HomeMy WebLinkAboutIMPV-07-2016-075093.TIF `g am CATAWBA COUNTY Case ft IMPV-07-2016-075093
.r FlaG Pdblic Health Department Subdivision
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,�t�a , , Environmental Health Division PINfl
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT#
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NAME ON PERMIT: BRANT ROSSON, 3561 LITTLE RD, SHERRILLS FORD NC 28673
Site Address: 3561 LITTLE RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 0.00 Acres:
Directions: NC 16S to NC 150 Take left- TL on Slanting Bridge RD, TL onto Stillwater Dr-TR onto Little RD - lot on 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
Tv propertyttdescribed above.
1'` As the property owner or authorized representative. I have received the above referenced permit(s) as
requested intheapplication for service RBPR-07-2015-22049 , by the following method(s):
/Received in Person
Facsimile Transmittal (Return form with signature required)
I�q Electronic Image Transmittal/ E-mail (Return receipt required)
I' 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: 07/28/2016 Q
Owner/Authorized Representative Signature / '--
Date 1 13 /
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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ehpcnn it 07/28/2016 14:51
,aA CATAWBA COUNTY Qe ::61 Case# IMPV-07-2016-075093
.1` G Subdivision
.f' .t: Public Health Department rr•
< ,— rot, .�: Environmental Health Division �� L+ PIM 460702870703
i ih PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 • J cic•j LOT#
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NAME ON PERMIT: BRANT ROSSON, 3561 LITTLE RD, SHERRILLS FORD NC 28673
Site Address: 3561 LITTLE RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:0.00 Acres:
Directions: NC 16S to NC 150 Take left- TL on Slanting Bridge RD, TL onto Stillwater Dr-TR onto Little RD - lot on left.
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 2
WATER SUPPLY: Private Well
Basement? No Basement Plumbing?
INITIAL SYSTEM SPECIFICAIIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 240 g.p.d
Proposed Wastewater System: 50% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
Permit Conditions: *This permit is issued in accordance with the design submitted by Ashley Rollans.
*Do not grade, fill, or drive over any designated septic area.
*The area near the existing carport will need gravel removed and some leveling before the issuance
of the AC.
*Trench depth is 42" per design by LSS.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Not Required
Proposed Wastewater System:
Type: **** no system class assigned ****
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/property 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 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.
Robbie Phelps 07/28/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/28/2021
No grading or construction activity is allowed in areas designatedfor system and repair without approval of the Health Department.
ehpennit 07/28/2016 14.51
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DEPARTMENT OF HEALTH AND HUMAN SERVICESSheet I of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#djOZ87o7o.i'
ON-SITE WATER PROTECTION BRANCH COUNTY:C_at....4n
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
-fr (Complete all fields in full)
OWNER: • rad ( ...54,tom-- _ APPLICATION DATE CU/6.
ADDRESS: S / Lr>`,! 1 @ 00.1. S o^ DATE EVALUATED:ane LcHS
PROPOSED FACILITY: illi!!. - TOPOSED DESIGN FLOW(.1949): GYOePil PROPERTY SIZE: ± 14c.
LOCATION OF SIE: TA./(wad' PROPERTY RECORDED: 'FS
WATER SUPPLY: J Private 0 Public \ ]Well 0 Spring ❑Other
EVALUATION METHOD: 0 Auger Boring J Pit 0 Cut TYPE OF WASTEWATER: \Sewage 0 Industrial Process 0 Mixed
P
R ' ' ' SOIL MORPHOLOGY; OTHER1
Firi (.1941) •• '^PROFILEIFACTORS r
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E LANDSCAPE ' HORIZON li.
POSITION! ill DEPTHrI ' �, ` +' ''�I •1942 � PROFILE'
# SLOPE P/ n (IN). I' •• 1 re, CLASS,
I > ,'i.),, .- 1941 , 19,4 i fi , ' .1944
1 SOIL 1913 i 195 t
I iSTRUCIURE! , CONSISTENCE! " WETNESS/ i SOIL{ SAPROO- :RESTR ili <AR.
