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HomeMy WebLinkAboutIMPV-3-10-5704.TIF $A C CATAWBA COUNTY Permit # IMPV-3-10-5704 ~ h~ Z Public Health Department Name Eric Rice Environmental Health Division Address 4163 54 Ave NE Hickory pIN# 373511774048 PO Box 389, 100A Southwest Blvd, Newton NC 28658 1$ Z sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 SITE PLAN ~~o I / rl o ~ \ J~ < s I 0Aow i ~ i6-v' ~ Scale . U 0 ~$A Eric Rice v 416354 1h Av NE, Hickory 1g~2 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-3-10-4264, 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 3/23/10 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (pe it transmitted by electronic or other means) Permit transmitted by .~uU 1{~~~ (name of person s ndi g permit) Signature Date/Time 31aYljo 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. erg( r~ &CenM~,p(Ly6hY-s_~e-t CATAWBA COUNTY Case # IMPV-3-10-5704 Public Health Department Subdivision CHAS&VIVIAN BANDY\BR d Environmental Health Division ~i PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1 ! w PIN# 373511774048 NPQ- Applicant/Owner ERIC RICE Site Address: 4163 NE 54TH AV, Hickory, NC Property Size: SF 0.949 ACRES Directions: SPRINGS RD TO LEFT ON SULPHUR SPRINGS RD, LEFT ON 37TH ST DR, RIGHT ON 54TH AVE NE, ON LEFT OF DIXIE BOAT CLUB Improvement Permit Permit Valid: Expires In Five Years: _X_ No Expiration: Facility: House Permit Category: New Septic Bedrooms 4 Projected Daily Flow 480 g.p.d WATER SUPPLY: Public Water Type: County/City/Township Water Basement? Yes Basement Plumbing? Yes Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Proposed Repair: LOW PRESSURE PIPE Pump Required?: No Operator Required?: NO Permit Conditions: See soil notes and IP's WLS2008-00683 and WLS2008-00684 issued 2-17-09 by Robbie Phelps. 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 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 Susan Bunagarner 03/23/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/23/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/24/10 07:41 Department of Environment, Health, and Natural Resources Sheet: 1 Division of Environmental Health Property ID: 5704 On-site Wastewater Section Lot 1 SOIUSITE EVALUATION File 4264 for ON-SITE WASTEWATER SYSTEM AppID: Owner: Applicant: Eric Rice Address: Date Evaluated: 3/23/2010 Proposed Facility: Design Flow (.1949) Property Size: Location of Site: Property Recorded: Water Supply: [ x ] Public [ ] Individual [ ] Well [ ] Spring [ ] Other Evaluation Method: [ ] Auger Boring [ x ] Pit [ ] Cut Type of Wastewater: [ ] 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 Is 0-28 c-cl sbk,SE.fr 28 28 ps 15 28+ rock .3 1 Is 0-40 c-cl sbk,SE.fr 40 ps 15 .3 2 Is 0-42 c-cl sbk,SE,fr 42 ps 15 .3 3 Description Initial System Repair System Other Factors (.1946): ps Available Space (.1945) ps ps Soil Evaluation By: S Bumgarner System Type(s) 25% Ipp Others Present: M McBride Site LTAR .3 .3 Site Classification (.1948): ps Site Evaluation By: S Bumgarner Others Present: M McBride 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 Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health File On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED P R 0 SOIL MORPHOLOGY OTHER 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 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-Food 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 Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable SS-Slightly Sticky EXP-Expansive 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 b ~ 0 NGDENR Division of Environmental Health `Date: 0.1/ 1 6 l )009 On-Site Wastewater Section Soil/Site Evaluation File x 4 3 1 5 For On-Site Wastewater System PIN w L s a 008 - 00 "Owner Proposed Facility SINGLE FAMILY 'Proposed Design Flow (.1949) Location. of Site 54TH AV NE Property Size 0.954 Water Supply PUBLIC Evaluation Method Pit 1940 Horizon SOIL MORPHOLOGY Landscape Depth .1941 Other Profile Profile# Slo POS pe °k (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-18 We n/a .1942 Wet. 18-48 sc sbk fir ss sp % .1943 Depth 4 8 .1944.Rest. Horizon GPS Saprolite: 1947 Class Ps Profile LTAR © • 3 a 0-15 n/a .1942 Wet. 15-48 sc sbk fr ss sp .1943 Depth 48 % .1944 Rest. Horizon GPS Saprolite .1947 Class Ps Profile 0 3 LTAR 3 0-24 scl sbk fr nss np 1942 Wet. 24+ n/a .1943 Depth a 4 % 1944 Rest a 4 H0,,Re GPS zon Saprolite: .1947 Class Ps Profile LTAR 0 • . 3 4 0-8 Cl sbk fr ss 1942 Wet. 8-48 sc sbk fi nss np .1943 Depth 4 8 % .1944Rest- GPS Horizon Saprolite: 1947 Class Ps PP LTAR 0 . 3 1942 Wet. 1943 Depth .1944 Rest GPS Horizon Saprolite: 1947 Class /941 ' Profile LTAR Available Space (.1945) s Other Factors(.1946) n/a Site Classification: PS Initial LTAR: 0 . 3 Repair LTAR: 0 3 Others Present: Comments: Evaluated Sy: Phelps, Robert NCDENR Division of Environmental Health On=Site Wastewater Section `Date: O a/ i 6 l D009 Soil/Site Evaluation ;File x 4 3 1 6 For On-Site Wastewater System PIN* w L s a 008 - 00 ..*Owner Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site 54TH AV NE Property Size 0.92 Water Supply PUBLIC Evaluation Method Pit 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile SP S % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-10 sloam gr Or 1942 Wet 10-48 sc sbk fr ss sp % .1943 Depth 4 8 .1944 Rest. Horizon GPS Saprolite: 1947 Class Ps Profile LTAR 0 3 0-15 sloam gr vfr 1942 Wet 15-34 cl sbk fr ss np .1943 Depth 4 8 % ` 34-48 sc sbk fr ss np 1944 Rest GPS Horizon Saprolite: 1947 Class Ps _ Profile 0 3 LTAR 3 0-26 cl sbk fr nss .1942 Wet. % 26-48 nla vfi 1943 Depth a 6 .1944 Rest. a 6 GPS Horizon __V5 1 Saprolite. .1947 Class Ps Profile LTAR 0 . 3 4 0-8 cl sbk fr ss .1942 Wet. 8-35 sc sbk fi ss 1943 Depth 3 5 % 35-48 .1944 Rest GPS Horizon Saprolite 1947 Class Ps Profile LTAR 0 3 1942 Wet. % 1943 Depth 1944 Rest. GPS Horizon Saprolite: .1947 Class Profile LTAR Available Space (.1945) s Other Factors(. 1946) Site Classification: Ps Initial LTAR: 0 . 3 Repair LTAR: 0 3 Others Present: Comments: l Evaluated By: Phelps, Robert i