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HomeMy WebLinkAboutRBPR-04-2021-37374.TIFCATAWBA COUNTY Public Health Department Environmental Health Division ~PO Box 389, 100-A Southwest Blvd. Newton, NC 28658 (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 Case # WLS2008-00305 Subdivision A L ROBINSON Sect/BUPh/Lot # I PIN# 460703038341 Applicant/Owner PAUL ROSSIGNOL Site Address: 7160 ROLLING HILLS DR SHERRILLS FORD NC Property Size: SF . .45 ACRES Directions: HWY 16 S/ TO HWY 150 EAST/ TO LITTLE MTN RD/ 2ND LEFT IS ROLLING HILLS Improvement Permit Permit Valid For: Five years X No Expiration Facility (Residential): House Projected Daily Flow Basement: Y Proposed Wastew, Proposed Repair: Permit Conditions: P ow, SG OJ House X Mobile Home Multi-Family Bedrooms 3 New? Addition? If,[g.p.d water Supply Private Well? ) Public? Semi-Public? m; Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain): DOA,OC Type: Owner or Legal Represe Authorized State Agent: Date: r Date: ll~ The issuance of this permit by the Hearth 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 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.d./ft2 Type of Facility: Basement: Y Basement Plumbing: N HotTub/Spa: N 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- / have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Form B r:ATid,: k\rurnnVWLSann.rnr 3" ' , CATAWBA COUNTY P bli H lth D t t Case # WLS2008-00305 F ~ \ \ ea epar men u c I\ ' J Environmental Health Division Subdivision A L ROBINSON \ 'd ? PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 Sect/BL/Ph/Lot # I (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 460703038341 Applicant/Owner PAUL ROSSIGNOL Site Address: 7160 ROLLING HILLS DR SHERRILLS FORD NC Property Si SF .45 ACRES Directions: HWY 16 S/ TO HWY 150 EAST/ TO LITTLE MTN RD/ 2ND LEFT IS ROLLING HILLS ® Improvement Permit Authorization To Construct 0 Well Permit SITE PLAN Scale i 37,5v' -~Do nab AVIR, I radc, C~ or -F'(1 Jet `e a YeA . *-twi5 ~5 n~+ i,~~►d -(be i n5-~u((cch7n~ ~vr~°sts N r N 4 Ai k fir. 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 rev ion if the sit plan or site conditions are altered. Author z d State Agen Date Form C r:\Tidemurk\F,- cV1t'LSuun.rnt DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of _ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID ' O -SITE WASTEWATER SECTION 11 COUNTY: ~~c~c~} o~~ ~5~ ►~61 SOIL/SITE EVALUATION i,A, II for ON-SITE WASTEWATER SYS OWNER: 1~ 0 ~ V APPLICATION DATE 2 s, V 63 t 5 ADDRESS: DATE EVALUATED: °zt-a PROPOSED FACILITY: 3OtiSz. PROPOS D FS GN FLOW (.1949): PROPERTY SIZE: LOCATION OF SITE: S 1 PROPERTY RECORDED: WATER SUPPLY: Private 0 ublic 0 Well pring 0 Other EVALUATION METHOD: Auger Boring Pit 0 Cut TYPE OF WASTEWATER: Sewage 0 Industrial Process 0 Mixed • . : R::::ES:E :::::::::.:::::::S::s::::::::::::•:•::........ C XL.MDP$OT;D.OY::::::::::::::::::::::::::::::::::::::::: . : : © HER . • ::::::::::::::.:::::...........:..:::::::::::::::.79.4.1 : ROFI FACT4RS : . . : . RI :.:.......::.:..::::::::::::::::::::::::::::::::::::......144 z .::::::::::::::s:::::::: : . : : . . : .........:.....194 SbtL.......................................1456:1:::: 5 s: t:::::::::::::::::::::: 9.44.... i?RIJ... :::::::s ..........:...:...::::::::::•:::..................~{~NSIS i E11fGE1€ 1::SLOP]~:f .:.::.:::::•.::•:::•'i'I±XTURE 7VIINERALG1' ::::::..:::::C[3LflR:::::::::DEP • . TH:::::: RES ::::I,ASS€ . . J~ rft E2IZ......... SO es 2 qg„ ,.3 4 DESCRIPTION Available Space (1945) System Type(s) Site LTAR COMMENTS: INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948): ICS EVALUATED BY: OTHER(S) PRESENT: . LEGEND use the_followinz standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC (Concave Slope) . I S (Sand) 12 - 0.8 0.6-0.4 NEXP (Non-expansive) G (Single Grain) SEXP (Slightly Expansive) M (Massive) CV (Convex Slope) LS (Loamy Sand) M (Expansive) CR (Crumb) D (Drainage Way) DS (Debris Slump) II SL (Sandy. Loam) 0.8-0.6 OA-03 GR. (Granular) SBK (Subangular Blocky) FP (Flood Plain) L (Loam) ABK(AngularBlocky) (Foot Slope) H H (fiend Slope) III SCL (Sandy Clay Loam) 0.6 - 03 03 - 0.15 PL (Platy) PR (Prismatic) • L (Lba- Slope) SiL (Silt Loam) N (Nose Slope) CL (Clay Loam) SiCL (Silty Clay Loam) MOIST WET R. (Ridge) S (Shoulder Slope) Si (Silt) - VFR (Very Friable) NS (N..-. i ky) T (Teaace) 1V SC (Sandy Clay) 0.4-0.1 0.2-0.05 FR (Friable) SS (Slightly sticky) Sic (Silty Clay) FI (Firm) S (Sticky) VFI (Very ram v. Very Sticky) VS Nary Sticky) C (Clay) O (Organic) None EFI (Extremely rtrm) NP (Non-plastic) SP (Slightly Plastic) *Adj ust LTAR due to depth, consistence, structure, soil wetness, landscape, p osition, wastewater flow and quality. P (Plastic) VP (Very Plastic) NOTES HORIZONDEPTH In inches below natural soil surface DEPTH OFFILL In inches from land surface RESTRICTIVE'HOBTZON Thickness and depth from land surface SAPROLITE S(suitable) or U(unsuitable) om land surface to free water or inches from land surface to soil h f I colors with chrome 2 or less - record Mtmsell color chip designation s01L WETIESS CLASSIFICATION es r nc S (Suitable), PS (Provisionally Suitable), or U (Unsuitable) Evaluation of saprolite shall be by pits. Long-termncceptance rcarc kr.i j. gas-Yu Show rofile locations and other site features (dimensions, reference or benchmark, and North . y.....>....<... i 4......4 ....i i.......i...... ~.......n...... .....0... 5 i......p....... ...t i.......i.......~.......i...... 7//I i i...... ~.......}......4.... ...4•.. .T~•••••F ........:......i.......4•.....i......4......:........... p......:.... { ......i...... i i.....:.. i.............. i..»........ : y......i•....._ ....4...... {.......i.......i.......i...... ...4... ..:...:.......:........}......j.....».i......i.......i.................... ..4...... 4.............. }......L......i........................ ....4...... i.... i 7-7-- ;......b ............_.5......i......b......i............ • ....?......i...... DENR (W###) Review (iM##a)