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Home My WebLink AboutIMPV-3-10-5827.TIF CATAWBA COUNTY Case # IMPV-3-10-5827 G Public Health Department Subdivision Q Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # t8 2 PIN# 365910467646 Applicant/Owner RAY FORD Site Address: 1661 DALE ST, Newton, NC Property Size: SF 2 ACRES Directions: 16S/ LEFT COLEY FISH POND RD/ LEFT DALE ST AT END ON LEFT Improvement Permit Permit Valid: Expires In Five Years: _X_ No Expiration: Facility: Mobile Home Permit Category: Expansion Bedrooms 4 Projected Daily Flow 480 g.p.d WATER SUPPLY: Well Type: Individual Well Basement? No Basement Plumbing? No Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS Proposed Repair: 25% REDUCTION Pump Required?: No Operator Required?: NO Permit Conditions: Setup mobile home so that it is a minimum of five feet from all parts of existing system and 25 feet from any well 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 Robbie Phelps 03/29/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/29/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/29/10 14:21 Y,A CATAWBA COUNTY Permit # EHPR-3-10-4345 y" G Name Ray Ford 2 Public Health Department atr, ' Environmental Health Division Address 1661 Dale St, Newton PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 18 4~ se+ (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 SITE PLAN t n^ 6q V- hn t2 S f v~1 ~1' `n 10 0 `MI O o M 0 loo J, AAH 2~ x 7 ~ 30- U Scale 0 H~ ' 2 RAY FORD ti 1661 DALE ST, NEWTON, NC 1842 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 pro rty 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-3-10-4345 , by the following method(s): _v 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 3/29/2010 Owner/Aut orized Representative Signature Date 31Z 4/,io 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: Division of Environmental Health Property ID: On-site Wastewater Section Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM AppID: Owner: Ray Ford Applicant: Ray Ford Address: 1661 Dale St Date Evaluated: Proposed Facility: Design Flow (.1949) 480 Property Size: Location of Site: Property Recorded: Water Supply: [ J Public [ x ] Individual [ x ] Well [ ] Spring [ J 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 0-52 cl,sbk ss,sexp,sp 52-60 cl+sap,sbk ss,sexp,sp 60 ps, 0.3 2 0-55 scl,sbk ss,sexp,sp 55 ps.0.3 3 0-58 cl,sbk ss,sexp,sp 58-60 c,sbk ss,sexp,sp chroma 3 58 ps,.3 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 25% Others Present: Luke Sears Site LTAR 0.3 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 11 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 Se-D