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Home My WebLink AboutAUTH-3-10-5358.TIF ~gA CATAWBA COUNTY Case # AUTH-3-10-5358 G Public Health Department Subdivision d Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 7 & 8 !g 2 PIN# 365605293835 Applicant/Owner BETTY STOREY Site Address: 2278 S WITHERS RD, Maiden, NC Property Size: SF 1.21 ACRES Directions: HWY 321 S - TURN LEFT ONTO MAIN STREET IN MAIDEN - TURN LEFT ONTO PROVIDENCE MILL RD - TURN RIGHT ONTO EAST MAIDEN RD - TURN RIGHT ONTO WITHERS RD - TURN LEFT INTO MOBILE HOME PARK 2ND RD - 4TH MOBILE HOME ON RIGHT Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d.M2 Permit Category: Repairs Type of Facility: Mobile Home Basement? No Basement Plumbing? No Bedrooms: 4 Wastewater System Requirements Tank Size: Existing Tank Unknown Size Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center Number of Drain Lines 7 Distribution: Serial Additional Specifications: *Install clean out in supply line every 50 feet. *Move cable/phone line if necessary. *If supply line is less than 30 inches under driveway, ductile iron must be used in that area. *Supply Line must be 18 inches below any water line, if not the supply line shall be constructed of ductile iron pipe and the water line shall be constructed of ferrous materials equivalent to water main standards. Those materials must be used for a distance of 10 feet on either side of the point of crossing, with full sections of pipe centered at the point of crossing. Proposed Repair System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 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 Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Authorization to Construct 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 for any given period of time. Robbie Phelps 03/16/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/16/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/16/10 11:52 J t~ QO ~ If ~ o do ~ T ~o -60 V ~ n~ 0 cT ~i s d j L/ AUTH-3-10-53 5 8 C G~ Betty Storey v 2278 S Withers Rd, Maiden 18 SM 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-3-10-4175, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) v Electronic Image Transmittal/ E-mail (Return receipt required) 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 D3- 1,6 - o Owner/Authorized Representative Signature ~ Date t93-I(, _1 t3 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) 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 Environment, Health, and Natural Resources Sheet: 1 'Division of Environmental Health Property ID: On-site Wastewater Section Lot 7 & 8 SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM AppID: Owner: Betty Story Applicant: Address:2278 s Withers F Date Evaluated: 3/10/2010 Proposed Facility: Design Flow 480 gpd) Property Size: Location of Site: Property Recorded: Water Supply: [ ] Public [ ] Individual [ x ] Well [ ] Spring [ ] Other Evaluation Method: [ ] Auger Boring [ x ] Pit Cut Type of Wastewater: [ x ] Sewage [ ] Industrial Process [ ] Mixed P R O SOIL MORPHOLOGY b F .1941 PROFILE FACTORS 1 .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR 1 0-18 Fill 18-48 sc +sap, sbk fr,ss, sp, sexp 48 0.3 2 0-15 sl 15-48 scl, sbk fr,ss,sp,sexp 48 0.3 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) ps Soil Evaluation By: Robbie Phelps System Type(s) 25% Others Present: Jason Boyd Site LTAR 0.3 Site Classification (.1948): ps Site Evaluation By: Others Present: Sheet: COMMENTS: FILE Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Ca