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Home My WebLink AboutIMPV-12-09-3253.TIF IMPROVEMENT PERMIT For Office Use OnIV Catawba County Public Health Department *CDP File Number 3 6 7 9 7 ' Environmental Health Division County ID Number: FHPR-11-09-2889 P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: nq Jf~ _ p~,~~ ,3 Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL' `12/7/2014 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Gregory Padgett Property Owner: Address: Add res s : City: City: State2ip: NC State/Zip: Phone Phone Property & Site Information Address/Road Subdivision: Bakers Mtn Estates Phase: Lot: 57 1020 Horse Rock Rd Hickory NC Directions Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: *Water Supply: PUBLIC System Specifications Initial Svstem *Site Classification: Minimum Trench Depth: Inches Oesign Flow: 4 8 Maximum Trench Depth: Inches Soil Application Rate: Septic Tank: Gallons 1-Piece: QYes QNo *System Classification/Description: Pump Required: QYes QNo OMay Be Required Pump Tank: Gallons *Proposed System: 1-Piece: O Yes QNo Repair System Required: 0 Yes ONO ONo, but has Available Space Repair System Site Classification: PS Minimum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Maximum Trench Depth: 3 6 Inches *System Classification/Description: Pump Required: *Yes QNo Q May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: 1 0 0 0 Gallons 'Proposed System: 50%REDUCTION Page 1 of 3 CDP File Number 36797 County ID Number: EHPR-11-09-2889 "Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Decks were built over top of septic tank and drainfield after the installation inspection, conducted on 8-16-00, of the septic system. At the time of the issuance of this permit the system was in use and no malfunction was evident. However, the placement of the decks does not meet the current NC wastewater rules and this was explained and visually shown to the potential buyer Gregory Padgett on 11-20-09. If the constructing of the decks overtop of the septic system causes damages to the septic system Catawba County Environmental Health is not responsible. 'If the constructing of the decks overtop of the septic system causes damages to the decks Catawba County Environmental Health is not responsible. *Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. .'This permit is for the changing of the repair area from the design of the original permit due to the expected addition of a pool in the back yard. ' Pool must be 15 It minimum from septic system. 'Do not grade more than two (eel in depth within 15 feet of septic system during the construction of the pool. 'This permit is NOT for the installment of any septic system. Site Plan The Improvement Permit shad be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters). Plat The trnprovethent Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 few that includes: the specific location of the proposed facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may Impose conditions on the Issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit is subject to revocation if the site plan, plat, or intended use changes (NCGS 130A335(f)). The person owning or controlling the systern shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance, monitoring, reporting, and repair (1938(b)~ Applicant/Legal Reps. Signature Requi d? ()Yes O ? y9 Applicant/Legal Reps. Signature: Date: AIL 'Issued By: 1952 -Phelps, Robert Date of Issue: 1 a / 0 7 / a 0 0 9 Authorized State Agent: A& OValid without Expiration? *Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** TotalTime:(HH:MM) 0 Hours M mutes Page 2 of 3 CDP File Number. 