Ij DEPTH'( . CLASS. HORIZ
A " ; ':' -,.� 1 � 'I'Ea7 DRE ; k MINER,4LOCY�i COLOR. _ � , , ... „y �, ...
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948): )'3 _
Available Space(.1945) 75 &./. 1 �? / /� /
System Type(s) Pn8P5 EVALUATED BY: cy_43-61/4t/JQ is
OTHER(S)PRESENT: C'ti el. Aktr r�
Site LTAR Or`! �.J1
I
COMMENTS: 7 tn(d $o*Qfl 4/2 r4 1)n,,.ehverA]a n4cL apa r CA rg'r #1,,-S-/-Act✓e.Srct re/re,„a re,(0..aC.
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Updated February 2014
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 AppiD: 22049
Owner: Brant Ross Applicant:
Address: 3561 Little Rd Date Evaluated:
Proposed Facility: 2br Design Flow(.1949) 240 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]Public [ ]Individual [x]Well [ ]Spring [ ]Other
Evaluation Method: [ 1 Auger Boring (x]Pit [ ]Cut
Type of Wastewater: [x 1 Sewage [ ] Industrial Process [ ]Mixed
P A`.,,.� ,'tt
1 t iR1 I t-1!{ "::, Bl{ +i�. tl ' 'fi`�»
1'( � iii1 It ` ut1�iI1Y1fllllai ` NIMI 194111E-1t��lidtb git. .111,1 I'li�l F " ro.i,Ale ROFILE.FACTORS;Nh:g�ti 1d I III �J irl s! i Iu'
r� ],yr )'u'1940L u%� t`-1',111 I
pp1gf f It4[(It_: f I�I II 1�I rAlli:- �i iil l - II° t ` 19425 C.fagu I I s iP41i�1.11 i.l tEN } IIV ' --�cil�'rt�n �i I 1 r I No,
. a�y �( 4 I 1n I t 1II'f' ,, i�, I�I1. (I1 ill II� '"a rt I,: I 1 i F*it95.0 jl 4 I r tl'P opt ,
L '!_..�.,11v. Landscaper _Horizbn Ilqliii9 11, I �I 1941II I `Iit .4: '.,'41,,nliar t':1943 1 :19 ]'' t t. i 19y41� rl Profile ' twE!i.sa'Gi i osltioni JI De th p Structure , 1 r 11 Consistence till .le1:1, ' f Wetness/t 't° d� �� Soil`, 1 ;Sa ro l IRestr�� -'Glass
�a I�: !, �i nPvO `� 1 pl)I��� i�r11'vtnty � ) II .n. I r.l giy.� ��� it z I li i n Ixo� '} dlh� ?pult(�6 e p f.lkrIo�t��11 It 'up{ + ( i�
I#,i, V. . Selo e%:214 to (IN.�t, 111irgiiturel' ; a1 {I!{Mineralo t1,;lit r. ,m,:.alalait �,,; . W.l IDe th IN),Ic.�"Class.,.,,I�1Honz,„t tEsIVRI, IIJ
1 0-13 NI
13-29 cl,wsbk fr,ss,sp
29-50 sap+cl,wsbk fr 29 s 0.4
4 0-48 Fill 0 U
5 0-48 fill 0 U
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) s exempt Soil Evaluation By: Robbie Phelps
System Type(s) 50% Others Present:
Site LTAR 0.4 Site Classification(.1948):
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: See soil notes by Ashley Rollans for pits 2&3 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
VR-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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is map/report product was prepared from the Catawba CountyNC Geospatfal Information Services. Catawba County has made substantial efforts
ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
independent verification of any data contained on this map/report product by the user.The County of Catawba;its employees,agents;and
se fromthis map/report product or the use thereof by any person or.entity,
Copyright2014 Catawba County NC
05/31/2016