HomeMy WebLinkAboutIMPV-08-2016-076310.TIF X3A CATAWBA COUNTY Case# IMPV-08-2016-076310
�[.}9�. Public Health Department Subdivision Brian and Patricia Major
4 Environmental Health Division PIN# 367704515065
1v01°' PO Bos 389; 100-A Southwest Blvd,Newton,NC 28658 LOT# 2
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NAME ON PERMIT: BRIAN MAJOR, 4183 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Site Address: 4199 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Property Size: Square Feet: 54,450.00 Acres:1.250
Directions: Hwy 16 S, Right Anderson Mtn Rd, approx 1 mile property on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
d3n I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
(m As the property owner or authorized representative, I have received the above referenced permit(s) as
X
requested in the application for service EHPR-08-2016-24464 by the following method(s):
/Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
13N) As the property owner or authorized representative I have reviewed and understand the specific conditions
/Y-- 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: 08/31/2016
Owner/Authorized Representative Signature
Date 9 -3/ l/v
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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ehpermit 08/31/2016 09:57
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�6A " \ CATAWBA COUNTY ❑B I 7--: r-• Q Case# IMPV-0S-2016-076310
.C'Lula y Public Health Department1:7d Subdivision Brian and Patricia Major
E"`B ; „'5, Environmental Health Division '�_, PIN# 367704515065
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� -2 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 � �-� i '' LOP/ 2
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NAME ON PERMIT: BRIAN MAJOR, 4183 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Site Address: 4199 ANDERSON MOUNTAIN RD, MAIDEN NC 28650
Property Size: Square Feet: 54,450.00 Acres:1.250
Directions: Hwy 16 S, Right Anderson Mtn Rd, approx 1 mile property on right
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: 50% REDUCTION
Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
Permit Conditions: Keep all parts of septic system and any future repair system minimum: 5' from home,10' from
property lines,50' from any well. Lines to be installed on contour. Do not grade drive or fill over
system or repair area or permit will be revoked. Authorization to Construct and well permit required
prior to obtaining any building permits.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: (TIE -PPBPS GRAVITY DOSED SYSTEM
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 Ru/es 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 08/31/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/31/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpcnnit 08/31/2016 09:57
VA Permit# EHPR 8-16-24464
G CATAWBA COUNTY
Q' Name Brian Major
A 2 Public Health Department Address 4199 Anderson Mountain Rd
J Weil ,; Environmental Health Division
a\ � �� PO Box 389, 100A Southwest Blvd,Newton NC 28658 Maiden NC
X84 M (828)465-8270 Fax (828)465-8276 TDD(828)465-3200 PIN# 367704515065
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-8-16-24464
Owner: Brian Major Applicant:
Address: 4201 Anderson Mountain Rd Maiden NC Date Evaluated: 8/30/2016
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 [ 1 Cut
Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed
iP 1rGIa`1 I '� 4t,l qpi I ( �] 71fl�Ip9 it yNilPu url{µI.,�, t i Iw ati�a,I �ti 'imp( hill,N,',. 'y,
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o f {l r !iH I�'�II�I'l`SOIL MORPHOLOGY 4`; 1 r ri ir It r b.!It i iii' II'�:, Til i . 1''I h J. r 4 l:':{ i71t r I �MFilil is (i tllP FIll,, .1,1 4.10 74414 ,ll' t�rfi ( il „,,-,:i1 pPl)i I,., IA1ic
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F�, 4 ” °1'v�r � r (' r pi L tlfr k. �iblil i94J115,` ''V':i +" IMT. ' Ni1Nl]NF II ' PROFILE FACTORS m ]flit- ;IP ° 4'll q ;{
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L� n€1,. ii -�Iandscape Hyorizon; rHI1941r' '•fi i 'II ,rid]'... 1941 1'.],;1r jti, iNjsoilli fnM]. '' g1943 ,:.:�1956U `1:194411 ) ' µProfile�fi.tj��:'.
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# 1. A, L Slo e./1V , I(IN , 1] .exturei I �i1, ,�Mineralo r dColor, ,,,C rDe thrl INl fi'Class „_ Horizll Y�'"' r`,'
1 LL 3-5% 0-6" topsoil
6-48” SC SS SEXP SP FR 48" PS.3
2 same as 1 48" PS.3
3 same as 1,2 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) IIIE 50% IIIE 50% Others Present:
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 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
ER-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
SA._ II— 5