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HomeMy WebLinkAboutRBPR-05-2016-23799.TIF "4'A e THIS IS NOT A PERMIT Case # RBPR-05-2016-23799 CATAWBA COUNTY HEALTH DEPARTMENT 0 �a J I S 0 �U ' �` C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES P.;•:: 84T sm Residential Building Plan Review - Building New • ;7:4o . d h .,F A AUTH_CONST -d: „ - a ik m 1 ill. 1 -, Contractor ADISON HOME BUILDERS (RYAN PRUETT), 301 10TH ST NW F-105, NC 28613- H:8284648870 C:8282440968 HOME:8284648870 OTHER:(282)464-8870 RYAN n MADISONHOMEBUILDERS.NET Owner WESLEY AND SARAH DELLINGER, 3394 N OLIVERS CROSS RD,NEWTON NC 28658 C:8288556471 WESSDELLINGER @GMAIL.COM Parcel Owner JOSEPH & FRIEDA DRUM, 3394 N OLIVERS CROSS RD,NEWTON NC 28658 H:8284282663 C:8284461627 HOME:8284282663 OTHER:8284461626 NAME TO APPEAR ON PERMIT Wesley and Sarah Dellinger SITE ADDRESS: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 —__. l .-# 366701496393 NAME of SUBDIVISION: - Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 1.62 DIRECTIONS: Hwy 16 South, Right Providence Mill Rd, Left onto N Olivers CrossRoad, Property is on the Left. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: new 3 bedroom single family dwelling no basement with attached garage SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION STRUCTURE DIM:: 62 x 47 OF NEW BEDROOMS:: 3Th BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-elapplI cation 05/05/2016 10:26 Page 1 of 4 ,;o' _ CATAWBA COUNTY Case# RBPR-05-2016-23799 Ltq Public Health Department Subdivision 6 s7') ,� Environmental Health Division PIN# 366701496393 AI'° PO Box 389, 100-A Southwest I31vd,Newton. NC 28658 Jg.2 ,u NAME ON PERMIT: (WESLEY AND SARAH DELLINGER), 3394 N OLIVERS CROSS RD, NEWTON NC 28658 ( Wesley and Sarah Dellinger) Site Address: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet Acres 1.62 Directions: Hwy 16 South, Right Providence Mill Rd, Left onto N Olivers CrossRoad, Property is on the Left. Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 �` ommilillu2� t.u,i,p I ' f .'':11911115;:.)1'.'!'‘i le' a+� „ III' 111, 1 ;><l,x ij T.i inli -mhMmlrlhlllr .: 1 ,i),FEENAME.` ,n ii fue','. :ddii_aida ii L iallIti LDATE.,it kFEE AMOUN.14I Authorization to Construct Fee (New/Expansion) 05/05/2016 $150.00 Fee �iIr�t1'Jl9 l}�i�lt n�t� '`.rTOTAL,FEESIiti�luTIP , i �iiT;r"u'IijIj-, 'rl�1,1315O30,(�!' r 1,1 'l�Il��Il' ,,.1}lfll @Ihlla L,, s,14wlr1l th111II IIuIIIIIP Iffir . "151111112C-3JUl,lu'"L'111W.11lilltilir''' FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 19-ehappl ication 05/05/2016 10:26 Pagc 2 of 4 •. �A � THIS IS NOT A PERMIT Case # RBPR-05-2016-23799 F" CATAWBA COUNTY HEALTH DEPARTMENT 7 ."' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES tl F `3i 784/. sin Residential Building Plan Review - Building New t ._ • AUTH_CONST rd.F� x Contractor *MADISON HOME BUILDERS, LLC (W KELVIN ANDERSON), 1721 E BOULEVARD, CHARLC NC 28203 B:7043349339 C:8284648870F:7043740686 SUEaMADISONHOMEBUILDERS.NET Owner WESLEY AND SARAH DELLINGER, 3394 N OLIVERS CROSS RD,NEWTON NC 28658 C:8288556471 Parcel Owner JOSEPH R FRIEDA DRUM, 3394 N OLIVERS CROSS RD,NEWTON NC 28658 H:8284282663 C:8284461627 HOME:8284282663 OTHER:8284461626 NAME TO APPEAR ON PERMIT Wesley and Sarah Dellinger SITE ADDRESS: 3400 N OLIVERS CROSS RD,NEWTON NC 28658 PIN # 366701496393 