HomeMy WebLinkAboutIMPV-07-2016-074122.TIF 4A- CATAWBA COUNTY Case#
C pp Public Health Department Subdivision
u
4 y p Environmental Health Division PIN# 460602990998
\"0� PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT# 4
NAME ON PERMIT: *BURNETT HOME BUILDERS, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD
NC 28673
Site Address: 7968 BARKWOOD LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: Hwy 150 E, to slanting Bridge Rd, right on Barkwood, property at end of cul-de-sac
Owner/Authorized Representative Acknowledgement of Permit Receipt
7c 99 I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
90 As the property owner or authorized representative, I have received the above referenced permit(s) as
76 requested int application for service RBPR-05-2016-23953 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
c0 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: 07/01/2016
---__ Owner/Authorized Representative Signature
Date '7 — z9 — / (a
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time
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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dhpermil 07/01/2016 09:50
4A • CATAWBA COUNTY Q I ' '::s 0 Case IMPV-07-2016-074122
;F�' f.�: G Public Health Department r ._l '� Subdivision
2 G!P „ .i Environmental Health Division ,+''' " • i � PINT: 460602990998•1� PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 F G I.G • a{{� LGl 4
NAME ON PERMIT: •BURNETT HOME BUILDERS, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD
NC 28673
Site Address: 7968 BARKWOOD LN, SHERRILLS FORD NC 28673
Property Size: Square Feet: 30,056.40 Acres:0.66
Directions: Hwy 150 E, to slanting Bridge Rd, right on Barkwood, property at end of cul-de-sac
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: 111G -OTHER NON-CONY TRENCH SYSTEMS
PUMP *MAY BE* REQUIRED
Permit Conditions: See AC for permit conditions
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
PUMP REQUIRED ***** OPERATOR REQUIRED
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 Count)'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 Sewage Treatment and Disposal Systems' (15A NCAC I8A .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 07/01/2016
AUTHORIZED STATE AGENT APPROVAL DATE
07/01/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 07/01/2016 09:50
S Permit# RBPR-5-16-23953
CATAWBA COUNTY Name Burnett home Blders(Doug
Public Health Department Burnett
Q "°'°°'1'04221 Environmental Health Division
U�w_.: ► Address 4303 Slanting Bridge Rd Sherrills
�4,��,... PO Box 389, I00A Southwest Blvd. Newton NC 28658 Ford NC
(828)465-8270 Fax (828)465-8276 TDD(828)465-8200
is
4 PIN# 460602990998
1 Site Plan Authorization to Construct
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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: RBPR-7-14-19590
•
Owner: Carmichael Homes Applicant:
Address: 7968 Barkwood Lane Sher ills Ford NQ Date Evaluated: 8/15/2014 •
Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: pvl well I ]Spring ( ]Other
Evaluation Method: pits by contractor [ 1 Cut
Type of Wastewater: X Sewage [ ]Industrial Process I ]Mixed
P . . .
R
o SOIL MORPHOLOGY . b •
F • .1941 • PROFILE FACTORS •
I .1940 • .1942
L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile
E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class
# Slope% (IN) Texture Mineralogy . Color Depth(IN.) Class Horiz <AR
1 LL 3% 0-6" topsoil PS.3
6-36" SCL
36-48"+ SC SS SP SEXP FR 48"
2 same as 1
3 same as 1,2
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IVA Others Present:
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE S:
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 ll 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-Silly 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-Silly Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable N5-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