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
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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~
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46- ILI&
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Page 3 of 3
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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:
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