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 3.8 DIRECTIONS: x PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: new 3 bedroom single family dwelling no basement with attached garage SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: • DESCRIPTION OF Vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 62 x 47 BASEMENT? No BASEMENT FIXTURES? PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: YES ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-chapplication 05/05/2016 10:04 Paee 1 of 4 4„w • CATA�VBA COUNTY c 1Se RBPR-05-2016-23799 Public Health Department 4 '-1 Environmental Health Division Subdivision ' �� '< PIN# 366701496393 ?� PO Box 389, 100-.A Southwest Blvd.Newton.NC 28658 • lg Z w NAME ON PERMIT: ( WESLEY AND SARAH DELLINGER), 3394 N OLIVERS CROSS RD, NEWTON NC 28658 ( Wesley and Sarah Dellinger Site Address: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet Acres 3.8 Directions: x Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization"to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification a d la ling of all property lines and corners and making the site accessi de so th- op site evaluation can be performed. Date: 5 0040 Signature of Applicant or Agent t- -�__ m n Environmental Health Specialist will contact you within 5 word say.4.1 ar rlica'ion date. If you need further information or assistance please call 828-466-7291 AREA1 r FEENAME ,''' DATE FEE AMOUNT I Authorization to Construct Fee (New/Expansion) 05/05/2016 5150.00 Fee < TOTAL FEES SI50.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehappl ication 05/05/2016 10:04 Page 2 of 4 CATAWBA RC2 �. Os_ ao t� - a31 q 9 THIS IS NOT A PERMIT COUNT): ,,, CATAWBA COUNTY HEALTH DEPARTMENT .,:,;;7; ;;> Application for Environmental Services Page 1 Improvement Permit Authorization to Construct Septic Repair ❑ Septic Malfunction Septic Expansion n New Well Permit n Rep acement Well ❑ Well Abandonment❑ Well Repair n Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction Existing Facility ❑ Property Address?goo N 60V02S flocs Ru$D ((( Subdivision firene t NC- 29tS9 Lot# Acres Section/Block/Phase Driving Directions to Property WWI(l o S / 27 f RovineNce 411(c. A.490, Cr /U. °L i✓ S XR-1) 'Next-17g UN (-Ertl NAME TO APPEAR ON PERMIT? ✓I"Owner ❑ Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name wes(e-e SpnA4 1tCWCC& Address 3.39y N. 00v0L$ Ci2as }�n9D Ne'rc NC 286S61 Phone Cell Phone gze—es-r— 6Y71 Contractor Contact Information t- Name Mpoisci-t OuntetSU!CDO1S License It yo III Address ?p) )Grp S7 NW 3co7t r-/or t(cneveit NC 29 ,J3 Phone 8 20- ye y- s973 Cell Phone ,des 2544/—67 Le WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site \/( pv ("i ( p! of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures n Yes ❑ No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes R No Does the site contain any jurisdictional wetlands? ❑ Yes Ce-"Ro Does the site contain any existing wastewater systems? ❑ Yes 0-"No Is any wastewater going to be generated on the site other than domestic sewage? lttes ❑ No Is the site subject to approval by any other public agency? ❑ Yes Ergo Are there any easements or right of ways on this property? Describe Existing water supply in use n Individual Well ❑ Community Well ❑ Semi-Public Well El County/City/Township Water Line Is a public water supply available? ** [ es ❑ No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (syst�s can be ranked in order of your preference) \rAccepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any cArTA\ 7BA THIS IS NOT A PERMIT COUNTY c£ ,., CATAWBA COUNTY HEALTH DEPARTMENT ` Y 4„o,th tee,,,, , Application for Environmental Services Page 2 Proposed Facility Type Primary Residence New Residence Addition to Residence # of New Bedrooms *1* Project Description /Uf.,l^' Suet du/t 7 Fiente Structure Dimensions (.0 z Y 7 # of Occupants Z Basement Yes Q'S-CO Basement Fixtures ❑ Yes o H Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling _ Yes ❑ No Plumbing n Yes ❑ No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unit*t Total #Bedrooms *t Structure Dimensions • Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) #Employees per Shift # of Shifts Dining Area(Sq. Ft.) n Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen n Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type I Individual Well n Semi-Public Well ❑ Community Well Abandonment Type n Drilled n Bored ❑ Dug n Unknown Well Repair Requested I I Yes n No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. j If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AIN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify,that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. / Signature of Owner or Agent Li,� Date S S 1 G Printed Name of Owner or Agent p YR i ) p/2 tl E77 ...o° n III Il °€$°g'°ifl0d , F3 h j Iiii!jjIij i EiHET 2 t S Ito. CJtos 1 g3 •'A ill !: NV� 1 4t�'i_ ar/ g 1/4-n a I'. p4 � ai goo ii I I 93� 1a. , R . . 61 �a% II gii5, i iii as { r �� ' i;ig 14 11° ° �I ��i� / M 1:`[ / / � r$� .tiaoa`_9c-off- ( 9a/ � F,� . 1 g 9h r~� \ ems_ �. ! aim ➢ e , x a 8 3 / ry 1111211.'. aal y i..2 ' , ` aica .. �1ii!ii ey a F. G 3d g Y /\/�'j 1i / / 1111111 is � ° / i 11-''' o gAg _;I LIU e iIj! ' ail u g 1 1 i SR pi .1 ' u ; i! f 9- 1 Y1 �W as r s9 1 ° 4 age' : cp t a Ap :��_g ..\cn @.` 9 1 4 z ) o m ''i t•n z i4 � I'it 1{f Ea g§ 4. A a ¢1 Sakeq@ Ali irA 1 1 ° f3 lit- P- a 3 m 6� 'ill ii 1 ; aw,_.i69.11a111g 1 R.` .jA 5i i i1z 1.k$ af f� ~ � �A � , S ` e c 4tggpr�s�� 9 a hitbj 6 b Vl• @5€ b., j: g2i l3igAg I i 4i {" n 'b �p� !' 9 ! - .1 i! 4 U �� a ' IIiia .! all :...i@i. f = H 1 ` . r a 1 E : 'iiiii I'' S $ Ma ! i n y r p1pi'!! R,,,.... .� ai 61 u Catawba County Environmental Health a' to 0 A ki)Iiiisi 0.83 vs OO 12.•2 27.61 / \ 1 y I 2: 21 N 7S7 N -.O N ' ^ 2 �B \ `1 (.n/ '�`o^ i 0008.94 03396 / / (// / 0 I / y / I . 1 /// N N w �� 1 f . 1 httr1ip ,11411 ® 'I+ ' ` f i µ', `a1� 1�� f`}UL" , i f Parcel: 366701496393, 3394 N OLIVERS 1in=60ft CROSS RD NEWTON, 28658 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 data 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 05/05/2016 Catawba County Environmental Health / / 2 `>, oti 1, / • / •, N O / tip fl e5 187_03 7 ,irt AI 1 11.8ni 1 51,15 �S 1 2. 21 rN O A� r / / / / 4'1. N ,, `o• J *1x8.94 / N (I,1 o3033996 J ilk / ....i 1 0 / / t1 J / / N / 3401J _, ^0 1 / / \ / J 18' / / J S'S / J N / oS39 - ti'I � I ��tpkp 1 0 q t���1 f ® 1110 Ib`",.i T !h \\.. (200i 11111411111111111173430 .