HomeMy WebLinkAboutIMPV-04-2016-070962.TIF 45 CATAWBA COUNTY Case# _ . - --.
-'��/ Public Health Department Subdivision PEBBLE BAY PH 5
4 _p Environmental Health Division PIN# 460603240164
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO"I'# 235
1842 ss
NAME ON PERMIT: BEARNHARD REARDEN, 418776 FELDSPAR PL, ALDIE VA 20105
Site Address: 7329 BAY COVE CT, DENVER NC 28037
Property Size: Square Feet:65,340.00 Acres:1.5
Directions: 16S/ Hwy 150/ left Campground Rd / left Catawba Burris Rd/ right Bankhead / right Sallybrook/ right Bay
Cove Ct/ lot on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
1-2F1 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
'C V As the property owner or authorized representative, I have received the above referenced permit(s) as
requested ip the application for service RBPR-03-2016-23332
e 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: 04/08/2016 /� /
wner/Authorized Representative Signatur /,// AO • -
Date 4///4
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name o/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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ehpermit 04/08/2016 09:40 Page 3 of
' I ••1 Case#
iq , CATAWBA COUNTY � : , ,o- r � IMPV-04-2016-070962
. 1",t al)G Public Health Department ' -ems Subdivision PEBBLE BAY PH 5
Q "' Environmental Health Division PIN 460603240164
PO Box 389, 100-A Southwest Blvd.Newton NC 28658 _ - D LOT# 235
/.,47, :x 7.:_-• v� A•
NAME ON PERMIT: BEARNHARD REARDEN, 418776 FELDSPAR PL, ALDIE VA 20105
Site Address: 7329 BAY COVE CT, DENVER NC 28037
Property Size: Square Feet:65,340.00 Acres:1.5
Directions: 16S / Hwy 150/ left Campground Rd / left Catawba Burris Rd/ right Bankhead / right Sallybrook/ right Bay
Cove Ct/ lot on left
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms- 4
WATER SUPPLY: Community 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: See AC for permit conditions.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
PUMP *MAY BE* 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 Ru/es for Sewage Treatment and Disposal System' (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 Boyd 04/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
04/08/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermil 04/08/2016 09:40 Page I of3
4$A CATAWBA COUNTY Permit # RBPR 3-16-23332
,:-, el '2- Public Health Department Name Bearnhard Rearden
a, Address 7329 Bay Cove Court Denver
U sl 5, Environmental Health Division
PO Box 389, IOOA Southwest Blvd, Newton NC 28658 NC
X842 vm (828)465-8270 Fax (828)465-8276 TUD(828)465-8200 PIN# 460603240164
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet�/ of�I�
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID:a&-V/1,J.. Er
ON-SITE WASTEWATER SECTION COUNTY: /AI
• SOIL/SITE EVALUATION
• for ON-S ITE WASTEWATER SYSTEM
OWNER:P'II b6ll f A,' 6C. CG..-C(Wb(+ LIC APPLICATION DATE e1 ' o
' }o
ADDRESS: ColZi LI MI41.) S_f 51A-C-(-5 SWrZV DATE EVALUATED/ON/6,
PROPOSED FACILITY: It Q PROPO$QE{D�DESIGN`FLOW(.1949): L( �'a PROPERTY SIZE:
LOCATION OF SITE: orbit. 1314y i kiss 6 1-Or e23-S PROPERTY RECORDED:
WATER SUPPLY: ❑Private ill,kblic 0 Well 0 Spring 0 Other
EVALUATION METHOD: Li Auger Boring $ it ❑Cut
TYPE OF W.ASTEWATF.R: ,la.Scwage ❑Lnclusnial Process ❑Mixed
P
R 'SOIL MORPHOLOGY. r . . -, OrEFR
(:1941) .. ,. - PROFILE FACTORS' .
., .194D-
LAND- I HORI- . I , :1942 . .
