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Home My WebLink AboutIMPV-11-09-2710.TIF ,*swFm IMPROVEMENT PERMIT xCDP File Number Office ffice U 3 Use 5 Onl 9 6 5 w•~~, Catawba County Public Health Department Environmental Health Division County IO Number: ENPR-twos 2385 - P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: -~~ro -IL- P Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL' 11/17/2014 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Steven Steidman Property Owner: Steven Steidman Address: 6728 Goose Point Dr. Address: 6728 Goose Point Dr. City: Denver City: Denver State/Zip: NC State/Zip: NC Phone (638) 988-3234 Phone Property & Site Information Address/Road Subdivision: Pebble Bay Phase: 4 Lot: 145 6728 Goose Point Dr Denver NC Directions Structure: SINGLE FAMILY Hwy 16 S, LT CampGround Rd, LT Catawba Burris # of Bedrooms: 4 Rd, LT into Pebble Bay onto Goose Point, Lot near # of People: end on RT 'Water Supply: COMMUNITY System Specifications Initial System "Site Classification: PS Shallow Placement Minimum Trench Depth: Inches Design Flow: 4 8 Maximum Trench Depth: a 0 Inches Soil Application Rate: 3 5 Septic Tank: l a 0 0 Gallons 1-Piece: Q Yes ~ a *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Pump Required: Xyes O No O May Be Required Pump Tank: 1 a 0 0 Gallons ~*Proposed System : 25% REDUCTION 7~ es N o 1-Piece: Repair System Required: d Yes ONO ONo, but has Available Space Repair System 'Site Classification: PS Shallow Placement Minimum Trench Depth: Inches Soil Application Rate: 3 5 Maximum Trench Depth: a 0 Inches Pump Required: /Yes ONo Q May be Required 'System Classification/Description: Pump Tank: Gallons 'Proposed System: 25% REDUCTION Pagel of 3 CDP File Number 35965 County ID Number: EHPR-10-09-2385 'Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. 'All parts of septic system ust be minimum: 100' from any well, 50' from lake, creek, or pond, 15' from home, 10' from property lines'Lines must be installed on contour'Do not grade, drive, or fill over system or repair area'Based on preliminary house location and ara evaluated, pump will be required'Lot will require addtional clearing and additional pits prior to issuance of Authorization to Construct The Improvement Permit shall be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site Flan scale that shows the existing and proposed property lines with dimensions, the location of thefacility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surfacewaters). Plat The improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorder) subdivisions plat that Is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may Impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit is subject to revocation if the site plan, plat, or intended use changes (NCGS 13oA335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting, and repair (.1938(b)). Applicant/Legal Reps. Signature Required? ~Yes 0N0 Applicant/Legal Reps. Signature:("/,*kd at eashme,, fn"-wdl- Date: 7 / *Issued By, 1810- Boyd' Jason .Q Date of Issue: 1 1 / 1 3 / a 0 0 9 Authorized State Agent: D OValid without Expiration? Hand Drawing Olmport Drawing V **Site Plan/Drawing attached.** TotalTime:(HH:MM) Hours U inutes Page 2 of 3 CDP File Number. 35965 County File Number: E"PR-10092385 Drawing Type: Improvement Permit Date: 1 1/ 1 y/ a 0 0 9 Inch Scale: 1 QBlock = 0 6 0 ft. Drawing O N /A ~K t l t ( 1P 1, le C-ion 1-r S Y P,"'t so fo ds s0, ~ ~Lo~vt~ta~ r , q~R 60' 0 0 rz~ Page 3 of 3 CATAWBA COUNTY HEALTH DEPARTMENT POS4 Telephone (828) 465-8270 TDD (828) 465-8200 WLS~vOS'-.D/ASS' Improvement Permit 1/ AC Rep it P rmt . Operation Permit. System Type Well Permit. Replacement Well--,L- Owner/Agent Phone 70' -6 ,;?'f' Owner/Agent Address ' r '2 Subdivision Sectio Bloc hase N- ot# / Lot Size. irections. - o.