HomeMy WebLinkAboutIMPV-06-2016-073021.TIF e,A • CATAWBACOUNTY Case# IMPV-06-2016-073021
Public Health Department Subdivision
• .c Environmental Health Division PIN# 368703436934
"n" PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 3
NAME ON PERMIT: MARC DEAN, 2621 EIGHT IRON DR, DENVER NC 28037
Site Address: 4256 RUGGED HILL RD, MAIDEN NC 28650
Property Size: Square Feet:447,361.20 Acres:10.27
Directions: Hwy 16 S, left Rugged Hill Rd, property on right after gate, gate is not locked
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-04-2016-23730 by the following method(s):
Received in Person
77 'acsimile 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: 06/02/2016
Owner/Authorized Representative Signature
/) Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ 'd1.'I1 9 -t st (name of person sending permit)! O�
Signature V +CAD ,L t Date/Tim& JKLd ;
Method: Fax _Email4US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
1.
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,pA • CATAWBA COUNTY o Case# IMPV-06-2016-073021
• io
T G Public Health Department " .4t Subdivision
4 � �'} PIN// 368703436934
;®y .„5: Environmental Health Division -
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 G it" 13`' LOP/ 3
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DP ' G O
NAME ON PERMIT: MARC DEAN, 2621 EIGHT IRON DR, DENVER NC 28037
Site Address: 4256 RUGGED HILL RD, MAIDEN NC 28650
Property Size: Square Feet:447,361.20 Acres:10.27
Directions: Hwy 16 S, left Rugged Hill Rd, property on right after gate, gate is not locked
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Private Well
Basement? Yes Basement Plumbing? Yes
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: 1110- OTI-IER NON-CONY TRENCH SYSTEMS
Permit Conditions: Keep all parts of septic system and repair system minimum: 100' from any well, 10' from property
lines, 15' from home. Lines to be installed on contour. Do not grade drive or fill over system or repair
area.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
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 ol'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 Ru/es 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 06/02/2016
AUTHORIZED STATE AGENT APPROVAL DAPE
06/02/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
Jrpemut 06/02/2016 10:56 Page I of 3
•
,A831‘, • CATAWBA COUNTY Permit 14 EHPR4-16-23730
� 2 u ' Public Health Department Name Marc Dean
Q Pi►:; `j Environmental Health Division Address 4256 Rugged Hill Rd Maiden NC
° � PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 368703436934
/842 su (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 t.
for ON-SITE WASTEWATER SYSTEM AppID: EHPR-4-16-23730
Owner: Marc Dean Applicant:
Address: 4256 Rugged Hill Rd Maiden NC 28650 Date Evaluated: 5/25/2016
Proposed Facility: 4 BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ I Spring [ ]Other
Evaluation Method: pits by Allan Henkle w/Larry Henkle [ ]Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed
P ' g;vi jI{{4`` ;I{ lari(�'fILI'll { ] ',o�,�,- in tic +t4 Z)xR VI. It '' �e !II'li!!Iii tulll�l';ik�Illlitl �� t{ ti' 4 i ,��{III� I 0�;,. ,I t ] MORPH° OGYII�� � � li Il �il�uw[ , I ail c-I & ni ,I 4. pi , r x rXl II F� I ,I r10 " r,�,��IIlI09g1{luld�l!{IIIII�t'i�III I � .-11�1i1., l,l t It P,R ��� l�',y i�, f`t 11111111114.,":4 s 71 I {I IU 191{II 111 �t}H rr,!% 1�914 �lit(�I I' I N I, II`n N �, tIIU?` �1 x 4 : ji
((( P I I „ 1141,,:904,1� � I� ] p I� "f {JI943 �i 56n 'fill '1 'r 4 ill
Lk �' c Landscape Honzon !., n 1941V 41.i r,0F%?4'' 1r , Soil , • : :1943 v 1956; 1944 cava., i, r p
d 't II ositio , ;;;rrrf ,ructur4 en , "I•:i. � I{Ieu a .I ( m oI t ro :Res + �It lass x
i'.,1):4•4,11!E 'tV �'grI,Position/ -. I Depth ((I,f Structure! 4Consistenceu v ,�}�'�(jl ryrylI� 7Wetness/ , ,l °�., Soil ,Sapro Restr]dd]���� � Class ,{ltl
a 1 kit olOpe% I i n(IN) fIIIPIIITezture�(IIL, «e �IMineralogy 14akk9 1'lll ;I fly t&VColor,`�•. II ,Depth,(I ,Solass.tij i Ilio�iz` (II r. �l,`yy&{LTAR'�I�i.,,
. .m l I'" I I
1 LL 15-20% 0-6" topsoil
6-14" SCL SS,SEXP,SP,FR 14" US
14"+ ROCK
2 same as 1 14" US
3 LL 15-20% 0-6" topsoil
6-36" SCL
36-60" SC SS SEXP SP FR 60" PS.35
4 same as 3
5 same as 3,4
6,7,8 LL 10-15% 0-6" topsoil
6-28" SCL SS SEXP SP FR 28" PS.35
28"+ ROCK
9,10 LL 10-15% 0-6" topsoil
6-32" SCL SS SEXP SP FR 32" PS.35
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG 25% IVA DRIP Others Present: Mike Palmer Allan henkle with Larry Henkle Grading
Site LTAR .35 _ .35/.175 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
S I Q 0 1t Vi ' N • 11 2�
e' I%40. (96 ' 350
it 9 411-0
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CATAWBA Geospatial Permit Center
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Parcel: 368703436934, 4256 RUGGED HILL RD SHERRILLS FORD, 28673
Owners: CHAD LITTLE INVESTMENTS LLC, null
Owner Address: 5400 LITTLE PKWY
Values - Building(s): $0, Land: $200,300, Total: $200,300
F � I- t,.,.-,4-, , .,,s r r HP(- y - 16 - 23 73o
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to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
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personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
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Copyright 2014 Catawba County NC
06/02/2016