SCARE ZON ..1941 j .1941 SOLL .1943 .1956 .1944 '•' PROFILE
P PO51Y10`i . D£PTD- STRUCTURE] ?, CONSISTENCPJ . WETNESS! 7 'SOIL SAPRO .RESTR CLASS
:SLOPE% P-.) I TEXTURE . ' MINERALOGY COL_ORr DEPTH CLASS HORIZ :: <AR
- 1 7-11-' 4iI<. sec ler
1 --7- w•c .su-- I G-' -3C
Ic -t0I4s/c sc.. iPr
j -3& Isar sec ,re elf' ? . yz �5
2 ,W9-14)/ GJS SCL ' 0_53--
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DESCRIPTION NIT:AL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Spate(.3945) ..5/ S
SITE CLASSIFICATION;.1948):
I
System Type(S) if,25 /J I a$% EVALUATED BY: 1/`�
5 OTH ER(S)PRESENT:
Silt LTAR • 3 5 I -3
COMMENTS: .,.
LEGEND
use the following standard abbreviations
SOIL CONVENTIONAL LPP MINERALOGY/
LANDSCAPE POSITION GROUP TEYTLRE, .1955 LTAR• .1957 LIAR' CONSISTENCE STRUCTURE
CC(Cmmvr Slope) 1 S(Sand) 12.0.8 0.6-0A NEXT(Nonce)cvaivc) G(Single Grain)
CV(Convex Slope) LS(Loamy Sand) SENT(Slightly Expansive) M(Massive)
D(Drainage Way) FRCP(Expari vc) CR(Crumb)
DS(Dbbrs Slump) U SL(Sandy loam) 5.3-0.6 04-0.3 GR(Granular)
FP(Flood Plain) L(Local SBK(Sultangular Blocky)
FS(Fool Siege) ABK(Angular Blocky)
Fl(Bred S'anc) IC Si(Sih) 0.6-0.3 0.3-0.15 PL.(Platy)
L(Linea Slox) SiCL(Silly Clay Loam) PR(Prismatic)
N(Nose Slope) CL(Clay Loam)
R(Ridge) SCL(Sandy Clay Loam) MOIST MITT
S(Should=Slope) SLC(Sill Loam Cley) awry Frublsl NS Mmttay)
T(Tmacc) ray
' Iv SC(Sandy Clay) 0.4-0.1 0.2.0.05 FR(Friable) SS(Violin).Sank5)
SiC(Silty Clay) Fl(Firm) S(Sadcyl
Vii(Very Firm v.Vey Sddry) VS NM Seely)
0(Organic) None an(Extremely Fula) NP ltscts-p )
SP(Slightly Plak)
*Adjust LTAR due to depth,medar-cc strict/se,avil wtmes,landscape,position.wasleuat flow aid quality. P(Plat.)
NOTES vP(VeryPlame)
HORIZON DEPTH In mchs below natural soil=fare
• DETER OFF7LL In mchn from land ssr@cc
Plat RICITVE HORIZON TDicknss and depth from said uzfacc
SAPROLITE S(suitable)or U(msviubic)
SOIL WE77NL'SS Inches from land sm^ace to tree water a inches fr an laced rrfaoc to soil colors ail mrema:or less-record Mussel calor chip dea(gsaaan
was' S(Suiab:e),PS(Provisionally Suitable),or U(I1neiitable)
Evaluation c sapmlim shall be by pia.
loeg.'era A:xaace Rate(LTAR);gal/clay/ft'
Show profile locations and other Rise features(dimensions.reference or beach:nark and North).
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SOIL/SITE EVALUATION Sheet of.
__
(Continua:i on Shoe°
DEPARTMENT OF ENV]RONMBYF AND NATURAL RESOURCES Sheet / of
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:eN_-O/Sj
ON-SITE WASTEWATER SECTION COUNTY: (7.4
• SOIL/SITE EVALUATION'
for LON-SITE WASTEWATER SYSTEM J
OWNER: '1-P to Ulf DAL/ di CG 1t(UJ�4- I-APPLICATION DATE -1 - dr)` }o
ADDRESS: 60I4 L /�1,4 I"•iYJ S C S_-. LA_ .3 si__`_ DATE EVALUATED/G//CO
PROPOSED FACILITY:./S1 It S e_ PROPOSED DESIGN FLOW(.1949): cro PROPERTY SIZE:
LOCATION OF SITE: �r t.4,-)'1.9 B()y� PL^F_t.se S L.Ur n S PROPERTY RECORDED:
0
WATER SUPPLY: Private ublic Well ❑Spring ❑Other -
EVALUATION METHOD: ❑Auger Boring Mit ❑Cut
TYPE OF WASTEWATER: jewaee ❑Industrial Process ❑Mixed
P ,
n 'SOIL\IORPNO[AGY. - . ; OTHER •
0 .
