HomeMy WebLinkAboutAUTH-03-2016-069888.TIF tiek /09/2016/WD 09: 28 AM JONAS LAW FIRM FAX No, P. 001
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me it CATAWBA COUNTY Case 8 AUTH-03.2016-069888
, fl .4 Public Health Department Subdivision Ralph M Sigmon
n Environmental Health Division PINS 451601187696
.- -P0 Box 389, 100-A Southwest Blvd.Newton,NC 2B65d LOT• 14
NAME ON PERMIT: FREDERICK EVANS, 1830 MEADOW GLEN LN, WINSTON SALEM NC 21727
Site Address: 8251 LYMNOS LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:23,522 40 Acres:.540
Directions: E NC 150 Hwy, Right Slanting Bridge Rd, left Drena, right Lymnos Ln, 3rd on left
pp Owner/Authorized Representative Acknowledgement of Permit Receipt
cif' I certify that I am the owner or authorized agent (owner's authorization required)representing the owner of the
property described above.
SieAs the property owner or authorized representative, 1 have received the above referenced permit(s) as
requested in the application for service EHPR-02-2016-23170 by the following method(s):
i/ Received in Person
/ Facsimile Transmittal (Return form with signature required)
�Q Electronic Image Transmittal/E-mail (Return receipt required)
_
-{--�JC, 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: 03/08/2016 -
SJwner/authorized Representative Signature /1� �„/dlc�
/Date 3 -9- ZO/
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
• Permit tr mi ed by l\i1*. , U 'II_ 'a (name of person sending permit.)
Signature A JJ tt1,0 Date/Time , - e tI di.0
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Method: \c/Fax Email US Mail Other
Owner's rogue t to J±i/BL2o4
nd by the abovdicated method of transmittal in lieu of signature
We wa nt to hear rf om you. Please take a few moments to complete our customer service survey at;
http://www.surveymonkey.com/s/EFICustomerService
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chpennit � 03/09/2016 08:55 Pogo 4 of
,R CATAWBA COUNTY D fit- , -m.i. 0 Case N AUTH-03-2016-069888
(CS Public Health Department r.• " Subdivision Ralph M Sigmon
Q ? Environmental •Health Division I _ • PIN# 461601187696
-0- PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 0 •1 0 LOTn 14
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NAME ON PERMIT: FREDERICK EVANS, 1830 MEADOW GLEN LN, WINSTON SALEM NC 21727
Site Address: 8251 LYMNOS LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:23,522.40 Acres:.540
Directions: E NC 150 Hwy, Right Slanting Bridge Rd, left Drena, right Lymnos Ln, 3rd on left
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permits
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 240 g.p.d
Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0.325 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? Bedrooms: 2
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 100 gal Pump Specs: 23 GPM @ 12 TDH
Pressure Head 2 ft Draw Down 5 in
Drainfield: Total Area: 372 sq ft Total Length: 124 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 4
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
ehpennit 03/09/2016 08:55 Page 1 of 4
CATAWBA COUNTY Case# AUTH-03-2016-069888
Q'0fIrt 'L U Public Health Department Subdivision Ralph M Sigmon
Q Environmental Health Division
' PIN# 461601187696
i
c PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 14
Ig. :.
NAME ON PERMIT: FREDERICK EVANS, 1830 MEADOW GLEN LN, WINSTON SALEM NC 21727
Site Address: 8251 LYMNOS LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:23,522.40 Acres:.540
Directions: E NC 150 Hwy, Right Slanting Bridge Rd, left Drena, right Lymnos Ln, 3rd on left
Additional Specifications: The septic installer must meet Catawba County EHS on the lot at least 5 days before starting the
installation.
*The storage building and gas tank may have to be temporally moved to install the new tanks.
*Pump and dig out the existing septic tank.
*The septic tank and pump tank must be at least 50 feet from the lake and 5 feet from the house.
*The septic tank and pump tank must have at least 16 inches of cover but no more than 36 inches.
*Install risers on the septic tank and pump tank.
*The supply line must be at least 5 feet from the house, 50 feet from the well, and 5 feet from any
property line.
*Where the water line and supply line cross, the supply line must be 18 inches below the water line
for a distance of 10 feet on each side of the point of crossing.
