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Home My WebLink AboutIMPV-3-10-5162.TIF IMPROVEMENT PERMIT For Office Use Only 'CDP File Number 3 9 8 1 4 Catawba County Public Health Department v0. County 10 Number: EHPR-2-10-3957 Environmental Health Division s •w Evaluated For: NEW P.O Box 389, 100-A Southwest Blvd Newton NC 28658 Township: 1~►~/3_ ~ ^ Lip Z Phone: (828)465-8270 Fax: (828) 465-8276 PERMIT VALID UNTIL: 3,`5/2015 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Sally Morton Property Owner: Bradley Morton Address: 2287 Lynn Mountain Rd. Address: 2287 Lynn Mountain Rd. City: Vale City: Vale State/Zip: NC 28168 State/Zip: NC 28168 Phone Phone Property & ,'Site Information Address/Road Subdivision: Phase: tot: 1 2287 Lynn Mountain Rd. Vale NC 28168 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 2 `Water Supply-. NEW WELL System Specifications nitial System 'Site assn ica ion: Ps Minimum Trench Depth: 1 8 Inches Saprolite System? QYes QNo 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: QYes QNo `r Pump Required: QYes (S) No OMay Be Required 'System Classification/Description: TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Tank: Gallons 'Proposed System: 25% REDUCTION 1 Piece: ()Yes QNo Repair System Required:QYeS ONO ONO, but has Available Space Repair System "Site Classification: PS Minimum Trench Depth: Inches Soil Application Rate: 0 3 Maximum Trench Depth: Inches "System Classification/Description: Pump Required: QYes ~DNo Q May be Required TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Pump Tank: Gallons "Proposed System: 25% REDUCTION Page 1 of 3 CDP File Number 39814 County ID Number: EHPR-2-10-3957 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 for 6 years from dateof 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 O site for the proposed Wastewater system, and the location of water supplies and surfacewaters). 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 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 platthat 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(Q). The person owning or controlling ttesystem 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)} ApplicanVLegal Reps. Signature Required? Oyes ONO Applicant/Legal Reps. Signature-XCZ ~ Date: 3 g (D `Issued By: 2246 - Megen McBride Date of Issue: 0 3 0 5 / a 0 1 0 Authorized State Agent: OValid without Expiration? O Create CA? OHand Drawing OlmportDrawing **Site Plan/Drawing attached.** Total Tirne:(HH:MM) 0 0 Hours 0 0 u inutes Page 2 of 3 CONSTRUCTION AUTHORIZATION 39814 Catawba County Public Health Department CDP File Number: Environmental Health Division EHPR-2-10-3957 P.O Box 389, 100-A Southwest Blvd County File Number: Newton NC 28658 Date: 0 3/ 0 5 l a 0 1 0 Q Inch Drawinia Drawing Type: Construction Authorization Scale: OBlo k Cj ~r NIA s ` '73 31~c~roah^ Q r~ ~ ~ ted i ~5 `NOJSC Gjp )c (00 4a Q adat~l,o f ev~S . rcq w rcvv~ 65 - 7 5 . ~~tnc~s 3W4 444 0~ X570 gea, Tb L hr- Mov~cu~, Rd. Y Page 3 of 3 P1 P2 NUUtNK Division of Environmental Health *Date-. e 3 l 0 2/ 4 0 1 0 On-Site Wastewater Section Soil/Site Evaluation File 3 9 8 1 4 For On-Site Wastewater System PIN EHPR-2-10-3957 'Owner Bradley Morton Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 e Location of Site 2287 Lynn Mountain Rd. Property Size 5.628 Water Supply NEW WELL Evaluation Method Pit Horizon SOIL MORPHOLOGY Landscape 1Depth 1941 Other Profile Profile# POS Mineralogy Matrix Mottle Factors Slope °.o (IN) Texture Structure Consistence Color Color 1 L 045 CL 2-Mode sbk fr ss sp .1942 W et. gb .1943 Depth 4 5 Ps GPS Saprolite: (in) .1944 Rest. r Horizon EHS .1947 Class PS F Profile e 3 Megen MCBri( LTAR _ a L 0-45 CL 2-Modr sbk tr ss sp 1942 vet. 016 .1943 Depth 4 5 Ps GPS Saprolite:(in) 1944 Rest. Horizon a 1947 Class Ps EHS Copy rotile Megen MCBr ( lfAR 0 3 3 L 045 CL 2-Modr sbk fr ss sp .1942 Wet. oo .1943 Depth 4 5 Ps GPS Saprotite:(n) .19144 nest. 1947 Class Ps EHS Cop Profile Megen McBri( Profile LTAR 0 3 .1942 Wet. qb .1943 Depth GPS Saprolite:(m) .1944 Rest. Horizon I-A .1947 Class EHS Copy rofile Profile LTAR .1942 Wet. qb 1943 Depth GPS Saprolite:(in) .1944 Rest Horizon 1947 Class 60 EHS Copy rofile Profile LTAR Available Space (.1945) PS Other Factors(. 1946) PS Site Classification (.1948)PS Initial LTAR: e . 3 Repair LTAR: e . 3 Others Present: Susan Miller Comments: Evaluated By: Megen McBride 14 %_1 VCIVR Division of Environmental Health On-Site Wastewater Section Date: 0_3110a l a o 1 Soil/Site Evaluation File 3 9 8 1 4 For On-Site Wastewater System PIN .1940 Horizon SOIL MORPHOLOGY Pfofile# Landscape Depth 1941 Other Profile POS Slope °.b (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Viet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. _ Horizon EHS .1947 Class CopyE!rofd Profile LTAR .1942 Wet. Qb .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 60 1947 Class EHS copy~rofil IProfile LTA R .1942 Viet. ai'o .1943 Depth GPS Saprolite:Un) 1944 Rest. Horizon 1947 Class EHS Copy rofil IProfile LTAR .1942 1 J et. 96 .1943 Depth GPS Saprolltejin) .1944 Rest Horizon EHS .1947 Class coppOProfile Profile LTAR .1942 :°4 et. .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon EHS 1947 Class cop 0111 Pr file LTAR Comments: ncaa%.Il ~~nayc 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 N.a 4b SCAIL W4 .<k No~S ~ 1 2 3 To ~~Jr^ MA~h Profile: 1 ( X Y Z Profile: 2 X Y Z Profile: 3 X Y Z Profile: X Y Z Profile: X Y Z Profile: O X Y Z Profile: Q X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z