-"I''''...... ".......scialttli.r.'s"H Parcel: 366701496393, 3394 N OLIVERS 1in=l00ft CROSS RD NEWTON, 28658 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 data 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 05/05/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 366701496393 Owner: DRUM JOSEPH D Parcel Address: 3394 N OLIVERS CROSS RD Owner2: DRUM FRIEDA G City: NEWTON, 28658 Address: 3394 N OLIVERS CROSS RD LRK(REID): 4828 Address2: null •Deed Book/Page: 3303/1729 City: NEWTON � yy�� N CAWS Subdivision: State/Zip: NC 28658-8295 ,3't(-� 1 7t�1 Lots/Block: 1/ C'CDS) IKd Last Sale: School Information: Plat Book/Page: 74/77 School District: COUNTY �7 Legal: LOT 1 PLAT 74-77 Elementary School: TUTTLE L Calculated Acreage: 3.800 Middle School: MAIDEN n� nut Tax Map: 005 K 02002 High School: MAIDEN I '/�s� ,- Township: CALDWELL School Map State Road #: 1858 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $152,300 Zoning2: Land Value: $34,800 Zoning3: Assessed Total Value: $187,100 Zoning Overlay: Year Built/Remodeled: 1982/1988 Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710366600J Building Details 2010 Census Block: 2006 WaterShed: 2010 Census Tract: 011601 Voter Precinct: P1 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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 data 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. ©2016, Catawba County Government, North Carolina. All rights reserved. ? il . I50 4 ' ?c4--44SS. ClZ aceti /Oct No Mod 110 eiTS ��, http://gis.catawbacountync.gov/nomap/parcel_report.php?key=366701496393&typ=P 5/5/2016 Ire 1._ ,1SCA CATAWBA COUNTY Da I Case?! IMPV-03-2016-070385 7T:it Public Health Department $'. t` y.a} Subdivision r; '3'•} PIN° �\T Environmental Health Division iL} �+ 366701496393 \ }l • ' s- PO Box 389, 100-A Southwest Blvd, Newloa,NC 28658 } , r 1.078 3 4.7.1152i 114 D is NAME ON PERMIT: WESLEY & SARAH DELLINGER, 3394 N OLIVERS CROSS RD, NEWTON NC 28658 Site Address: 3400 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feel:87,120.00 Acres:2.0 Directions: Hwy 16 South, Right Providence Mill Road, Left onto N Olivers Xrd, Property on the Left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X No Expiration: Projected Daily Flow 360 g,p,d Proposed Wastewater System: 25% REDUCTION Type: I11G - OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system minimum: 100' from any well, 10' from property lines,5'from home including decks. Lines to be installed on contour. Do not grade drive or fill over system or repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 111G - OTHER NON-CONY TRENCH SYSTEMS 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 net approved,and may result in failure to approve the initial system installation, cr the suspension/revocation of existing permits. The issuance of this permit by the l health Department dues not guarantee the issuance of other permits. It is the responsibility ol'the applicant/property owner to insure that all Catawba Cuuuiv Planning/Zoning and Building Inspections requirements are met. '[Iris Improvement Permit is subject Cu revocation if the site plan,plat or the intended use changes,or if site conditions arc 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 'taws and Rules fur Selvage Treatment and Disposal Systems' (I5A NCAC ISA.1900). Neither Catawba County nor the Environmental Iicaltim Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Jason Boyd 0312412016 AUTHORIZED STATE AGENT APPROVAL DATE. 03/24/2021 Permit Expiration Date: Arm grading or consn'uc/10n acririty is al/oared in areas designated for system and repair u'ithoal approval of the Health Department. ehpermit 03/24/2015 08:25 Page I or) , [.