F (1941) PROFILE FACTORS'
•I
_
.1940. .
,L
E LAND- HORI- ]942
-.
SCARE ZON .1941 j .1941 SOIL I .1943 ,1956 .1944 PROFILE
I.z POSITION .'DEPTH- STRUCTURE" I CONSISTENCE/ • WETNESS/ - SOIL SAPRO RESTR CLASS _
SLOPE I (1N•) TEXTURE . I !%U"ERALOGY COLOR' DEPTH CLASS 110RIZ <AR
£ -t ' A-5k S C C... r_
L-
1)._;v--?L I s sc_ I I� � 2 I y� --
J ' „1 R 134- L w.95k.... 'sc_ —3�
t- o I /r_ sc iEx' '
�, .itY)b I.15/L sec irs'S( I`� uz 5
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5?1 t nom'x^rs✓ :TYe'9•k4-....:....-._:P.3v-.flG?P',g?!Y.'F3 ^5.,..° n`♦^R:�k•:.e...+..Utz!?''^4cw4:a�>.-K'oYL:tR`IRS. .n.W^.i 'Y'L3•.
DESCRIPTION INITIAL SYSTEM . REPAIR SYSTEM OTHER FACTORS(.1946):
i SITE CLASSIFICATION(.1948): PS
Available Space(.1945) .S i .S
System Tvps) 0 p25 J0 1 p7$Cj� EVALUATED BY: _ �� __
} OTHER(S)1'RFS ENT:
Site LTAR • 3 5 I •3 5
COMMENT S:_�_
,
LEGEND •
use the following standard abbreviations
SOIL CONVENTIONAL LPP SIINERALOGI'/
!_DSCAPEPOSITIOIV GROUP TEXTURE .1955 LIAR• .1957 LTAR• CQNS!STENCE STR Liar ,
CC(Concave Slope) I S(Sand) 12-0.8 0.6-0.4 5E)0'(Nun-expansive) G(Single Grain)
CV(Convey Slope) LS(Loamy Sand) SEXP(Slightly Pa7annivc) M(Massive)
P(Drainage Way) EVP(Expansive) CR(Crumb)
DS(Debris Slump) U SI.(Sandy loam) 0.1-0.6 0,4-0.3 OR(Granular)
FP(Flood Plain) L(l oam) SRK(Subangular Blocky)
FS(Fool Slope) ARK(Angina Blocky)
11(Head Slope) RI Si(Silt) 0.6-0.3 0.3-0.IS PL(Platy)
L(Linear Slcpc) SiCL(Silty Clay Loam) PR(Prismatic)
N(Nose Slope) CL(Clay Loam)
R(Ridge) SCL(Sandy Clay Loam) T(QIST WET
S(Shoulder Slope) SI.0(Sil:Loam Clay)
. T(faracc) VFR(Vny Friable' NS(Firm-cock:)
' IV SC(Sandy Clay) 0.4-0.1 02-('.OS FR(Friable) SS ISbgb y Stick's')
SIC(Silly Clay) Fl(Fired S(Sticky)
DTI(Very Firm v.Very Sticky) VS(Vey Sticky)
0(Organic) Noae EFT(Fin®Ely Firm) NP(Nm.pinue)
SP(Simhdy Plastic)
'Adjust LIAR due to dept h,consia<„atucture,soil wetness,tandscapo,(Dalkon,wa_stmvafer!low rid quality, P(Plastic)
NOTES VP(Vay Plank)
IIO.RIZOV DEP7f In inches below natural soil surface
• DEPTH OF FILL In inches From land surface
XE57RIC7PE HORIZON Thickness tint)depth from land surface
S'PROLITE 5(scitahle)or 1)(u:suitable)
SOIL WETNESS Inches from land stria cc,to free water or inches from lard stefar to soil colors with cbrmnn 2 or less-record Mtmsell color chip designation
CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or Li(Unsuitable)
Evaluation.of mpmlitc shall he by pits
Long-term Accepunce Rate(LIAR):-galda)AY
Show profile Intuitions and other site features(dimensions,reference or benchmark-and North).
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Review(kb )
SOIL/SI'Z'E EVALUATION sheer of
(Continuation Sheet)