HomeMy WebLinkAboutIMPV-08-2016-075423.TIF ,pA CATAWBA COUNTY Case# -
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`' � Public Health Department Subdivision CLIFTON S POPE REVISE
4 „ Environmental Health Division PIN# 375014426904
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
18.2
NAME ON PERMIT: JEFFREY POPE, 1212 LITTLE RD, NEWTON NC 28658
Site Address: 2472 ALBERT DR, NEWTON NC 28658
Property Size: Square Feet:629,877.60 Acres:14.46
Directions: STRAIGHT ON MT OLIVE CHURCH RD UNTIL YOU PASS JIMS JUNK YARD, ABOUT 1/2 MILE TURN LEFT
ON LITTLE RD IN 1/2 MILE TURN LEFT ON ALBERT DR, TAKE 1st RIGHT AWAY ON RIGHT OFF ALBERT
DR(GRAVEL DRIVE WAY)
Owner/Authorized Representative Acknowledgement of Permit Receipt
iI certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
pro erty described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the plication for service RBPR-07-2016-24292 by the following method(s):
�IYeceived in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
/,--51As 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 2:11 .0100), shall apply to the issuance of this permit and the
construction of the wastewater system and/or wter supply well permitted.
Permit Issue Date: 08/08/2016 //
Owner/Authorized Representative Signature . c6"
Date
6t-9—/to
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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elipennii 08/08/2016 10:07
‘NSA CATAWBACOUNTY e �❑e Case# IMPV-08-2016-075423
.7'it'�pp�I Public Health Department 77' titer Subdivision CLIFTON S POPE REVISE
it'll !: Department
3'.'} PIN#
2 �•®q , , Environmental Health Division r � f5i' • � ti375014426904
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 ti� L4 r LOT#
18.2 :. }i -
❑ a —GAY
NAME ON PERMIT: JEFFREY POPE, 1212 LITTLE RD, NEWTON NC 28658
Site Address: 2472 ALBERT DR, NEWTON NC 28658
Property Size: Square Feet:629,877.60 Acres:14.46
Directions: STRAIGHT ON MT OLIVE CHURCH RD UNTIL YOU PASS JIMS JUNK YARD, ABOUT 1/2 MILE TURN LEFT
ON LITTLE RD IN 1/2 MILE TURN LEFT ON ALBERT DR, TAKE 1st RIGHT AWAY ON RIGHT OFF ALBERT
DR(GRAVEL DRIVE WAY)
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic 13edrooms 4
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: 1110 -OTHER NON-CONN TRENCH SYSTEMS
Permit Conditions: See AC for permit conditions
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: I1IG -OTHER NON-CONN TRENCH SYSTEMS
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 ISA .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 _ 08/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
08/06/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 08/08/2016 10:07
� Permit# RBPR 7-16-24292
7e,._%.; G CATAWBA COUNTY Name Jefferey Pope
49 2 Public Health Department Address 2472 Albert Dr Newton NC
U 10 C Environmental Health Division PIN# 375014426904
41 ..- PO Box 389, 100A Southwest Blvd,Newton NC 28658
/84i, sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
in l Cort O r '
Site Plan Authorization to Construct
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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 ApplD: RBPR-7-16-24292
Owner: Jeffrey Pope Applicant:
Address: 2472 Albert Dr Newton NC 28658 Date Evaluated: 8/3/2016
Proposed Facility: 4 BR Home Design Flow(.1949) 480 Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ ]Spring [ ]Other
Evaluation Method: pits by Jerry Pope [ ]Cut
Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed
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P ) � �l IL'. &'ILTAR_r,IY•..,
1 LL 3-6% 0-8" topsoil
8-36" SC SS SEXP SP FR 48" PS.3
36-48" SC w/sap
2 LL 3-6% 0-6" topsoil 48" PS.3
6-32" SC SS SEXP SP FR
32-48" SC w sap
3 same as 2 48" PS.3
4
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IIIG Others Present: Jerry Pope,Jefferey Pope
Site LTAR .3 .3 Site Classification(.1948): PS
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: 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 CR-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
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