HomeMy WebLinkAboutAUTH-3-10-5635.TIF
g CATAWBA COUNTY Case # AUTH-3-10-5635
p~ Public Health Department
Subdivision BERKSHIRE PLACE PH 1
i Environmental Health Division
0 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 24
18 w PIN# 370005090783
Applicant/Owner JEON REAL ESTATE INC
Site Address: 1698 BERKSHIRE DR, Hickory, NC
Property Size: SF 0.519 ACRES
Directions: HWY 127 S/ LT ON BETHEL CH RD/ LT ON BERKSHIRE DR/ STRAIGHT TO END OF SUBD
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 360 g.p.d
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Soil LTAR: .27 g.p.d.M2
Permit Category: New Septic
Type of Facility: House
Basement? Yes Basement Plumbing? No Bedrooms: 3
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 990 sq ft Total Length: 327 ft Maximum Trench Depth 24 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover in Minimum Trench Separation 6 ft on center
Number of Drain Lines 4
Distribution: Serial
Additional Specifications:
Proposed Repair
System Class: IVA Proposed System: 50% REDUCTION PPBPS Distribution Type:: LPP
Soil LTAR: .27 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 S stv ems' (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.
Jason Boyd 03/22/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/22/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
03/23/10 08:04
~A CATAWBA COUNTY Permit # AUTH-3-10-5635
Name Jeon Real Estate Inc
Public Health Department
` Environmental Address 1698 Berkshire Dr. Hickory
Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 pIN# 370005090783
1$ Z sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Site Plan Construction Authorization
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' JEON REAL ESTATE INC
1698 BERKSHIRE DR, HICKORY, NC
84 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 ' the application for service EHPR-3-10-4261 , by the following method(s):
_ Received in Person
_ Facsimile Transmittal (Return form with signature required)
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
Owner/A thorized Representative Signature kv\--
Date
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.
; CATAWBA COUNTY
Public Health Deplrtment Case # WLS2007-01145
.
< Environmental Health Division Subdivision BERKSHIRE
PO Box 389,'100-A Southwest Blvd, Newton, NC 28658 SecUBL/Ph/Lot # --tT 01
B z (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 911370005095275-13 ILLY
Applicant/Owner JEON REAL ESTATE INC.
Site Address: 1698 BERKSHIRE OR ~0s4ecl Sc,
Property Size: 26,200 SF ACRES
Directions: HWY 321/ EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD / LEFT 1 1/4 MILE ON LEFT A_-
Improvement Permit
Permit Valid For: Five years x No Expiration
Facility (Residential): House
House X Mobile Home Multi-Family Bedrooms 3 New? X Addition?
Projected Daily Flow 3 [vo g.p,d Water Supply Private Well? Public?x Semi-Public?
Basement: y Basement Plumbing: N Hoott~Tub~~/Spa: Y Special Fixtures (explain):
Proposed Wastewater System: Pu y 25°70 I e-M Type:
Proposed Repair: 1~uxv~ ~Pp(~a ZZ!
Permit Conditions:
Owner or Legal Represent I e Signature: Date: 12-11170,
Authorized State Agent: Date: .
The issuance of this permit by the Healt Depart at do not guarantee the issuance of other permits. It is the responsibility of the applicanuproperty
owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to
revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement 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.
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and additional attachments (
Proposed Wastewater System: Type: Wastewater Flow g.p.d
New Repair Expansion Soil LTAR: g.p.dJft2
Type of Facility:
Basement: Y Basement Plumbing: N HotTub/Spa: Y Special Fixtures (explain):
Wastewater System Requirements
Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal
Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in
Trench Width ft Minimum Soil Cover in Minimum Trench Seperation ft
Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other
Additional Specifications:
Authorized State Agent: Date:
Permit Expiration Date:
I have read and accept the specifications and all conditions of this permit as indicated.
Owner or Legal Representative Signature: Date:
Form B
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-CATAWBA COUNTY
' 60 Public Health Depzrtment Case # WLS2007-01145
+
Environmental Health Division Subdivision BERKSHIRE PO Box 389,'100-A Southwest Blvd, Newton, NC 28658 SecdBUPh/Lot # 13
(828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 911370005095275-13
Applicant/Owner JEON REAL ESTATE INC.
