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Home My WebLink AboutIMPV-12-09-3314.TIF For Office Use Only IMPROVEMENT PERMIT *CDP File Number 3 6 a 4 Catawba County Public Health department Environmental Health Division County ID Number. EHPR-t t-09-2572 Evaluated For: NEW .,"P.O Box 389, 100-A Southwest Blvd vs " ° Newton NC 28658 Township: / Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL 1212!2014 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Ralph Cline Property Owner: Ralph Cline ti Address: 2231 Mt. Olive Church Rd. Address: 2231 Mt. Olive Church Rd. City: Newton City: Newton State/Zip: NC 28658 State/Zip: NC 28658 Phone: Phone 9: Property & Site Information Address/Road Subdivision. Ralph E. & Sherry R. ClinE Phase- Lot. 2 Mt. Olive Church Rd. Newton NC 28658 Directions Structure: SINGLE FAMILY of Bedrooms: 3 4 of People: 'Water Supply: PUBLIC System Specifications Initial System 'Site Classification: PS Minimum Trench Depth: Inches Design Flow: 3 6 0 Maximum Trench Depth: Inches Soil Application Rate: 0 3 Septic Tank 1 0 0 Gallons 1-Piece:. C Yes 0No `System Classification/Description:DISTRIBUTION Pump Required: &Yes ONo 0May Be Required TYPE IV A. ANY SYSTEM WITH LPP Pump Tank: 1 0 0 0 Gallons *Proposed System : 50% REDUCTION 1-Piece: Yes ONo Repair System Required Yes ONo ONo, but has Available Space Repair System `Site Classification: Ps Minimum Trench Depth: Inches Soil Application Rate: 0 3 Maximum Trench Depth: Inches 'System Classification/Description: Pump Required: QYes ONo Q Mav 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 - - COP File Number 36724' County ID Number. EHPR-11-09-2572 *Site Modifications Q Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Depattment. *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. Prior to the issuance of the AC, several things must be done: 1) The existing well on lot 1 that is not in use rnust be properly abandoned. A well abandonment permit is required, fees may be applicable. 2) Property lines must be strung. 3) Road right of way (and any utility easements) must be marked. 4) The lot must be recorded. This permit is not intended for installation purposes. Go not drive, grade, cut, or fill over septic area. 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 site for the proposed Wastewater system, and the location of water supplies and surface graters). Plat The Improvement Permit shall be valid without expiration with plat (means a properly surveyed prepared by a registered land surveyor, drawn to a scale of oneinch 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 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 130A-335(q). The person owning or controlling 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)), ApplicanULegal Reps. Signature Required? 0Yes ONO Applicant/Legal Reps. Signature' __-_._Date: "Issued By: 2246 - nfegen McBride Date of Issue- 1 0 a 0 0 9 Authorized State Agent: OValid without Expiration? (S)Hand Drawing 01mport Drawing **Site Plan/Drawing attached.** Total Time (1-11-1 fAM) 0 0 Hours 0 0 tirnutes Page 2 of 3 CDP File Number. 36 County File Number: EHPR-11-09-2572 Drawing Type: Improvement Permit Date: 1 0 a/ a 0 0 9 (DInch Scale: 061ock = ft. Di-awinQ N/A lao ro Mie C 30 X 50 1 T 11.7)? M 1 ~ Yea. - Re aiv PPr~Ps~ Lee e x hA b(ivt 3 ;o ~L ~ .15. Page 3 of 3 NCDENR ` Division of Environmental Hea!tn On-Site Wastewater Section `Date: 1 2 s 2 Soil/Site Evaluation 'File m: 3 6 7 2 4 For On-Site Wastewater System PIN: EHPR-11-09-2572 'Owner Ralph Cline Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 o Location of Site Mt. Olive Church Rd. Property Size 162 Water Supply PUBLIC Evaluation Method pit 1940 Horizon SOIL MORPHOLOGY Profiles Landscape Depth .1941 Other Profile Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-3 SL 2-Moth gr fr ss sp 1942 ;vet of 3-45 CL 2-Mode abk fr ss s ro P 1943 Depth 4 5 Ps CPS Saprottte (in) .19;:4 Rest Horizon EHS 194; Class Ps Megen Merit Prof ie LTAR 0 . 3 2 0-3 SL 2-Mode gr fr ss sp 1942'Alet % 3-45 CL 2-tvtod( abk it ss sp .19,13 Depth 4 5 Ps CPS Sais rotite:(m) 1944 Rest Horizon } 1947 Class Ps EHS Copy P t le Megen fAcBr( Profile g 3 E., I I I I I i i LTAR 3 0-3 SL 2-Mode gr fr ss sp 1942 Viet. ojo 3-45 CL 2-t od( abk fr ss 5p 1943 Depth 4 5 Ps GPS Saproirte (m) 1934 Rest k Horizon --EHS 1947 Class Ps Copr Proffie Megen 1,AcBrit Profile 6 3 LTAR 1942 '.v ei % 1943 Depth GPI Saproitte (in) 1944 Rest Horizon EHS 19-17 Class t Copy Profile Profile LTAR 19.12lret °7 1943 Depth GPS Saprolite (m) 1Q44 Rest Horizon EHS 1947 Class Copy r{,r le Profile VAR Ava liable Space (.1945) PS OtherFactors(.1946) PS Site Classification (.1948)Ps Initial LTAR: o 3 Repair LTAR: 4 . 3 Others Present: Comments: Three additional pits were dug behind the house. They are not described here because they were full of water (groundwater) and were not able to be evaluated. Evaluated By. Megen McBride NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 1 E a 5 1 ) 0 0 9 Soil/Site Evaluation File 9: 3 s 7 a 4 For On-Site Wastewater System PIN 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. % 194'3 Depth GP$ Saproiite:(m} 1944 Rest- Horiaon EHS 19=7 Class Copy Profit profile VAR 9,12 stet. % 19x3 Depth CID- S3pr0lrte (m) 1944 Rest. Horizon 194 7 Class E H S Copyro'!e Profile LTAR .1942 %V et °y 1943 Depth GPS Saprolte (m) 1944 Rest Honzon EHS 1947 Class Copt Pro le Profile LTAR 1942 tVet % 1943 Depth 11 GF- Saprolite (in) 1944 .Rest. Horizon EHS 19x7 Class Cop9,rofrie Profile LTAR 19,2 Wet % 1943 Depth GP_ Saprolite:(m) .1944 Rest Hori3on EHS 1947 Class CopYIrotit Profile 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 so kV E L±0_VSLI r ~v N a~ ~ Sca~e Profile: 1 Z Profile 2 X Y Z Profile: 3 X Y Z Profile: X Y z Profile: ,v9 X Y Z Profile: X Y Z Profile. X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z