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HomeMy WebLinkAboutIMPV-05-2016-072546.TIF IgA CATAWBA COUNTY Case# . r Q Public Health De artment Subdivision AARON H LAIL GY� ''? P ig®r� Environmental Health Division PIN;t 460703143889 S -. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3 /8.2 , NAME ON PERMIT: WALTER REYNOLDS, 3638 W BAY DR, SHERRILLS FORD NC 28673 Site Address: 3826 LANDMARK DR, SHERRILLS FORD NC 28673 Property Size: Square Feet:21,780.00 Acres:0.5 Directions: HWY 16 SOUTH TO HWY 150 EAST, LEFT ON LITTLE MOUNTAIN RD, RIGHT ON LANDMARK DR, 2/10 MI ON RIGHT /� Owner/Authorized Representative Acknowledgement of Permit Receipt 4J/ I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the . property described above. 1,,l, As the property owner or authorized representative, I have received the above referenced permit(s) as requested in e application for service RBPR-04-2016-23725 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) t2/2, 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: 05/19/2016 � ? wner/Authorized Representative Signature L✓G.- t_ La I 1 Date S— 2,y — 20/6 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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpeniut 05/19/2016 10:28 Page 3 o13 r�yA � CATAWBA COUNTY 0 o�.�- 0 Case# IMPV-05-2016-072546 I"+'fa Public Health Department 1- Subdivision AARON H LAIL •C _-._ .I Environmental Health Division ry PINK 460703143889 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658VO }f�_ � i ,� 'k LO T# 3 /842 :u ylr 'Irf f' orc*E114 NAME ON PERMIT: WALTER REYNOLDS, 3638 W BAY DR, SHERRILLS FORD NC 28673 Site Address: 3826 LANDMARK DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 21,780.00 Acres:0.5 Directions: HWY 16 SOUTH TO HWY 150 EAST, LEFT ON LITTLE MOUNTAIN RD, RIGHT ON LANDMARK DR, 2/10 MI ON RIGHT Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 2 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: 50% REDUCTION Type: IIIE - PPBPS GRAVITY DOSED SYSTEM Permit Conditions: See AC for permit conditions REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required, has space Proposed Wastewater System: 25°/a REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP 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 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 05/19/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/19/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpernit 05/19/2016 10:28 Page I of3 �rnA Permit# RBPR 4-16-23725 m uG CATAWBA COUNTY Name Walter Reynolds 2 Public Health Department Address 3826 Landmark Dr Sherrills Ford < a °""ra it 4 Environmental Health Division / L p PO Box 389, I OOA Southwest Blvd,Newton NC 28658 842 5, (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# NC 460703143889 Site Plan Authorization to Construct Lam ^) , No...-.l I ° 0 . 90 ' 1, 1'I acct t,,,,,t1 Iptr`-`1-‘ ) , hA ,, „sc.. • S ° ' Il° i-b � � 'I!o Q 4 ' „I • S °' -#3 Ilbvsti T ,&,,..