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Home My WebLink AboutEHPR-07-2017-27062.TIFr CATAWBA COUNTY ' Case # WLS2008-00637 I=~ P \ Pulilie Health Department Y " Environmental Health Division Subdivision AMANDINE PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 Sect/BL/Ph/Lot # 4 (828) 465-8220 FAX (828) 465-8276 TDD (828) 465-8200 PIN4 91 1461704631335-4 ApplicanVOwner DEBORAH P WRIGHT Site Address: 8596 AMANDINE WAY ®0,54d Sr Property Size: SF .7 ACRES Directions: 16S/ LEFT 150E/ RT KISER ISLAND RD PROJECT IS 1 MILE ON RIGHT Improvement Permit ~ Permit Valid For: Five years ~ No Expiration Facility (Residential): House House X Mobile Home Multi-Family Bedrooms 4 New? _Aef~Addition? Projected Daily Flow L/, 8,4D g.p.d Water Supply Private Well? t/ Public? Semi-Public? Basement: N Basement Plumbing: N HotTnb/Spa: N Special Fixtures (explain): Proposed Wastewater System: n Type: Proposed Repair: 1)n _ T-fri ~l 8r+ Permit Conditions: _ -S be, itlUfcd . w IL n,, ov% PQ" 4,D, Owner or Legal Representati Signature: t Authorized State Agent: V~ Date: y- /8'-1 Date: q-17-0$ 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 7-cows and Rules for Sewa&e Treatment and Disposal Systems' (15A 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. Authorization to Construct Wastewater System (Required for Building Permit) * See site plait and additional attachments ( Proposed Wastewater System: Type: New Repair Expansion Soil LTAR: Tvoe of Facility: Wastewater Flow g.p.d./ft2 g.p.d Basement: N Basement Plumbing: N HoITUb/Spa: N Special Fixtures (explain): Tank Size: Septic Tank Drainfield: Total Area: Trench Width It Distribution: Distribution Box Additional Specifications: Wastewater System Requirements gal Pump Tank gal Grease Trap gal sq ft Total Length: ft Maximum Trench Depth in Minimum Soil Cover in Minimum Trench Seperation Serial Distribution Pressure Manifold LPP Other ft Authorized State Agent: Permit Expiration Date: 1 have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Date: Form B , Videreark\Form,~At1VLS~tun. rnl ' CATAWBA COUNTY Case # Public Health Department Environmental Health Division Subdivision il. PO Box 389. 100-A Southwest Blvd. Newton. NC 2868 V Sect/BL/Ph/Lot # (828) 465-8270 FAX (828) 463-8276 TDD (828) 463-8200 PIN# Applicant/Owner DEBORAH P WRIGHT Site Address: 8596 AMANDINE WAY Property Si SF .7 ACRES Directions: 16S/ LEFT 150E/ FIT KISER ISLAND RD PROJECT IS 1 MILE ON RIGHT ® Improvement Permit 0 Authorization To Construct SITE PLAN W LS2008-00637 AMANDINE 4 911461704631335-4 Well Permit System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocat"on a the site plan or site conditions are altered. /7-013 uthorized St, a Agent Date Form C i:\Tidernurk\ForutsVlVLS.IUU.rut DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL uF a r TH Sheet ON-SITE WASTEWATER SECTION PROPERTY ID COUNTY: SOIL/SITE EVALUATION for ON SITE WASTEWATER SYSTEM OWNER a pPLICATION DATE ADDRESS: PROPOSED FACILITY: DATE EVALUATED: PROPOSED DESIGN FLOW (.