HomeMy WebLinkAboutAUTH-05-2016-072350.TIF ACATAWBA COUNTY Case 14 - -- ---
. Public Healt h Department Subdivision
< o Environmental Health Division FINN 364807579865
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO"1'S 1
ig 2 w
NAME ON PERMIT: JACOB KILLIAN, 1513 PRISON CAMP RD, NEWTON NC 28658
Site Address: 1513 PRISON CAMP RD, NEWTON NC 28658
Property Size: Square Feet: 104,108.40 Acres:2.39
Directions: Hwy 321 - Prison Camp Rd g past the 4th house on the right- paved road by a cow pasture
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
XJw"pprroo�perty described above.
OA As the property owner or authorized representative, I have received the above referenced permit(s) as
iV requested in t 3e application for service RBPR-04-2016-23572 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
r 0 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
3 Owner/Authorized Representative Signature "� ► b 4
Date 54(e/ae,
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means) •
Permit transmitted by (name 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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ehpermit 05/13/2016 09:55 Page 4 of 4
v,A • CATAWBA COUNTY 0 ; r� 0 Case# AUTH-05-2016-072350
.f nk 2 Public Health Department 'ati 1. . r Subdivision
4 ' y til Environmental Health Division �� • . • } PIN# 364807579865
t� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ' 1.2r sp G r LOT# 1
/g.2
0I o .0
•
NAME ON PERMIT: JACOB KILLIAN, 1513 PRISON CAMP RD, NEWTON NC 28658
Site Address: 1513 PRISON CAMP RD, NEWTON NC 28658
Property Size: Square Feet: 104,108.40 Acres:2.39
Directions: Hwy 321 - Prison Camp Rd g past the 4th house on the right- paved road by a cow pasture
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 480 g.p.d
Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing? No Bedrooms: 4
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: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: Lot evaluated originally for subdivision under IP 23050. Keep all parts of new septic system
minimum: 100' from any well, 10' from property lines,5' from any building foundation including
carports or garage, 50' from creek. Lines to be installed on contour. Do not grade drive or fill over
system or repair area.
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: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial
Repair System Required? Required Soil LTAR: .3 g.p.d./ft2
ehpennit 05/13/2016 09:55 Page 1 o14
' CATAWBA COUNTY Case# AUTH-05-2016-072350
¢�' P •� Public Health Department Subdivision
4 Environmental Health Division PIN# 364807579865
PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 1
ig.2 su
NAME ON PERMIT: JACOB KILLIAN, 1513 PRISON CAMP RD, NEWTON NC 28658
Site Address: 1513 PRISON CAMP RD, NEWTON NC 28658
Property Size: Square Feet: 104,108.40 Acres:2.39
Directions: Hwy 321 - Prison Camp Rd g past the 4th house on the right- paved road by a cow pasture
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 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 DATE
Permit Expiration Date: 05/13/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpcnnil 05/13/2016 09:55 Page 2 of4
V,A • CATAWBA COUNTY Permit# EHPR 1-16-23050
G Name Jacob Dale Killian
FT , ti Public Health Department Address 1513 Prison Camp Rd Newton
d "°°fluP'S Environmental Health Division
U - PO Box 389, 100A Southwest Blvd,Newton NC 28658 NC
1842 sH (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 364807670722
Site Plan Authorization to Construct i7
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Department of Environment,Health,and Natural Resources Sheet:
Division of Environmental Health Properly ID:
On-site Vvaslewater Section Lot it
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: EHPR-1-16-23050
Owner: Jacob Dale Killian Applicant:
Address: 1513 Prison Camp Rd Maiden NC Date Evaluated: Z+11!2016
Proposed Facility: 4 BR home Design Flow(.1949) 490 hod Property Size:
Location of Site:
Properly Recorded:
Waler Supply: pvt well ( )Spring I I Other
Evaluation Method: pits by owner [ ]Cut
Type of Wastewater: X Sewage [miItEr
]Industrial Process [ ]iMixed
P ' .:� s4,PjE .'nti�ia-"" 7�t� '&�'!-4y>> i:,Oa' `e ryerss °-t �`f P- u�S i5'...n^�`S� f9 gt yt +h3De r "-e LIII r ' R ]' i'rp'4s' I �r R ' ,� k� zd ' t�° .. , m4.x r d�ehr - I 4 ' J, . b�[x✓'D:3 ^1LT "O4 14'''��4 K 1T {t' s fi5' e SOIL MORP HOLOGYia±�kj I` 1.214"$ b.4),„{ ' K •r ui� , ; 4941 . 6 i* IRROFiLE FACTORS+ Svuksgp, 1a , le#,. f
e ,r_ + .tuna.: t �jaa-
I P'. 1,,, A154o7u 1, {1� ,"s"` ems... -'�, r lekl$tyi, s h Et�r ki°"` � 1Mr4211a e,) 1,1040 4,..i.44-3,4r,,:' ,„„„,p,,,,..,.s'4$t .r'b, :
t T�' t
t • ,nom :-pe 4p!, 1 1 I, ,r 4:: FF Yt°F Soili is 1 ,f949 f•-1956 19443 P ofiteJ Ai.;
L° ,' I t'Landsca a Honzon 3ES 1941.9,8.y r + sU 194 �1- rfi"1•{5 -. ' "
_- 9J, ,[•_P.to,•s,lro;N iA,Deli' u)Snructure/ �It', Constslence)t4`��' � ,4 V?".Wefte siljf .y ° '.pS x+ TSapro Y ehlrAu yy atlas Y,
#..G iT4 Slope/ ,,;(INO;,1 k. ;,Textureeo4z 4ij^'--,y.Mtneralogy ;e° .'i _..... C6lorf+ as.,_.t:Depth PO: ngClasst�- In.aNOnz:h r7 P. P a-TAR ' =,
1 LL 4-6% 0-6" topsoil
6-24" SCL SS,SP,SEXP,FR 48" PS.3
24-48" SC
2 LL 4-6% 0-6" topsoil
6-24" SCL 48" PS 3
24-48" SC SS,SP,SEXP,ER
3 LL 4-6% some as 1,2 48" PS.3
Descripticn Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) MG IIIO Others Present: owner
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE k:
Landscape Position Group Texture .1955 LTAR 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 II EL-Sandy Loam C.8-0.0 GR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
I IS-Head 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 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralogy
Mois Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Slicky
WI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plaslic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic n -'
n ) W
Sketch of Soil Evaluation Locations V 2
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