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HomeMy WebLinkAboutIMPV-08-2016-076127.TIF A a CATAWBA COUNTY Case# C ®; Public Health Department Subdivision < 11101,t"I, Environmental Health Division PINI# 460701274619 •-Pb Bos 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# 1 IH42 w NAME ON PERMIT: *SPIVEY CONSTRUCTION, PO BOX 4268, MOORESVILLE NC 28117 Site Address: 3579 DOCKSIDE LN, SHERRILLS FORD NC 28673 Property Size: Square Feet:60,112.80 Aeres:1.38 Directions: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane 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 7L property described above. (a AD As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-07-2016-24385 by the following method(s): s/Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) V' 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: 08/25/2016 j ` � Owner/Authorized Representative Signature ) Date 91 -1a- 2L 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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpernul 08/25/2016 10:26 �\N CATAWBA COUNTY ❑e r ' °' i`:�❑e Cuse/I IMPV-08-20I6-076127 Q' , Public Health Department } Subdivision 2 � < „'sem) Environmental Health Division }' a 75.. } PIN/t 460701274619 1 mt® V PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 G,r ° ° '' LOT! 1 842 8 r NAME ON PERMIT: *SPIVEY CONSTRUCTION, PO BOX 4268, MOORESVILLE NC 28117 Site Address: 3579 DOCKSIDE LN, SHERRILLS FORD NC 28673 Property Size: Square Feet:60,112.80 Acres:1.38 Directions: Hwy 165 to Hwy 150E Left on Mt.Pleasant Rd. corner of Mt. Pleasant and dockside lane Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: See AC for permit conditions REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR 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' (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. Jason Boyd 08/25/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/25/2021 No grading or construction activity is allowed in areas designatedfor system and repair without approval of the Health Department. ehpenuit 08/25/2016 10:26 it e0) A, o � , NF " J� � v �� 0C � ., it V ,y h '' ',... • © ;. :7' tri t,,,,• r `e! a. A L (Ir.'," 01 M U r-L. r- ''I,I 4 O • of V� F, G cli.��.. CA. V� Y ,`n . P. 0 IS to s 1 fir'- Un ti 1) 4r` .:S n 71 _9 yq Cr 'J ..,1‘ is ail a �-- ply F. • IA n_CiNfig t sr. \v.) . , s . .rat 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 GPDIFT2 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: DEPARTMENT OF HEALTH AND HUMAN SERVICES Street_I _! of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL.HEALTH SECTION PROPER.].01 ID#:4607012746)9_ ON-SITE WATER PROTECTION BRANCH COUNTY-.Catawba SOIL./SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Compltic all liclds in full) OWNER: Dockside Storage LLC __. APPLICATION DATE ADDRESS: DATE EVALUATED: PROPOSED FACILITY: 3 Edna PROPOSED DESIGN FLOW(.1949):_360 GPD PROPERTY SIZE:_1.38 AC LOCATION OF SITE:3579 Dockside Ln,Sherrils Ford PROPERTY RECORDED: WATER SUPPLY: E Private 0 Public E Well ❑ Spring ❑Other EVALUATION METHOD: Auger Boring E Pit 0 Cut TYPE OF WASTEWATER: E Sewage 0 Industrial Process 0 Mixed • - � • •P SOIL MORPHOLOGY. ; OTHER F • _ 't (.1941) . . . PROFILE FACTORS -' I L ';.1940 y a - P LANDSCAPE ' HORIZON - •... . 1'O SITION( •' DEPTH ' 1942 - PROFILE o SLOPE,% • • (L\:)` • .1941 .1941 r. SOIL, : 1943 _ .1956, .1944 _ CL.15S STRICTtil lJ" . CONSISTENCE/ 11'EI NISS/!'- '' SOIL tSi1PRO ' RESER' „S CHAR TEXTURE'),. ' MINI:RAY:OGV COLOR `'.DEPTH cy,15S , Holt I"7. ' LS 6% 0-30 R CL WSDK FR SS SP SEXY N/A 30" P-C SAP N/A PS 0.3-0.4 I PS • • PIT 30-61 SI.SAP M VFR SS SP SEXY I 1 LS 6% 0-IS R C SBK FR SS SP SEXP N/A 34" NM I'S 0.3-0.4 F-c SAP PR 18-10 R CI.WSBK FR 55 SP SEXP PS 2 40-62 SL SAP NI VFR SS SP SEXP • LS 6% 0-IS RCSBK FR SS SP SEXP N/A 32 N/A PS 0.3-0.4 ' PIT 18-32 R CL\VSBK FR SS SI'SEX!' F-C SAI' 1 3 32-65 SI.SAP NI VFR SS SP SEXI, PS . • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1915) 900 FT2 400 FT2 System Type(s) 25%Reduction PYl3PS EVALUATED BY: MA&A OTHER(S)PRESENT: Site LTAR 0.3 03 COMMENTS: Updated Febmaty 2011