HomeMy WebLinkAboutAUTH-05-2016-072907.TIF pA CATAWBA COUNTY Case 4 AUTH-05-2016-072907
,T P.�S Public Health Department Subdivision
< : a „"'p Environmental Health Division PIN# 367603320869
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: RICHARD HARRIS, 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Site Address: 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Property Size: Square Feet: 113,691.60 Acres:2.610
Directions: Hwy 16 S, right on Anderson Mountain Rd, cross East Maiden Rd, approx 1 miles on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
•\f I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
�` piroperty described above.
7Cp As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in t application for service EHPR-05-2016-23796 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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: 05/31/2016
") Owner/Authorized Representative Signature A,s_,.,_j /4 -
Date ‘" l'(tP
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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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chpermit 05/31/2016 09:55 Page 4 of4
CATAWBA COUNTY 0 �5'� 0 Case# AUTH-05-2016-072907
.Q' I- In Public Health Department T le"r1� � Subdivision
Yd19u i . '.
—°-�]oq H� Environmental Health Division r� tir . • • PIN# 367603320869
Fm� PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 D F LOT#
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NAME ON PERMIT: RICHARD HARRIS, 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Site Address: 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Property Size: Square Feet: 113,691.60 Acres:2.610
Directions: Hwy 16 S, right on Anderson Mountain Rd, cross East Maiden Rd, approx 1 miles on left
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 240 g.p.d
Type: I11G - OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: .3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No Bedrooms: 2
Wastewater System Requirements
Tank Size: Existing 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: 600 sq ft Total Length: 200 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 3
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: Keep all parts of septic repair drain field minimum: 50' from any we11,10' from property lines. Lines to
be installed on contour. Do not grade drive or fill over system or repair area. If tank appears
structurally unsound after uncovering, replace with new 1000 gallon tank. Install new tee and filter
on existing tank. Check distribution for existing system to verify that d box has not been clogged
up.
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
Repair System Required? System Class: Proposed System:
Distribution Type:: Soil LIAR: g.p.d./ft2
chpennit 05/31/2016 09:55 Pagc 1 o14
av,A CATAWBACOUNTY Case# AUTH-05-2016-072907
•
itt 4 Public Health Department Subdivision
Ht Environmental Health Division
sp PIN# 367603320869
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT#
18.2 s.
NAME ON PERMIT: RICHARD HARRIS, 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Site Address: 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Property Size: Square Feet: 113,691.60 Acres:2.610
Directions: Hwy 16 S, right on Anderson Mountain Rd, cross East Maiden Rd, approx 1 miles on left
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 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 neriod 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.
elipennit 05/31/2016 09:55 Page 2 ofd
O Permit# EHPR 5-16-23796
CATAWBA COUNTY Name Richard 1 16-23
Public Health Department
y Address 5066 Anderson Mtn Rd NC
-7 tit"�o.`y Environmental Health Division
U� ��� �C PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN# 367603320869
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1842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 .
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: EHPR-5-16-23796
Owner: Richard Harris Applicant:
Address: 5066 Anderson Mtn Rd Maiden NC Date Evaluated: 5/27/2016
Proposed Facility: 2 BR home Design Flow(.1949) 240 Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ 1 Spring [ ]Other
Evaluation Method: pits by Jimmy Dellinger [ 1 Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed
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F ,k'ai 11 �"i ,tu'�' 'I'"pt' J94JU4 .,i:a,illl�' "J ;(� .. 9 hhI�1VH�1�I PROFIL6F.ACTQRS_- ,r1Jl1l?,7y��:ryry..aillL .l�,,. 1il]u III' IE
l i;',r4t i1� �� 11�1940t111h1lll' 1$Il I 111 N1h111fhI4NIIj i1? Ilii �' '1't+Lf801i11111II1i11Qllil;,{'.,!'4, ha AA'H'41Ntiliiw..1942 II.'p� .°11191Il1111i1,., '1 ,14111111.: r ll lu' ININNl' ..',' . 111h- 41 ^IY1'.II�._
I, a scap� o� ofnl. VIII�O '�l,l411li I, 11,11p" �I ,fry'Ile'rli hh 11949 4 2.1956 1"G1944I'IN) ,,r1 ProfilelII'11 ,1
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E o- If: s4 I It�Pos,tion/41 , Depth/.p; it uStrvol., t i r , :Conslstencel� I i g i.. IWetnessl 11,Sohn 1IISapro 1 �I Rer., rI„ �4 0.4 ,,.•1#,r,pii •t .';:iSlvope%tlII 1f i(IN9i11 ki lTezture U(4IIi �ll1lll llit!l:Mines gyr:;',..d, 18 Ikv,,c:'_11N .iColotll(IIlilllllblanl,,: Depth :;Class. tnh{HO iz'tfl �G'n;1N18'E'TARIilIt'11A
1 LL 3-5% 0-10" fill
10-48" SC SS SEXP SP FR 48" PS.3
2 same as 1 some yellow at 36" 48" PS.3
3
4
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS Soil Evaluation By: Jason Boyd
System Type(s) IIA IIIG Others Present: Jimmy Dellinger
Site LIAR .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LIAR 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
5 A s - /0 Q.