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Home My WebLink AboutIMPV-11-09-2833.TIF ' n a IMPROVEMENT PERMIT ~l For Office Use onIYJ~~ j 11, CDP File Number 3 6 3 0 7 p , P 1 Catawba County Public Health Department r , County ID Number. EHPR-10-09-2600 Environmental Health Division u I P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW ~ ~Townshi Newton NC 28658 p: MPd_ _p Phone: (828)-465-8270 Fax: (828) 465-8276 PERi,air VALID urarlL 11/1912014 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. /r Applicant. Jackie Wilson /Property Owner. Jackie Wilson r Address: 2210 Little Coulters Church Rd Address 2210 Little Coulters Church Rd City Newton City. Newton State2ip: NC State2ip: NC Phone t : (828) 324-63$4 Phone: Pro err Location & Site Information Address!Road 4. Subdivision Phase Lot: 2210 Little Coulter-s Church Rd Newton NC Directions Structure MOBILE HOME 321 Bus. S, RT McKay Rd, RT Little Coulters Church # of Bedrooms: 3 Rd, got to end, gravel drive beyond state of People maintenance 'Water Supply. EXISTING WELL System Specifications Initial System *Site Classification PS fr9inimum Trench Depth Inches Design Flow 3 6 0 Maximum Trench Depth. ~ 4 Inches Soil Application Rate 3 Septic Tank 0 0 0 Gallons 1-Piece: (Yes ,~No `System Classification/Description: TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Required. 0Y es 0 No 0 May Be Required Pump Tank: Gallons °Proposed System: 25% REDUCTION t-Piece: Yes No / Repair System Req~iired ~JrYes ONO ONo, but has Available Space Repair System 'Site Classification: PS NIMImum Trench Depth inches Soil Application Rate. 3 Maximum Trench Depth. a 4 Inches 'System Classification/Description. Pump Required: Yes No 0 May be Required Pump Tank: Gallons `Proposed System 25°4 REDUCTION Page 1 of 3 CDP File Number 36307 County ID Number. EHPR-10-09-2600 *Site Modifications ❑ Open Fill Sheet No grading or construction actrvity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. SEE ATTACHED CONSTRUCTION AUTHORIZATION FOR SITE PLAN AND PERMIT CONDITIONS The Improvement Permit shall be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the (Jj} site for the proposed wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that includes: the specific location of the proposed facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit is subject to revocation if the site plan, plat, or intended use changes (NCGS 130A-335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting. and repair (.1938(b)), Applicant,11-egal Reps. Signature Required / Yes ONo t ApplicantiLegal Reps. Signature:`'- Date 'Issued By 1810- Boyd. Jason Date of Issue 1 1 / 1 9 / 0 0 9 Authorized State Agent. U OValid without Expiration? Hand Drawing 01mport Drawing **Site Plan/Drawing attached.** Total Time (HH MM) Hours Hinuics Page 2 of 3 CDP File Number. 36307 County ID Number: EwPR_10092600 Drawing Type: Construction Authorization Date: 1 1/ 1 9/ a 0 0 9 f Inch Drawinc,! Scale: 1 (Block = 0 G 0 ft. (j N IA ~ ~ Qt A r.~ f, lq fr, c- r ~.J kak l ~ C th ti1 r u`- 71 ~ r 36k p•N~- ~J c~ r ~ c c ~ G >C ` a C r d ~ 7b 0- Page 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section 'Date 1 1 ! g a t1 Soil/Site Evaluation "File 14 3 6 3 0 7 For On-Site Wastewater System PIN 9: EHPR-10-09-2600 'OwfierJackie Wilson Proposed Facility MOBILE HOME Proposed Design Flow (.1949) 3 6 a Location of Site 2210 Little Coulter-s Church Rd Property Size 14.159 Water Supply EXISTING WELL Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Profilef Landscape Depth .1941 Other Profile POS Slope (1H) Mineralogy tviatrix Iviottle Factors Texture Structure Consistence Color Color 1 L 0-48 Sc sbk fir ss sp 1942 vet 10 0 1943 Depth 4 8 Ps CPS Saproiite (in# 1944 Rest Hoyt-on EHS 1947 Class Ps Boyd, Jason Profile 3 LTAR J L 0-48 Sc sbk fr ss sp 1942 Viet 10 % 1943 Depth 4 8 Ps GPS saprome (in,' 19-4 Rest ~r HonZon 1947 Class Ps EHS C C C ofiie Boyd. Jason Profile 3 LI'hR ' 3 L 0-48 Sc sbk fr ss sp 1942 A of 100 1943 Depth 4 8 Ps GPS Saprolite (in) 19:4 Rest Horizon 1947 Class Ps EHS Copr P file Boyd, Jason Profile 3 LT.AR 19,12 Viet oa 1943 Deptn r, PS Saprolite on, .1944 Rest Horizon I 1947 Class EHS i Profile Cop, Profile ILTA 1942 V; et Ro 19,13 Depth GPS Saprolite (in) 1944 Rest Horizon 1947 Class Cop, rofde Profile LTwR Available Space (.1945) PS Other Factors(.1946) Site Classification ( 1948)Ps Initial LTAR: 3 Repair LTAR . 3 Others Present Comments. Test holes dug by owner with hand tools Evaluated By. Boyd. Jason NCDENR Division of Environmental Health On-Site Wastewater Section Date 1 1/ 1 9 / a a s 9 Soil/Site Evaluation File T 3 6 3 9 7 For On-Site Wastewater System PIN E H P R- 1 0- o 9 1940 Honzon SOIL MORPHOLOGY Proidem Landscape Depth 194 i Other Profile POS Slope o.o (IN) [Aineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 V, el, % i943 Depth GPS Saerolite (in) 1994 Rest ` Horizon ' .19x7 Class EHS Cory PProfll_ Profile LTAR 1942 Viet % 19 3 Depth CPS Saproirte (in 1944 Rest Horizon ° 19:7 Class E H S Copyr Oil Profile ~j LTAR 1912: et Ulo 19-13 Depth GPS Saprolrte (in) 1944 Rest Hon-Ton a EHS 19-47 Class Cop? rot) Profile IL TAR 1942 et % 1943 Depth 'PS SaCrohte ;m} 1944 Rest Honzon ENS 19,17 Class Cop.Profit e Profile t_TAR 1942 et % 1943 Depth CPS Saprofite (tn' 1944 Rest Honzon . d EHS 1047 Class ,[5~ideit ~ Cop,-.P-r ofn_ Profile STAR Comments Attach Image The "Open Drawing Form" button, opens the the drawing form. The "Import" button, attaches the drawing, or other image into the space below. Open Drawing Form Profile 1? X p Y Z Profile. 2 X Y Z ProfOe 3 X Y Z Profile? X Y Z Profile X Y Z Profile ? X Y Z Profile. X Y z Profile- X YZ Profile. X Y Z Profile x Y Z TRACKING INFORMATION Date Calls 11/11/09 1" Contact - Discussion Only EHPR-11-09-2600 11/12/09 Site Ready to be Flagged 11/13/09 Site Flagged 11/16/09 Site Ready to be Evaluated 11/16/09 Site Evaluated 11/19/09 Approved for Issuance Other Date Comments/Field Notes 11/16/09 Evaluated lot at request of Megen McBride. Met with Mr. Wilson and checked holes.