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HomeMy WebLinkAboutIMPV-05-2016-072065.TIF S�,A CATAWBA COUNTY Case# IMPV-05-2016-072065 Q ` �2 Public Health Department Subdivision FRED MCCALL UNREC < '-ig ra; " Environmental Health Division PIN# 460604902708 a < V\ Z�'PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 29 NAME'ON PERMIT: LEAH DEVLIN, 2319 CHURCHILL RD, RALEIGH NC 27608 Site Address: 7940 KEISTLERS STORE RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:39,639.60 Acres:0.91 Directions: Hwy 150 East, Right Slanting Bridge Rd, Left Keistler Store Rd, At end of Rd 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-04-2016-23698 by the following method(s): v Received in Person Facsimile 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: 05/05/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by , 411\ 4 • A S (name of person ending permit) Signature _ 11_I/�I t .111 LS Date/Time I / 0 ):7o Method: Fax N.-/:mail US Mail Other Owner's requescto send b the above indicated method of transmittal in lieu of signature - �-) m1► ccrn We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService elipennii 05/06/2016 09:41 Page 3 of CATAWBA COUNTY 0 ;pi 0 Case# IMPV-05-2016-072065 ‘.7- Public Health Department " . Subdivision FRED MCCALL UNREC Environmental Health Division •. r G PIN# 460604902708 tg al• PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 29 0 rdr .17 NAME ON PERMIT: LEAH DEVLIN, 2319 CHURCHILL RD, RALEIGH NC 27608 Site Address: 7940 KEISTLERS STORE RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:39,639.60 Acres:0.91 Directions: Hwy 150 East, Right Slanting Bridge Rd, Left Keistler Store Rd, At end of Rd on Left. Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: *Do not grade, drive, or fill over any designated septic area. *No cutting or grading is allowed in the house footprint area REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION 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 not 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' (15A NCAC ISA.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. Robbie Phelps 05/05/2016 AUTHORIZED STATE AGENT APPROVAL DATE 05/05/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 05/06/2016 09:41 Page I of3 r-., • MICHAEL ATHANAS&ASSOCIATES LICENSED SOIL SCIENTIST 561 Ennis Rd. Waddington, NC 28173 (704)576-3887 Reference: Data Sheet for Fred McCall Property Lot 29 House Footprint: 60' x 60' Building Setbacks: 30' front, 15' side Water Source: Private well Number of Bedrooms: 4/480 GPD Proposed LTAR: 0.25 GPD/FT2 (initial), 0.1 GPD/FT2 (repair) Proposed System Type: 25% Reduction Proposed Repair System Type: Drip irrigation Distribution: Pressure manifold Flow per Tap: 7.11 GPM Tap Size and Material: %" SCH 40 System Flow: 35.6 GPM Dosing Volume: 210 gallons Pump Run Time: 6 minutes Elevation Head: Friction Head: Pressure Head: 2' Total Dynamic Head: Supply Line Length: SepticfPump Tank Size: 1000/1000 gallons Proposed Trench Bottom: 24" Line Design Length Actual Length Elevation Orange 1 96' 99' Blue 2 96' 110' Pink 96' 107' White 4 96' 107' Yellow 5 96' 107' Initial System: 480' Repair System: 4800 FT2 Pump Tank: Rouse Corner: Benchmark: 3,Ja/0 3N{y7 \ \ • • • fa ea S 4 O �p �`lsa S ac `•• { ► t © �J \\ • �LQ tY ■ cz - n p11C F�E��R L b m �\ m EASENEOE LOT" 2 I pOR 6,830 SF i di 'Y �4 W..+� /I r1 ei / �r5�, �N�� 11 ;� �qtt I V )1,a a` 4{ r 3 it , W 1'J � r U I I Ct R,Avi 0J e— \ 1 *.�, I I gI p ��r,r (Y t I o I.C`e o � b I t n Cn �U ry `r ice. t `g O ^V J M PpWPR.`:: II I W 'a ti \isirn � �:, :lilt Din o 'i Ei%1a.i.i. . I I 4! 2 p Er � U t { Z O t Q co .