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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 ,w 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 We want to hear m you. Please take a f- moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService 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 • 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 • Catawba Count; Environmental Health A"f�-'r- 2o4 - 07/82.5- ,\ \• . t , w •1685 i 4 la 1110 r, �` �`" 0 P p O 4 rnc,tiNur+ kci-bcL c1,,p+11 ,r,caki- i5 14" 0h ±k vpliIf J-/dL W [l 9 p&k,r (rLut yv,ae:t �; (7 O d5- :� •5556 so r `iI r �r old S �f;c o 1 . s fol1 k e tit fIs O 7k.Tna+, I ( -he ^¢w ton C1 . .. o(ti >.tI , c-CIA. Sao 4 P;p,1- u / ( ?v11.1.- r✓ � °RCS y'6� doti., 1po-4r m � ^°� "1 . • #(rm F flit/ c �,v �� E� dyu; bid. • • • 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 k y4'ti) .Ij1(! .at Nei:t iti,� �. mN,� i {�,IIg Y �Ip(�I{i1II I I �'�I1 'fy�('y�� I�lt. 1 �!! ( i a( '�,!,J4. t!'�Xi' n y i..' 50 I ! 1 �n h :ill fit�I.i IR G ,:,.,l�fi=.,lln 1:::i!,,4)+ ,r ij ii )i194tI :.,11,1'�i r'', t" { 4,1.1r1tlig IS .II!n�li'I1 1 I��I [!l:' .I�tt pi 2�11;�'lidK t ,+;1 li11;s:l C 1r. 'IC II t I tilt '^ r�1 l �H^. 14 ,h:11 . jthar.-dm1:p., , ttl TM, „ I� 1! EA*I ti'iiiitg�(tlll�ll i l hl. lu ik111 ,a:t;I 'I(lf� .�_tj M itlln F,f,'1>� .q.. 1■r11l0r;t1 10 t ,dy tiilfuu •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! ,!, 1I1 ne ,11 ! l 11tp, ,I t napr luck 1V a I ,,, ,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�, N ltt J ill r~I( ,. Slb e/,G._ r PN ��i��;Texture; � �h„ Mmeralo f 61d:J„!RICO tNlCOloglll ti� De th IN � I���&ILTAR,,pw.. 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 i. • • ► .s- .--. _ , - . z q r •J _,,,t, \ el_ A "••• --- . ill if_y J , K' _._ . _ I l' .�. .t K 1� - .3 t �. 4,i s , En ►J. _1J! f t ___ ' . rt s: *� :etiri...:„../..0" ..."'"- :`5¢O '4 - / 1,x.01 - T..-- c,:,,'-',ta:,..,-1.- '-' .!!!„....."' / . .--, . ------- ,A. . p: 1 t '' 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 https://greenpath.acryness.com/PayNow/Receipt?PaymentTransactionId=2718972&Accoun... 512120.16