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HomeMy WebLinkAboutIMPV-06-2016-073438.TIF 4. CATAWBA COUNTY Case W • Le S Q L Public Health Department Subdivision Tip: Environmental Health Division Mil 379102750494 .,% PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOU 2 PT 3 k NAME ON PERMIT: CHRISTOPHER & KATIE TAYLOR, 6268 LONG ISLAND RD, Site Address: 2257 GLOVIER RD, CATAWBA NC 28609 Property Size: Square Feet 523,155.60 Acres:12.01 Directions: Take Hwy 10 toward downtown Catawba, Right onto Hudson Chapel Rd, Property is on the Left at the Corner of Glover Rd& Hudson Chapel Rd. If you reach Brown Chapel Rd you have gone too far. Owner/A'uthorized Representative Acknowledgement of Permit Receipt - \\ _ I cerlify that I am the owner or authorized agent(owner's authorisation required)representing the owner of the /X 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-05-2016-23885 by the following method(s): Received in Person Eacsimile Transmittal (Return form with signature required) lectronic Image Transmittal/ E-mail (Return receipt required) 1141 As the property owner or authorized representative 1 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 1SA.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: 06/14/2016 (% Owner/Authorized Representative Signature . Date e91 (5 L I LP Documentation of Permit(s)Transmittal • (permit transmitted by electronic or other means) Permit trans it ed . st'i,, ! it $ _ (name of person se din permit) �/ Signature _ 1lli .Lu 11it!rn Date/Time J O° Method: _Fax ✓mail_US Mail Other Owner's r quest to send by the above indicated method of transmittal in lieu of signature am 4L We want to ear from you. Please t e a few moments to complete our customer service survey at: http://www.surveymonkey.corn/s/EHCustomerService' chpermit 06/14/2016 09:59 Page 2 of; St CATAWBA COUNTY . 0 0a 0 Case# IMPV-06-2016-073438 • :Tan ,y Public Health Department . r Subdivision G �' s, Environmental Health Division y `— P PIN# 379102750494 �• .. PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 G �1 LOT# 2 PT 3 /8.2 . D i U . NAME ON PERMIT: CHRISTOPHER & KATIE TAYLOR, 6268 LONG ISLAND RD, Site Address: 2257 GLOVIER RD, CATAWBA NC 28609 Property Size: Square Feet: 523,155.60 Acres:12.01 Directions: Take Hwy 10 toward downtown Catawba, Right onto Hudson Chapel Rd, Property is on the Left at the Corner of Glover Rd & Hudson Chapel Rd. If you reach Brown Chapel Rd you have gone too far. 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: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system and repair system minimum: 100' from any well, 10' from property lines, 5' from home including decks. Lines to be installed on contour. Do not grade drive or fill over system or repair area_Authorization to Construct permit required pdor to obtaining building permits._ REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS 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 Savage 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 06/14/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/14/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemiit 06/14/2016 09:59 Page I of 3 BP !G Permit# EHPR 5-16-23885 �G CATAWBA COUNTY �n�� Name Christopher and Katie Taylor ��Au H Public Health Department 1J Alt Address 2257 G ovier Rd Catawba NC d !�'?ko:{, Environmental Health Division �J `� vd PO Box 389, IOOA Southwest Blvd, Newton NC 28658 28609 , PIN# 379102750494 \842 :w (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 1/J (,L A A t" Site Plan Improvement Permit / f 33n s- , r �' , I Z-D 0 T...1c 0 loo' 25 go Rte) -\ 3o, ,zt12 .. 4,-.., 7 f'— • 3 2s7be,.z "Sa' loo- ( PEN( rsPip Th l. J I. ) 5° ° �.. V 3 5-11 1- ,, ds0 CLap, I R ,) 213 P , t- L �.. , L. -I • '1 Scale - I 0 Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-5-16-23885 Owner: Christonpher and Katie Taylor Applicant: Address: 2257 Glover Road Catawba NC 28609 Date Evaluated: 6/10/2016 Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt wet [ ]Spring [ ]Other Evaluation Method: mechanical auger boring by owner [ 'Cut Type of Wastewater: X Sewage [ ]Industrial Proces��s�}{ ��ryil�,ap�[ ]Mixed ppk ham �r°1940•.✓ �i F R !' , �' AU U; a.ryy�l��M I ary o1942 xtxt .,.s PI y;uyh, 44! 1 ,4 ,J {�La-c,.• r 4 I yR 411 L4 +h Mtl n;G .] v i' �) ftltIIII ,.•�1II It I 1/&,....,,-.4g! 6r , t 1„.7 �l W *9`.:= "Ni��' i,[ t',� P•Lip 4.a Elarndscapeih Honzon 1i ]'1941 ,. 1 ,!,],I�{flii' 1941 , it ! [Soil J -., + -1943Il :J7956;t n1 41944 Profl It "v ioaf1 r fr-'`ep ruct x�1 1 mrste ,i (f i IIw""r..�ul,, ness , ; + -94 •4a est ,,�{)a 'I `, ass xt ., E. , ! r ,,`,1�1ryyrPo o„N,,�j Lir�drah! I St o ct?x ie,P� ' 'siy Ij�-Cove itt nWtee, 1, r: ,�[1�,�Wertness'i,�i � ; .r oi 11 Sapro� II' ;'4' i,y=, il'.J,1GIass '?1 '? #,6 tyN3IOpe% Ili 1iu,(INt)„ d1 ffiTexturei t :,:: 1U Mineralogy, ^., ..J M cobra '0-1/47' Depth(IN4)..� Glassdl ql Hon2;'�1r tuft, LTAR, r- 1 LL 3-5% 0-12" topsoil 12-48" SC SS SEXP SP FR 48" PS.3 2 same as 1 48" PS.3 3 same as 1,2 48" PS.3 4 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG IIIG Others Present: Site LIAR .3 .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 Mineralociv 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 