36797 County File Number: a"Pa-1 1-09-2889 Drawing Type: Improvement Permit Date: 1 D 0 7/ D 0 0 9 Qlnch Scale: Q6{ock = ft. pN/A Drawing to ---79 - So a~L Poo / .A L c`J.1 0vJA_ N 6a en Asti Lv Sail ~a (A) vc to&, 0 b 15-7 la N Page 3 of 3 NCDENR Division of Environmental Health `Date: 1 / e s/2009 On-Site Wastewater Section Soil/Site Evaluation 'File 4: 3 6 7 9 7 For On-Site Wastewater System PIN EHPR-11-09-2889 *Owner Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 4 8 0 Location of Site 1020 Horse Rock Rd Property Size Water Supply PUBLIC Evaluation Method Pit Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile POS Slope 96 (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-36 SC sbk fr ss sp .1942 Wet. % 36-48 SC sbk fr ss Sp chroma 4 .1943 Depth 4 8 GPS Saprolite: (n) O .1944 Rest. Horizon EHS .1947 Class Profile LTAR 0 • 3 042 SCL sbk fir ss sp .1942 Wet. % 4248 SC sbk fr s sp .1943 Depth 4 8 GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class EHS f~~' opy rofile ILTARe 0 . 3 .1942 Wet. % 1943 Depth GPS SaproUtmin) .1944 Rest. Horizon .1947 Class EHS Copy Profile Profile LTAR _ .1942 Wet. % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class 12 EHS opy rofile Profile LIAR .1942 Wet. % .1943 Depth GPS Saprolite:(n) .1944 Rest. Horizon 1947 Class EHS opy ofiile Profile LIAR Available Space (.1945) Other Factors(.1946) Site Classification (.1948) Initial LTAR: Repair LTAR: 0 . 3 Others Present: Lucas Sears Comments: Evaluated By: Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 / 0 6/ 2 0 0 9 Soil/Site Evaluation Fie 9: 3 6 7 9 7 For On-Site Wastewater System PIN E H P R- 1 1- 0 9 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 10 EHS .1947 Class Copy roll IProfile LTAR .1942 Wet % .1943 Depth GPS Saprolite:(tn) .1944 Rest. Horizon ro EHS .1947 Class Copy-Prolile Profile u iLTAR .1942 Wet. oho .1943 Depth GPS Saprolite:Gn) .1944 Rest, Horizon .1947 Class 10 ENS Copy rofil Profile ILTAR .1942 Wet. .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class EHS Copy, J!rofile Profile ILTAR .1942 Wet. % .1943 Depth GPS Saprolite:0n) .1944 Rest. ,,rro Horizon .1947 Class EHS Copyorolll Profite- U PAR Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. The 'Import' button, attaches the drawing, or other image into the space below. Open Drawing Form O V Profile: 1 ®X Y Z Profile: 2 X Y Z Profile: Q X Y Z Profile: Q X Y Z Profile: X Y Z Profile: ® X Y Z Profile: ® X Y Z Profile: ® X Y Z Profile: ® X Y Z Profile: ® X Y Z EHPR-11-09-2889 TRACKING INFORMATION Date Calls 11-24-09 1St Contact - Discussion Only 11-24-09 Site Ready to be Flagged 11-24-09 Site Flagged 12-3-09 Site Ready to be Evaluated 12-3-09 Site Evaluated 12-3-09 Approved for Issuance Other Date Comments/Field Notes too CATAWBA COUNTY HEALTH DEPARTMENT N° 7 4 5 Telephone- (828) 465-827 DD• (828) 465: O 05, Imp Prmt. to Co Rpr Print. Opr Print. Sys Type Well Prmt. Well Rpr Pf . Owner/A ent .c Phone. 2 )21 Address g 2 Subdivision /-S AVI-1 Section/Block/Phase Lot# S Lot Size. Directions Q ' /I 1Z7 S - L f UI C ~e l cn,j t~ I n - r j Facility- House .obile Home Business Multi-family Other' Tax Map or Pin Number ' Other Zoning Approval # _Z60 l0 2 # Bedrooms # Seats # Employees Application Rate e ' GPD Flow Hot Tub or Spa ye o al Fixtures Basement ye no 100% Repair Area yes/no Basement Plumbing o Water Supply- Private Well Public Semi-Public Type of System. Tre. hBed Pump Pump/Panel Panel LPP er v Septic Tank Size )po o Pump Tank Size Nitrification Field. Total Square Fe t Depth of Stone Bed Size Trench Width Total Length of All Trenches Number of Trenches S~ i Trench Length,5& ISO/S0/56 /SG 1 &0 Feet on Center Maximum Trench Depth ~d [ Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPL T Topo6 9 % Slope I ZZZ a Texture Structure Clay Min. I ` Soil Wetness Soil Depth. Restric Hoz at . I Y (2 ! r Available space e o I ` Overall Class PS I - - "m _ - - - Comments ~ d I I ~5 Filter Required Riser required when I ®D / 5 IG { tank is more than 6 ( ~NAS inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIU TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well. Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. Permit Date C/Z) EHS Owner/A nt Septic Tank Ins d y Date - ' 0 EHS Well Installed By Well Grout Approval Date Well Hea Approval Date Date Sample Collected Date of Results Results EHS White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct