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
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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
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We want to ear from you. Please t e a few moments to complete our customer service survey at:
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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 .
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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
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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 .,
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#,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
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