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HomeMy WebLinkAboutRBPR-07-2016-24385.TIF �yy 'jcad 'f ko' .. -. 1 MICHAEL ATHANAS &ASSOCIATES LICENSED SOIL SCIENTIST 561 Ennis Rd. Weddington,NC 28173 (704)576-3887 Reference: Data Sheet for 3579 Dockside Ln. Sherrils Ford House Footprint: 50' x 50' Building Setbacks: 30' front/rear, 15' side Water Source: Private well Number of Bedrooms: 3/360 GPD Proposed LTAR: 0.3 GPD/FT2 Proposed System Type: 25% Reduction Proposed Repair System Type: PPBPS Distribution: Gravity-End cap/Drop boxes Septic Tank Size: 1000 gallons Proposed Trench Bottom: 36" Line Design Length Actual Length Pink 1 55' White 2 65' Blue 3 80' Pink 4 75' 75' White 5 75' 75' Blue 6 75' 75' Pink 7 75' 75' Initial System: 300' Repair System: 200' Comments: I ) / 's- <'Q -�;;„ :'� ' iv czfr 11 if/Zs° 9\ 4L-1 ''.y. + L l ..a54 x4 eject' i,i � : in 1 • ±m 4fr t1/4 r t" set I '�"IIS Q� Pr) In N- ti- — flI�.. Lt o el � rid ����99 I .�. �vary''0 �' 71��a11eII�� /. iia .iii. P...• ,Ii I111. l ' j q P. :0 . .0 cs-' ' irw . Pi d ,o • ua L, -�� ro `i C—.. v, 0r, t. 7r:ii,:gic wlalefll; l S401' co < se,\en • � ; _ ex DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet i of_I DIVISION OF PUBLIC HEALTI-I, ENVIRONMENTAL 1lEALTH SECTION PROPERTY ID 4:460701274619_ ON-SITE WATER PROTECTION BRANCH COUNTY:Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: Dockside Storage LLC APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY: 3 bdrm PROPOSED DESIGN FLOW(.1949): 360 GPD PROPERTY SIZE: 1.38 AC LOCATION OF SITE: 3579 Dockside Ln, Sherrils Ford PROPERTY RECORDED: WATER SUPPLY: 2 Private ❑Public 2 Well ❑ Spring ❑Other EVALUATION METHOD: Auger Boring 2 Pit C Cut TYPE OF WASTEWATER: 2 Sewage ❑ Industrial Process ❑Mixed P • o SOIL MORPHOLOGY. OTHER P ;, • (.1941) PROFILE FACTORS ' L ', .194U '!;', r . r. i' • • E LANDSCAPE HORIZON• -- -' - POSITION/ ' DEPTH ,.., '' .1942 :.� .,:' PROFILE • # SLOPE' •(IN.)` .1941 .1941 • SOIL.-' .1943 .1956, ,� .1944 CLASS STRUCTURE✓' CONSISTENCE/ WETNESS/,' SOIL iSAPRO RESER &LIAR . - TEXTURE' I NIINLRALOGY COLOR.' DEPTH CLASS - 1101(IZ , LS 6% 0-30 R CL WSBK FR SS SP SEXP N/A 30" F-C SAP N/A PS 0.3-0.4 PS ' PIT 30-61 SL SAP M VFR SS SP SEXP 1 LS 6% 0-18 RCSBK FR SS SP SEXP N/A 34" N/A PS 0.3-0.4 F-C SAP PIT 18-40 R CL WSBK FR SS SP SEXP PS 2 40-62 SL SAP M VFR SS SP SEXP LS 6% 0-18 R C SBK FR SS SP SEXP N/A 32 N/A PS 0.3-0.4 PIT 18-32 R CL WSBK FR SS SP SEXP F-C SAP 3 32-65 SL SAP NI VFR SS SP SEXI' PS DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): Space 1945 SITE CLASSIFICATION(.1948): PS Available ( ) 900 FT.. 400 FT2 System l'ype(s) 25%Reduction PPBPS EVALUATED BY: MA&A OTHER(S) PRESENT: Site LIAR 0.3 0.3 COMMENTS: Updated February 2014 .aY A O THIS IS NOTA PERMIT Case # RBPR-07-2016-24385 G „��, a CATAWBA COUNTY HEALTH DEPARTMENT EP •v . t� ci `cud°-'� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 ss Residential Building Plan Review - Modular o• •f•o a. W • r r\k)\Wel _ IMPROVEMENT- AUTH_CONST � r _' 'o , . • ( A ID L: . Contractor *SPIVEY CONSTRUCTION (WILLIS SPIVEY), PO BOX 4268, MOORESVILLE NC 28117 B:7046634189 C:704-363-7288 WILLIS SPIVEYF:704-663-4721 WILLIS@SPIVEYINC.COM Owner WILLIS SPIVEY, P.O. BOX 4268, MOORESVILLE NC 28117 C:7043637288 WILLIS@SPIVEYINC.COM NAME TO APPEAR ON PERMIT *SPIVEY CONSTRUCTION (Willis Spivey) SITE ADDRESS: 3579 DOCKSIDE LN, SI-IERRILLS FORD NC 28673 PIN # 460701274619 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.38 DIRECTIONS: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New one story, 3 bedroom, modular home, 1500 sf, with attached garage w no bonus room, no basement. `will share a wen WI property across the road SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32x84 Modular Dwelling #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 119-ehapplicatioa 07/28/2016 13:28 Page 1 oto \3ACATAWBA COUNTY Case# RBPR-07-2016-24385 .C�' Public Health Department Subdivision n A 4 „�y4,t v�„�, Environmental Health Division PIN# 460701274619 PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 !g 2 # NAME ON PERMIT: *SPIVEY CONSTRUCTION (WILLIS SPIVEY), PO BOX 4268, MOORESVILLE NC 28117 *SPIVEY CONSTRUCTION ( Willis Spivey) Site Address: 3579 DOCKSIDE LN, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 1.38 Directions: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 -IF.F{IEENAME. t71:111!j�atll 'WTI fl{i�' i:11!hll 'r Vif • /DAiE 11'1 y EE /AMOUNT Authorization to Construct Fee (New/Expansion) 07/28/2016 $150.00 Fee Improvement Permit Fee 07/28/2016 $150.00 [Ili- E:SlillfttitAiyftESIINII lint ix it i rla ii:1 Irl lli;ii!I Ililtri: ' NlIiK '„ $300 001 AL Ulf. ,;.r-; Jiimu P to r 1_ai��rt wnr*t, q T I I+ ,watu iindfih11ElltiL1WWW ' 'taw N:�.itim . rt FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 07/28/2016 13:28 Page 2 of 4 7$A ♦� THIS IS NOT A PERMIT Case# RBPR-07-2016-24385 ,� y CATAWBA COUNTY HEALTH DEPARTMENT E zl '~•, El v °�" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICESRICII'� ti {3i 1842 5�, Residential Building Plan Review - Modular � '• IMPROVEMENT- AUTH_CONST -'•t } Contractor *SPIVEY CONSTRUCTION (WILLIS SPIVEY), PO BOX 4268, MOORESVILLE NC 28117 8:7046634189 C:704-363-7288 WILLIS SPIVEYF:704-663-4721 WILLIS@SPIVEYINC.COM Owner WILLIS SPIVEY_, P.O. BOX 4268, MOORESVILLE NC 28117 C:7043637288 WILLIS@SPIVEYINC.COM NAME TO APPEAR ON PERMIT *SPIVEY CONSTRUCTION (Willis Spivey) SITE ADDRESS: 3579 DOCKSIDE LN, SHERRILLS FORD NC 28673 PIN # 460701274619 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 1.38 DIRECTIONS: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New one story, 3 bedroom, modular home, 1500 sf, with attached garage w no bonus room, no basement. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 32x84 Modular Dwelling #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes • Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-chapplication 07/28/2016 10:34 Page I of a.A CATAWBA COUNTY Case rt RBPR-07-2016-24385 (7\ yn Public Health Department Subdivision Kd ® *3 Environmental Health Division PINS 460701274619 r e. PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 18 2 w NAME ON PERMIT: *SPIVEY CONSTRUCTION (WILLIS SPIVEY), PO BOX 4268, MOORESVILLE NC 28117 `SPIVEY CONSTRUCTION ( Willis Spivey) Site Address: 3579 DOCKSIDE LN, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 1.38 Directions: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site acces able sat a Qpm I to site evaluation can be performed. Date: 9 —,2 B - )co Signature of Applicant or Agent �l tX1YA� Ikl An Environmental Health Specialist will contact you within 5 working days of ap lication date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME 4 ; � �' ; DATE.,:,,-;,' CEEAMOUNTatit Authorization to Construct Fee (New/Expansion) 07/28/2016 $150.00 Fee Improvement Permit Fee 07/28/2016 $150.00 TOTAL FEES ;;!,,:i,. $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 09-ehapelleation 07/28/2016 10.34 • Page 2 of4 CA A\Ve B THIS IS NOT A PERMIT `.un._}, v ;ma� CATAWBA COUNTY HEALTH DEPARTMENT . Application for Environmental Services Page 1 Improvement Permit Authorization to Construct X Septic Repair ❑ Septic Malfunction 111 Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment ] Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application ``is''for ((New Construction R Existing Facility ❑ Property Address 361) 9 0 C! cF 5 tY-z Lc,r` -e_ Subdivision AN S F / M c 2 'b 7 3 Lot# Acres Section/Block/Phase Driving Directions to Property `4" Hw1 )LS A 1 /4 7 ITh 1,--,-- 41,--,-- 4� 1 t . � �e � 4w n1 e0. sS 1--,4ors1~zZ c4 t - l�zrp 5 ro et;A a w r vi�� o . V✓ oc-\C �`si C_ NAME TO APPEAR ON PERMIT? IT Owner 1 ❑ Applicant Ft-Contractor Applicant Contact Information �/ Name L,..3 \\: ir 5 5 (a .3 - * Address f 3vx 2 (0 ✓r\ 0'Or->:s o ' \-t dell 2,. ? b `t3 Phone 7E 3L3 , 9Z {58 / ct1t CellPhone nOwner Contact\Information!