HomeMy WebLinkAboutIMPV-05-2016-072903.TIF are required by law (NC General Statute 150B-23) to serve a copy of your petition on the Office
of General Counsel,NC Department of Health and Human Services, 2001 Mail Service Center,
Raleigh,NC 27699-2001.
Respectfully.
Megen McBride, REHS
Environmental Health Administrator
Catawba County Public Health
cc: Jennifer McCracken, Catawba County Interim Health Director
as CATAWBA COUNTY 0 is Case# IMPV-05-2016-072903
:�1Q Public Health Department ti,: ••� � Subdivision SHERWOOD SHORES
„ .j H Environmental Health Division r ' PIN# 461902652763
� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Vin G } LOT# 17
rg. 4A
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NAME ON PERMIT: JOAN GARDNER, 8736 POPULAR LN, SHERRILLS FORD NC 28673
Site Address: 8646 DOG LEG RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:20,473.20 Acres:0.47
Directions: Hwy 150, Weston Sherrills Ford, Right onto Mollys Backbone, Right onto Azalea, Left onto Dog Leg, Lot is
on the Left.
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms- 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 50% REDUCTION
Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
PUMP REQUIRED ***** OPERATOR REQUIRED
Permit Conditions: Keep all parts of septic system minimum: 50' from any well, 15' from home,10'from property
lines,25'from retaining wall for neighbors driveway. Lines to be installed on contour. Do not grade
drive or fill over system or partial repair area or permit will be revoked. Lot is repair exempt and was
recorded in 1973. Plat attached with plan case. Partial drip irrigation repair area designated.
Existing well on lot near road in front of proposed home
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Not Required, has space
Proposed Wastewater System: DRIP IRRIGATION
Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
PUMP REQUIRED ***** OPERATOR 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 far Sewage Treatment and Disposal Systems' (I5A 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 05/31/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/28/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 05/31/2016 09:37 Page 1 of3
inn, Permit# EHPR4-16-23642
G CATAWBA COUNTY Name Joan Gardner
Public Health Department Address 8646 Doe Lee Rd Sherrills Ford
NC
Environmental Health Division
PO Boa 389, 100A Southwest Blvd, Newton NC 28658 PIN# 461902652763
/842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Improvement Permit
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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: EHPR-4-16-23642
Owner: Joan Gardner Applicant:
Address: 8646 Don Lea Rd Sherrills Ford NC Date Evaluated: 5/24/2016
Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ 3 Spring [ 1 Other
Evaluation Method: pits by Charles Beatty [ 3 Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ 3 Mixed
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3 �� � p ip1��asa1lI�fN� nMNi IA a n, I� PROFILE�FACTORS �1 i
it i'�i u 1940 r1l t I ( I rx� t t 1 '! li NI" JI r i 1942 I a f I Ir I ,y I, a I �, t 4 A
r� . i ands,c IVA o 1 4°.i• . I' ;il �Iti1 4f1�:.!ii I,,�I& fi oil I9L > �¢ �h " X41 n qr, �I1944 r ''�+ rl tilt,
fL.I!-�� LYandsca e Honzonl 19411 y. 'i 1941011 ilk r11,111QSoll) ^ 3117943 vI 1 !'1956 1949 1 Profile
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IC ''"i?ti FIPOSldonll , Depuhwu iStructurel. '4s By till Consistences, t nJ,w4etness/ I Ilk.; [f F1IF011 `11,s o �} Restnl 'C,ass ):
#�Q�v,VG1 �i��i,vlSlo a°% r IN!�&„+�jkT,e�fur'e Y'uIItII1����Mmeralo9Y��f1�t tV� [�'»„ d.Colo�;�� 'II�I�a�.i:_ :IDelpthl(N.') p�,Glass ,�i ifHoiiif!; (_,, 8i�TARiit,
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1 LL 3-5% 0-6" topsoil
6-20" SC SS,SP,SEXP,FR 20" US.3
20"+ ROCK
2 same as 1 20" US.3
3 0-6" topsoil
6-48" SC SS SP SEXP FR 48" P5.3
4 same as 3 48" PS.3
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IVA 50% IVA Drip(partial) Others Present: Joan Gardner Charles Beatty
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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