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HomeMy WebLinkAboutIMPV-3-10-5035.TIF IMPROVEMENT PERMIT ~K= *CDP File Number 3 9 6 fi 9 Catawba county Public Health Department o l County 10 Number: EHPR-2-10-3944 Environmental Health Division "PIN Evaluated For. NEW "z! P.O Box 389, 100-A Southwest Blvd Newton NC 28658 Township: Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT vAua uraTlL' 3/1/2015 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Mildred Moore Property Owner: Mildred Moore Address: PO Box 672 Address: PO Box 672 City: Hildebran City: Hildebran State/Zip: NC 28637 State/Zip: NC 28637 Phone Phone# : Property & Site Information Address/Road Subdivision: Charlottes Crossing Phase: Lot: 5 2485 Genelia Dr. Claremont NC Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 2 *Water Supply: PUBLIC System Specifications Initial System 'Site Classification: Ps Minimum Trench Depth: a 4 Inches Design Flow: 3 6 Maximum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 Gallons 1-Piece: QYes QNo *System Classification/Description: Pump Required: QYes ®No OMay Be Required TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Tank.- Gallons *Proposed System : 25% REDUCTION 1-Piece: QYes QNo Repair System Required:(~)Yes ONo ONo, but has Available Space lassific ation: PS Minimum Trench Depth: 2 4 Inches Fssolt pair System plication Rate: Maximum Trench Depth: 3 0 0 2 7 5 Inches Pump Required: ()Yes (S) No May be Required *System Classification/Description: TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Tank: Gallons *Proposed System: 25% REDUCTION Page 1 of 3 CDP File Number 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. See soil notes attached with case EHPR-11-09-2850. This permit is not intended for septic system installation. The improvement Permit shag be wild for 6 years, from date of Issue with a site plan (means a drawing not necessarily drawn to Site Plan state 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 surtacewaters). Plat The Improvement Permit shag 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(t)). 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, malntenancQ monitoring, reporting, and repair (1938(b)} ApplicanVLegal Reps. Signature Required? Oyes ORI Applicant/Legal Reps. Signatu Date: d *Issued By: 2246 - Megan McBride Date of Issue: 0 3 0 1 x 0 1 0 Authorized State Agent_ OValid without Expiration? Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time:(1-11-IJAM) 0 0 Hours 0 0 rt inutes Page 2 of 3 CDP File Number: 39669 County ID Number: E"PR-2-10-3944 Drawing Type: Construction Authorization Date: 0 3/ 0 1 x 0 1 0 Q inch Scale: Qelock = ft. Drawing QN/A creme -1$5.5 ' C''C Sa - 'F IC CIO trc 115' Q 3 I~c~ar8ar. ~~'1 40~ MOO d "o y ~ A Q.nIL G Page 3 of 3 For Office Use Only IMPROVEMENT PERMIT •CDPFile Number 3 6 7 0 6 Catawba County Public Health Department t County ID Number: EHPR-11-49-2850 Environmental Health Division P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: An Q J, I~ Phone: (828)-465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL: 12/112014 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Mildred Moore Property Owner: Address: P.O. Box 672 Address: City: Hildebran City: State/Zip: NC 28673 State2ip: Phone Phone Property Location 8 Site Information Address/ Road Subdivision: Charlottes Crossing Phase: Lot: 5 Q 2485 Genelia Dr. Q Claremont NC 28610 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: "Water Supply: PUBLIC System Specifications Initial System 'Site Classification: PS Minimum Trench Depth: a 4 Inches Design Flow: 3 6 0 Maximum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Septic Tank: 1 0 0 0 Gallons t-Piece: QYes QNo TYPE III G G. . OTHER NOON-CONN. . TRENCH ClTHER NDescri THENCH SYSTEMS Pump Required: QYes ® No O May Be Required Pump Tank: Gallons 'Proposed System: 25% REDUCTION 1-Piece: Oyes QNo Repair System Required: *Yes ONo ONO, but has