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Home My WebLink AboutIMPV-03-2016-070522.TIF ,RA CATAWBA COUNTY Case# _ __ mit,, P c- Public Health Department Subdivision sHill Environmental Health Division PIN# 360703136601 184 2' :N _ PO Box 389. 100-A Southwest 13lvd,Newton, NC 28658 LOTH NAME ON PERMIT: AMANDA WILLIAMS, 3964 ZONNIE SCRIONCE RD, VALE NC 28168 Site Address: 3958 ZONNIE SCRONCE RD, VALE NC 28168 Property Size: Square Feet:43,124.40 Acres:0.99 Directions: Turn right off of Macedonia Church Rd onto Zonnie Scronce Rd/Go 3 Driveways on right/after 3rd drive there is a roughed in drive Owner/Authorized Representative Acknowledgement of Permit Receipt p, I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the 'property described above. 0 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-02-2016-23272 , 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 Iof 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: 03/29/2016 9 N>wner/Authorized Representative Signature Iva/ /j/ ice. ti. 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 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 03/29/2016 14:45 Page 3 of 3 �' ti 4qA CATAWBA COUNTY Q a,.1�r - 0 Case# IMPV-03-2016-070522 sr " Public Health Department Tit el' � � Subdivision INS r X3 .1- PIN# 360703136601 4�, Environmental Health Division r ti �r } T ® PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 a r �� • r LOT# /842 su ay ? r r NAME ON PERMIT: AMANDA WILLIAMS, 3964 ZONNIE SCRIONCE RD, VALE NC 28168 Site Address: 3958 ZONNIE SCRONCE RD, VALE NC 28168 Property Size: Square Feet:43,124.40 Acres:0.99 Directions: Turn right off of Macedonia Church Rd onto Zonnie Scronce Rd/Go 3 Driveways on right/after 3rd drive there is a roughed in drive Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well 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: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION Type: VD- OTI-IER <3,000 GPD WITH PRETREATMENT PUMP REQUIRED ***** OPERATOR 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 fin Sewuee Treatment and Disposal Systems' (15A 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. Steven Price 03/29/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/26/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 03/29/2016 14:45 Page 1 of 3 RBPR 02-2016-23272 3958 ZONNIE SCRONCE RD. VALE • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 100 ft from shared wells; 50 ft from individual wells and streams; 5 ft from building foundations and appurtenances; 10 ft from water lines; and out of right-of-ways and easements. • Install a 1,000 gallon septic tank and pump tank and 360 linear feet of 25% reduction system for initial system. Repair will be TS-1 pretreated drip. • Distribution will be a pressure manifold with proposed tap size of sch 80 'A". • Laid out a total of 4 lines: (1) 44 ft, (2) 84 ft, (3) 116 ft, and (4) 140 ft lines on contour. • Pressure manifold will have 3 taps. Tap 1 will feed lines 1 and 2 (use stepdown between lines 1 and 2) and feed as a 120 ft line. Tap 2 will feed line 3, a 116 ft line. Tap 3 will feed line 4, which will utilize 124 ft of line. • Where supply line crosses under the driveway the line will either have to be installed greater than 30 inches deep or sleeved in ductile iron or equivalent. • Final grade of septic area must shed surface water off and away from system. well I 1 e. 318 ee*cv r^GI4 d I , (D -Tree) �\ SWC� Y • I — 1 e`f L ro� s Q�e .1 -o 0 Sl<r e :^ T t s-1 Qreircl-1 td., zw 2 ,4e. Inn D Peet or egwa.lo,} V_ r S 1P I �; or 30�Q 4S.t4S tj '''7 sr z9I C t0- 1 :SO 1� DEPARTMENT OF HEALTH AND HUMAN SERVICES �y Sheet_/ of I DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION et( ,Z-� Z PROPERTY ID M: e ON-SITE WATER PROTECTION BRANCH �6 K- COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER. 3411'4- t, A,-4'- V.Ik k--) _ APPLICATION DATE ADDRESS: 395' Z...,., S«a^'>- 14 DATE EVALUATED: PROPOSED FACILITY:_ 36r PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public JN Well ❑Spring ❑Other b'Awk EVALUATION METHOD: ❑Auger Boring -' Pit ❑Cut TYPE OF WASTEWATER: -Sewage ❑ Industrial Process ❑Mixed • e R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH PROFILE 1942 # SLOPE% (IN-) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR & LT AR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0-18 SSrc C �„i-- (s 2 s 1 ^'�� 1 Z'°c 2X S tit/f, h D. zs' 6 " 27 561c C f,C JL t1S Ls 27 -3' "fit GL /•--C sc A. 3 y ka 'A4- a 3 2 2 3Y-`II -,2P CLS Q t=7 i v s sei� c re se . 1--5 a z6 tC (C c �� / sc� ,✓� z, u� . 9- 3 It tx uit i « f, o, D- Zo 501 c fist= (S • [S 2- 3o s6/c C /i SE �� u�J Nh / w 4 3° o.zs 30_ Ig uCs e c Q �j i• DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): (f �P k,F� SITE CLASSIFICATION(.1 948): 15S Available Space(.1945) �� ry j is-' P,<+,J..r1 EVALUATED BY: System Type(s) W/ deep OTHER(S)PRESENT: Site LTAR p,2S Fj - 2 COMMENTS: LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP 'TEXTURE .1955 LTAR' .1957',TAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEX!'(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-03 CR(Granular) FP(Flood Plain) I.(Loam) 513K(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) II(Head Slope) III Si(Sill) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) Si!.(Sill Loam) T(Terrace) VFR(Very Friable) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) Fl(Finn) S(Sticky) C(Clay) WI(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) None None EH(Extremely Firm) NP(Ncn-plastic) SP(Slightly Plastic) *Adjust LTAR due to depth consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft' Show profile locations and other rile features(dimensions,reference or benchmark,and North). 51--4 ______- N.