�� ` Name 0 oc.k$ ; bc� S+0 I-0-5C- t l,.L e- ( \ Address 353v 044 • fte., 4- k- X91 gL rrc \\ s Rrcy AlC- ; 2 Phone Cell Phone jog 3 b 3 2 S� Contractor Contact Information Name S �J ' t _c_.--) Lv s� r � �Ctow C- / Lv�e- Address Q 0 13 o x al 2_ io S' al t,D rty v \ \c , iv C incs4z4 21111 Phone Cell Phone rl b<I 3 Co3 - 7 a 3 S WHO WILL BE THE PRIMARY CONTACT? IT Owner ❑ ApplicantContractor Description of Existing Structures on Site \NLAD' ° ` ( r # of Bedrooms 4t Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures 0 Yes it No r The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property ' uestion. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes No) Does the site contain any jurisdictional wetlands? C Yes C®N6 ) Does the site contain any existing wastewater systems? 0 Yes CO No 5 Is any wastewater going to be generated on the site other than domestic sewage? Yes ❑No Is the site subject to approval by any other public agency? C Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use ix,Individual Well L} Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes p No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) V- 0 Accepted ❑ Alternative ❑ Conventional 0 Innovative ❑ Other X Any CATAWBA THIS IS NOT A PERMIT counrt• CATAWBA COUNTY HEALTH DEPARTMENT �,,' Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence V New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description ! Coo ss c-4 Structure Dimensions 3 E., X g 41 # of Occupants 2— Basement ❑ Yes No Basement Fixtures ® Yes ® No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence #Units #Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions ❑ Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shill #of Shifts ❑ Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well E Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities, .This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property fines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date �] — ,2 g Printed Name of Owner or Agent \\.\\ 5 S r i J -e • Catawba County Environmental Health \\•---, ii / ,/) i 22.10 �� 0/ 5 / o� �►, .q2 '1.1Z se 6.35 '%}t Ilr '�`(IiL ccA Iv- � � 7 .612 :11 ,I • 00 00 O°'J, �l O�,c2 sb _________Z / • _\, I- • A• o 4 • 9 76.91 73 _ 60 — -.. _ YC 73 G •• —, O Z \\r N\------"‘„\N $' A 271) 137.91 _2 :.23 3 •. 0 7 / Parcel: 460701274619, 3579 DOCKSIDE LN 1in=80ft 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 arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 07/28/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460701274619 Owner: DOCKSIDE STORAGE LLC Parcel Address: 3579 DOCKSIDE LN Owner2: City: SHERRILLS FORD, 28673 Address: PO BOX 4358 LRK(REID): 803796 Address2: Deed Book/Page: 3007/1075 City: MOORESVILLE Subdivision: State/Zip: NC 28117-4358 Lots/Block: 1/ Last Sale: School Information: School District: COUNTY Plat Book/Page: 70/2 Elementary School: SHERRILLS FORD Legal: LOT 1 PL 70-2 Calculated Acreage: 1.380 Middle School: MILL CREEK High School: BANDYS Tax Map: Township: MOUNTAIN CREEK School Map State Road #: 1901 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningt: R-30 Building(s) Value: $0 Zoning2: Land Value: $19,300 Zoning3: Assessed Total Value: $19,300 Zoning Overlay: CRC-0,WP-0 Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 3019 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. r ©2016, Catawba County Government, North Carolina. All rights