Available Space Repair System 'Site Classification: PS Minimum Trench Depth: 2 4 Inches Soil Application Rate: O 7 s Maximum Trench Depth: 3 0 Inches a 'System Classification/Description: Pump Required: QYes *No QMaybeRequired TYPE III G. OTHER NON-CONY, TRENCH SYSTEMS Pump Tank: Gallons `PropOSed System: 25%REDUCTION Page t of 3 36706 County ID Number: EHPR-11-09-2850 CDP File 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 noway 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 tar 5 years from date of issue with a site plan (means a drawing not necessarily drawn to Site ® Ian scale that shows the existing and proposed property lines with dimensions, the location of thefacility and appurtenances, the site for the proposed wastewater system, and the location of water supplies and surfacewaters). Plat The improvement Permit shag 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 issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit is subjectto revocation if the site plan, plat, or intended use changes (NCGS 13OA335(f)). The person owning orcontrolling 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: GEC Date: =Issued By: Date of issue: 1 a/ 0 1/ a 0 0 9 Authorized State Agent: OValid without Expiration? OHand Drawing ®Irnport Drawing **Site Plan/Drawing attached.** TotalTime:(HH:MM) Hours td inules Page 2 of 3 36706 EHPR-11-09-2850 CDP File Number: County File Number: Drawing Type: Improvement Permit Date: l a/ 0 1/ a 0 0 9 Click below to import an image from an external location: Os! Z r ` C v N \ e.5 a e 4q Page 3 of 3 NCDENR , . - • Divisidn of Environmental Health 'Date: 1-7/0;? /;?009 On-Site Wastewater Section Soil/Site Evaluation 'File 3 6 7 (b 6 For On-Site Wastewater System PIN 9: EHPR-11-09-2850 `Owner Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site 2485 Genelia Dr. Pit Properly Size 2 Water Supply PUBLIC Evaluation Method Laillpe Horizon SOIL MORPHOLOGY 1941 Other Profile Profle# POS Depth Mineralogy Matrix Mottle Factors Slope % (IN) Texture Structure Consistence Color Color t 0-21 CL sbk fr ss sp .1942 wet. % 21 42 CL sbk fr ss np +sap&mic .1943 Depth 4 2 GPS Saprolite: (in) 42.58 S abk fr SAP 1944 Rest. Horizon .1947 Class EHS Profile LTAR 0 3 0-26 CL sbk h ss sp .1942 wet. % 26-43 SCL sbk fr ss sp .1943 Depth 4 3 GPS Saprolite:00 43.48 fr SAP .1944 Rest. Horizon - 1947 Class EHS Profile 0 3 Copy mule LTAR _ 3 0-10 SL sbk fr ss sp .1942 wet. % 10.48 SiC sbk fr s sp .1943 Depth 4 8 GPS Saprolite:(n) .1944 Rest. Horizon .1947 Class EHS Profile Copy Profile LTAR 0 a 7 5 1942 wet. .1943 Depth GPS Saprofite:(n) .1944 Rest. Horizon IN .1947 Class EHS Profile Copy rofile LTAR .1942 wet. % .1943 Depth GPS Saprolite:(n) .194 Rest. Horizon .1947 Class EHS Profile Copy rofile LTAR Available Space (.1945) OtherFactors(.1946) Site Classification (.1948)Ps Initial LTAR: s 3 Repair LTAR: 0. x 7 5 Others Present: Comments: Evaluated By: Phelps, Roben NCDENR . . Division of'Environmental Health On-Site Wastewater Section Date. i 1/0;1 / 2 0 0 9 Soil/Site Evaluation File 3 6 7 0 6 For On-Site Wastewater System PIN E H P R- 1 1- 0 9 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Slope % (1N) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horton .1947 Class EMS Copy Profit Profile LIAR .1942 wet. .1943 Depth GPS Saproinexin) .1944 Rest. Horton .1947 Class EMS Copy Olli LTAR PAR .1942 wet. % .1943 Depth GPS Saprotite:(rn) .1444 Rest. Horizon to EMS 1947 Class Copy roll Profile LTAR .1942 wet. % .1943 Depth GPS Saprotite:(in) .1944 Rest. Horizon to EMS -1947 Class copy loll] Profile- LTAR .1942 Wet- % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horton is EHS .1947 Class Copy, r, I fold Profrle- 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 © v d L,:E:: Profile: 1 Q X Y Z Profile: 2 Q X Y Z Profile: 3 X Y Z Profile: Q X Y Z Profile: Q X Y Z Profile: X Y Z Profile: Q X Y Z Profile: Q X Y Z Profile: Q X Y Z Profile: Q X Y Z