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Home My WebLink AboutIMPV-11-09-2726.TIF sr ti IMPROVEMENT PERMIT For Office Use Onl x y CDP File Number 3 5 9 6 6 e. f Catawba County Public Health Department r . X Coy1ity ID Number: EHPR-11-09-2467 .r~ Environmental Health Division P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW {a, . Newton NC 28658 Township: :fAPV- 11- Oq- 272b Phone: (828)-465-8270 Fax: (828) 465-8276 PER,;,,; VALIO UNTIL 11/16/2014 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Milton Polemides /Property Owner: Milton Polemides Address: 6736 Emerald Isle Dr Address: 6736 Emerald Isle Dr City_ Sherrills Ford City- Sherrills Ford State~Lip: NC StaterZip: NC Phone 4: (704) 576-0847 phone f Property Location & Site Information Address/Road 9: Subdivision Emerald Isle Phase Lot. 3 6736 Emerald Isle Drive Sherrill-s Ford NC Directions Structure MOBILE HOME Hwy 16 S, LT Hwy 150, LT Mt. Pleasant Rd, Rt onto of Bedrooms: 3 Emerald Isle Dr., Lot on LT near end of People 'Water Supply PUBLIC System Specifications r Initial System 'Site Classification Minimum Trench Depth Inches Design Flow 3 6 0 Maximum Trench Depth: a 4 Inches Soil Application Rate 3 5 Septic Tank 1 0 0 0 Gallons 1-Piece: c Yes ONO `System Class ification/Description TYPE III B. SYSTEM w/SINGE EFFLUENT PUMP Pump Required: tYeS Otf0 C)tvtay Be Required Pump Tank: 1 0 0 0 Gallons `Proposed System 25°o REDUCTION 1-Piece, oYss L") No Repair System Required: Yes ONO ONo, but has Available Space Repair System "Site Classification: PS ftinimum Trench Depth: Inches Soil Application Rate 3 5 Maximum Trench Depth. 3 0 Inches rystern Class ihcat~ n!De sc riptron_ Pump Required. /Yes (_)No O May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank. 1 0 0 0 Gallons t "Proposed System: 50% REDUCTION Page 1 of 3 NOV-17-2009 15:14 CATAWBA COUNTY GOVT 1 82H 4b5 82Yb F'-In-1 COP Fite Number 35956 County ID Number, ttiYat-rr-ux=tae .,N+~ • 1(~OS~~~~`' 'Site Modifications L7 Open Fill sheet No gtadtng or constfUction 8ct6+ity iS allowed in areas designated for system and repair without approval of Health Department. *Permlt Conclittons The issuance of this permit by the Health Department in noway guarantees the issuance of otrier permits. The permit holder is responsible for checking with appropriate governing boMSS in meeting their requirements. SEE ATTACHED CONSTRUCTION AMMORIZATION FOR PERMIT CONDITIONS AND SITE PLAN Me Mpr+overnent Permit shat be wlid for 6 years trim dateof Issue with a Wte plan (mans a drawing not rwcmallly drown to Site Vlan scale thatshows the existing and proposed property fines with dimensions, the 10"0 n or dtefacuttr and appurtenances, the she for the proposed Waswwstrr syetem, and rite tacanon of water supplies and sur4ee waters). Plat The Impronment Permh snap ve wild wittnut expiration with pat (mesas a property %V"od prepared by A ngisselrod land surveyor, drawn to a seats at ons Inch aqua Is no m one 991160 teen that rnqudW die SPKRic (acltton of the prop nod fadilty Q and appurtem inces, the sitetor ore proposea Wastewatrrsystsn. and the location of Rater supplies snd surface waters. Plat also means, for suaeivislnn ton approved by the local ptannITV awitio" and recorded with Sher oounq "serof deeds, a copy of the rucordod subdivisions plat that Is actlompanled by a sft planthatls drawn to scaie~ ThQ 0QpaMWR and L*CaI H6*%h DvP=tn ant may Impost condteorm an re Issuance and may rervoka the pQrmhs for tallure of trig systern to sx1sly the conditions, the rules. or iris aniele: This permit Is subject to nryowtlan it the st* plan, pray bC Intandsd use chanQeS (NCC9 13OA435(Q). The person owning or commiling true system Dail be Torwansibde forasauring compliance With um laws. naes, and Permit conditions marding systOn [matom Instaiistl , operation mairtt morhorin rrportl►+a and repair (,1938(D?