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Home My WebLink AboutIMPV-11-09-2930.TIF IMPROVEMENT PERMIT , W, ~,,,,,0„3 6 V 4 5 +.i Catawba County Public Health Department *CDP File Number County f Environmental Health Division Coun ID Number: EHPR-11-09-2447 P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: M P x6 ~q36 Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL: 11/24/2014 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Adrian Balan Property Owner: Adrian Balan Address: 6004 Glenwood PL CT Address: 6004 Glenwood PL CT City: Hickory City: Hickory State/Zip: NC 28602 State/Zip: NC 28602 Phone (828) 962-6263 Phone Property & Site Information Address/Road Subdivision: Deerfield Phase: Lot: 48 1359 Shadowfax Wynd Dr Hickory NC 28602 Directions Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: *Water Supply: NEW WELL System Specifications Initial System *Site Classification: PS Minimum Trench Depth: Inches Design Flow: 4 8 0 Maximum Trench Depth: a 4 Inches Soil Application Rate: 3 5 Septic Tank: 1 0 0 0 Gallons "J 1-Piece: OYes (t No *System Classification/Description: Oyes TYPE 111 G. OTHER NON-CONY. TRENCH SYSTEMS Pump Required: ON o O May Be Required Pump Tank: 1 5 0 0 Gallons *Proposed System : 25% REDUCTION 1 -Piece: N O O Yes Repair System Required: Yes ONo ONo, but has Available Space Repair System *Site Classification: PS Minimum Trench Depth: Inches Soil Application Rate: 3 Maximum Trench Depth: Inches *System Classification/Description: Pump Required: bYes ONo O May be Required TYPE III E. PPBPS GRAVITY DOSED SYSTEM Pump Tank: 1 5 0 0 Gallons *PropoSed System: 50% REDUCTION Pagel of 3 CDP File Number JV`+YJ County ID Number: "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 perm it holder is responsible for checking with appropriate governing bodies in meeting their requirements. The Improvement Permit shag be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site? Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the Nk site for the proposed Wastewater system, and the location of water supplies and surface 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 more than 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat 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 13OA335(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 e Applicant/Legal Reps. Signature: j Date: 'Issued By-.- 1896 - Lucas Sears Date of Issue: 1 1 / a 4 / a 0 0 9 Authorized State Agent: ouo , x-\15 OValid without Expiration? ZS)Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time:(HH-.MM) 0 0 Hours M inutes Page 2 of 3 CDP File Number: 36445 County File Number: EHPR-1 1-09-2447 Drawing Type: Improvement Permit Date: 1 1/ a 4 / a 0 0 9 Q Inch Scale: QBlock = ft. Drawing QN/A S~o,douJF~.~, ~yN d Dr ,s;b ~atu PA n $ n u0U5 Af A~~o► A n mob/ QQ~45 .z 0 3a X35 -AV Page 3 of 3 Department of Environment, Health, and Natural Resources Sheet: Z(~/ Division of Environmental Health Property ID: ! ! 7 On-site Wastewater Section Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM AppID: Owner: Adrian Balan Applicant: Address: 1359 Shadowfax Wynd Date Evaluated: 11/16/2009 Proposed Facility: House Design Flow (.1949) 480 Property Size: 1 Location of Site: Deerfield Lot48 Property Recorded: Water Supply: [ ] Public [X ] Individual [ ] Well [ ] Spring [ ] Other Evaluation Method: [ ] Auger Boring [X ] Pit [ ] Cut Type of Wastewater: [ ] Sewage [ ] Industrial Process [ ] Mixed r:. O A y 33 ,S~OI LM,ORP~HOsLOGY b ?.tea ;P, RO,F~LLEzFACST~®R'Sr; 1942 {t L Landscape Horizon 1941 941 Soil 1943 1956 1944 Frle E Position/ Depth Structure/ won istenee Wetness/., Sapro ,'Rest" =Class.. SloPe% I(,N Texture fXtin~er~ahogy : Color, LcNt ;_,N Class Horiz':; - & LTPR 1 L 0-6 scl/sbk fr/ss,sp 48" ps 6-48 scl/sbk fi/ss/sp 15% .35 2 L 48" ps 15% 0-48" scl/sbk fl/ss/sp .3 3 Same As 2 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) Soil Evaluation By: System Type(s) Others Present: Site LTAR Site Classification (.1948): 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 Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health File On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED ` ~ $r R ry' > ~3 ~ ,t r S61LiM®RPHO`L0G;Y - OTHER. 1 PROFJLE -,~CTOR.S F _4 f;rr -;1;94 _ x '4;• .1942 Lan, tlseaf li~a~ 1941 1941 Soil 1943 11956 1944 Profile ECstence ~/Vetness/Soil Sapro Restr ClassSope% (+IN-.) ~_„Texture ~M~neralog:y, Color Depth ~_QN~) Class Horn&,LT9R 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-Food Slope 11 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 Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable SS-Slightly Sticky EXP-Expansive 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 r n