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gA CATAWBA COUNTY Case # IMPV-2-10-4808
Public Health Department Subdivision
d a Environmental Health Division
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2
2 w PIN# 363809150171
Applicant/Owner William Slaughter
Site Address: 1914 KINGS GRANT DR, Newton, NC
Property Size: SF 16.67 ACRES
Directions: HWY 10 TO LEFT ON STARTOWN RD TO LEFT ON KINGS GRANT, GO TO BOTTOM OF HILL AND TAKE A LEFT
ON LONG GRAVEL DRIVE, HOUSE AT END OF DRIVE.
Improvement Permit
Permit Valid: Expires In Five Years: _X_ No Expiration:
Facility: House
Permit Category: Other Bedrooms 3
Projected Daily Flow 360 g.p.d
WATER SUPPLY: Public Water Type: County/City/Township Water
Basement? No Basement Plumbing? No
Proposed Wastewater System:
Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
Proposed Repair: 25% REDUCTION
Permit Conditions:
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' (15A NCAC 18A.1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily
Robbie Phelps 02/18/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 02/18/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
02/18/10 15:01
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g,A Case # alp. ~f
CATAWBA COUNTY
~ Public Health Department Subdivision
Section/BUPh/Lot#
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
I8 42 sn~ (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Site Address:
/~l 1t.!.~ - s u-~ l N' iv-2J' G~
Property Size:
Directions:
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of
the property described above.
O '
As the property owner or authorized representative, I have received the above referenced permit(s)
as requested in the application for service, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
I~ 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 2" lo
Received Date
Catawba County Public Health
Environmental Health Section
Owner/Authorized Representative Signature
Date D.%L
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson sendingpermit)
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
acknowledges the conditions and statements above.
DEPARTMENT OF ENVIRONMEINT AND NATURAL RESOURCES Sheet ~ of ~
DIVISION OF ENVIRONMENTAL HEALTII PROPERTY ID
ON-SITE WASTEWATER SECTION COUNTY: C/E?`
SOIL/SITE EVALUATION
/1 for ON-SITE WASTEWATER SYSTEM
OWNER: ~6'R/1 d/ C~ APPLICATION DATE 'ILC ADDRESS: O /bli ;ZFJ4AZ . &/-ReA.e- DATE EVALUATED:
PROPOSED FACILITY: PROPOSED DESIGN FLOW(. 1949): 36LI PROPERTY SIZE: o? / /Ft
LOCATION OF SITE: l yr /1v7- PROPERTY RECORDED:
WATER SUPPLY: vate 0 Public CD Well CJ Spring :1 Other
EVALUATION METHOD: β Auger Boring 4Pit (D Cut
TYPE OF WASTEWATER: Sewage β Industrial Process β Mixed
o ' SQEL-;MOR.PHOiOGY OTHER
F (1941) PROFILE FACTt)lR5
.1940 - -
L . '
E LAND- HORI- 10 42
SCAPE:. ZON' 1941 .1941' SAIL 1943 19_b 1 .1944, STRUCTURE[ CONSISTENCE! WETNESS/ SOIL, S~SPKU LI 12ESTIR PROFILE
POSITION/ DEPTH " f LTAR
SLOPE % (INβ’) TEXTURE MINERALOGY COLOR. DEPTH
_ CLASS HORIZ
. (o Coy CL ~ ~5
2
3
4
DESCRIPTION IMTIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946):
Available Space (.1945) SITE CLASSIFICATION (.1948):
System Type(s) EVALUATED BY:
OTHER(S) PRESENT:
Site LTAR
COMMENTS:
LEGEND
use the following standard ahbreviations
son, CONVENTIONAL LPP NIINERALOGY/
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) SEXP (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 Si(Silt) 0.6-0.3 0.3-0.15 PL (Platy)
L (Linear Slope) SiCL (Silty Clay Loam) PR (Prismatic)
N (Nose Slope) CL (Clay Loam)
R (Ridge) SCL (Sandy Clay Loam) MOIST WET
S (Shoulder Slope) SLC (Silt Loam Clay)
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) F1 (Firm) S (Sticky)
VFI (Very Firm v. Very Sticky) VS (Very Sticky)
O (Organic) None EFT (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)
HORIZON DEPTH In inches below natural soil surface
DEPTH OF FILL 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 Mansell 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'
Show profile locations and other site features (dimensions, reference or benchmark, and North).
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Review
SOIL/SITE EVALUATION Sheet _Of____
(Continuation Sheet)