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HomeMy WebLinkAboutIMPV-12-09-3275.TIF IMPROVEMENT PERMIT I V1 4' 1 *CDP File Number"uG v 3 6'y9 $ Catawba County Public Health Department f.. Environmental Health Division County ID Number: EHPR-11-09-2797 P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: ~IrI~V ~l J,~O_ 375 Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VAlli) UNTIL' 12J8/20141 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Randy McClellan Property Owner: James HUM Address: Address: City: City: State/Zip: NC State/Zip: Phone 428-3636 Phone Property & Site Information Address/Road Subdivision: Phase: Lot: _ Daniels St Maiden NC 28650 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 'Water Supply: NEW WELL System Specifications rDesign itial System Classification: Ps Minimum Trench Depth: 2 4 Inches Flow: 3 6 0 Maximum Trench Depth: 2 4 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 0 Gallons 1-Piece: QYes QNo *System Classification/Description: TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Required: QYes QNo Q May Be Required Pump Tank: 1 0 0 0 Gallons *Proposed System : 25% REDUCTION 1-Piece: QYes QNo Repair System Required: *Yes ONO ONO, but has Available Space Repair System *Site Classification: PS LPP Minimum Trench Depth: 1 a Inches Soil Application Rate: 0 5 Maximum Trench Depth: 1 a Inches 1 a *System Classification/Description: Pump Required: (F)Yes QNo Q May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: 1 0 0 0 Gallons *Proposed System: OTHER Page 1 of 3 CDP File Number w-vr u County ID Number: - - - *Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. "Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. The Improvement Permit shall be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the 0 site for the proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement 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 feet, 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 O 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 13OA335(f)). The person owning or cortrolling the system 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 Required? Oyes ONO Applicant/Legal Reps. Signature: LIZ ~Zr Date: l 2 6V 'Issued By: 1952 - Phelps, Robert Date of Issue: 1 a 0 8 / a 0 0 9 Authorized State Agent: ® OValid without Expiration? *Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** TotalTime:(HH:MM) 0 Hours Minutes Page 2 of 3 CDP File Number: 36978 County File Number: E"PR-11-09-2797 Drawing Type: Improvement Permit Date: 1 D/ 0 8/ a 0 0 9 Q Inch Scale: QBbck = ft. Drawing ()N/A ~S ° tia Vello do L} 0 0 O` yy ` ~1 i 20 1 V Page 3 of 3 NCDENR Division of Environmental Health 'Date: l /e8 l e 0 9 On-Site Wastewater Section Soil/Site Evaluation *File 3 6 9 7 8 For On-Site Wastewater System PIN EHPR-11-09-2797 *OwnerJames Huitt Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site Daniels St Property Size Water Supply NEW WELL Evaluation Method Auger 1 40 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-32 CL sbk fr ss sp .1942 wet. % 32-48 C sbk fr ss sp +sap .1943 Depth 4 8 GPS Saprolite: (n) .1944 Rest. Horizon EHS .1947 Class I Profile LTAR 0 . 3 Z 0-36 CL sbk fr ss sp .1942 Wet. % 36.48 C sbk fr ss sp + sap .1943 Depth 4 8 GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class 10 EHS opy rolile LTA Re 0 3 3 0-12 L sbk tr .1942 Wet. 0,6 12-24 CL sbk fr ss sp chroma 4 1943 Depth Z? 4 GPS Saprwite:(n) .1944 Rest. Horizon EHS 1947 Class PS LPP Copy rofile Profile 71 LTAR 0 . 1 .7 5 .1942 wet. % .1943 Depth GPS Saprotite:(n) .1944 Rest. Horizon 10 EHS 1947 Class opy rofile Profile LTAR .1942 Wet. .1943 Depth GPS Saprolite:00 .1944 Rest. Horizon 1947 Class 10 EHS ooyL-Pl ofile Profile LTAR Available Space (.1945) Other Factors(.1946) Site Classification (.1948) Ps Initial LTAR: 0 . 3 Repair LTAR: 0 a 5 Others Present: Comments: Mica present in holes 1 & 2 Water purging in hole # 3 at 25 inches Evaluated By. Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date. 1 a/ o s / a e e 9 Soil/Site Evaluation Fie 3 6 9 7 8 For On-Site Wastewater System PIN E H P R- 1 1- 0 9 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth 1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 10 .1947 Class EHS Copy~rold Profile FAR .1942 Wet. .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class 10 EHS I. I Copy,~2,rofile Profile j PAR .1942 Wet. .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class IV EHS Copy rofil Profile LTAR .1942 Wet. .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon ro EHS 1947 Class Copy6ofile Profile- LTAR .1942 Wet. % .1943 Depth GPS Saprolite:on) .1944 Rest. Honzon EHS 1947 Class Copyplofile Profile u LTAR 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 C9 4 v too r n~.r^ r~~rs f I Profile: 1 ® X Y Z Profile: 2 X Y Z Profile: 3 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: Q X Y Z Profile: © X Y Z