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HomeMy WebLinkAboutIMPV-04-2016-071260.TIF �nA CATA WBA COUNTY Case# ir.'1 il , :11ublic Health Department Subdivision ROSA WHITE SAUNDERS 6\ erg•, ,; Environmental Health Division PIN# 461901491965're\"'dl PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 7 /g,2 ,. NAME ON PERMIT: CRAIG PENDLETON Site Address: 1287 SAUNDERS DR, CATAWBA NC 28609 Property Size: Square Feet: 17,424.00 Acres:0.4 Directions: 150 E L Sherrills Ford Rd R Molly Back Bone R Monbo Rd R Sanders R Aeromarine Left Clipper `�j Owner/Authorized Representative Acknowledgement of Permit Receipt *-' 4 v I certify that lam the owner or authorized agent (owner's authorization required) representing the owner of the property described above. 5vT As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-02-2015-20899 by the following method(s): ._}Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 94- 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: 04/15/2016 !s,/f-/ i�� Representative Signature % - //� ' 5Owner/Authorized Date 1-/5-/6 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 elrpermit 04/15/2016 09:12 Page 4 of 4 AqA CATAWBA COUNTY a '0'r ti f Q Case# IMPV-04-2016-071260 .171 j n Public Health Department �' Subdivision ROSA WHITE SAUNDERS Environmental Health Division � f PIN# 461901491965 r7 g q2 ,w PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 } LOT# 7 • • NAME ON PERMIT: CRAIG PENDLETON Site Address: 1287 SAUNDERS DR, CATAWBANC 28609 Property Size: Square Feet: 17,424.00 Acres:0.4 Directions: 150 E L Sherrills Ford Rd R Molly Back Bone R Monbo Rd R Sanders R Aeromarine Left Clipper Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Community Well Basement? Yes Basement Plumbing?Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 50% REDUCTION Type: 111E- PPBPS GRAVITY DOSED SYSTEM Permit Conditions: See AC for permit conditions REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: PRETREATMENT Type: VD- OTHER <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 rot 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' (1SA 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 04/15/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/15/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemut 04/15/2016 09112 Page 1 of3 I �frA Permit M RBPR-3-15-20899 G CATAWBA COUNTY �a U r��� Z Public Health Depar ment Name Craig Pendleton "'°°'�`�o� ,�, Environmental Health Division Address 1287 Saunders Dr Catawba NC J o ��� PO Box 389, IOOA Southwest Blvd, Newton NC 28:::" 658 PIN# 461901491965 I8 42 SM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct u3 ` ` $c,_,Adc_rS / r 0 T \-' r o e) Y --LC 1 Y .E ) il .mow -i , i r 36 8- U 0 . KO' °J 5 -rtI ,,e.,, 3 g a )\ C ; xy l-, � I 5ysE� L, N J-n , , n IoM u0 ,l ( 3) G7 ' a-E.-.,c_1.65 �� a s go 5b2_,,) uc-7- t• e,t. C.2 4 1-a_r Y s-e-.a ?- ro r-n —'} 1e c r.- re It'.- \\ell c) - 6J o "o .)r°to t t ✓r--}r44-��4 `tor (O°x .lS 3 S SJSa' 9IC ke ,_y 5Ys1<.", ,...) p LAVt 6c?"-F�2 En. II ,5 ,,,, ,L., cis low ss :l.la.- "V"b c al,.,...t i 3S , 30 ( np. :r 11-.e-. .1/46,k_ 50 ( C.c _ J r l, A k (-= N0 (2.M✓lNI / ' p rt+rte+ w.L..A- cry rt-9 u, z. Scale H `t / &4-S ') „\ bye,, 0.131 ...