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HomeMy WebLinkAboutIMPV-11-09-2890.TIF N. IMPROVEMENT PERMIT For Office Use Only Catawba County Public Health Department *CDP File Number 3 6 3 3 9 I Yj County ID Number: EHPR-11-09-2684 s Environmental Health Division Q y P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW ~/I,~9o Newton NC 28658 Township: r~' J Phone: (828)-465-8270 Fax: (828) 465-8276 1 V PERMIT VALID UNTIL 11/23!2014 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Joshua Grant Property Owner: Joshua Grant Address: PO Box 245 Address. PO Box 245 City: Maiden City: Maiden State/Zip: NC 28650 State/Zip: NC 28650 ~,_Phoneg. Phone Property & Site Information Address/Road Subdivision Phase Lot 1797 Water Plant Rd. Maiden NC 28650 Directions Structure: SINGLE FAMILY # of Bedrooms: 1 $►Ze~ tOr Z btdrgpMS # of People. 2 'Water Supply: SEMI-PUBLIC J System Specifications Initial System *Site Classification: Ps Minimum Trench Depth 1 8 Inches Design Flow: a 4 0 Maximum Trench Depth 3 0 Inches Soil Application Rate 0 3 Septic Tank 1 0 0 0 Gallons 1-Piece. (D Yes ONo *System Classification/Description TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Required: Oyes No O May Be Required Pump Tank: Gallons *Proposed System : 25% REDUCTION 1-Piece: Oyes ONo Repair System Required.(IWes ONO ONo, but has Available Space Repair System cssolt e Classification: PS Minimum Trench Depth. Inches Application Rate: Maximum Trench Depth Inches 0 3 *System Classification/Description. Pump Required: QYes &No O May be Required TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Tank: Gallons 'Proposed System : 25% REDUCTION Page 1 of 3 CDP File Number 36339 County ID Number: EHPR-11-o9-2684 "Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. Site Plan The Ilmproventent Permit shat be valid for 5 years from date of Issue with a site plan (means a drawing not necessarily drawn to Q scale that shows the existing and proposed property lines with dimensions, the location of thefacility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surtace waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 Beet, that includes: the specific location of the proposed facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat O also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit is subject to revocation if the site plan, plat, or intended use changes (NCGS 130A335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting, and repair (.1938(b)} Applicant/Legal Reps. Signature Required? Oyes ONO Applicant/Legal Reps. Signature: Date: 'Issued By: 2246 - Megen McBride Date of Issue 1 1 / a 3 / a 0 0 9 Authorized State Agent: OValid without Expiration? ®Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time (HH MM) 0 0 Hours 0 0 Minutes Page 2 of 3 CDP File Number: 36339 County ID Number: EHPR-11-09-2684 Drawing Type: Construction Authorization Date: 1 1 ) 3 x 0 0 9 0 Inch Drdwin_ Scale: QN Ack = ft. Ig) 1o~sa . S~ , L ~Qa',r PtYe~ 4-YtKc Ws eACI- 3' x 160' 30b ~ ~Couse +o ~ra~eY4 l• ne-T a~ x1~ --r v 46- ILI& Nvse. Oe sAkW 6k~ &A 4e vA~ vaj et &V%' v e . Page 3 of 3 NGUtNK Division of Environmental Health On-Site Wastewater Section `Date 1 1 I 1 8 1 7 0 D 9 Soil/Site Evaluation 'File 3 6 3 3 9 For O n-Site Wastewater System PIN EHPR-11-09-2684 'OwnerJoshua Grant Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 4 0 Location of Site 1797 Water Plant Rd. Property Size 44.09 Water Supply SEMI-PUBLIC Evaluation Method Pit g Horizon SOIL MORPHOLOGY Lanlascape 1941 Other Profile Profile# Depth O% (IN) Mineralogy Matrix Mottle Factors Slope Texture Structure Consistence Color Color 1 L 0-9 SL 2-Mode gr fr ss sp 1942 :'r et % 9-48 CL 2-Mods sbk fir ss sp 1943 Depth 4 8 PS GPS Saprohte (in) 1944 Rest Horizon .1947 Class PS EHS Megen MCBri( Profile 0 3 LTAR 2 L 0-9 SL 2-Modr gr fr ss sp 1942 Wet % 948 CL 2-Mode sbk fr ss sp .1943 Depth 4 8 PS GPS Saprolite (in) 1934 Rest ..pp Hon•on 1947 Class PS EHS Copy rofile Megen MCBn( Profile 0 3 3 L 0-9 SL 2-Mode gr fr ss sp 1942 A et % 9-50 CL 2-Mod+ sbk fr ss sp 1943 Depth 5 0 Ps GPS Saprolite (in) 1944 Rest Horizon 1947 Class PS EHS Copy Profile "en MCBri( LTAR 0 3 r 4 L 0-9 SL 2-Mode gr fr ss sp 1942 ''r et % 9-51 CL 2-Mode sbk fr ss sp 1943 Depth 5 1 PS GPS Saprolite On) 1944 Rest Horizon 1947 Class Ps EHS Cop Profile Profile Megen McBn( LTAR 0 • 3 1942 et % 1943 Depth GPS Saprolde (in) 1944 Rest Horizon 1947 Class I EHS Copy rofile Profile LTAR Available Space (.1945) S Other Factors(. 1946) PS Ste Classification (.1948) PS Initial LTAR: ,0 . 3 Repair LTAR 0 . 3 Others Present: Boyd, Jason Comments. Pits 1 and 4 had some yellow streaking from saprolite starting around 38 inches Evaluated By. Megen McBride Division of Environmental Health On-Site Wastewater Section Date- i i 1 i a l a e e 9 Soil/Site Evaluation Fie 3 6 3 3 9 For On-Site Wastewater System PIN 9. .1940 Honzon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Slope °!o (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 V. et % 1943 Depth GPS Saprohte (in) 1944 Rest Horizon 1947 Class EHS CopyQrofll Profile LTAR 1942 of et CIO .1943 Depth GPS Saprolde.(m) 1944 Rest Horizon EHS 1947 Class Copy-grofd PrLTAR 1942 V. et % 1943 Depth GPS Saprolde (in) 1944 Rest Horizon 1947 Class EHS Copy rofd Profile LTAR 1942 "t et % 1943 Depth GPS Saprobte (in) 1944 Rest Horizon .1947 Class EHS Copy ~Profile Profile- LTAR 1942 '..et Rio 1943 Depth GPS Saprolde (in) 1944 Rest Horizon EHS 1947 Class Copv. P-rofd Profile LTAR Comments: nuuwI IIIIU,G The "Open Drawing Form" button, opens the the drawing form. The "Import" button, attaches the drawing, or other image into the space below. Open Drawing Form GYtt.1~ a c~ r a -7 loo ~k .3 Sob k~ . y "Tbwl►f~s Pro~~ Scant- lv Shaw Q► LOCIAom ~n Profile: 1 X Y Z Profile. 2 X Y Z Profile. 3 X Y Z Profile 4 ~L), X Y Z Profile: X Y Z Prof W X Y Z Profile:, X Y Z Profile: X Y Z Profile. X Y Z Profile: X Y Z