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HomeMy WebLinkAboutIMPV-3-10-5056.TIF IMPROVEMENT PERMIT *CDP File Number 3 9 or Office Useanly 6 9 1 Catawba County Public Health Department 3810471485 "f' i-~a County ID Number: Environmental Health Division Et4PR.~4b.317 P.0 Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 28658 Township: ^A ,n ' Phone: (828)-465-8270 Fax: (828) 465-8276 ''`~v ~3' PERMIT VALID UNTIL 3/3/2015 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Cassie Nantz Property Owner: Cassie Nantz Address: 3063 Hodges St Address: 3063 Hodges St City Connelly Springs Rd City: Connelly Springs Rd State/Z ip: NC 28612 State/Zip: NC 28612 Phone Phone Pro ert Location & Site Information Address!Road Subdivision: Phase: Lot: 1400 Prison Camp Rd Newton NC 00000 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 4 of People: *Water Supply: PUBLIC System Specifications Initial SV stem 'Site assmca ion: Ps Minimum Trench Depth: a 0 Inches Saprolite System? O Yes Q N o Maximum Trench Depth: 3 0 Inches Design Flow: 3 6 0 Septic Tank: 1 0 0 0 Gallons Soil Application Rate: 0 3 1-Piece: 0Yes QNo Pump Required: /)Yes (1) No OMay Be Required 'System Classification/Description: TYPE III G. OTHER NON-CONY, TRENCH SYSTEMS Pump Tank: Gallons *Proposed System: 25% REDUCTION 1-Piece: (DYes ()No Repair System Required: (9 Yes ONO ONO, but has Available Space Repair SVstem 'Site Classification: PS Minimum Trench Depth: a 0 Inches Soil Application Rate: 0 3 Maximum Trench Depth: 3 0 Inches *System Class ificationlDescriptiow Pump Required: Yes O No O Maybe Required TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Pump Tank: 1 0 0 0 Gallons 'Proposed System: 25% REDUCTION Pagel of 3 CDP File Number .39691, County ID Number: 364810471485 *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. The Improvement Permit shall be valid far 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 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 morethan 60 feet, that includes: the specific location of the proposed facility d 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 rewke 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 130A335(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)). Applicant/Legal Reps. Signature Required? OYeS ONO ,t < 10 pplicant/Legal Reps. Signature: Date: A 1952 -Phelps. Robert 0 3/ 0 3/ x 0 1 0 Issued By: ( Date of Issue: Authorized State Agent: OValid without Expiration? O Create CA? 4)Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Tirne:(HHNM) 0 Hours hlinutes Page 2 of 3 CONSTRUCTION AUTHORIZATION Catawba County Public Health Department Environmental Health Division CDP File Number: 39691 P.O Box 389, 100-A Southwest Blvd 364810471485 Newton NC 28658 County File Number: Date: 0 3/ 0 3 / 7 0 1 0 Click below to import an image from an external location: I r 1-74 zo` f-? j air as' ti6 a r ~ t ~ Vpv lrol~ rQ,h j o.. rs` ! b, r lr t~r~EM ss % ~ tt b 5~U K 6 •'s N Ley ov ^p l fT Silo M '~A•f ~JA J ~C `S ~r Page 3 of 3 P1 P2 i I J ~ ( I I o s~ ~6 S ~~w~~~ J: 1ti t r p ~ ► ~o c ~ w = s ~Vr' .4 t1l 3 .S (,v SAN i .I F 5 z w~ii h a -19 tot_"". ~1 N z S ~ Fi LL ~ij -0 Z W jEO ¢ 777 y~Tl O~ ~I j l f5 -0 .,12S "2, P f5 f .1 3 00r- NI)oc ,.tie-.• ~~CCC d rJJda3b aC6 ~Sj l~ a' d ry➢S(~ 8 NNJ)9 .3, m _ p~ / ti sF •0 ➢Z Bd Z 'b7 ,v o l Y Z6 /Q ^liy ym .C . 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Location of Site 1400 Prison Camp Rd Property Size Water Supply PUBLIC Evaluation Method Pit ri190 e Horizon SOIL MORPHOLOGY Profile Profile# La Depth Other Pro POS Slope °O (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-22 SCL sbk fir ss Sp .1942 Wet. % 22-34 SCL sbk fir ss sp chroma 4 .1943 Depth 3 4 GPS saprofte: (in) 34-48 SCL sbk fir ss sp chroma 2 .1944 Rest. Horizon EHS 1947 Class I Profile LIAR 0 ] 7 5 a 0-48 SC sbk fi ss sp .1942 wet % 1943 Depth 4 8 GPS Saprolite.(in) .1944 Rest. Horizon EHS 19x7 Class Copy rofrle Profile q D 7 5 F] I 1 -1 1 1 i L3 0-34 SCL sbk fr ss sp .1942 suet. % 34.48 SCL sbk fir ss sp + sap .1943 Depth 4 8 CPS Saprolite.(in) 1944 Rest. Horizon EHS •1947 Class Copp, Profitp Profile LTAR @ 3 4 0-48 SCL sbk fr ss sp 1942 wet. or'n .1943 Depth 4 8 GPS Saprotite:{rn) .1944 Rest Horizon EHS .1947 Class Copy roftle LTAR © 3 .1942 wet. % .1943 Depth GPS Saprolite (in) 1944 Rest Horizon EHS 1947 Class Copy Profile Profile 171 I F_ I LTAR Available Space (.1945) OtherFactors(.1946) Site Classification (.1948)Ps Initial LTAR: o 3 Repair LTAR: o . 3 Others Present: Comments: Due to the pits on the lower side of the lol(fii & 2) not being as good, maximum french depth is 30 inches for upper 3 lines and 20 inches for 2 lower lines. Evaluated By. Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date: 0 3/ 0 3/ 0 1 0 Soil/Site Evaluation File: 3 9 6 9 1 For On-Site Wastewater System PIN u 3 6 4 8 1 0 4 7 1 4 .1940 Horizon SOIL. MORPHOLOGY Profilear Landscape Depth 1941 Other Profile Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. % 1943 Depth GPS Saprohtejin) 1944 Rest. Horizon EHS -1947 Gass Copy2rofile A LT?R R 1942 Wet % .1943 Depth GPS Saprolrte (in) .1944 Rest. Horizon ilip EHS 1947 Class Copy-2-rofile Profile LTAR .1942 Wet. % 1943 Depth CPS Saprohle (in) .1944 Rest Horizon EHS 1947 Class Copy rofil IProfile LTAR 1942 suet. % 1943 Depth GPS Sapro6te (in) ,1944 Rest. Horizon EHS .19.7 Class copy. Profit Profile LTAR 1942 Wet. % 1943 Depth CPS Saprotite (in) .1944 Rest. Horizon t EHS 1947 Class Copy0rof1 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 Profile: 1 X Y Z Profile: 2 X Y Z Profile: 3 X Y Z Profile: 4 X Y Z Profile: Q X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z