- - Property Address Facility- House Mobile Home Business Multi-family Other- Pin Number 911 344Q4 D Zq 9o Of --/¢S Other Zoning Approval # # Bedrooms # Seats # Employees Application Rate -35- GPD Flow Hot Tub or Spa es o Special Fixtures Basemen a /no 100% Repair Are es o Basement Plumbm yes o Water Supply- Private Well Public Semi-Public Type of System: Trench ✓ Bed Pump Pump/Panel Panel LPP Other Septic Tank Size Pump Tank Size Nitrification Field. Total Square Feet /.3 7 Depth of Stone Bed Size Trench Width 3 Total Length of All Trenches 1},5Y Number of Trenches Trench Length Feet on Center Maximum Trench Depth N Distance of Nearest Well?/°a *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* opo % Slo ~ T tire Stru re Clay Soil We ~D g Soil Dep Restric Ava' le space s/no Sy3~t"" O rail Class S P U L. omments 4 1',to P~m~oQS etr 5~Ale 60' Filter Required 1GC7hmh ~•~,e Riser required when tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. Permit Date /-~8 - 0 A EHS - Owner/Agent Septic Tank Installed By Date EHS Well Installed By Well Grout Approval Date Well Head Approval Date Date Sample Collected Date of Results Results EHS White - Office Yellow Owner/Agent Pink Building Inspection Authorization to Construct DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet of l DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID . ON-SITE WASTEWATER SECTION COUNTY ey. SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER. Pe PPLICATION DATE ADDRESS: / DATE EVALUATED- PROPOSED FACILITY q-(2 PROPOSED DESIGN FLOW ( 1949): c7 PROPERTY SIZE. LOCATION OF SITE. PROPERTY RECORDED- WATER SUPPLY Private 0 Public Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring alit 0 Cut TYPE OF WASTEWATER. Sewage 0 Industrial Process 0 Mixed OTHER: .I941. :i._iiiiiii c:.... :1940 D 11Q,RI~:::: A442` LAN : : : . . :194:1 .:943 1956 1944:: .:::.::.1941 : 1 ..:SCRN:::::::.:.:::.:::::.:.....:.::. ::::.PROFILE 1L:::: CbNSISTENGEI WE'~1VESS/ ;.54 SAPRO 'R> STIt;; i OS)<~'lUN/.; DEPTIi SYi2(1CTURE/_ . .LASS TEXTURE:MINERALOGY:COLOR,:.::: DEPTR CLASS:: 'tIOR1Z :::SLOPE LTAR s f 2 ~ ,3S h 5 s~ n l I 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS( 1946): 5 Available Space (1945) s' S SITE CLASSIFICATION ( 1948):: AS System Type(s) - ✓ r EVALUATED BY OTHER(S) PRESENT Site LTAR COMMENTS. LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC.(Concave Slope) I S (Sand) 1.2-0.8 0.6-0.4 NEXP (Non-expansive) G (Single Gram) CV (Convex Slope) LS (Loamy Sand) SEXP (Slightly Expansive) M (Massive) D (Drainage Way) EXP (Expansive) CR (Crumb) DS (Debris Slump) II SL (Sandy Loam) 0.8-0.6 0.4 - 0.3 GR (Granular) FP (Flood Plain) L (Loam) SBK (Subangulat Blocky) FS (Foot Slope) ABK (Angular Blocky) H (Head Slope) III SCL (Sandy Clay Loam) 0.6-0.3 0.3-0.15 PL (Platy) L (Linear Slope) SiL (Sil(Loam) PR (Prismatic) N (Nose Slope) CL (Clay Loam) R (Ridge) SiCL (Silty Clay Loam) MOIST WET S (Shoulder Slope) Si (Silt) T (Terrace) VFR (Very Friable) NS (Non-sticky) N SC (Sandy Clay) 0.4-0.1 0.2-0.05 FR (Friable) SS (SligMy'Sticky) Sic (Silty Clay) Fl (Firm) S (Sticky) C (Clay) VFI (Very Firm v. Very Sticky) VS (Very Sticky) O (Organic) None EFI (Extremely Firm) NP (Non-plastic) SP (Slighily Plastic) *Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater flow and quality P (Plastic) NOTES' VP (Very Plastic) HORIZONDEPTH 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(un§uitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chrome 2 or less - record Mumsell color chip designation CLASSIFICATION S (Suitable), PS (Provisionally Suitable), orU (Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate (LTAR): gal/day/ft' Show profile locations and other site features dimensions, reference or benchmark, and North). t i I DENR (##H#il#) Review (##IINtI)