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Home My WebLink AboutIMPV-4-10-6708.TIF g CATAWBA COUNTY Case # DaV-4-10-6708 Public Health Department Subdivision Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # w PIN# 367802596985 ApplicantlOwner THOMAS WEESE EH1o -y.10 -y8'~ Site Address: 2121 BUFFALO SHOALS RD, Catawba, NC T~ 1 Property Size: SF 10.399 ACRES Directions: HWY 16 S/ LFT ON BUFFALO SHOALS RD/ ON LFT Improvement Permit Permit Valid: Expires In Five Years: No Expiration: -X Facility: House Permit Category: Other Bedrooms 4 Projected Daily Flow g.p.d O WATER SUPPLY: Well Type: Individual Well Basement? No Basement Plumbing? No Proposed Wastewater System: Type: 11113 - SYSTEM W/SINGLE EFFLUENT PUMP Proposed Repair: 25% REDUCTION Pump Required?: Operator Required?: NO Permit Conditions: Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. 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 or Sewage Treatment and DisRosal 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 04/27/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/27/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 04/29/10 15 48 $ CATAWBA COUNTY Permit # EHPR-4-10-4873 G Name Tom Weese Public Health Department Address 2121 Buffalo Shoals Rd nvironmental Health Division PIN# 389, 100A Southwest Blvd, Newton NC 28658 1$ (828) 465- Fax (828) 465-8276 TDD (828) 465-8200 SITE PLAN 2s Pin 9, 1 a 0 J v \y h b° P sr .rr`~ ~ env .r ,s x VV0 g ' o_ Scale 0 CATA'WBA COUNTY Case # IMPV-4-10-6708 Public Health Department Environmental Health Division Subdivision PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # PIN# 367802596985 Applicant/Owner THOMAS WEESE _y p Site Address: 2121 BUFFALO SHOALS RD, Catawba, NC 0 Property Size: SF 10.399 ACRES Directions: HWY 16 S/ LFT ON BUFFALO SHOALS RD/ ON LFT Owner/Authorized Representative Acknowledgement of Permit Receipt 1ZI 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-4-10-4873 , by the following method(s): _L,Aeceived 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: 04/27/2010 Owner/Authorized Representative Signa Date L/- 30 - / 0 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. 04/29/10 15.48 Department of Environment, Health, and Natural Resources Sheet: 1 Division of Environmental Health Property ID: On-site Wastewater Section Lot SOIL/SITE EVALUATION File EHPR-4-10-4873 for ON-SITE WASTEWATER SYSTEM AppID: Owner: Tom Weese Applicant: Thomas Weese Address: 2121 Buffalo Shoals Rd Date Evaluated: 4/26/2010 Proposed Facility: Design Flow (.1949) 480 Property Size: Location of Site: Property Recorded: Water Supply: [ ] Public [x ] Individual [ x ] 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 # Slope0h (IN.)_ Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR i 1 >5 0-26 cl,abk sp,ss,fr 26-48 sic,sbk sp,ss,fr 48 0.25 2 5 0-29 cl,abk sp,ss,fr 29-48 c+mica,pla 29 0.25 i Description Initial System Repair System Other Factors (.1946): Available Space (.1945) s Soil Evaluation By: Robbie Phelps System Type(s) 25% Others Present: Site LTAR 0.25 Site Classification (.1948): pss 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 Mineraloav 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 Ce) r1 6 II wo.l 1 Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health File On-site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED P R O 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%o (IN.) Texture Mineralogy Color Depth (IN,) Class Horiz & LTAR i 1 Sheet: COMMENTS: FILE Landscape Position rou 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 i 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 I 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 t I i i I