HomeMy WebLinkAboutIMPV-08-2016-076130.TIF Case N
CATAWBA IMPV-08-2016-076130
.�tit y Public Health Department Subdivision PAUL MACKIE
4 �4, H Environmental Health Division PIM 367904730468
.--its P0 Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 44-47
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NAME ON PERMIT: SCARLETT HARRIS, 2849 MT PLEASANT RD, SHERRILLS FORD NC 28673
Site Address: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609
Property Size: Square Feet: 20,473.20 Acres:0.47
Directions: Hwy 16 South to Buffalo Shoals Rd, Left onto Buffalo Shoals Rd &go past Balls Creek Campground,
Campground View d is 1 mile on Left, Property is on the Left (next to last lot)
Owner/Authorized Representative Acknowledgement of Permit Receipt
.7K I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
ICAs the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-07-2016-24296 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
"Electronic Image Transmittal/E-mail (Return receipt required)
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
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by 1 CC \TA heat t t (name of personas,nding permit) n�
Signature k'ar v'-i jaw Date/Time Q U C W
Method: Fax mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We want to heat .m you. Please take a few moments to complete our customer service survey at:
http://www.surveymonkey.com/s/EHCustomerService
el,petmit 08125/2016 10:31
,-SlA CATAWBA COUNTY �e ' 1 :'ID Case# IMPV-08-2016-076130
1 L Public Health Department e• '+' Subdivision PAUL MACKIE
Q
" Environmental Health Division dil 'i P[N# 367904730468
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 -. D _ O 1.0i# 44-47
t8.2rf,w 5 G .
NAME ON PERMIT: SCARLETT HARRIS, 2849 MT PLEASANT RD, SHERRILLS FORD NC 28673
Site Address: 4714 CAMPGROUND VIEW RD, CATAWBA NC 28609
Property Size: Square Feet:20,473.20 Acres:0.47
Directions: Hwy 16 South to Buffalo Shoals Rd, Left onto Buffalo Shoals Rd & go past Balls Creek Campground,
Campground View d is 1 mile on Left, Property is on the Left(next to last lot)
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: Keep all parts of septic system and any future repair system minimum: 100' from any well, 10' from
property lines,10' from home. Saprolite system so 100' setback must be kept. Lines to be installed
on contour. Do not grade drive or fill over system or repair area or permit will be revoked.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System:
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 or 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 anti Disposal Systems' (I5A 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 08/25/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/25/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpenuil 08/25/2016 10:31
�A - Permit EHPR7-16-24296
•G CATAWBA COUNTY
Name Scarlett Harris
., I G Public Health Department
Q "rya H Environmental Health Division Address 4714 Campground View Rd
K�;J MOW' C PO Box 389, 100A Southwest Blvd, Newton NC 28658 Catawba NC
�, (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 367904730468
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Site Plan Improvement Permit
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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 AppID: EHPR-7-16-24296
Owner: Scarlett Harris Applicant:
Address: 4714 Campground View Rd Catawba NC Date Evaluated: 8/24/2016
Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: pvt well [ ]Spring [ ]Other
Evaluation Method: pits by applicant [ ]Cut
Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed
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,. �1� ,1s4r,��i1���14�N�k3ia . .m,14 ��l��il ��,tl�.,�hPROFILE.FACTORS.: a� Gr l�� �•1f� f. roar
'1.,‘.1.4,,;:Ill l gr 1940 �•�i tv p!- '.14! "III I M A n'P w �� *flit 1942P14�, r« U I1$ rl 46;•••-•4'
; " , +i ' i rr of •'��It II if I Iv .li-
lib {Landscs le horizon� " + 1941 ',..,:A
.7 1 r��! ���1941 it
( : Soil f lei{r ��1��9431 I 1956 1 (( ff�NN] r 1�"1
�1 . ' nu : ;� LIi II 5�, u" .''t} . Bitty. �� p ' 34 .Profl'N7,I .
` it t 6��6 ,„,u t s . d d e,I Hli�l I h NII�,`; i �I i� l i r a on,;, i i r: !r I „s:.. a �I i',,,.11,11 U B
IE~'. tt' -h {I Position% IIII Dept Structure% + ,1. Consisternce'r ..yp II t t Wetp1110 1�.I * ;:Soda i�i J Sapro�j etrI Iii�f{ ,aClasIit 't-
,� . 1 1" Y i ,, ) L �'
# ,u„f,,Slope%7,; TO r �d,�Texture _ a[fri,tt ineralogy..i : VIII4,i �,Col01111,�i., Depthl(IN. .. assail; ( S Honzx • ii 8,11-TAR fi
1 LL4-6% 0-14” SCL SS SEXP SP FR
14"-60" SCL Sap 14" PS.35
2 LL 4-6% 0-24" SCL SS SEXP SP FR 24" PS.35
24-60" SC Sap var depth avg 24"
3 LL 4-6% same as 2 24" PS.35
4
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG IVA 50% Others Present:
Site LTAR .35 .35 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 Mi neralogv
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
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