HomeMy WebLinkAboutIMPV-3-10-5663.TIF
SBA CATAWBA COUNTY Case # IMPV-3-10-5663
Public Health Department Subdivision
d a Environmental Health Division CLAREMONT PARK
< PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 25
PIN# 375208992442
Applicant/Owner MICHAEL FRAZIER
Site Address: 3606 OAKWOOD AV, Claremont, NC
Property Size: SF 0.4 ACRES
Directions: I-40 / EXIT 135/ LEFT GO ACROSS BRIDGE/ GO PAST TRUCKING COMPANY/ PASS LIGHT HOUSE CHURCH / RT
DENWOOD DR/ LEFT OAKWOOD AV/ 1 ST DR ON RIGHT
Improvement Permit
Permit Valid: Expires In Five Years: _X_ No Expiration:
Facility: Mobile Home
Permit Category: Other Bedrooms 2
Projected Daily Flow 240 g.p.d
WATER SUPPLY: Public Water Type: County/City/Township Water O,
Basement? No Basement Plumbing? No Q
Proposed Wastewater System: CONVENTIONAL
Type: IIB - CONY SYSTEM WITH <750 LINEAR FEET OF LINE
Proposed Repair: 50% REDUCTION PPBPS
Pump Required?: No
Operator Required?: NO
Permit Conditions: As built for existing septic system. IP to switch out mobile homes and change property lines.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicantlproperty 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 Btungamer 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 08:08
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MICHAEL FRAZIER
U ~C 3606 OAKWOOD AV, CLAREMONT, NC
1842 sM
Owner/Authorized Representative Acknowledgement of Permit Receipt
X I certify that T am the owner or authorized agent (owner's authorization required) representing the owner of
the property described above.
X As the property owner or authorized representative, I have received the above referenced permit(s)
as requested in the application for service EHPR-3-10-4278 , 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/Authorized Representative Signature A lCRQU.Y,_ 3:6tz~^
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.
shed
DEPARTMENT OF e4MONMENT AND NATURAL RESOURCES PROPERTY ID 75 0
DiVIS10N OF EtMONMENTAL HEALTH COUNTY:
ON.SITE WASTEWATER SECTION
sowsITE EVALUATION
for ON SITE WASTEWATER SYSTEM
OQVNER. r PLICATION DATE
DATE EVALUATED:
ADDRESS._ 31 a0$ `h UMracl At/Cr rr nti~~• f - PROPERTY Sim
PROPOSED FACnXM. PROPOSED DESION FLOW (.1949). PROPERTY RECORDED: _
LOCATION OF SITE:
WATER SUPPLY: 0 Private Publie 0 p Pit 0 SCut 0 other
EVALUATION MMODi &Auger Baring 0 Mixed
OF WASTEWATT£R: Swage Q IndustdalPmce~
TYPE
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1 $~0 135 .
2
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DESMUMON IIJiiTAL sYSrEM 'A.R SYS"EU OTHER FACTORS (.1946): P S
AvaLW& Space (~MS) SITE CLASSIFICATION (.1945): p5
p s 5 .
47u= ms(s) t~rMre 1 d ~~~o r~ EVALUATED BY: S ~u k~o~garr•C
OTHER(S) PRESENT' 8d T
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LEGEND
use the bHowinr standard abbreviations
SOIL CONVENTIONAL LPP MWERALOGY1
r.ANnSCAPE POSITION GRO TF.XTZ>RF .1955 LTAR•.1457 LTAR• CONSISTENCE SCRUCPI)RE
CC (Concave Slope) I S (Sand) I Z-0.9 0.6-0.4 N ) )
D (mm a (s n& Gain)
( 0--y n uase Way) war) EXP ( ) Qz (C=nb)
.
DS (Deimc Sbmp) tt SL (Sandy.Loam) 02-0.6 CA .03 GR (Cand )
Fp (Flood phis) L (Conn) Sax (S+ Bey)
FS (Foot Sbpe) ASX(AmlWmBkdcy)
H (F1nd Slope) III SCL (Sandy Clay Loam) 0.6 - 03 03 - (L IS PL (Platy)
L( ) SM (SM Loam) PR (p4uw tir)
RN ) CL (Clay L-) SICL (Sy Clay Lc* 01
S PmddcrSloM) Si ( ) ~NCY~) NS T (J IV Sc (Sandy MY) 0.4 - 0.1 0.2.0.05 FA(1Me5 r.) SS CSW* bddl')
sic caky Cby) . Fl (Fan) S (Srid~ .
C (Clay) VFI (Vary Fam v Very Sdcky) VS (V@YRkri
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SP Me* PA)
*Ad)ud LTAR doe to depth, con + emm Ametam on waaese, tandsagw, poddon, wagmabr now and gi<a)Ity. P (Plnde)
VP (VWY PLsaie)
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DZPTX OFFILL Ia iahes fcaat had surface
2ESlRIL MHOR ZON M=kn ad dRp& imm Ind nafarn
SAM= S(=hore) QU(aamtmbk)
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