~ ApplicanivLegal Reps Signature Required? Oyes ONo ~tlSfy1E/ t{f ~!!S° f e 11 / 07 -T- ApplicantfLegal Raps. Signature "Issued By tt3tQ -Boyd. Jaean Date of issue: I I / 1 6 ;1 0 0 9 Authorize(! Stale Agent: 1-~ OVafid without Expiration? 0Hand Drawing Otmport Drawing **Site Plan/Drawing attached.** Total Tirm-(HH MM) Hours Minulas Page 2 of 3 2/i'd 9228S9b828:01 :WOdd d8b:20 6002-)LT-n0N CDP File Number 35966 County lD Number: EHPR-I 1-09-2467 *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. SEE ATTACHED CONSTRUCTION AUTHORIZATION FOR PERMIT CONDITIONS AND SITE PLAN 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 Ian scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters). 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 more than 60 feet, that includes: the specific location of the proposed facility 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 recorded 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 130A-335(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)). ApplicanULegal Reps Signature Required C-)Yes ONO Applicant/Legal Reps. Signature m ea (if bus' ! P e t _ Date 11 'Issued By 1810- Boyd, Jason Date of Issue 1 1 / 1 6 / a 0 0 9 Authorized State Agent. N Valid without Expiration? JHand Drawing {?Import Drawing **Site Plan/Drawing attached.** Total Time (HH MM) Hours Mmules Page 2 of 3 CDP File Number: 35966 County ID Number: EHPR-11-09-2467 Drawing Type: Construction Authorization Date; 1 1/ 1 6/ 0 0 9 (/'Inch Dra` Tina Scale: 1 6BIock = 0 5 0 ft. ON /A J b { •S 5 { ST ` o rL~-. ate, ~r `t0~ Dr r O i~ c_~ c i 1 r~ G o~ r \y <}~t~ r Page 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section 'Date > 3 Q t~ Soil/Site Evaluation 'File ~4 3 5 9 6 6 For O n-Site Wastewater System PIN EHPR-11-09-2467 'Owner Milton Polernides Proposed Facility MOBILE HOME Proposed Design Flow (.1949) 3 6 o Location of Site 6736 Emerald Isle Drive Property Size 0.49 Water Supply PUBLIC Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile 0e °fa (IM) I.. ineralogy Matrix Mottle Factors Sop Texture Structure Consistence Color Color L 0.40 SCL sbk fr ss s i 1 p 1942 Wet % 1943 Depth 4 0 Gs GPS Saprolite (ini 1944 Rest Horizon EHS 1947 Class pS Boyd Jason Profile 3 5 LTAR _ 1942 .IV et 1943 Depth CPS Saprolite (in) 1944 Rest Horizon 1947 Class r EHS Copi rofile Profile LTAR - 1942 Viet 1943 Depth GPS Saprotite:(rn) 1944 Rest Horizon 1917 EHS Class Copy Profile Profile LTAR 194 2 vs' et U.b 1942 Depth GPS Saprolite (in) 1944 Rest Honzon EHS 19.57 Class Copi Profile Profile LTAR 1942 1',, et 0% 1943 Depth GPS Saprolite tin) 1944 Rest Horizon EHS .1547 Class Cop'E9' oute Profile LTAR Available Space (.1945) PS Other Factors(.1946) Site Classification (.1948)PS Initial LTAR: . 3 5 Repair LTAR: . 3 5 Others Present: Comments. Evaluated lot with Megen McBride. Lot originally evaluated by George Pendegrass under permit WLS 2003-00999 Evaluated By. Boyd, Jason NCDENR Division of Environmental Health On-Site Wastewater Section Date. 1 1 1 1 3/ 4 0 0 9 Soil/Site Evaluation F d e 1": 3 5 9 6 6 For On-Site Wastewater System PIN 9 e H R R- 11- 0 9 .1940 Horizon SOIL MORPHOLOGY Profilers Landscape Depth 1941 Other Profile POS (IN) patineralogy Matrix Mottle Factors Slope g ,o Texture Structure Consistence Color Color 1942 Vi et 1943 Depth CPS Saprolite (in) 1944 Rest Horizon EHS 1947 Class Copy Prohle Profile LTAR 0 19422 1"r et. oro 1943 Depth CPS Saprolite (tn? 1944 Rest Horizon EHS 1947 Class copy rofil Protile tTAR 1942 wet o;;a 1943 Depth CPS Saprotite (rn; 194-1 Rest Horizon EHS 1947 Class ! Copy rofrie Profile LTAR 194 2 V.' et oil 1943 Depth CPS Saprotrte.tin) 194.1 Rest Horizon EHS 19,17 Class cot); Profile Profile IT'R 1942 wet ~o 1943 Depth CPS Saprolite nn) 1944 Rest Horizon EHS-- 19.7 Class Cop~+~toid Protile Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. The "Import" button, attaches the drawing, or other image into the space below. Open Drawing Farm Profile 1 X Y Z Profile X Y Z Profile X Y Z Profile: ? X Y Z Profile: X Y Z Profile, X Y Z Profile: 1 X Y Z Profile X Y Z Profile: X Y Z Profile X Y Z