reserved. , —12 c\feco * it http://gis.catawbacountync.geNm •p" rcel_ieport.php?key=460701274619&typ=P 7/28/2016 •CATAWBA COUNTY Case# IMPV-7-10-9019 '• Public Health Department Environmental Health Division Subdivision RALPH AND HELEN DRUB '}� ' PO Box 389, I00-A Southwest Blvd,Newton,NC 28658 Lot# 1 I&PTl2 Mt W PIN# 460701272753 Applicant/Owner WILLIS SPIVEY • --Web Site Address: 3579 DOCKSIDE LN,Sherrills Ford,NC Property Size: SF 4,1$ ACRES :Eva . Directions: HWY 16 S-TURN LEFT ONTO HWY 150-TURN LEFT ONTO MT.PLEASANT RD-CROSS LITTLE MT RD-TURN RIGHT ONTO DOCKSIDE LN- 1ST LOT ON RIGHT Improvement Permit Facility: House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Well Type: Individual Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: —.1.1 Projected Daily Flow 360 9•P.d Li\ Proposed Wastewater System: 25%REDUCTION Type: IIIG-OTHER NON-CONN TRENCH SYSTEMS Q Pump Required?: No Operator Required?:NO Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP Pump Required?: Yes Operator Required?:NO 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, The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/propcny owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement 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 18.A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Robbie Phelps 07/08/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/07/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 07/12/10 13:11 �6'` Permit# IPMV-7-10-9019 —� „ CATAWBACOUNTYntName Willis Spivey %tZ Public HealthDepartment au 3 Environmental Health Division Address 3579 Dockside Ln j PO Box 389, 100A Southwest Blvd,Newton NC 28658 PM# /8 4 VsM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 SITE PLAN eil / a 7 G I 0 Sr 5 30 sf Art.0 s/c, u' No 6,5- 1 - o / • N 22 J`, 70 — r c _ d o � S> c Q I � I p 218 Scale I ' 6 Department of Environment,Health,and Natural Resources Sheet: 1 Division of Environmental Health Properly ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: Owner: Willis Spivey Applicant: Address: 3579 Dockside Ln Date Evaluated: 7/8/2010 Proposed Facility: Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: [ }Public [ ]Individual [x 1 Well [ ]Spring [ 1 Other Evaluation Method: [ ]Auger Boring [x ]Pit [ ]Cut Type of Wastewater: [x ]Sewage [ ]Industrial Process [ ]Mixed P R o SOIL MORPHOLOGY b F .1941 PROFILE FACTORS I .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness) Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth(IN.) Class Horiz 8 LTAR 1 0-34 scl,abk fr,ss,sp 34-48 scl,wsbK fr,ss,sp 48 ps 0.3 2 0-40 scl,wsbk fr,ss,sp 40-48 scl,sbk fr,ss,sp 48 ps,0.3 3 0-35 scl,sbk fr,ss,sp 35-44 scl+sap,sbk fr,ss,sp 44 ps,0.35 44-48 sap 5 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s s Soil Evaluation By: System Type(s) 25% 25%,pump Others Present: Site LTAR 0.3 0.35 Site Classification(.1948): Site Evaluation By: Others Present: Sheet: COMMENTS: FILE 4: 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-Play 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 WI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic -Very Plastic Sketc• • Soil Evaluation Loc,tions (9 i 0- A Department of Environment,Health, and Natural Resources Sheet: Division of Environmental Health File#: On-site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED P R o SOIL MORPHOLOGY OTHER F .1941 PROFILE FACTORS _ I .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth(IN.) Class Horiz 8 LTAR Sheet: COMMENTS: FILE#: Landscape Position Gist 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-Food 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 Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable SS-Slightly Sticky EXP-Expansive 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