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
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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
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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
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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
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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
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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
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: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
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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.
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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).
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