HomeMy WebLinkAboutAUTH-08-2016-075848.TIF IgA CATAWBA COUNTY Case# .
C. Public Health Department Subdivision
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g �,c. Environmental Health Division PIN# 461901465310
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: JOHNNY BARBER, 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Site Address: 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 0.00 Acres:
Directions: Azalea Rd, left on Dog Leg Rd, left between 1st and 2nd houses. property on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
IPa I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
I property described above.
t, /.pp, As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in he application for service RBPR-07-2016-24243 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
aAs 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
-74
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: 08/17/2016
Owner/Authorized Representative Signature / / �0 11 ev�i�
Date ! ' -/ 9' o//�
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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ehpenn it 08/19/2016 15:47
‘4 CATAWBA COUNTY 00 • �,o 0 Case# AUTH-08-2016-075848
,C Ail- •
Public Health Department cr • i Subdivision
d •0•I Environmental Health Division I •• 'r PIN# 461901465310
b• PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 0 •VI G r LOT#
/g42 •• I • t " • -iti
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NAME ON PERMIT: JOHNNY BARBER, 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Site Address: 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 0.00 Acres:
Directions: Azalea Rd, left on Dog Leg Rd, left between 1st and 2nd houses. property on right
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 100 g.p.d
Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS
Soil LTAR: 0.25 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Accessory Structure -Accessory Building with a bathroom. No occupancy.
Basement? No Basement Plumbing? Bedrooms: 0
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: 300 sq ft Total Length: 100 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation g ft on center
Number of Drain Lines 2
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: *Do not grade, fill, or drive over any septic area.
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
Repair System Required? Required System Class: IIIB Proposed System: 25% REDUCTION
Distribution Type:: Pressure Manifold Soil LTAR: 0.25 g.p.d./ft2
PUMP REQUIRED
ehpemill 08/19/2016 15:48
CATAWBA COUNTY Case# AUTH-08-2016-075848
nPublic Health Department Subdivision
Environmental Health Division PIN# 461901465310
PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT#
in.2 ,w
NAME ON PERMIT: JOHNNY BARBER, 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Site Address: 8462 DOG LEG RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 0.00 Acres:
Directions: Azalea Rd, left on Dog Leg Rd, left between 1st and 2nd houses. property on right
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 period of time.
Robbie Phelps 08/17/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/17/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpemiit 08/19/2016 15:48
Catawba County Environmental Health 41,f17- 6-70K - 073-848
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Parcel: 461901465310, 8462 DOG LEG RD 1in=60ft
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
06119/2016
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: 24243
Owner: Johnny Barber Applicant:
Address: 8462 Dog Leo Rd Date Evaluated: 7/22/216
Proposed Facility: Bathroom Design Flow(.1949) 100 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]Public [x ]Individual [x]Well [ ]Spring [ ]Other
Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut
Type of Wastewater: [x ]Sewage [ ]Industrial Process [ ]Mixed
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O:;li r:,1 J`�7) t, w f ,l ii!:;''SOIL MORPHOLOGY :4 140 ' $1 I !F riiii . ."x�llliil i l �l it I '13t!n4 It uL, ,� �t iIl� fi, t , i,
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F, I�' t,it , 4' ILII t. Gl����l 1sa1. , r ..i.:4- ;Jnri111 11 PROFILEIFACI J . � I� Ja i
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L'L Ft• { Lt'andscape Honionl ml,,,F;1/2614; 1 I '*:,,:: 1941 �. t'v� i I'�'.P,�, ����Iiw�°iiili.!lIii II . ' 119431 I�.i.:�w966�� l� 19441r �l�;rofle „..it
;Pi' y 1 �. t o ' t I {� 11 id 1119
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E t.h.'."' jPositidn/ + Deptb� ��IStructurel I;yg��itl^Consistence T✓,.*fid 1� � lll1W, elnessl,ll��la�11 �{ �I $oil�j��� Sa�pio tN�'yRetr�� ,({y rClass� ,
#tILi ;i ^.„Ii p`°'" ] v4.�{ )ii rk �'t IEI �fiil�r ; ) nlllcdi 'Iiiireolo lillii Itji '„ !Depth(INE) ,i».Clans hk$Honi L '1..,,%i LTARL ,�
, p;1N'.�, tSlo e%+,r. (INi�;I � Texture,t,... ��,..+.�.Mineralogy. eJlL.tm
1 L 0-10 scl,wsbk fr
10-24 c,sbk fr,ss,sp small amount of stripes
24-48 cl+sap,wsbk fr,ss,sp 48 0.275
2 0-12 L
12-36 c,sbk fr,ss,ssp yellow stripes
36-48 c,wsbk fr,ss,ssp all red 48 0.25
Description Initial System Repair System i Other Factors(.1946):
Available Space(.1945) s s Soil Evaluation By: Robbie Phelps
•
System Type(s) 25% 25% Others Present:
Site LTAR 0.25 0.25 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 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
Fl-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
Catawba County Environmental Health
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Parcel: 461901465310, 8462 DOG LEG RD 1in=60ft
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
0&19/2016