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Home My WebLink AboutIMPV-08-2016-075844.TIF ‘xA CATAWBA COUNTY Case# ,� n Public Health Department Subdivision < �i 'T Environmental Health Division PIN# 461901465310 it PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# 18.2 s. 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 146 I certify that lam the owner or authorized agent(owner's authorization required) representing the owner of the '3/476,/ " property described above. /.�p 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) FelAs 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 ISA .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 Q Owner/Authorized Representative Signature V (paJ..Jl 8c v Date y -/ 9- )-c'16 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpenuit 08/19/2016 15:47 at; CATAR'BA COUNTY ❑e o rr'=�❑e Case ft IMPV-08-2016-075844 f' y • / Public Health Department W- Pir - - Subdivision • 461901465310 2 '!"` . Environmental Health Division r� 'r P1N# n��j PO Box 389, 1(10-A Southwest Blvd,Newton.NC 28658 Mr }� �. r�O f LOT# 18.2 s. • }i 11'Era43 rC 17 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 Improvement Permit Facility: Accessory Structure - Accessory Building with a bathroom. No occupancy. Permit Category: New Septic Bedrooms 0 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X No Expiration: Projected Daily Flow 100 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: *Do not grade, drive, or fill over any septic area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 1118 - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED 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' (ISA 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. 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. ehpcmi it 08/19/2016 15:47 Catawba County Environmental Health Auf4- 6-70(‘ - 0)3-vfg • t�9 m Q2 2S. S2a ` v i J i ... Or d P O 119e \� a 0Iw X ,\5° \:11 0di J )o • • • 01017:6 d s V I/1Y�k 3 \\\ T N \ u' \r Parcel: 461901465310, 8462 DOG LEG RD 1 in=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 08119(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 Leg 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 [P (9r4('S Isis ts.I r r r I ,iiriii( rw,: )fi'°rl i .'I�'Sir��., {Ilil� I...,..„„,..,.,,s.., f rr�v,a ,W+rad 'N�],I'1 i�r IIS ,jlt his, 111 Y' : has § ti'I@r[Ir T{uf.. Sln .ct"N' r• ets r6 N 9 U ,9 t ,rl )I s 1+ I' - 1 �II I rr r e�'� `�'x�,1,1I �fr E� �((n al 3a gr r 1 I . :i' 'f bp l�h�: f J v,» rr+ IR `` rIro `,Iitt 4 11111�tiit" ' X17 LIN" � >Y4Ia s r 4110r{ S II'•k.i tr IIx1,r . ]r'4::"f "ff' l Alli 111 ` A ('li r i>< 4I!91 ! µ . r'![I�}I 1: ��:} �I�c 4 Iti'r ryr ej tof ri, li Ir; $rI,r' $OILI��Mp�ORPFIO�LpO� GI1Y{ r8 �'b i�4 It ,'6rti , nt, „ 4(,r 1r IFI . I rj , �. 111j* "&A Irt. -„ IltNllft'e[�1941..tt«I'IN!�iai �.rllsh�iljy yl(lr/_`_ a /1,+ pr F "I'!'lllI I,II9. r li PII>'a :1 rl�d`' illllkl �[ } k "PROFILE FACTORS,I J ran r1i l 'Mi,rrr r1i . 1940 i [ �e.�9 u;, i = al IH 1 J i'I'Iq 4iI .I r I �,��r ly 7,1{� N 1t, . Ilia i I rr �'+ � n p.,, ax ,�i�y ,r y r,. L i t i I k 4 i+'�q ry 1 $ 1frI �{isi Atrt.Sar.!e' l r fi41c,.i4�S'I i�f .. I b� Ik6 94.mNb r.r4' djr 194245T., , .qgi Ij(@;'xiI11,tI4 r'1'r956'i IIIR"�I44 - li =�'^I lir tre Lr ryl"' rl{L"andscapeHorizonl�{�� 1941n1 ,flt4 «: Hli,gi4iv�i{IliiEll jr ;.,:.,:7,41440.10i,4(, a i( .19431 n :u9�5w'A'� ! '1944, r ,Y�. .Pryoifile,�wl!'1? �E," ill�;�'i 1 Posrhon%' I P Depth`., III I�iStructure% �� II�t;,;GronsislenFe; 11 4 �Wetne9X5/^ ..,.;;;:(41 I)1it':C Boii f111jr ;:Saprr�oij4lli iIRestr ,1 -Class'IttIllr,i, I#�1,,,".r1�IIL. Slop%4 fi vh�(IN);4 li llill%Tax`tureAll1( 11,1:1`~''Mineralogy 11`f r.. 2%1Ii colorilillitt,' 1Depth'(INIV`ytClaasu1j' �-I�Ilonzyill in :i&ALTAR&;ik. 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 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 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 Catawba County Environmental Health 4 I 1, .846b I �8 � j I t i ��- CA A �&q n5 .��' , '� mss % s p7. N i"/ ttly/f fit, . i Q i • / / l, I r �j/% !' g4f f % 01017' �" �' p (� Y94. 'Cr �� . .yam' / r / 6 f J • 0�j p 1 .- . ,/ \ , . ., 1 • • i Parcel: 461901465310, 8462 DOG LEG RD lin=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 08/19/2016