HomeMy WebLinkAboutIMPV-09-2016-076655.TIF 7�n \ CATAWBA COUNTY Case# IMPV-09-2016-076655
I'+�y Public Health Department Subdivision
�! ti Environmental Health Division PIN# 470004535010
"4g�°
J84 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO'F# 3
/842/
NAME ON PERMIT: LOIS FLOWERS, PO BOX 558, CATAWBA NC 28609
Site Address: 1096 MELVIN LN,
Property Size: Square Feet: 128,066.40 Acres:2.94 '
Directions: Hwy 10 E, right Murrays Mill Rd, left on Sherrills Ford Rd, left on Hopewell Church Rd, cross bridge left on
Marys Dr, property on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
��1 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
\As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-04-2016-23774 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: 09/09/2016
Owner/Authorized Representative Signature / 19 e-
Ai
Date y— /a — / 69
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:
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ehpermit 09/12/2016 13:10
CATAWBA COUNTY 17- !1-1•. 0 Case# IMPV-09-2016-076655
,C' 11G2, Public Health Department
Jr. Subdivision
4. *ow Y Environmental Health Division , t L� PIN# 470004535010
° PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 _ LOT# 3
18.2 :� �C r A
,or- DY
❑� �. .
NAME ON PERMIT: LOIS FLOWERS, PO BOX 558, CATAWBA NC 28609
Site Address: 1096 MELVIN LN,
Property Size: Square Feet: 128,066.40 Acres:2.94
Directions: Hwy 10 E, right Murrays Mill Rd, left on Sherrills Ford Rd, left on Hopewell Church Rd, cross bridge left on
Marys Dr, 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 SPECIFICAI'IONS
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-CONNTRENCH SYSTEMS
Permit Conditions: Keep all parts of septic system and any future repair system minimum: 50'fromany well,10' from
property lines,5' from home including decks. Lines to be installed on contour. Do not grade drive or
fill over system or repair area or permit is revoked. Due to concerns by EHS regarding 45' ROW and
property line crossing into Duke Power right of way, owner was directed to contact them and zoning
to verify that recording lot lines and right of way inside their right of way was allowed. Prior to
issuance of any Authorization to Construct, the lot lines must be strung from iron to iron illustrating
property lines and the Duke Power Right of Way must be clearly marked with the lot being cleared
of underbrush and the house must be re-staked. This must be done so that septic installer and well
driller can verify required setbacks as needed prior to any installation activities. Due to standing
water in holes at time of evaluation, a subsurface diversion drain must be required around the septic
system.
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
PUMP REQUIRED ***** OPERATOR REQUIRED
ehpermit 09/12/2016 13:10
\-3/k CATAWBA COUNTY Cast# IMPV-09-2016-076655
u.lir 2 Public Health Department Subdivision
C VI& „"t, Environmental Health Division PINY 470004535010
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3
/842 SM
NAME ON PERMIT: LOIS FLOWERS, PO BOX 558, CATAWBA NC 28609
Site Address: 1096 MELVIN LN,
Property Size: Square Feet: 128,066.40 Acres:2.94
Directions: Hwy 10 E, right Murrays Mill Rd, left on Sherrills Ford Rd, left on Hopewell Church Rd, cross bridge left on
Marys Dr, property on right
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' (ISA 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 09/09/2016
AUTHORIZED STATE AGENT APPROVAL DATE
09/09/2021
Permit Expiration Date:
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 09/12/2016 13:10
4
A Permit# EHPR 4-16-23714
HCATAWBA COUNTYmentName Lois Flowers
'� Public Health l H Department Address 1096 Melvin Lane Catawba NC
Ua�lw� Environmental Health Division PIN# 470004535010
CV PO Box 389, 100A Southwest Blvd, Newton NC 28658
/842 sw (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Lot 3
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-4-16-23714
Owner: Lois Flowers Applicant:
Address: 1096 Melvin Lane Catawba Date Evaluated: 8/29 and 9/2/16
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 Doc Brice [ ]Cut
Type of Wastewater: X Sewage [ ]Industrial Process [ ]Mixed t1�
Por } ply: lll-ilYlir,'hr II'"i� 11 I I I I �. t.I II it 111<t I� III 1}I7.�`5* pill 1 iIF� ;7jP p 111 p x?AAs III I{1'-,- 111 , ,
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T t . .ns 1.l 1SOIL�I�MORPHOLOGY I Vte Te a s tat` 14�� lib 14- I 1 II r I I I t'14;2140,1 x21111
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1.t.11” 119401yy .��1 ' �$a o- '1•!-• a; - 1 .;w'>rN ,pmx*t1„1* r . L N' 119421 . ` 1 lig, ( `4' » pp1p l
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L Y Landscape Honzonl (4:::129:1;1„. 1941 !%)-'11-/1/1:„ ,r I�iSoil ll 419431 �'f,1 .99561r.1/1 1944 :It 11't Piofile , 1
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E .0_ 'ft Position/ 1 Depo�p ( Strit0.5e/II I 'r pnslstenbet�,]II i s -If.1 Wetness/' ps;;d111$ok t y;;r.:p - 'n�R1lstr 1 11ri�Ga�ss l I �,a.
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1 LL 3-5% 0-6” topsoil
6-24" SCL holes had standing water 48" PS 25
24-48" SC SS,SP,SEXP,FR approx 18"on 8/29
2 same as 1 48" PS.25
3 same as 1,2
48" PS.25
4
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd
System Type(s) IIIG 25% IVA 50% Others Present: Megan McBride
Site LTAR .25 .25 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
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
CATAWBA Geospatial Permit Center
Information Services
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Parcel: 470004535010, 7710 MARYS DR CATAWBA, 28609
Owners: MCCULLOUGH LOIS CONNOR, null
Owner Address: PO BOX 558
Values - Building(s): $74,300, Land: $47,800, Total: $122,100
i,c,P Jc +e_.5 -} e :1-s P D r x3-7/3 .9 a371k-f
This map/report product was prepared from the Catawba County NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct.indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
09/09/2016