1G -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and any future repair system minimum: 100' from any well, 10' from property lines,5' from home( low side of basement cut) 25' from home ( above basement cut) 15' from pool area. 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: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED 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 Sewage Treatment and Disposal Systems' (I5A NCAC I8A .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 03/28/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/25/2021 No grading or construction activity is a llowed in areas designated for system and repair without approval of the Health Department. ehpermd 03/28/2016 09:02 Pagc I of 3 � A G CATAWBA COUNTY Permit # EHPR 3-16-23348 Name Mandy Barr 2 Public Health Department Address 7633 Monbo Rd Catawba NC ai Environmental Health Division U ° ,Q PO Box 389, IOOA Southwest Blvd.Newton NC 28658 PIN# 470002656275 /842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Improvement Permit en M �lo� ie) —> F +-r� w- Il ,6,k , m__ , pK .y7t u$ Zo �r G � zs N I as' lc, r3 3ue 47 , rite e�4 . pool °1 -Z Ilia �� ® t I � . ��,�,� Sys Art ., I k, G<.....r l I p o r Scale 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-3-16-23348 Owner: Mandy Barr Applicant: Address: 7633 Monbo Rd Catawba NC Date Evaluated: 3/23/2016 Proposed Facility: 3 BR home Design Flow(.1949) 360 clod Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by Charles Beatty [ 1 Cut Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed :Ill ll,m,,,i , ar.7,, .? r a 'hen s I ar '+. , S I es + + - _¢ N(1 i� c`g s si-d ei ,� , 2r 1'kl'+ jae k ar sls x : R 4 p' €r 1' i + rb".;I { 44" awl a e r a !t P +a i ¢a r 11P hi L4 "! sy ,a a,, e 4 n .I9�of J L fi + t'.ffY '4 '-11 r _ s1[ s s YZ ,n,, O£ +� 4i r rw , +;i$y SOIL+MORPHOLOGY iry4 i ° an ,T 1 �r-z,a1.4 i .F'k- .rrI + +rx ].• Fa �r �" �ui ,4::4:-L+ 4 a r , ,11,9;�v �� a ;� , ,i9a1 . � �fi c ° ` PROFILE FACTORS .�. »I � + i� °.� �,n it 940..' '�i F+ zt i^1 C11r a 1�", „ 4.*-+ 1942 s,& ":""4:1111. 7 we !1 ni §,.st! g e-. :..'�+ r�b,. L 4,11t, "11 Landscape Horriizonr +"J 1941ti 7n mr o- Sg s 1941sr 4 4 e E R :.i,,,3,:§211,16.2,7,: 1.°943 i' + 1956'9 r £ 1944 ,] Profile vt . ? . f ili t� iE e*i rr Uu o 4E �+w ist °E yl j, Posihon( s ;Dep�[h �+�Slructure/n¢y r��.q 9 Consistence ��� �a Wetne�5s/a� +; Soil Sapro Restr ,n v,Class` i7,� _,: ,1 it i>, LtdiSlope% & (IN.);�,f ,,'r,,�,Texture; ,.� ,;+r',t-s ,(Mineralogyln,'°ta¢n� Color a;�;�. Depth(IN j ('<Ciass+- Horiz „ L:&'LTAR,.,,.....o; 1 LL 6-8% 0-6" topsoil 6-36" SCL SS,SP,SEXP,FR 48" PS.3 36-48" SC w/sap 2 LL 6-8% 0-6" topsoil 6-24" SCL 48" PS 3 24-48" SC w/sap SS SP, SEXP, FR 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 III BG Others Present: Charles Beatty Mr and Mrs Barr 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 o !I/1-in e�YID AP LA \ I.J Of er tt P ,., e s� �J 3 b J pil � 5o' r 1L°