�.r kt-,r--S- • • DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES :Sheet of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 11• ON-SITE WASTEWATER SECTION COUNTY 1..jatz2jsys SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER. kny-h- ' C-,61-0 4.r,<LC- APPLICATION DATE ADDRESS: / 8'2 5 1191...,Am 15M5 ID 0-1.iiC' C/5CM944)/3 4, k_C, , .S)..6 0 c7 DATE EVALUATED PROPOSED FACILITY litib...Stc PROPOSED DESIGN FLOW( 1949): a 4n PROPERTY SIZE, LOCATION OF SITE. )a e:7 ‘5,09-9 Non-32 C .012,i tit PROPERTY RECORDED. WATER SUPPLY I Private L.1 Public 0 Well 0 Spring 0 Other EVALUATION METHOD. Illi• Auger Boring 0 Pit 0 Cut TYPE OF WASTEWATER. 1 Sewage 0 Industrial Process 0 Mixed . - :In ....... ::: fl:: :: :: ............'... ....... ....... ........ ........................ SOILIMOR_PITOLOGY::............................. .....OTHER.. ... "'"' 0:: ::::::; ::: ::: ;;i :: :;;:i (19C)........::..................................... ........ PROFILE FACTORS.. .. .... ......! ig‘to ... ,... ni i :.......::::...::......... ::::: :::.........::::::..................... . iiL:: ...... ................. ............. .................... ..... ...... ........ . ....... .. ...... . .. .. ............. LAND. - tiORL ..... .14.4i-..:: - ......:.....•.. ::-.. ..... SCAPE ... :zoisl,. . ........-PO............... ......-.. 0,4.4:::ii : f:;:;; SOIL...... -—1943- •......195.6 I 1944.. :„..„--:.,...,,..:..;:. • k :vosiTioNi; DEPTH: STRUCTURE/...... :::CONSISTENCE/ ::),VETNESS1 -::::SOIL:ii ::: siipRo:::: ::ititsTR . if..ca.r.ALrst! .... isLoigy,;;; :i:(IN:)-•.. . i:::TEXTURE..... ..... :ii:MINERALOGY !COLOR:.. :::DEPTR: •:: CLASS:::: A/0141Z .... 'A 84,1frA.R!! 1 0- 3 .%-r-- 5' ..„,..../ 3-Cid' se / 0 . Pey/-5ryn, 1 M PM 6,--> • 3 • el-3 a 2.admit r, -7- - 3-9g -‘8./e/cJ C Fcr/-5ek 0' S' 2 N//q• zig 1' 141//)_ il/A • . -7^ 0 -3 3 -cQ Si, SorSc Vs'.i c F72//ccpx P „ PS v69 s/At ,3 • •4 • • • DESCRIPTION urniti.SYSTEM REPAIR SYSTEM OTHER FACTORS( 1946): Available Space(.1945) ,5 —S" SITE CLASSIFICATION( 1948): s-v,/TA-re CC .09-A,-e-6 EVALUATED BY ____C__- -------- --J/C)- System Type(s) OTHER(S)PRESENT Site LTAR / 3 -3 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) CV(Convex Slope) LS(Loamy Sand) 11-0.8 0.6-0.4 NEXP(Non-expansive) G(Single Grain) D(Drainage Way) SEXP(Slightly Expansive) M(Massive) DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-0.J F�(Expansive) CR(Cnun l FP(Flood Plain) L(Loam) GR(Granular) FS(Foot Slope) SBK Suban gular Blocky) ( H(Head Slope) III SCL(Sandy Clay Loam) 0.6-03 0.3-0.15 ABK(Angular Blocky) L(Linear Slope) SiL(Silt Loam) PL(Platy) N(Nose Slope) CL(Clay Loam) PR(Prismatic) R(Ridge) SiCL(Silty Clay Loam) S(Shoulder Slope) MOIST' T(Terrace) Si(Silt) WET VFR(Very Friable) NS(Noo-picky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) 55(Slightly Sticky), SiC(Silty Clay) C(Clay) Fl(Finn) VS(Sticky) (Very S 0(Organic) None VP!(Very Firm v.Very Sticky) VS(Very Sticky) EFI(Extremely Finn) NP(Non-plastic) Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality P(Plastic) lactic) Plank) NOTES 9 Y P(PLc) HORIZONDEPTH hi inches below natural soil surface VP(Very Plastic) 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 chmma 2 or less- CLASSIFICATION S(Suitable),PS(Provisionally Suitable),orU(Unsuitable) record Mtmse0 color chip designation Evaluation of saprolite shall be by pits. Long-ten Acceptance Rate(LTAR):g I/ / — - da ' ,....--- Show rofile loratlo •• • it rte features(dimensi• s,re a ence or benchmark,and North). • • • • R (##H## -Revie w(###fJt)