HomeMy WebLinkAboutAUTH-05-2016-071825.TIF ,�A CATAWBA COUNTY Case# AUTH-05-2016-071825
Q n j Public Health Department Subdivision LOWELL DEAL-SUGAR FA
4 ;nn e5 �; Environmental Health Division PIN# 368902566013
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 1
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NAME ON PERMIT: LOUIS RAY SIGMON, 5556 E BANDY CROSS RD, CATAWBA NC 28609-8978
Site Address: 5556 E BANDYS CROSS RD, CATAWBA NC 28609
Property Size: Square Feet: 57,063.60 Acres:1.31
Directions: Hwy 16 South, Buffalo Shoals, Left at Traffic Light, Right onto East Bandys Cross Roads, 1 mile on Left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
‘/. property described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-04-2016-23755 by the following method(s):
Received in Person
acsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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: 05/03/2016
--Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transn itted by - _ w 1�_,I4$ I ii /- (name ofperson n 'ng permit)
Signature Ji 7 in Date/Time 6.'o
Method: Fax mail US Mail Other
Owner's request to send b the above indicated method of transmittal in lieu of signature
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dipemfit 05/04/2016 08:14 Page 4 of4
iqA CATAWBA COUNTY 0 gce -• • .*f 0 Case# AUTI-1-05-2016-071825
tillPublic Health Department y�. Subdivision LOWELL DEAL-SUGAR FA
K Environmental Health Division h `. PIN# 368902566013
sin PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 `+k • �r� � '� LO"f# 1
/8.2 sM - • A r
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NAME ON PERMIT: LOUIS RAY SIGMON, 5556 E BANDY CROSS RD, CATAWBA NC 28609-8978
Site Address: 5556 E BANDYS CROSS RD, CATAWBA NC 28609
Property Size: Square Feet: 57,063.60 Acres:1.31
Directions: Hwy 16 South, Buffalo Shoals, Left at Traffic Light, Right onto East Bandys Cross Roads, 1 mile on Left.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments (
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: 0.25 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence - House
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 1,080 sq ft Total Length: 360 ft Maximum Trench Depth 24 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 5 ft on center
Number of Drain Lines 5
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: *Maximum trench depth is 24 inches on the uphill side.
*An Interceptor Drain may be required in the future.
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.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS «<<<
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
ehpermit 05/04/2016 08.14 Page 1 of 4
c,A CATAWBA COUNTY Case# AUTH-05-2016-071825
,eat Public Health Department Subdivision LOWELL DEAL-SUGAR FA
G t 'H Environmental Health Division PIN# 368902566013
\..,:42° PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1
18.2 is
NAME ON PERMIT: LOUIS RAY SIGMON, 5556 E BANDY CROSS RD, CATAWBA NC 28609-8978
Site Address: 5556 E BANDYS CROSS RD, CATAWBA NC 28609
Property Size: Square Feet: 57,063.60 Acres:1.31
Directions: Hwy 16 South, Buffalo Shoals, Left at Traffic Light, Right onto East Bandys Cross Roads, 1 mile on Left.
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 Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes,or if site
conditions are altered. The Authorization to Construct 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 Rides for Sewnpe Treatment and Disposal Systems' (15A
NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will
continue to function satisfactorily for any elven neriod of time
Robbie Phelps 05/03/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/03/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpemiit 05/04/2016 08:14 Page 2 of4
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Parcel: 368902566013, 5556 E BANDYS CROSS 1 in=60ft
RD CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geospalial Infomration Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recornmends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
04429/2016
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 AppID:
Owner: Louis Ray Sinmon Applicant:
5556 E Bandys Rd Date Evaluated: 5/3/2016
Proposed Facility: 360 Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]Public [ 1 Individual [x]Well [ 1 Spring ( ]Other
Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut
Type of Wastewater: [x ]Sewage [ ] Industrial Process [ ]Mixed
`P1'1 4itil l:'P I'� ppl;h�?2ui (t�fNe. t; l; ;r�y.l sa,n.,:jk{.i7J1G:f l?r!'?11,;1 III r t 11,.p l`�i 11 i ill` IIIII' 1}iGe ?i'i.�.t}�} l'It pi �N•PIH�IfI' t Grp, "fitt a PIM If
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•L ?!r'`;, `J , Landscape Horizon at 1944 Ifl4 Et .`,)4'!41-Il .r11.941NIt'si,{�i�� illt 1 I!•t1 ,lottitSollirll I, i j:1943 4 .1956 lh.11944r' 4j Profile's+it! ,!,
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,E'lito u e EPosltlory , -.wool Iti{ Structure�/���Ity. i h:�IIPConslstence� t° y Wetness/ i (r'-SoII,N� t•Sa pro I(Restr. t LClassl ili 4�
it�} Illftl 'I 14 , M° (t,r PI')t' Ike ex?i l:4� a r1�fln t!um�rt9Yl(tilifi J'Y�' a� 1,ro„mymult�ll , . ` it �kr( II)�`7i�CMIA 'Ii�H nz VI TI„ ,lh�,
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1 8% 0-32 c,sbk fr,ss,sp
32-48 c,sbk fi,ss,sp 2.5y 6/3 0.25
2 5% 0-30 c,sbk fr,ss,sp yellow stripes
30-60 c,sbk fi,ss,sp 2.5y 6/3 0.25
3 9% 0-30 c,sbk fr,ss,sp
auger 30-48 c,sbk fi,ss,sp 2.5y 6/4 0.25
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) s Soil Evaluation By: Robbie Phelps
System Type(s) 25% Others Present: Meeen McBride for#3 only
Site LTAR 0.25 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge I S-Sand 1.2-0.8 SG-Single Grain
55-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 III SI-Silt 0.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismatic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
Receipt Page 2 of 2
Catawba County Environmental Health
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Parcel: 368902566013, 5556 E BANDYS CROSS 1 in=60ft
RD CATAWBA, 28609
-, ,
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or daa on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
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