Loading...
HomeMy WebLinkAboutIMPV-2-10-4939.TIF IMPROVEMENT PERMIT For Office Use Only "CDP File Number 3 9 4 6 8 Catawba County Public Health Department Environmental Health Division County ID Number. ElIPR•2-10-3735 P.0 Box 389, 100-A Southwest Blvd Evaluated For: NEW To &5;~f►X1l/ ' Newton NC 28658 Township; t~p ♦?x Y IY / Phone: (828)-465-8270 Fax: (828) 465-8276 pERr.i1T VALID UNTIL' 2/24I2015 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Mary Flandreau Property Owner: Mary Flandreau S~ Address: 1862 Adam St. Address: 1862 Adam St. City: Conover City: Conover StateiLip: NC 28613 State/Zip: NC 28613 Phone: Phone Property Location & Site Information Address?Road Subdivision: Grover Herman 3732 Phase: Lot: 8 1862 Adam St. Conover NC 28613 Directions Structure: SINGLE FAMILY n of Bedrooms: 3 rt of People. 1 'Water Supply: COIANIUNITY System Specifications Initial system _ Exis i nq Site Classification: J Minimum Trench Depth: Inches Design Flow: Maximum Trench Depth:. Inches Soil Application Rate: Septic Tank: Gallons 1-Piece: ()Yes ()No "System Classification/Description: TYPE II A. CON! SYSTEM (SINGLE-FAMILY OR 480 GPD OR Pump Required: (Yes QNo 0 May Be Required LESS) Pump Tank: Gallons "Proposed System : CONVENTIONAL 1-Piece: (-)Yes (DNo \1 j Repair System Required:aYes ONO QNo, but has Available Space Repair System 'Site Classification: PS Minimum Trench Depth: 4 Inches Soil Application Rate: 0 3 Maximum Trench Depth: 3 0 Inches Pump Required: &}Yes O No d tvtay be Required 'System Classification/Description: TYPE 111 6. SYSTEM VV/SINGLE EFFLUENT PUMP Pump Tank: 1 0 0 0 Gallons 'Proposed System: 25t"'o REDUCTION Page 1 of 3 CDP File Number 3468 County ID Number: EHPR-2-10-3735 '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 pennit 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. This permit is not intended for septic system installation. An addition is proposed. After the addition is complete, the house will have 3 bedrooms. The existing septic system has been approved for 3 bedrooms only, no more. This permit designates septic repair area. Do not drive, grade, cut, or fill over septic system or repair area. The Improvement Permit shall be valid for 6 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 Q 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 O 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 issuanceand 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, maintenanee~ monitoring, reporting, and repair (.1938(b)). ApplicanULegal Reps. Signature Required? Oyes ONO ~ ) Applicant/Legal Reps. Signature: J / 4 Date: 3 / ZD~U Issued By: 2246-hiegenfdcBride Date of Issue: 0 a/ a 4/.2 0 1 0 Authorized State Agent: OValid without Expiration? U © Hand Drawing 0Import Drawing **Site Plan/Drawing attached.** Total Time:(HHtit,t) 0 0 Hours 0 0 Minutes Page 2 of 3 CDP File Number. 39468 County File Number: E"pR- -do-sass Drawing Type: Improvement Permit Date: 0 a i 4/ a 0 1 0 Minch Scale: OBIock = ft. I}t-aw,in~ NN/A , ,r " ! r i I ! i , E U 1. 1. ~ ....ta ~ t Q 15, e Vhii~ fVW J r 4\ M i } s „ _ ..w.._e~ . _..m -e m. f... _ ...w _ ~~a,.._.....?._.,.... _ _ _ _ a ..ter m_ . i «.4 .:._..».-t E , i a r f _ I/lt i , i ~pVSL i I _ i q 3 t ' D i Qt~15•}t!~ S S-~4^ 3 i~ , E 7 _~J7 • E E i E ~ i E L..._... f~..n ....e...a..o..«....-.v_'__ ..,~;..e......_m,..-+......._~_....qe .i.._.__ _ ~.~.....~..ri........--.1 4...,... ..r.~.....r .J."....._n.... .,..e.e..... j»._._.._.1..,....,_........m.i..,....».-.._..i Page 3 of 3 NCDENR Division of Environmental Health 'Date: a l 3/ a o On-Site Wastewater Section Soil/Site Evaluation 'File : 3 9 4 6 8 For On-Site Wastewater System Plat 4: EHPR-2-10-3735 *Owner Mary Flandreau Proposed Facility SINGLE FAMILY Proposed Design Flow (-1949) 3 B o Location of Site 1862 Adam St. Property Size 0A69 Water Supply COMMUNITY Evaluation Method Auger 11940 Horizon SOIL MORPHOLOGY Profile' Landscape Depth 1941 Other Profile POS Slope 'o (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color L O-tO CL 2-Mod+ sbk fir ss sp 1942 Wet. vo .1943 Depth a 6 ps GPS Saprofite: (in) .154» Rest, Horizon .1947 Class ps EHS Megen Mcsri( Profile 3 LTAR _ .1942 Wet, °fo ,1943 Depth GPS Saprotite~On) .1944 Rest. Horizon 19"7 Class EHS rrLp ,1942 Wet. % 1943 Depth CPS Saprolitejin) -15x4 Resi, Horizon EMS 1947 Class Copy Profile Protte LTAR _ .1942 Wet. % 1943 Depth GPS saprolite:(in) 1944 Rest Horizon L EHS 1947 Class Copy Pr( 'e IProfile LTAR .1942 Wet. 0/0 ,1943 Depth Gf- Saprolite,(in) „184» Rest. Horizon EHS 1947 Class Copy rotUe Profile 1-TAR Available Space (.1945) PS OtherFactors(.1946) Ps Site Classification (.1948)Ps Initial LTAR: Repair LTAR: o . 3 Others Present: Susan Miller Comments: This evatuation was done to designate repair area. An addition is proposed, but no additions are required for the existing septic system. Evaluated By: Megen McBride NCDENR Division of Environmental Health On-Site Wastewater Section Date: Q a / ri 3 / l Soil/Site Evaluation File 4: 3 9 4 6 8 For On-Site Wastewater System PIN 9: 1940 Horizon SOIL MORPHOLOGY Protileg Landscape Depth .1941 Other Profile Sloe % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. o/a .1943 Depth CPS Saprolitejin) 1944 Rest. Horizon EHS .1947 Class copy'rofi ie Profile LTAR .1942 Wet. Co .1943 Depth GR' saprolite:(in) 1944 Rest. Horizon 1947 Class - EHS Copy-F-rofii Profile LTAR _ 1942 Wet. oro 1943 Depth CPS saprolitojin) 1944 Rest. Horizon EHS 1947 Class Cop_ _:'Iro I Profile LTAR ,1942 Wet. % 1943 Depth GF Saprolite:(In) 1944 Rest. Horizon EHS 1947 Class Coppnrofile Profile LTAR .1942 Wet, oro 1943 Depth GF Saprofte.(in) .1944 Rest. Horizon EHS .1947 Class Pr ile Col.'' , -!III LTAR U 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 NIL F~ovSL ei Ski h ra~a~t t~~ `b( v Profile: 1 X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile. X Y Z Profile: X Y Z