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: Private 0 Public 0 We 0 Spring 0 Other EVALUATION METHOD: 0 Aer Boring C7 Pit 0 Cut TYPE OF WASTEWATER: L't Sewage 0 Industrial Process 0 Mxed E2:E::::S::::::::::::E:::::E:::E::::::::::EE:: 6:iEEcei. ::EEEEEiEE Ei;EEEES : isr:::::::::::::i:::::. :::EE:EiiEcE.. .....i :::::::::i . ; . E(Ji E i ie?feEEE iEE iEe EEE:• ::::::::::::i ? ? Ei SO i ? : : : ; ..^iiE':EE cE EEE:'ii i:ii ? ii iii ii' EEiEc Ei ? ;EE . t ' iQ~.OG Y . OTHER: :..:......................::::::::::::.....................:..:........:ROfiL:::: . "AGAR:......:::' . :::::::::::::5 ::::::s :::::ZO X94 .........N::::::::::::..;::::::....... ::::::::::::::::_1~d1:::::::::::::::::::::::::: ::::::::...::::::::•:••::::::::::;;.;;.CiIL:::::::::::::::::::::::::::::::::::::.956 P 3S1T'I'O bEPTf[ .:::s:::STRiIOTIt : NS15 .;.PRONIX: ApRb::::... RL i€ ;:.;:..::....::::::::::::T EELAI:G€€ ;:::~GQI;Z)&:::::::::I3EPTH CLrk$5 . Ei RI : 1 S r S-50 L-sell .MS hole, 1 ~n 0,f L/l Obt+ I 4 IL DESCRIPTION INITIAL, SYSTEM REPAM SYSTEM OTHER FACTORS (.1946): Ava7able Space (.1945) SITE CLASSIFICATION (.1948): r system Type(s) EVALUATED By. OTHER(S) PRESENT: Site LTAR ' COMMENTS: LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGYI LANDSCAPE POSITION GROUP TEXTURE •1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC (Concave Slope) I S (Smd) 1.2-0.9 0.6 - CA NEXP (Non expansive) G (Single Gffim) CV (Convex Slope) LS (Loamy Sand) SEXP (Slightly Expansive) M (Massive) D (Drainage, Way) EXP (Expansive) CR (Cmmb) DS (Debris Slump) II SL (Sandy Loan) 0.8-0.6 OA-03 GR (Granular) FP (Flood Plain) L (Loam) SBK (Submgular Blocky) FS (Foot Slope) ABK (Angular Blocky) H (Head Slope) III SCL (Sandy Clay Loam) 0.6 - 03 03 - 0.15 PL (Platy) L (Linear Slope) S(L (Silt Loam) M (Prismatic) N (Nose Slope) CL (Clay Loam) R (Ridge) SiCL (Silty Clay Loam) MOIST WET S (Shoulder Slope)) Si (Silt) T (recce) VFR (Very Friable): Ni (Non-rocky) IV SC (Sandy Clay) 0.4 - 0.1 0.2-0.05 FR (Friable) SS (Slightly Sticky) Sic (Silty Clay) E (Faro) S (Stich . C (Clay) VFl (Very Firm v. Very Sticky) VS (Very Sticky) 0 (Organic) None ER (E-rly Fitm) NP (Noe, plectic) SP (Slightly Plastic) *Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater flow and quality. p (p>ast;c) NOTES VP (Very Plastic) HO=ArD= In inches below natural soil surface DEPTHOFFILL In inches from hutdsueface R,ES7P,ICTTVEH0R=Ar Thickness and depth from Ind surface S(PROLU S(suitable) orU(unsuitable) SOIL WETAM Inches from land surface to free water or inches from land surface to soil colors with chmma2 or less - record Mansell color chip designation CLdS4IFTi 7YON S (Suitable), PS (Provisionally Suitable), orU (Unsuitable) Evaluation of saproiite shall be by pitL Long-term Aeeeptaa= Rate (LTAR): gdl&ylY Show profile locations and other site features (dimensions, reference or benehmark. and North). % » ..4.. ...5» ...b... ..t.... ..4.... ...yw...4..» ....»w ....T.......... »•••i-»« 4......4.. i•».. ; ; 4 , bw...:.»«..~....«...w..{..»wb.w»:.......:».....:.»wb.««.4.»...4.....».»....:.......•......b.....b....«.«....;.w».~w«M.w..<.......5•.w b.... b L... . ...w.}......y«w .................b«.... «....b...«.r.«.....««.« .«.».:......4..««b•.».•t.«....:...w.:... • . .«.•4.......«....... «..{.......i....... «....:w....+r....4.......~......{.w...i «.....:.