HomeMy WebLinkAboutIMPV-05-2016-072348.TIF sXxA CATAWBA COUNTY Case# IMPV-05-2016-072348
2, Public Health Department Subdivision GABRIEL J LITTLE
5 /Tee 4 Environmental Health Division PIN# 460701055458
4 � PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: LIHU LITTLE, 7116 KLONDALE ST, SHERRILLS FORD NC 28673
Site Address: 7116 KLONDALE ST, SHERRILLS FORD NC 28673
Property Size: Square Feet:67,082.40 Acres:1.54
Directions: Hwy 16N turn left onto E 150 HWY, turn left onto Mt. Pleasant RD, Right onto Little Mtn. RD, Turn left onto
Klondale ST. #7116
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.
yAs the property owner or authorized representative, I have received the above referenced permit(s) as
equested inntl e application for service RBPR-03-2016-23441 by the following method(s):
' 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: 05/13/2016 }��,
Owner/Authorized Representative Signature IY�U UU y
Date 51 ` y//` 01
{{{ Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (narne 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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ehperntit 05/13/2016 09:45 Page 3 of3
CATAWBA COUNTY 0 XI 7-U 0 Case# IMPV-05-2016-072348
Public Health Department '` . Y. Subdivision GABRIEL J LITTLE
4 �e 460701055458
q Environmental Health Division ri - PINT!
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Ddb PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ ,� LOT#
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NAME ON PERMIT: LIHU LITTLE, 7116 KLONDALE ST, SHERRILLS FORD NC 28673
Site Address: 7116 KLONDALE ST, SHERRILLS FORD NC 28673
Property Size: Square Feet:67,082.40 Acres:1.54
Directions: Hwy 16N turn left onto E 150 HWY, turn left onto Mt. Pleasant RD, Right onto Little Mtn. RD, Turn left onto
Klondale ST. #7116
Improvement Permit
Yu U Pl1 h i I YGSTEVI 11 O1,11 I Vital
Facility: Primary Residence
Permit Category: Other Bedrooms 2
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: No Expiration: _X_
Projected Daily Flow 240 g.p.d
Proposed Wastewater System: CONVENTIONAL
Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Permit Conditions: Permit issued to allow for new 14'x36' single wide mobile home to go into same footprint as existing
home. Located existing bed and tank and designated future repair area. Keep any future repair
system minimum: 100' from any well(saprolite),10' from property Iines,50'from creek, 5'from any
deck or home. Lines to be installed on contour. Do not grade drive or fill over system or repair area.
Recommend pumping existing tank and installing new tee and filter as needed.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -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 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 I3uilding 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 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 05/13/2016
AUTHORIZED STATE AGENT APPROVAL DAD]
Permit Expiration Date: 05/13/2021
No grading or construction activity is allowed in areas designated fbi system and repair without approval of the Health Department.
ebpennis 05/13/2016 09:45 Page I of3
-S1gA • Permit# RBPR 3-16-23441
G CATAWBA COUNTY Name Lihu Little
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-� ' 2 Public Health Department Address 7116 Klondale St Sherrills Ford
d g'vi `' Environmental Health Division
V � . PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 460701055458
1 s 42 sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
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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: RBPR-3-16-23441
Owner: Lihu Little Applicant:
Address: 7116 Klondale St Sherrills Ford NC Date Evaluated: 5/12/2016
Proposed Facility: 2 BR home Design Flow(.1949) 240 Property Size:
Location of Site: Property Recorded:
Water Supply: shared well [ ]Spring [ 1 Other
Evaluation Method: pit by Dennis Gallahar [ ]Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed p
1p ,� r i11 rprtq h i ,v .y .1I;i liiVll� INI P• , n Ri!1 g. rigs , Jr, fi I II I .• ! ' kt;! Uv ,r r I+4',rio'', itr s, �',51! r iP x. , II" It' ! r. �t �� ` tell �4' ' v, Is6 ! .,r , 1.c '1 I.;��4 tr ! I y � , tt µ;�R v, (I i7 A J.Il�'lull�' l'� e ,11� +11 WI] �`4't'c hz� s ii 1 s 1 st k %! I ...!.p f.r y j r ,�� SOIL'IMORPHOLOYii" 1f . II"' I r , '{�I''11,l s , r Fr In r, t U ! !I J b, Ci •1' �1i +'td I [v 3 1 r tt J I t l I I r , 6 9 1' r r[!
EP •,! , sa: u f �� 11 � »,ti .#, 11sg1���h��`I������r . `� �L�'llr�iW ^, PROFILE FACTORS: -�II,1�Iw'�,r���r *� uzll�s.n a ,,'
II. 1 a i '1940 , ' III 1 nr „!.{^ n1f1]� hi -'u, try i����.I. a1 1942W., ,'". }�µ u. 1 I�zr IN 111 1 If, 1 yn, G i
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1 " y(,Landsca ell -Horizonl ' 1941 �� r 1 y' Il} t t ,l'�i', nN , P �i l ' t !
11,. '+�,�ue9^mpn .�.e��r, - x ]: 1,�illf,iiu 9ulli}p�pl i4,491;14.4.4 a r. ,111 1 i� Solt;j{,�!r. , t 1 194'11, 1 1 � 1956 P 1944 � P�ofle �
' { n ItI I . h ^b'1'i n apro 'Isar �J 111th i i
E 1 �� L� 1POSltlon/ Depth.,-1 �Structurel1114 'Illl! I Gonslstence yyp� i) ; J11 aWetnessl;li;•s 4 11EL -301 , Sapro F`n"6Restr " ',ill{ !
In.' o I! r r.",, Iti,Iln.1.r an . linil :ill; 1�nnnan'xlgy li`1A�i I Ii 'd 6,57 u,o.., a 1p'st1 w ) 'ij!Ct,„,� '. ecIt on, h, �0 w q
#k_ :. 'eSlbpe/o p.L,(IN)��] b ,,L�Tezture"jpI :C IG.1! i, Mlneralo 1,u1 ��! ' &11� Colorn'.f;:, -d..l �De thl(IN ;,y,Class uFCHoFif , ; &L^TAR�r";t
1 LL 5-7% 0-6" topsoil PS.35
6-36" SC
36-60" SCL sap SS SP SEXP FR 36" III
2
3
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) exist PS Soil Evaluation By: Jason Boyd
-
System Type(s) IIA IIIG Others Present:
Site LTAR .35 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-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope 11 SL-Sandy Loam 0.8-0.6 GR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
HS-Head Slope ABK-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