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Home My WebLink AboutAUTH-09-2016-076683.TIF /IV) \ CATAWBA COUNTY Case# • /, Publi„Health Department iSubdivision { /" Environmental Health Division PIN# 368804746467 2/Y PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 3 g� • NAME ON PERMIT: PAUL NELSON, 2865 MATHIS CHURCH RD, CATAWBA NC 28609 Site Address: 2853 MATHIS CHURCH RD, CATAWBA NC 28609 Property Size: Square Feet: 257,396.04 Acres:5.909 Directions: HWY 16 S LEFT ON BUFFALO SHOALS RD RIGHT ON LITTLE MOUNTAIN RD LEFT ON MATHIS CHURCH RD BESIDE 2850 MATHIS CHURCH RD ON LEFT SIDE Owner/Authorized Representative Acknowledgement of Permit Receipt I° I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. tr As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-08-2016-24511 , by the following method(s): JReceived 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: 09/12/2016 4, Owner/Authorized Representative Signature Date Documentation of Permits) 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 elipennit 09/12/2016 09:19 ,TSA CATAWBA COUNTY ❑s :t p e. Case# AUTH-09-2016-076683 .� Public Health Department311.7 lixtl: ' Subdivision �; 2 4 ^-'��2! , Environmental Health Division r PIM 368804746467 �ai^� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 o k"'W+MYD LOT# 3 /8.2 w 0 Ol NAME ON PERMIT: PAUL NELSON, 2865 MATHIS CHURCH RD, CATAWBA NC 28609 Site Address: 2853 MATHIS CHURCH RD, CATAWBA NC 28609 Property Size: Square Feet: 257,396.04 Acres:5.909 Directions: HWY 16 S LEFT ON BUFFALO SHOALS RD RIGHT ON LITTLE MOUNTAIN RD LEFT ON MATHIS CHURCH RD BESIDE 2850 MATHIS CHURCH RD ON LEFT SIDE Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS Soil LTAR: .3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? No Basement Plumbing? No Bedrooms: 3 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 4 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system and any future repair system minimum: 50' from any we11,10' from property lines, 5' from home including decks. Lines to be installed on contour. Lot has been graded and contour altered prior to evaluation. Additional grading must be done to take drainage away from septic system area. Met with owner and grader on lot during evaluation and discussed drainage. A pump or rerouting plumbing from home and setting a new tank may be required for any future repair system. System, repair ,and well are in locations proposed by owner. 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. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair Repair System Required? Required System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LTAR: .3 g.p.d./ft2 chpcnuit 09/12/2016 09:20 SpA CATAWBA COUNTY Case# AUTH-09-2016-076683 791, Public Health Department Subdivision kni �: W�I Environmental Health Division PIN# 368804746467 qtr.. PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 3 1842 ,. NAME ON PERMIT: PAUL NELSON, 2865 MATHIS CHURCH RD, CATAWBA NC 28609 Site Address: 2853 MATHIS CHURCH RD, CATAWBA NC 28609 Property Size: Square Feet:257,396.04 Acres:5,909 Directions: HWY 16 S LEFT ON BUFFALO SHOALS RD RIGHT ON LITTLE MOUNTAIN RD LEFT ON MATHIS CHURCH RD BESIDE 2850 MATHIS CHURCH RD