«...........4..«..4..«..:...w .:.......:.......y...«.p.«...{.«...~........ ........4..«..i.«....:....... .......:w«.}..«..4•.w.{...w• i 4..»»4.w..b...........«.~..w..:w».4......4.....»...»»i».....~.»...4......{..«..t.«.».~.....;..«...~......0.. . . «.i.«. ...Y.. ..«t.«.««.... ...J....4.. «O. ...4... • ; : ; 4«....»w.«4•.«.....«... .........w..•b....»4..«..:...w.:.w.«:»..••p......4......0......:...«..:«..««......4......{.......:«.»..:.......:.«.«4......4.....K...«.~ 5.. k.. J.....•¢ .................«.......«.4...«.{.»«..4.»...~..w........»......4......4•.«.».....«;......;......¢.•...{.»».•b»....~.......~...«..x......4......4.«... ..r... ».c.... .«........i....y.......... a.. i... I-.. r _ _ ...........t..... _ ...y.... _ DENR (WAM Review DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION &d1t611f1t(- 5 or ON-SITE WASTEWATER SYSTEMOWNER: APPLICATION DATE ADDRESS: DATE EVALUATED. -4 PROPOSED FACILITY: PROPOSED DESIGN FLOW (.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: 0 Private Public Well Spring Other EVALUATION METHOD: Auger Boring 0 Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed € S OII Mo. HOL"O: : : L : . : .':::::L .......LAND : A ::::::ZON ::...:X1941 . : ...pk]O if ilY.} ::...:.....:T 5s : . CTS..................__.. : . . . 1941 :::::SCJ1L ::1943 : 1956 .1.9.94.. TENCE/ I : ::WETNESS/ : : ::SAPRb USTR : PROFILE : : : NERALOGI'.::::. ' ::.COLOR . :::AEPTF>[ : CLASS:::: . ORIZ GI.t1. SS ' : . ::::&:1.T;q R.: N d. _55 C, `70 2 wK 3 Q 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): If Available Space (.1945) SITE CLASSIFICATION (.1948): J System Type(s) / EVALUATED BY: ~ i OTHER(S) PRESENT: - Site LTAR -3 LEGEND use-the followinz standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC (Concave Slope) I S (Sand) 1.2-0.8 0.6-0.4 NEXP (Non-expansive) G (Single Grain) CV (Convex Slope) LS (Loamy Sand) SUP (Slightly Expansive) M (Massive) D (Drainage Way) EXP (Expansive) CR (Crumb) DS (Debris Slump) II SL (Sandy Loam) 0.8-0.6 0.4-0.3 GR (Granular) FP (Flood Plain) L (Loam) SBK (Subangular Blocky) FS (Foot Slope) ABK (Angular Blocky) H (Head Slope) III SCL (Sandy Clay Loam) 0.6-0.3 0.3-0.15 PL (Platy) L (Linear Slope) SiL (Silt Loam) PR (Prismatic) N (Nose Slope) CL (Clay Loam) R (Ridge) SiCL (Silty Clay Loam) MOIST WET S (Shoulder Slope) Si (Silt) T (Terrace) VFR (Very Friable) NS (Non-sticky) IV SC (Sandy Clay) 0.4-0.1 0.2-0.05 FR (Friable) SS (Slightly Sticky) SiC (Silty Clay) Fl (Firm) S (Sticky) C (Clay) VFI (Very Firm v. Very Sticky) VS (Very Sticky) O (Organic) None EFI (Extremely Firm) NP (Non-plastic) SP (Slightly Plastic) *Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater flow and quality. P (Plastic) NOTES VP (Very Plastic) HORIZONDEPTH In inches below natural soil surface DEPTH OFFILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable) or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less - record Munsell color chip designation CLASSIFICATION S (Suitable), PS (Provisionally Suitable), or U (Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate (LTAR): gal/day/ft' snow oiner site features (dimensions, reference or benchmark, and Nortl UKNK Review (####tl)