HomeMy WebLinkAboutAUTH-03-2016-070148.TIF CATAWBA COUNTY Case# AUTH-03-20 1 6-070148
y Public Health Department Subdivision
3 OAKS DEVELOPMENT
4: Environmental Health Division PIN# 373005172854
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1-9 &ADJ
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NAME ON PERMIT: KIATHAO, 1484 WHITE OAK DR, NEWTON NC 28658
Site Address: 1484 WHITE OAK DR, NEWTON NC 28658
Property Size: Square Feet:39,204.00 Acres:0.9
Directions: Old Conover Startown Rd, Left onto Settlemyre Bridge Rd, Left onto White Oak Dr, Brick house on the corner
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.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-03-2016-23299 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 184.1900), 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: 03/17/2016
Owner/Authorized Representative Signature
Date
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
We want to hear from you. Please take a few moments to complete our customer service survey at:
http://www.suryeymonkey.com/s/EHCustomerSeryice
ehpermit 03/17/2016 12:56 Page 4 of4
v,�-s CATAWBA COUNTY 0 • -o}• 't 0 Case# AUTH-03-2016-070148
,T '.t Public Health Department 7t:+ J Subdivision 3 OAKS DEVELOPMENT
< r K Environmental Health Division T-'1 • •r PIN# 373005172854•1�' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ti °,• • •D _ ° LOT# 1-9 &ADJ•
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NAME ON PERMIT: KIATHAO, 1484 WHITE OAK DR, NEWTON NC 28658
Site Address: 1484 WHITE OAK DR, NEWTON NC 28658
Property Size: Square Feet:39,204.00 Acres:0.9
Directions: Old Conover Startown Rd, Left onto Settlemyre Bridge Rd, Left onto White Oak Dr, Brick house on the corner
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 360 g.p.d
Type: I11G -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: 0.35 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? Yes Basement Plumbing?No 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: 1,048 sq ft Total Length: 262 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 5
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
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: Proposed System: Distribution Type::
Soil LIAR: g.p.d./ft2
ehpennit 03/17/2016 12:56 Page 1 of4
zip, CATAWBA COUNTY Case# AUTH-03-2016-070148
hC (fink�G Public Health Department Subdivision 3 OAKS DEVELOPMENT
2 K Environmental Health Division PIN# 373005172854
tk,_ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1-9 &ADJ
4
I NAME ON PERMIT: KIATHAO, 1484 WHITE OAK DR, NEWTON NC 28658
Site Address: 1484 WHITE OAK DR, NEWTON NC 28658
Property Size: Square Feet: 39,204.00 Acres:0.9
Directions: Old Conover Startown Rd, Left onto Settlemyre Bridge Rd, Left onto White Oak Dr, Brick house on the corner
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.
Steven Price 03/17/2016
I AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/17/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
I
ehpennu 03/17/2016 12:56 Page 2 of 4
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Parcel: 373005172854, 1484 WHITE OAK DR 1in=60ft
NEWTON, 28658
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
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
03/17/2016
DEPARTMENT OF HEALTH AND HUMAN SERVICES ow p3_Zo/%- 2-3 2 5. Sheet I of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY: Ce%,bi
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: 4 '�tGO _ APPLICATION DATE
ADDRESS: DATE EVALUATED:
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: Wiz;Private U Public U Well U Spring U Other
EVALUATION METHOD: U Auger Boring 9M-Pit U Cut TYPE OF WASTEWATER: Al Sewage U Industrial Process U Mixed
I. . . .
P
R SOIL MORPHOLOGY OTHER
D
E (.1941) PROFILE FACTORS
.1940
L LANDSCAPE HORIZON
E
POSITION/ DEPTH .1942 PROFILE
q SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR & LIAR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
& - /3 "5 L SCL f� _se It)a 5, ti Ai,- Ps
L S 1?- 3o Sok C Ft St D.3)
1 0 30 30-`to WS& CL , 24E
/.� Va - cf US 6k sCL fitSe:
b -5- 1-'sd le_ 5CL rtfcc _ PS
C 5 5--zj Sdic C tCe SU fu s3 rd It N 6
2 /A, ZS"yo 1"Sd/c Ct _ /C Sc ,. 0.3j
`to-S3 "56k CL- l'/c -1�"
3
4
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) Gs S SITE CLASSIFICATION(.1948): 6 System Type(s) 1+s.->
EVALUATED BY: "n-,^t�" OTHER(S) PRESENT:
Site LIAR O,
COMMENTS:
Updated February 2014
LEGEND
use the following standard abbreviations
SOIL CONVENTIONAL LPP MINERALOGY/
LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE
CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain)
CV(Convex Slope) LS(Loamy Sand) EX l'(Expansive) M(Massive)
D(Drainage Way) CR(Crumb)
DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-03 GR(Granular)
FP(Flood Plain) L(Loam) SBK(Subaneular Blocky)
FS(Foot Slope) ABK(Angular Blocky)
H(Head Slope) III Si(Silt) 0.6-03 03-0.15 PL(Plat')
L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic)
N(Nose Slope) Cl.(Clay Loam)
R(Ridge) SCL(Sandy Clay Loam) MOIST WET
S(Shoulder Slope) Sib(Silt Loam)
T(Terrace) VFIZ(Very Friable) NS(Non-sticky)
IV SC(Sandy Clay) 0.4-0.1 0.2-005 FR(Friable) SS(Slightly Sticky)
SiC(Silty Clay) Fl(Firm) 5(Sticky)
C(Clay) VFI(Wry Firm v.Very Sticky) VS(Very Sticky)
0(Organic) None None EFI(Extremely Firm) NP(Non-plastic)
SP(Slightly Plastic)
*Adjust LIAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic)
NOTES VP(Very Plastic)
HORIZON DEPTH In inches below natural soil surface
DEPTH OF FILI, In inches from'a • urface
RESTRICTIVE HORIZON Thickness and depth fro i rid surface
SAPROLITE S(suitable)or U(unsuitable)
SOIL 11157NESS Inches from land surface to free water o .aches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation
CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or •., liable)
Evaluation of saprolite shall be by pits.
Long-term Acceptance Rate(LTAR):gal/day/ft'
Show trofile locations and other site features(dimensions.reference ••nchrnark.and North).
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Updated February 2014