Site Address: 1698 BERKSHIRE DR
Property Si 26,200 SF ACRES
Directions: HWY 321/ EXIT 42 (127 S) 127 S TO BETHEL CHURCH RD / LEFT 1 1/4 MILE ON LEFT
® Improvement Permit Authorization To Construct 0 Well Permit
SITE PLAN
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Scale
System components represent approximate contours only. The contractor must flag the system prior to beginning the
installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of
revocation if the site plan or site conditions are altered.
P&L-e~--I
Auth ized State gen Date Form C
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of _
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID
ON-SITE WASTEWATER SECTION COUNTY:
S OII.ISITE EVALUATION W L S -L00,7_ ) f t yS
for ON SITE WASTEWATER SYSTEM 1
OWNER: J g v n'rl 12 o n E6 ko -e APPLICATION DATE Lo ~ •4~ 13
ADDRESS:_ ll q''j Pin i Q DATE EVALUATED: 1-• tL
PROPOSED FACILITY: 34R PROPOSED DESIGN FLOW (.1949): _J60 PROPERTY SIZE:
LOCATION OF SITE. P ► • t I PROPERTY RECORDED:
WATER SUPPLY: 0 Private Public 0W- 0 Spring 0 Other
EVALUATION METHOD: 0 ~?ga Boring b Pit 0 Cut
TYPE OF WASTEWATER: L~l Sewage 0 Industrial Process 0 Mixed
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DESCRIPTION WrIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946):
Available Space (.1945) PS P~ SITE CLASSIFICATION (.1948):
System Type(s) i!-Ga , A EVALUATED BY- 16- ) K r ~ J N P Y r,!5T-
OTHER(S) PRESENT~on 3"N "
Site LTAR 215 , t l S
COMMENTS:
LEGEND
use the following standard abbreviations
MOMMOMMOMMOMMENEW~
SOIL CONVENTIONAL LPP hUNERALOGY/
LANDSCAPE POSMON GROUP ~EXTURF .1955 LTAR* •1957. LTAR* CONSISTENCE STRUCTURE
CC (Concave Slope) I S (Sad) 1.2 - 0.9 0.6 - 14 NEJ? (Non-ezpansive) G (Sing)e Ceram)
CV (Coma[ Slope) IS (L-my Sand) SUP (Slightly Evaasive) M (Massive)
W
DS (Debris Slump) 11 SL (Sandy Loam) 0.9-0.6 OA-03 G R R (Gmaui r)
FP (Flood Plainj L
(Pod Slope) (Loam) SBK (Suhaagdar Blnay)
FS (
H (Head Slope) III S(•T, (Sandy Clay Loam) 0.6 - 03 03 - 0.15 PL (Platy)
L (Liamr Slope) SiL (Silt Loam) PR (Prismatic)
N (Nose Slope) CL (Clay Loam)
R Otidge) siCl. (s;ay Clay Loam) o1sT WET
S (Shoulder Slope) Si (SI)
T (T==) VFR (Very Friable) NT: (Nao•mky)
IV SC (Sandy Clay) 0.4-0.1 0.2-0.11S FR (Friable) SS (Sligb* Sticky)
Sic (Silty Clay) Fl (Firm) S (Sticy) .
C (Clay) VFI (Very Fam v. Very Stilly) VS (very Ricky)
0 (Organic) None EFT (Exrsmdy Firm) NP (N=TWtic)
SP (Slightly Plastic)
*Adjust LTAR due to depth, consistence, structure, soil wetness, landscape, position, wastewater (low and quality. P (Plastic)
XH PIMMM TH In inches below natural soil surface (Very Plastic)
DEPTff OFFILL In inches fim land sudaze
RESTRICTIVE HORIZON Thickness and depth fmm laad surface
SAPROL= S(suitable) or U(unsuitable)
SOIL i>'ETUM Inches fiom land staface to fix water or inches f oia land su&cc to sot? colon witb ebroma 2 or less - record Mansell color chip designation.
C1.ASSlFfCATION S (Suitable), PS (Provisionally Suitable), orU (Unsuitable)
Evaluation of sapmlite, ftU be by pits
Long-tam Aetxptance Rate (LTAR): gal/day1fe
Show roMe locations and other site features (dimensions, reference or benchmark, and North).
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