� m u 1-4 0) + r•::,.::: :: I J h N U\ ir:•.:co O ¢ fi n ^ I n [ a:my 1 1 O a. 0• h 1 I Y ;:% o V 1 11 II KM n I 1 Ca f`%Yo } C. I 0 K£ISTLERS o STORE RD tn.am ea° n n L5 c/c - L9 • L8 6 L7 .. . _ L6 $ toe `°P SR # 1899 60' PUBLIC R/W i -- � DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES .Sheer_I of_. DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID a:McCall lot 29_ ONSITE WASTEWATER SECTION COUNTY: Catawba_ SOIL/SITE EVALUATION fur ON-SITE WASTEWATER SYSTEM OWNER:_Leah Devlin APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY:_4 bdrtn PROPOSED DESIGN FLOW(.1949): 480 OPD PROPERTY SIZE: 0.91 AC LOCATION OF SITE:_Kiesticr Store Rd PROPERTY RECORDED: 2016 WATER SUPPLY: E Private ❑Public E Well ❑Spring ❑Other EVALUATION METHOD: E Auger Boring ❑Pit 0 Cut TYPE OF WASTEWATER: E Sewage ❑ Industrial Process 0 Mixed P s• R SOIL.MORPHOLOGY OTHER D F • (.1941) PROFILE FACTORS L .1940 . • E L LANDSCAPE HORIZON. • POSITION/ DEPTH�.• - .1942 PROFILE 4 SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 . CLASS • STRUCTURE/ CONSISTENCE/ WETNESS/ - SOIL SAPRO RESTR &LTAR ' • TEXTURE MINERALOGY COLOR • DEPTH CLASS HORIZ LS 4% 0-15 13r SCL WSIIK FR SS SP SEXP N/A 48" N/A N/A PS 0.3-0.25 1548 BAR C WSBK FR SS SI'SEXY I I LS 4% 0-26 Br CLWSBK FR SS SPSEXP N/A 48" N/A WA PS 0.3 2648 R C SBK FR SS SP SEXP : 2 LS 4`)/o 04 Br SCL OR FR SS SP SEXP 40" N/A N/A PS 025 440 R C SBK FR SS SP SEXP F.0 Yll 3 — CUR 263,10" LS 4% 0-6 FILL 40" N/A N/A PS 025 64n RCSBK FR SS SPSEXP FLT 4 CUR2 X40" 4! I I ! _ DESCRIPTION IM17AI.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) 1440 FT2 4800 FT2 EVALUATED BY: MA&A System Typc(s) 25%Reduction DRIP OTHER(S)PRESENT: Site LTAR 025 0,I COMMENTS: SOIL/SITE EVALUATION Sheet of_.? (Continuation Sheet) DEPARTMENT OF ENVIRONMENT PROPERTY ID#• MCCALL LOU 29 AND NATURAL RESOURCES DATE OF EVALUATION: DIVISION OF ENVIRONMENTAL HEALTH COUNTY: CATAWBA • P r R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS •-.1940 E LANDSCAPE , HORIZ .1942- POSITION/ N- " .1941. .1941 SOIL • .1943 .1956 .1944 PROFILE• u SLOPE% • DEPTH - STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL • SAPRO • RESTR CLASS ONO TEXTURE MINERALOGY COLOR DEPTH CLASS 1101112 & LTAR LS 4% 0-5 Br CL WW1( FR SS SP SEXP 36' N/A N/A PS 0.25 F-C YB 5-36 R C SBK FR SS SP SEXP CHR2n 5 36 LS 4% 0-4 Br CL WSBK FR SS SP SEXP 43" N/A N/A PS 0.25 4-43 R C SBK FR SS SP SEX" Y -J 32" CUR 2 4i 6 43 • JI LS 4% 0-14 Br CL WSBK FR SS SP SEXP N/A 4$" N/A PS 0.3 7 14-40 R C SBK FR SS SP SEXP • / 40-45 R CL WSBK FR SS SP SEXP F-C SAP • • LS 4% 0-6 Br CL WSBK FR SS SP SEXP 48" N/A N/A PS 0.25 YB/Mn • 6-48 R C\VSBK FR SS SP SEXP 8 • • • • • • - 1 COMMENTS:S Vireo /+�P� C.A I'A11'IiA COUNTY Q Ca`°k WELL-02.20 1 6-069 16 3 jc i Public Health Depanrnen: T' 1� Subdivision FRED MCCALL UNREC 11111kkccc4c������''''''^Q s�(plc Encironmer.I Heahn Division II }' PINT/ 46060490 2108 yPO BON 389. 100-A Southwest Blvd, Newton. NC 28658 ,, • Sri LCI•N 29-30 NAME ON PERMIT: LEAH DEVLIN, 2319 CHURCHILL RD, RALEIGH NC 27608 Site Address: 7940 KEISTLERS STORE RD, SHERRILLS FORD NC 28673 Property Size: Sparc Feet:67,518.00 Acres:1.55 Directions: Slanting Bridge Rd, Keistler Store Rd, on left at end of road WELL ABANDONMENT PERMIT Wells shall be abandoned in accordance with state regulations: Article 15A Forth Carolina Administrative Code Subsection 2C The Well Abandonment Report must be submitted to the Catawba Count) Environmental Health within 30 days upor completion of a well abandonment. Well contractor must schedule \Yell abandonment inspection with Catawba County Environmental Health. WELL Bored • Robbie Phelps 02/23/2016 ISSUED BY I'ERMIT ISSUANCE DATE ehperink t:2/23/2016 1321 P3gc I u12