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Home My WebLink AboutIMPV-04-2022-169631.TIF 4!'\ CATAwBA COUNTY Case# IMPV-04-2022-169631 i./�`' II-\ Public Health Department Subdivision FOREST SHORES Q Environmental health Division(....._ PIN# 369804806584 PO Box 389,25 Government Drive,Newton,NC 28658 I.OT# 3 !g w Site Address: 3019 BASS DR, SHERRILLS FORD NC 28673 Name on Permit: ANGELA VILLALOBOS Property Size: Acres 0.73 Directions: NC-16,turn left onto Buffalo Shoals Rd, right onto Little Mountain Rd, left onto Ingleside Dr, left onto Bass Dr, home is on the left Owner/Authorized Representative Acknowledgement of Permit Receipt A _I certify that I 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-01-2022-39788,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) iElectronic Image Transmittal/E-mail (Return receipt required) if As the property owner or authorized representative I have reviewed and understand the specific conditions I‘-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: 04/18/2022 �j Owner/Authorized Representative Signature ( Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) ______qt: Signature Date/Time j,(' ll)) Method: Fax i Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService JRSur C,_NAL, 000 3l t.1 , tern ,t„.,„„, 04/19/2022 16:23 4c . CATAWBA COUNTY Case# IMPV-04-2022-169631 IR Public Health Department Subdivision FOREST SHORES %( y Environmental Health Division PIN# 369804806584 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3 SM Site Address: 3019 BASS DR, SHERRILLS FORD NC 28673 Name on Permit: ANGELA VILLALOBOS Property Size: Acres 0.73 Directions: NC-16,turn left onto Buffalo Shoals Rd, right onto Little Mountain Rd, left onto Ingleside Dr, left onto Bass Dr, home is on the left Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 g p d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Keep all parts of septic system minimum: 50'from any individual well, 10'from property lines, 10'from water and utility lines, 10'from home with foundation drain,5'from decks and porches, 10'from gas easement line. Lines to be installed on contour. Do not grade drive or fill over system or repair area or permit may be revoked. 30'front setback was verified with Catawba County Zoning. Applicant was advised to get permission in writing from gas company to cross gas easement with driveway. chp,tmit 04/22/2022 16:26 CATAWI1ACOUNTY Case# IMPV-04-2022-1 6963 1 t Public Health Department Subdivision FOREST SHORES d „int r; Environmental Health Division PIN# 369804806584 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3 /g.2 Site Address: 3019 BASS DR, SHERRILLS FORD NC 28673 Name on Permit: ANGELA VILLALOBOS Property Size: Acres 0.73 Directions: NC-16, turn left onto Buffalo Shoals Rd, right onto Little Mountain Rd, left onto Ingleside Dr, left onto Bass Dr. home is on the left 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 for Sewage Treatment and Disposal Systems' (15A NCAC I 8A.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. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 1/ (-273 04/18/2022 Authorized State Agent Permit Issuance Date 4/18/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department eltpennit 04/19/2022 16:23 FPPR-OI -oo3-x--ivv Catawba County Environmental Health lo 1°' oit �P5 io • rx moo" ,00 16 • _ \ V lk 1 1. AU{h .k."-- % t f�frt 3A 03019 T L. �/ .•' Q kV O t.,r ), '1...4.0 •3003 �„:'` r4-4 X ' yyy P- % • �12 UO )\�5� b6 L`v .t Nt M h Cr •,gyp i_. Ifsay „,,,,"\ Parcel: 369804806564, 3019 BASS DR a i , Z 13 f• 1' 1.- c. .. f,, -,,. SHERRILLS FORD, 28673 tin=50ft TMP\/ - Li ZL - I6'i61 > oshea�racyfnd�the fo County. � p�w Services. Catawba County amade tl�efforts t enurree t aurao llocation and labeli I nation contained onNs ma on W report. promotes and ends the Independent verification of any data contained on this madreport product by the user.The County of Catawba.Its empioyees agents end personnel,disclaim,and shall not be held liable for any and aldamages,loss or liability,whether direct,irxlkect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Cotrvrk 12021 Catawba County NC Scanned with CamScanner Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR-1-22-39788 Owner: Angela Villalobos Applicant: Address: 3019 Bass Dr Sherrills Ford NC Date Evaluated: 4/7/2022 Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvt well [ ]Spring [ ]Other Evaluation Method: pits by applicant [ ]Cut Type of Wastewater:pp X Sewage [ I Industrial Process [ ]Mixed P siau'�S}56^r?,41 r s, ai ,, ` i sp� r ({ 4 ��hE u O SOIL MORPHOLOGY �.e� b F ,1941 PROFILE FACTORS � ..... ' 1 .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 1944 , Profile Position/ Depth Structure/ Consistence Wetness e o Soil Sapro i Class _.:: Slope%� ,,.,.,((N.),, Texture- Mineralogy . :�Color . . p (IN.) Class 44 .. &LTAR 1 LL 8-10% 0-6"A SUGR NS NP NEXP VFR P 6-18"B C/ABK SS SP SEXP FR 18-48"B CL/w SBK SS SP SEXP FR 48" PS.3 2 LL 8-10% 0-4"A SUGR NS NP NEXP VFR P 4-20"B C/w SBK SS SP SEXP FR 48" PS.3 20-48"B CU w SBK SS SP SEXP FR 3 LL 8-10% 0-7" SU GR NS NP NEXP VFR AB 4-24"B C/w ABK SS SP SEXP FR 48" PS.3 24-48"B CL/w SBK SS SP SEXP FR Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Jason Boyd System Type(s) IIIG 25%red IIIG 25%red Others Present: Site LTAR .3 .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 SEE SITE PLAN