ON LEFT SIDE PUMP *MAY BE* REQUIRED 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 Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct 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 ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any eiven neriad of time. Jason Boyd 09/12/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ape'mit 09/12/2016 09.20 � A Permit RBPR-8-16n-24511 G CATAWth COUNTY Name Paul Nelso a Public Health Department Q• meal . _� Address 2853 Mathis Church Rd Catawba fin Environmental Health Division 441,„.x, PO Box 389, 100A Southwest Blvd, Newton NC 28658 NC /842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 368804746467 Site Plan Authorization to Construct iD o' r� IQz✓' , A„c. 9.590 2- 1 (I G 3 .aJ156 -t-1 r!'D_,_. c....--4,, _ 1,l/I V / 1„,-11 a r �- 1 -2 iz 9-5 a-;..5 • l ti j(----r- 2,s” 0 Ti 1$ I ' 2 30' 7 •JK 1W1 M. T 7 7 6 cr _�\ 1...Aa. W '- -- - - -- - — # t) 'I - _ II ar.''t-1 C`O?ri PD [ u-k' 1 GIS,0 4c j , C T! ( sa . gq ' (3-2 •$a, ' 7 /i -+ („ -s C 1- - c" k 4 ) 110' , - N,- '1M T , t< J..-.d P r", o /' }- o 2.v c luc"t''' N, 'C C. Li+ EN r a ro ,y—Qie._ 4 trey Pro-r a.- 1-kv e_ I III 6/ I I 0 S'1- 10 o- 2X 1-��xi u..o) To a "t-r�' C/• Cl W��/ IAC Scale / / ProM 5vS-1---*� 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: RBPR-8-16-24511 Owner: Paul Nelson Applicant: Address: 2853 Mathis Church Rd Catawba NC Date Evaluated: 9/7/2016 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 with bullzdoner by grader(Randy Sipe??) [ ]Cut Type of Wastewater: X Sewage [ ] Industrial Process [ ]Mixed IP�u i{�,,��. VII], il, i+{;'dry ,l';', �,s, Ijl h��IGI��I�j ill�(� :��NII,�'I I��i ',n{ Vr #aaJll I��'"� I I I ( � Ill�f� an��N`,:4`F�1 KA P i? �'i �I, 4:191;9,q(:" R i • t! r 3 a ,II": lift' ft 1 i'l k( Illit . 1s6iL.nMO�rPH ili8' i!I!!!' x '' , li I i1�I�IIIiirl ,�b- h �I1' t (ll1P1 . 1' 111iJ, y'.Iti.4 1I �'t�'1� ,'1' I�r cl 'I ill1 u ,�''' I1I I Y'�1' I ' I ' IIS it m '10 1I '-'.• ' '1 '^i IF o : + � �A�f 11�,{ i�E, � u llN��l� r..�19��I {�,��tu�l ,'tu,�l yl i �� PROFILEI FACTORS' hn I k.:ui dCl 1' �I] � 1t, t1 1 . ,II 1940th f I ,t, .t r , I . pFk f i7v yl ,� 11 , { i , { 3 ae; ) g;; .iii t I .'19 . 41.11W ll941 t sail I 1 et [ r�; J P t t ,',l ,I, ,^ lliui '( s 1 I ,, t raay I i ,Ory' I� . mII� h 111f9441rt Mt IL ,,{f{ YLanlds �Pe.i .t°1;1 1III fil Iiia tl ! ii jai' i ,, �r�, , {"1'I'd 151idJi 11{;hlit �1 1943iiI I 1,•956 , 194m ) F � N ..„„„ �0,,, tib( E r.jl ]I RRosiion 1i Depths 'Structures ' Coen,istenceigh ' ' Wetness!1/ �11 I 1 IIIt,4t[So4lg Sapro II Restrl : iclass'jI o:113:dshilon/it Ir ,{at nm,,, �; r .� dArde nnittl I1I11hIJIu De th1(IN, ��Clas 'AC 1Tiori4 i LI' #-''J>I1 .f ;;Slope%{i ,(INi)5,Iti hit �17[J 4Mineralogy„ �'•rcdz bs, i �,.11tlI,11Color, I p ) [ - �19iHoriz N 1 &ILTAR I1 1 LL 2% 0-48" SC SS SEXP SP FR 48" PS.3 2 0-6" topsoil 48" PS.3 6-30" SCL SS SEXP SP FR 30-48" SC 3 4 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG IIIG Others Present: Paul Nelson, Mrs Nelson,grader Site LTAR .3 .3 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet COMMENTS: Lot graded for home and positive drainage prior to evaluation 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 S � z