HomeMy WebLinkAboutIMPV-04-2016-071072.TIF t, CATAWBA COUNTY Case#
s •
F G Public Health Department Subdivision
< /8® i P 368601250307
— ^� �, En`v`romnental Health Division PIN#
:y PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LO't# 1
842 w'
NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610
Site Address: 4739 KENNETHS DR, MAIDEN NC 28650
Property Size: Square Feet:60,112.80 Acres:1.38
Directions: E Maiden Rd to Kenneth Dr & Hwy 16
yy,,�� Owner/Authorized Representative Acknowledgement of Permit Receipt
NIL p ,mil certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the
roperty described above.
I-- requested the property owner or authorized representative. I have received the above referenced permit(s) as
ested in the application for service RBPR-03-2016-23390 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
1/4..$
Ak' As the property owner or authorized representative I have reviewed and understand the specific conditions
o '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: 04/12/2016
._/ Owner/Authorized Representative Signature / /f 4, ..'"
Date /144 / ,
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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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ehpennit 04/12/2016 10:53 Page 3 o16
r�A CATAWBA COUNTY - '-� r''f 0 Case# IMPV-04-2016-071072
,ri in L Public Health Department r, �a a: � Subdivision
4 Environmental Health Division - ' .1- PIN# 368601250307
ling o o f r:
I'0 Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1
/842 sit raeIl'. . r
0 '.I e..
NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610
Site Address: 4739 KENNETHS DR, MAIDEN NC 28650
Property Size: Square Feet:60,112.80 Acres:1.38
Directions: E Maiden Rd to Kenneth Dr& Hwy 16
Improvement Permit
Facility: Multi-Family
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: No Expiration: _X_
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: 25% REDUCTION
Type: IIIG -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 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 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 04/12/2016
AUl'HORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/12/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/12/2016 10:53 Page 1 of6
..?liA Permit it ( RBPR-3-16-23390
CATAWBA COUNTY Name ; Mickey Cooke
I li G Public Health lth Department
..� Address 4737 Kenneths Dr Maiden NC
< -Yr"e ,i' Environmental 389, Health Division PIN# 368601250307
PO BON 389, I00A Southwest Blvd, Newton NC 28658
j 4.to, 5„ (828)165-8270 Fax (828)465-8276 TDD(878)465-8200
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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 App10: EHPR-10-15-22474
Owner: Mickey Cooke Applicant:
Address: 4737 Kennett-1s Dr Maiden NC Date Evaluated: 12/1172015
Proposed Facility: 4 BR duplex Design Flew(.1949) 4$0 Propeny Size:
Location of Site: Property Recorded:
Water Supply: public [ ]Spring ( ]Other
Evaluation Method: pits by Doe Brice [ ]Cut
Type of Wastewater: X Sewage I I Industrial Process I ]Mixed
p - :.. . . _
o I ' SOIL MORPHOLOG-Y, i b
F .1941.. PROFILE FACTORS
I. .1940 ... . . .1942' ... ,. .....
L Landscape Horizon?, 1941 .1941 ; Soil .1943 .:1956 • -1944 Profile
F : Position! i Depth I, Structure! Consistence. Wetness! Soil; I Solaro [ iRestr Class
.# _ - Slope% I .(IN).__l_ Texture _ .Mineralogy,, . I,_ Color . - Depth,(IN)�,, Class ,- ,1;1oriz <AR_
.. __
1 LL 4-6% 0-6' topsoil
6-24' SCL SS,SP,SEXP,FR 48" PS.3
24-48" SC
2 same as 1 48" PS.3
3 same as 1,2 48" PS.3
4
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) 1110 IIl3 Others Present: Mr Cooke and son,Doc Brice installer
Sse LIAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: Permit isued to allow for 50x80 mnetal bldg FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge I S-Sand 1,2-0.5 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 ASK-Angular Blocky
CC-Concave Slope Ill SI-Sill C'.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismalic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silly Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Slicky EXP-Expansive
FR-Friable SS-Slightly Sticky
PI-Firm S-Sticky
VF-I-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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