\3A Cr rmit 6' EHPR-I-l6-23029 N �' CATAWBA COUNTY �� Name Wesley and Sarah Dellinger G Public Health Department Address 3400 N Olivers Crossroads � r s• ' Environmenlal Health Division ! ;9r K Newton NC 44 PO Box 389, I00A Southwest Blvd; Newton NC 28658 184'1 1< (828)465-8270 Fax (828)465-5276 'PDD(8281465-8'200 PI N# j 7366701493693 0'.0 b . S,. -S�Y„ l c- 5—YS�I C r� �a� i • N � .3 Site ' an r t • - • ' Lai 4-(‘)/ p"x01 0 ri.n, / ,{-, N O l ro_rs 6z1 33Q 2. , 3 k N0 k,,,� I \ Tc n \l1 CIS cs "T'•-•-s 4_ Q..)e h.,.-'4 - J p �( • ,O ' 2 L o �' a s 1a S/ T. LH, yJ K `)/ �P. II 6 • ILZLR., v`1) n,- -a urv`\/ 3117 ' (6 C � X. 6 (C. j l .- Scale I Department of Environment,Health,and Natural Resources Sheet: Division of Environmental ficaith Property ID: On-site Wastewater Section Lot 4: SOIL/SITE EVALUATION File 4: for ON-SITE WASTEWATER SYSTEM ApptD: EHPR-1-15-23029 Owner: Wesley and Sarah Dellinger Applicant: Address: 3400 N()livers CrossRoads Newton NC Dale Evaluated: 2/8/2016 Proposed facility: 3 BR home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: well [ ]Spring [ ]Other Evaluation Method: pits by Shane Jarrett I I Cut Type of��YYfastewater. X Sewage q3 p [ ]Industrial Process [ ]Mixed sCl, 1Pxy e'fi u9 irf-b.Y"E-` f a`"' tl n nr•�a+6g5V z 1 d:,a . .,- Cr 3�1 911„m -, , -..�'r.'Y�e'} a kn`hai k rst,fq '„^. �FJ .a:4 11 i ^3Hr8,1te -.i. r: .T Lt , kid,1 4 1:1,1' F^ }y131 >r t i �4 ldi d� i x1I t rJ^ Ih`GI` .1�.`r4ty mY'ete;f �h* f +,Trjt W..0.r.'y R r t °ii KS r* A(•'qfi ! P5 4 .r II rr c 'I t yl41 1(r - 'S, 4 rr r IL4-/�nf� ;91 y 4 i1 i IS ii '<3 'i w 1 P ,`y�� CO 1 ruSOILaMORPHOLOG,Y C2[, rc e,e ., t•-.r ' Oft, P �, '.. r s `! fi r 1 wPlg< Y 1y IIIG a ¢ 1` ' qtr S`]. fit' rPROFILE4FACTORSF-, ? b" 4 yrt, air tF ,r Y7'h o Rarer Aix So 1941 $�Sr1 A qi 11 Pi, '9n a su t t ., i1 i--'f I -Ii 11940�( v,�r frj fk o'J2!'`(r!, I r}+} .ftwgy}i c1t t r . 1942kiiq.-_ ,'eit4iat'R'S I lyiA EU." -E s .-Niel• L'. .`' J 1.14" ds.ag fHbnzoga '1941 /, e s`'rr194c "� 4 -t' tfi ukec 5 . 194v' .'?414 k,' 94 31i 'ai`tortipA rEr.-ti 'IF ashlar=) 5741-4,11 i3 l.. SINCWre/ y If1R7 ftConslslence CF 1.Wetness/ ° t' Solt�,fi51 'i Sa^rot r1� V � � � 7 �� v!FT a5i,,.! .j Rf Str, ,,,.�rr ?CIF155��I�:n. 0E.;:a..k1i Sope%r E4iflexture1a4 aNnd . �_:MmeralojtA`?"# '5.27121Col�rdtP?l..b t°--IDep(h°i(iN)1 c Ola''ss ;yFHOi ' :§tai&,ETAR'�1if 1 LL 6-8% 0-6" topsoil 6-36" SC SS SP SEXP FR 36-48" SC wi sap femwf some platy 36" PS.25 2 same as 1 36" PS 25 3 LL 10-12% same as 1,2.3 4 LL 10-12% 0-6 topsoil 6-48" SC SS SF SEXP FR some yellow mollles 36"- 48" PS.25 5 LL 5-7% 0-6" topsoil 6-24" SCL SS SEXP SP FR 24" r SC chr oma 2 24"+ 24" US I Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) RIG IIIG Others Present: Ryan Pruitt,Dellingers,Shane Jarrett Site LT.AR .25 .25 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LIAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shouter 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-Heap Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay C.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Nor-Sticky EXP-Expansive FR-Friable 55-Slightly Sticky Fl-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 5,(0-1 t<— sys �c I �t,, / (NI o ��. -7`' 5-o, �3