*Pump to a pressure manifold with 3 schedule 40 Y: inch taps. Feed the 23 and 18 foot drain lines
equally from one tap. Install the manifold 5 feet from the house and property line.
*Backfill sand must be of ASTM C-33 specification.
*Install the new septic drain field and supply lines at least 5 feet from property lines, 5 feet from any
part of the house, 4 feet from the existing gravel drain field, 50 feet from the lake and 20 feet from
the neighbor's septic system.
*Make sure all parts of the septic system are at least 50 feet from any well.
*Do not grade, fill, or drive over any designated septic area other than what is required during the
septic installation.
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
System Class: VC Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LIAR: 0.325 g.p,d.ift2
PUMP REQUIRED ***** OPERATOR REQUIRED
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 riven period of time.
Robbie Phelps 03/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/08/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/09/2016 08:55 Page 2 of 4
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Parcel: 461601187696, 8251 LYMNOS LN 1 in=40ft
SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the acarracy of location and labeling infortnation contained on this map or data on this report Catawba Courtly promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use Thereof by any person or entity.
Copyright 2014 Catawba County NC
03/07/2016
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 Applo: 23170
Owner: Fred Evans Applicant:
Address: 8251 Lymnos Ln Date Evaluated: 3-1&2-16
Proposed Facility: 2br Design Flow(.1949) 240 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]Public [x] Individual [x}Well [ ]Spring [ ]Other
Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut
Type of Wastewater: [x ]Sewage [ ] Industrial Process [ ]Mixed
p 71 e 1 roar'tt. igr5 t r�,z >rm c c s to 'i , x �. , Y ` 43< x , s a'„a c r):::
xa r'�`>§111;., c 2°�n -„^. a 3 a 3 c.+Y..n ,t 'd9t m °fr ``a^ eta*la�'� � ' 4E .mot&' " ,��d ui� °"P� a `` Et:A
R "' x ,;:-3 7S 'r p ,. 'S L M �itb L' r—= ° rei e�. 2t e3y L,.F s �&,' ., ., ? i s 1r, Et:a
�Oa * v � ''r - ,. x SOIL,MORPHOLOCY s r: I di i .yn 9b.' " °`i' .m °�.. :m + `ds-v'` ? '� '..
,,p,-,-1, r°<� mil� ": r �a . 1941 ) `:' = L Q PROFILE FACTORS4 r^., r:. }n:
I4-4":1. r 19 ca' �f ' ' q '' 4 tr ti P ` av' '. 9 -4.i�!' 1 ]a s °a? #�w9 Ab`i�,i.:'"`a 5 4 8.ur .td •+r 1956 Y`+ I' .1' a1 h,'* 4 r
L v.s Y�4andscapeM:Honzot i§� i.19941s:a 1 v51941f, ,. Soill "x ,rAa�. 1943 , u956� 1944 Profile �y
g±::y '*- osltlo i Depth : �' '�St cclurrel '4 'Consistenccel-- a , e i..tWefnesS/ * 1.k ,Soill Sapro estrs r . Class i;..
# -„mR.'EseSlope%.- t-.(IN!)�' a:Texture ,..,1!, 1areralogY .. ss..,:CoIo gL,..,.'.x.4;Depth-(IN.) ,Class rs.rHDnz19°„ <._&=LtaS.°-
1 5% 0-6 fill
6-35 c,sbk fr,ss,sp
35-60 c+mica,sbk fr,ss,sp 54 0.325
2 8% 0-10 fill
10-30 c,sbk fr,ss,sp
30-55 c+sap,mica,sbk fr,ss,sp 45 0.325
3 8% 0-10 fill
10-28 c,sbk fr,ss,sp
26-55 c+mica,sbk fr,ss,sp 45 0.325
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) s s Soil Evaluation By: Robbie Phelps
System Type(s) 50% pret.50% Others Present: Steve Price
Site LTAR 0.325 0.325 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
Catawba County Environmental Health
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Parcel: 461601187696, 8251 LYMNOS LN 1in=40ft
SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report-Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may i
arise from this map/report product or the use thereof by any person or entity. i
Copyright 2014 Catawba County NC I
' 03/09/2016