-- ;-A„ti 3 aVMP .f.---o V V 25 LO 'Ge.a L q IN V ' _ sl� )a' _ aS Zl�. ?o' J 2z6 ..-(d 5 2-' 17' ( z-3 P :4- 1--«4,,_ re , g (n. �Cl 262 INIt) I.1St.- IJi� St._ N Vital., a..s sa , TALIii pe_•-lcs 'i- 1a pefio. SCp H t c _7 5' S Dø 7 S, lot r C..c -°- 75 ^-I r.4 _ 3L_ •-• ■ * / .1t.1- , I Cy3 im-..�Th 1 , 133 ° N._ , 51, 10 o ,,J Solo rzc..a . co_f4" , crd S , 5 2 WLI I (o c.,tio.. Lw IC g u =FE k Ce.A+4- r P.A CJ ye (' , P ,e_5 (ay ( /✓' crlci„) (-2 y Sury yo r) Z { r Clc l 4 pt ,, 1e,..,1 .0l )s i -76 a Co +1, ,. /- a co u-( t. 4 k g NI Oar"l4lR.' Scale ( t = u 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-4-16-23725 Owner: Walter Reynolds Applicant: Address: 3826 Landmark Dr Sherrills Ford NC Date Evaluated: 5/16/2016 Proposed Facility: 2 BR Home Design Flow(.1949) 240 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by Dennis Hoyle [ ]Cut Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed Pa �: x ryw r;..�r ry p j wr , ff 51 IN i "47r 1' II 1t4 N fpp19N n w t \-' 44"1i I «I i t�NE ea,"`, 1 ps 11114 s h i . t P N ll,Iii' i''_' If 2 {pI,( : b't. Is ` >E, I' Ila ry f�'e' c ;. :* t‘',4414 ki I r rR ak illot]�i,11N1�1, ,dv •( '11 fl i,Fcii 1 R 1 .,j1 �(�'iHi �*Ir� � '��fC`ll( icy ;4 �� �Chl,hi' ' :A �:N.r.rk n. ..6 � �i�i 111 �:.`I!' it ii tk��+fl!'il] P tib''s V(llr.��Ili,, , ,,.V� o 1, ${,.[�IiI`' i p r:hry]I r a i" SOI I MO'I 'HOLOGY;N ,*;:ldllf l°I�al{ .,j' d�+i, i".b;;t� !Ilk,'al l lit I ,riC" I (i11JJ'.�i ,r1 1, 1 t 1iltgIi ` ''hNh 'Ii , i'° thlflllll ,1 "tt uil 1 91 6 IIMIS ildl"II s � 16 fj rI ,d i tF'�1 s� �' In t i {,rll n i u 11941+ r.L If ktl.xi!rll�l�i sllln11�1��114iPROFILE FACTORSH ,l l�i' DIY d 1 !. 1,.'r IUI I �i�9 940l" { "I!'::'ll�l i, 1p'i p N llk]7I i ii 1111111 IIdL� �[Y,1,1''vii s 1 1�('iIT°]I R III!1942 1 IN I„ 1 i ?is ulyl��I l l iil`',Ik`.... t'�l� ii ,..,jlif 1$...1' , I'll:'''•]+R" ..., 40j!s I ;ill �iI N I [� 1i. i IV it k"00 Ih 11 i l'f 4 _�l I'i ,Ariilli 1.!• 'NI IlE;;;11 '11'10, 11 4.1 .,y"'1. 1 Landscape" Honzon;1{�,✓F l{1941•i((,f,l 'ill 1i1tiiaci94i,i] 1J i I ilSoili 11l 111 i' tNi1.11,943i, 1 .19561 tl)�J•1944I ti rrofileil; '. `Ht•1 :f',.... 11T , a� I csh Structure 1 al1,.11lil1 1 h iu, ul 1lsi nl 9 r1Resst111 :taw. 1il '1 IE ,.l, jp,.POSIfipNN y!0.pDAIstng r„§tru itureew'b' Ippt ,l•: 1 C nssielnceq; i v, e• Wetness%,i{,Iy1 (41 ;i�.]Sodli c tSapro r ReMlrl p :gill), lass 1,:, # ',,.:. ! ,7$isi atit. 4ir(INh)p4�-E?TeztureN�Hll : j>I,IMlneralo9yytl Illilit,05!:, ' _ Cold.::,..:11i1„ h:I IDept"M1I(IN.) ,lilClass ,;,9 Hoizi Iik&•LTARiJ�t 1 LL 4-6% 0-12” topsoil/fill PS .3 12-56" SCL SS SP SEX FR 56" some sap mix 50%< 2 same as 1 48" 3 same as 1,2 46" Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIE IIIBG Others Present: Dennis Hoyle Walter Reynolds Site LIAR .3 .3 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 SS-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 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 r1-#Q—,S vc � � se