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Home My WebLink AboutIMPV-12-09-3107.TIF IMPROVEMENT PERMIT For Office Use Only Catawba County Public Health Department *CDP File Number 3 6 6 9 a Environmental Health Division County ID Number: EHPR-11-09-2611 P.O Box 389, 100-A Southwest Blvd Evaluated For: FLOW A001104^ ~ Townshi 61~ir►~~'hK 3fi~ S Newton NC 28658 p- Phone: (828)-465-8270 Fax: (828) 465-8276 pERrA1T VALID UNTIL 12/1/2014 ~1g y ~iD7 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Dale Sloan Property Owner: Dale Sloan Address: 7354 Broad Wing Lane Address: 7354 Broad Wing Lane City: Sherrills Ford City: Sherrills Ford State/Zip: NC 28673 State/Zip: NC 28673 Phone Phone Property & Site Information Address/Road Subdivision: Eagle Harbor Phase: Lot: 14 7354 Broad Wing Lane Sherrills Ford NC 28673 Directions Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: 3 *Water Supply: EXISTING WELL System Specifications Initial System- )(1S+_11% *Site Classification: Ps J Minimum Trench Depth: 1 8 Inches Design Flow: 4 8 Maximum Trench Depth: 3 0 Inches Soil Application Rate: Septic Tank: ~ 3 Gallons 1-Piece: QYes ONo *System Classification/Description: Pump Required: QYes §No OMay Be Required TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Tank: Gallons *Proposed System: 25%REDUCTION 1-Piece: QYes ONo Repair System Required: *Yes ONo ONo, but has Available Space Repair System *Site Classification: PS Minimum Trench Depth.- Inches Soil Application Rate: 0 3 Maximum Trench Depth: Inches - *System Classification/Description: Pump Required: Wes O No O May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: 1 0 0 0 Gallons *Proposed System: 50% REDUCTION Pagel of 3 CDP FilerNumber 36692 County ID Number: EHPR-11-09-2611 *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 permit 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 S 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 atone 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 platthat 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 subjectto revocation if the site plan, plat, or intended use changes (NCGS 130A.M(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, maintenances monitoring, reporting, and repair (.1938(b)). Applicant/Legal Reps. Signature Req-u" rt;d? i~r" Q o Applicant/Legal Reps. Signature Dale: Issued By, 2246 - Megen McBride Date of Issue: 1 e / 0 1 / a 0 0 9 c Authorized State Agent: OValid without Expiration? Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Tirne~(HHMM) 0 0 Hours 0 0 minutes Page 2 of 3 CDP File Number: 36692 County ID Number: E"PR-11-09-2611 Drawing Type: Construction Authorization Date: Inch Drawing Scale: ()Block ft. *N/A 1064 04 as% fed rove . (olmr- A A 40 4NX e tr We; VA' box . K be i t 54cti l cd l-~-rchct. ov I 16 to' Ito) Aj 3 ~Q Page 3 of 3 NCDENR Division of Environmental Health Date: z> / s/ 2 e e 9 On-Site Wastewater Section Soil/Site Evaluation `File 3 6 6 9 2 For On-Site Wastewater System PIN EHPR-11-09-2611 `Owner Dale Sloan Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 4 a a Location of site 7354 Broad Wing Lane Property Size 6 Water Supply EXISTING WELL Evaluation Method Pit gg Horizon SOIL MORPHOLOGY Landscape .1941 Other Profile Profile# POS Depth Factors Slope % (IN) Mineralogy Matrix Mottle Pe Texture Structure Consistence Color Color 1 0-10 SL 2-Modi gr fr ss sp .1942 wet % 10.24 CL 2-Mode sbk fr ss sp 1943 Depth 4 3 ps GPs Saprolite: (in) 24.43 C 1-Wea abk fr SS sp 1944 Rest Horizon EHS .1947 Class PS Megen McBri< LTAR 0 . 3 .1942 wet. % .1943 Depth CPS Saprolite:(in) 1944 Rest Horizon to 1947 class EHS Copy rofde Profile ILTAR _ 1942 wet % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class EHS Copy Profde Profile LTAR 1942 wet % .1943 Depth GPS Sapronte.(in) .1944 Rest. Horizon 1947 Class EHS Copy Profile Profile LTAR 1942 wet. % 1943 Depth GPS Saprolite (in) 1944 Rest Horizon 1947 Class IN EHS Copy rofile Profile LTAR Available Space (.1945) Ps Other Factors(. 1946) PS Ste Classification (.1948)Ps Initial LTAR: Repair LTAR: o . 3 Others Present: Comments: Going from 3 to 4 bedrooms Evaluated By: Megen McBride NCDENR Division of Environmental Health On-Site Wastewater Section Date- 1 1!;? s/ a 0 0 9 Soil/Site Evaluation Fie 3 6 6 9 For On-Site Wastewater System PIN 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 wet. % .1943 Depth GPs Saprolitejin) 1944 Rest Horizon 1947 Class EHS Copy Profit Profile LTAR 1942 wet % 1943 Depth Saprolite.(m) 1944 Rest GPS Horizon 1947 Class EHS Copy_Rrofd Profile LTAR 1942 wet % 1943 Depth GPs Saproete (in) 1944 Rest ~~pp Horizon 1947 Class EHS Copy rofil IProfile LTAR 1942 wet % 1943 Depth GPS Saprolite (in) 1944 Rest Horizon go EHS 1947 Class Copy PProfd Profile- LTAR 1942 wet % 1943 Depth Saprofite (in) 1944 Rest GPS Horizon EHS 1947 Class ile Copy~rofd tLTroAtR Comments'. Attach Image The "Open Drawing Form" button, opens the the drawing form. The 'Import' button, attaches the drawing, or other image into the space below. Open Drawing Form WOG 3 ~4 Scott( - TO IAIV) ~A ~C lc Vrl Profile: 1 Q X Y Z Profile: Q X Y Z Profile: Q X Y Z Profile: X Y Z Profile: VJ X Y Z Profile: Q X Y Z Profile: Q X Y 2 Profile: VJ X Y Z Profile: Q X Y Z Profile: X Y Z