HomeMy WebLinkAboutIMPV-06-2016-073896.TIF �v,A • CATAWBA COUNTY Case# IMPV-06-2016-073896
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_7 T.�.'1a'YL Public Health Department Subdivision Stonecroft PH 6
Z F.ili0 Environmental Health Division I'IN# 368620919863
t�^ PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 LOT# 72&73
IH 42 s.
NAME ON PERMIT: DAVID CHANEY, 19201 ONE NORMAN BLVD, CORNELIUS NC 28031
Site Address: 4582 SAGITTARIUS CIR, DENVER NC 28037
Property Size: Square Feet:46,173.60 Acres:1.06
Directions: S NC 16, left on Grassy Creek Rd, left Sagittarius Circle, 2nd and 3rd lots on left
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-05-2016-23976 by the following method(s):
Received in Person
Eacsimile Transmittal (Return form with signature required)
lectronic 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: 06/24/2016
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted my /��' ' n l ,l, 1 AI (name of person sending perfmii)t)
Signature VILA.` 4111 1 Date/Time f I �i/ ID
Method: Fax /Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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elipermit 06(242016 09:05 Page3 of3
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/ysA CATAWBA COUNTY 0 � l 0 Case 14 IMPV-06-2016-073896
Public Health Department fir y� - : Subdivision SIOnecroft PH 6
` IlIW Environmental Health Division 19'IL. r3 PIN# 368620919863
i
PO Box 389, I00-A Southwest Blvd. Newton_NC 28658 { r_P LOTil 72&73
�? r
1842 ,�i r� Ad2: +
NAME ON PERMIT: DAVID CHANEY, 19201 ONE NORMAN BLVD, CORNELIUS NC 28031
Site Address: 4582 SAGITTARIUS CIR, DENVER NC 28037
Property Size: Square Feet:46,173.60 Acres:1.06
Directions: S NC 16, left on Grassy Creek Rd, left Sagittarius Circle, 2nd and 3rd lots on left
Improvement Permit
Facility: Primary Residence •
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Public Water
Basement? No Basement Plumbing? No
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: MG -OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: Keep all parts of septic system and repair area minimum: 10'from home( low side), 25' from bank
cut at road side of lot, 50' from any well or creek. 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: 25% REDUCTION
Type: 111G -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 Sewaj'e Treatment and Disposal Systems' (I5A NCAC ISA .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 06/24/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 06/24/2021
No grading or cotestruc/ion activity is allowed in areas designated for system and repair without approval of the Health Department.
e6Permit 06/24/2016 09:05 Page I el 3
�3A Permit# EHPR 5-16-23976
G CATAWBA COUNTY
a a 'Z Public Health Department Name David Chaney
°"m°'"'("€ Environmental Health Division Address 4582 Sagittarius Circle Denver
U�e"�l.►4�0, '< PO Box 389, 100A Southwest Blvd, Newton NC 28658 NC 28037
\I Z (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PI V# 368620919863
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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#:
for ON-SITE WASTEWATER SYSTEM AppID: EHPR-5-16-23976
Owner: David Chaney Applicant:
Address: 4582 Sagittarius Circle Denver NC 28037 Date Evaluated: 6/20/2016
Proposed Facility. 4 BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: public water [ ]Spring [ ]Other
Evaluation Method: pits by Alan Henkle [ ]Cut
Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed
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1 LL 4-6% 0-8" topsoil
8-36" SC SS SEXP SP FR 48" PS.3
36-48" SC w/sap
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: Alan Henkle
Site LTAR .3 .3 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