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
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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
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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-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
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o 1, ${,.[�IiI`' i p r:hry]I r a i" SOI I MO'I 'HOLOGY;N ,*;:ldllf l°I�al{ .,j' d�+i, i".b;;t� !Ilk,'al l lit I ,riC" I (i11JJ'.�i
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tF'�1 s� �' In t i {,rll n i u 11941+ r.L If ktl.xi!rll�l�i sllln11�1��114iPROFILE FACTORSH ,l l�i' DIY d 1 !.
1,.'r IUI I �i�9 940l" { "I!'::'ll�l i, 1p'i p N llk]7I i ii 1111111 IIdL� �[Y,1,1''vii s 1 1�('iIT°]I R III!1942 1 IN I„ 1 i ?is ulyl��I l l iil`',Ik`.... t'�l� ii ,..,jlif 1$...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,:,
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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
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