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#
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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
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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
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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-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
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