HomeMy WebLinkAboutAUTH-03-2016-069890.TIF y,: • CATAWBA COUNTY Case# __ • - ..
i. t t,2, Public Health Department Subdivision CRESCENT LAND AND Tll�
,v Environmental Health Division PIN# 460702750477
PO Box 389, 100 A Southwest Blvd,Newton,NC 28658 LOT# 131
.18. SN
NAME ON PERMIT: GEORGE WEBB, 3933 APPERSON RD, EAST BEND NC 27018
Site Address: 3732 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: From Newton, take NC 16 south to NC 150 turn left on 150 and Cheviot Hills Road is about 4.4 miles on the
left. 3732 is about .4 miles on the 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.
/- pk As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-08-2014-19714 , by the following method(s):
_VReceived 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: 03/09/2016
caner/Authorized Representative Signature , 7---<
Date '3—Q— / (o
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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ehpermit 03/09/2016 15:13 Page 3 of 3
CATAWBA COUNTY D ' '��� 0 Case# AUTH-03-2016-069890
r',p. fir.
n !i y Public Health Department :' Subdivision CRESCENT LAND AND Till
•< Environmental Health Division �T PIN# 460702750477
PO Box 389, 100 A Southwest Blvd,Newton,NC 28658 pp p LOT# 131
%' r171117511:.Clj
0 . A1' ; .
NAME ON PERMIT: GEORGE WEBB, 3933 APPERSON RD, EAST BEND NC 27018
Site Address: 3732 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 30,056.40 Acres:0.69
Directions: From Newton, take NC 16 south to NC 150 turn left on 150 and Cheviot Hills Road is about 4.4 miles on the
left. 3732 is about.4 miles on the left.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments( ).
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIE-PPBPS GRAVITY DOSED SYSTEM
Soil LTAR: .4 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing?Yes Bedrooms: 3
Wastewater System Requirements
Tank Size: New 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: 450 sq ft Total Length: 150 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: Distribution Box
Pre Treatment: NONE
Additional Specifications: Keep all parts of new septic system minimum: 100'from any well, 5'from building foundations(
lower side of basement cut), 10'from property lines, 50'fromlake.Lines to be installed on contour. Do
not grade, drive, or fill over system or partial proposed repair area or permit will be revoked. Met with
grader Charles Beatty, LSS Gary McNeeley, and contractors on site on multiple occasions. Final
review with LSS on 2/29/16. Received revised proposal from LSS on 3/3/16. Lot is repair exempt but
area has been designated for partial pretreatment repair inside 50' lake buffer. Any future repair of
system will require design by a licensed engineer. Lot will support maximum 360 gpd system. No
further expansion of system is available. Any deviation from site plan or permit will result in
revocation of permits.
ehpermit 03/09/2016 15:14 Page 1 of4
le----- ,x CATAWBA COUNTY Case# AUTH-03-2016-069890
E� Public Health Department Subdivision CRESCENT LAND AND TIA 1.
Q Environmental Health Division PIN# 460702750477
R PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 131
':4 ski
NAME ON PERMIT: GEORGE WEBB, 3933 APPERSON RD, EAST BEND NC 27018
Site Address: 3732 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: From Newton, take NC 16 south to NC 150 turn left on 150 and Cheviot Hills Road is about 4.4 miles on the
left. 3732 is about.4 miles on the left.
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: VD Proposed System: DRIP IRRIGATION Distribution Type:: LPP
Soil LTAR: •4 g.p.d./ft2
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 given[period of time.
Jason Boyd 03/09/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/09/2016 15:14 Page 2 of 4
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MICHAEL ATHANAS&ASSOCIATES
LICENSED SOIL SCIENTIST
361 Ennis Rd.
Weddington, NC 28173
(704)576-3887
Reference: Data Sheet for 3732 Cheviot Hills Rd., CL&T Sec32 Lot 131
House Footprint: See Attached Plan
Building Setbacks: 30' front, 15' side, 50' lake
Water Source: Private well
Number of Bedrooms: 3/360 GPD
Proposed LTAR: 0.4 GPD/FT2
Proposed System Type: PPBPS
Proposed Repair System Type: Limited
Distribution: Gravity-Distribution Box
Septic Tank Size: 1000 gallons
Proposed Trench Bottom: 36"
Proposed Trench Width: 24"
Total# of Panels: 32 (8 per line)
Line Design Length Actual Length
Blue 1 38'/37' 80'
Orange 2 38'/37' 80'
Initial System: 150' Repair System: Limited
Comments:
Catawba County Environmental Health has determined this lot to be repair exempt. A
pretreatment repair would be possible within the 50' lake setback. The existing building in the
proposed initial system area must be removed. The new system will be installed on 8' centers.
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_1_of_I_
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: George Webb APPLICATION DATE
ADDRESS_: DATE EVALUATED:
PROPOSED FACILITY:_3 bdrm PROPOSED DESIGN FLOW(.1949):_360GPD PROPERTY SIZE:
LOCATION OF SITE:3732 Cheviot Hills PROPERTY RECORDED:
WATER SUPPLY: E Private ❑Public E Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auger Boring E,Pit El Cut TYPE OF WASTEWATER: 8 Sewage ❑Industrial Process ❑Mixed
SOIL MORPHOLOGY OTHER
0
F (.1941) PROFILE FACTORS
.1940
LANDSCAPE HORIZON
POSITION/ DEPTH 1942 PROFILE
# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
LS 3% 0-12 R CL WSBK FR SS SP N-A 12" N/A PS 0.4-0.5
PS
12-60 SLSAPM VFRNSNP
1
LS 3% 0-16 RCSBK FR SS SP N/A 30" N'A PS 0.4
F-C SAP
16-30 R CL WSBK FR SS SP
2 30-60 SL SAP M VFR SS SP 1'S
4
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948): PS
Available Space(.1945) 300 FT2 LIMITED
EVALUATED BY: MA&A
System Type(s) PPBPS OTHER(S)PRESENT:
Site LTAR 0.4
COMMENTS:
Updated February 2014