HomeMy WebLinkAboutAUTH-07-2016-074362.TIF `53A CATAWBA COUNTY Case# AUTH-07-20 1 6-0 743 62
c\,,,,8 t� Public Health Department Subdivision WOODLAND OAKS
$97 ''I Environmental Health Division PINK 376004933363
1°6A PO Box 389. 100-A Southwest Bh-d, Newton,NC 28658 LOT# 7 & PT 6
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NAME ON PERMIT: STEVEN SHUMAN, 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Site Address: 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Property Size: Square Feet:47,916.00 Acres:1.1
Directions: E NC Hwy 10, Right onto Balls Road, Right onto Love Rd, Left onto Broadway St, Right onto Dover St, Left
onto Englewood St, 2nd house on Right.
Owner/Authorized Representative Acknowledgement of Permit Receipt
X 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-06-2016-24035 by the following method(s):
Received in Person
/Facsimile Transmittal (Return form with signature required)
Electronic 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: 07/11/2016
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
kill• •Permit transm' ted b y k at d tine o person sendin g permit)
Signature �Mu is LIR Date/Time (7IJ211W 0
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Method: Fax Email US Mail Other
Ow er's request to send by the above indicated method of transmittal in lieu of signature
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chpennit 07/12/2016 09:30
e, CATAWBA COUNTY 0; G} x� 0 Cased AUFH-07-2016-074362
G Public hlealth Department {_ Subdivision WOODLAND OAKS r.ti
..\1�±11111 Em•ironmental Health Division •1, I'INN 376004933363
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�"l+' PO Box 389, 100-A Southracst Blvd.Newton. NC 28658 LO'I"# 737860100146933363& PT 6
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NAME ON PERMIT: STEVEN SHUMAN, 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Site Address: 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Property Size: Square Feet:47,916.00 Acres:1.1
Directions: E NC Hwy 10, Right onto Balls Road, Right onto Love Rd, Left onto Broadway St, Right onto Dover St, Left
onto Englewood St, 2nd house on Right.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: .3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? Yes Basement Plumbing? No Bedrooms: 4
Wastewater System Requirements
Tank Size: Existing Tank 1,000 gal Pump Tank gal Grease Trap gal
Dosing Volume - gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 5
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: Disconnect old drain field. Keep all parts of new drain field minimum: 50' from creek, 100' from any
well, 10' from property lines, 10' from home( low side). Lines to be installed on contour. Do not
grade drive or fill over repair drain field. Divert all gutters and drains away from system. Trees to be
removed as needed for installation of system.
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.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
Repair System Required? System Class: Proposed System:
Distribution Type:: Soil LTAR: _g.p.d./ft2
ehpennu 07/12/2016 09:30
aA CATAWBA COUNTY Case N AUTH-07-2016-074362
f G Public Health Department Subdivision WOODLAND OAKS
4 �H Environmental Health Division PIN# 376004933363
UT `c
°41- PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LOT# 7 & PT 6
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NAME ON PERMIT: STEVEN SHUMAN, 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Site Address: 3953 ENGLEWOOD ST, CLAREMONT NC 28610
Property Size: Square Feet:47,916.00 Acres:1.1
Directions: E NC Hwy 10, Right onto Balls Road, Right onto Love Rd, Left onto Broadway St, Right onto Dover St, Left
onto Englewood St, 2nd house on Right.
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
Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are
altered. The Authorization to Construct 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 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any given neriod of time
Jason Boyd 07/11/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 07/12/2016 09:30
Or,,,Nn.N3p Peril # EHPR 6-16-24035
CATAWBA COUNTY
G Name Steven Shuman
'L Public Health Department
4-1 Address 3953 Englewood Claremont NC
Environmental Health D ivision °PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 376004933363
/842 sm (828)465-8270 Fax (828)465-8276 TDB(828)465-8200
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: EHPR-6-16-24035
Owner: Steven Shuman Applicant:
Address: 3953 Englewood St Claremont NC Date Evaluated: 7/8/2016
Proposed Facility: 4 BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: community well [ ]Spring [ ]Other
Evaluation Method: pits by Mike Bumgarner [ ]Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed
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1 LL 4-6% 0-12" fill
12-40" SC SS SEXP SP FR 48" PS 3
40-48" SC some mottling 40-48"
2 LL 4-6% 0-6" topsoil 48" PS 3
6-44" SC SS SEXP SP FR
44-48" SC some yellow mottles at
44"+
3
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Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIA exist IIIG Others Present: Mr Shuman,employee for Mike Bumgarner
Site LTAR .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE#:
Landscape Position Group Texture .1955 LIAR 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
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