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HomeMy WebLinkAboutRBPR-08-2022-41871.TIF %t>ii. _,,,::,,rt.k.• THIS IS NOT A PERMIT Case# RBPR-08-2022-41871 �'(...._ y CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /= - w Residential Building Plan Review-Building New IMPROVEMENT-AUTH CONST Owner DAN GRIFFITH,3035 A AND W DR VALE NC 28168 C:828-228-5450 DSGRIFFTTH34(,GMAIL.COM NAME TO APPEAR ON PERMIT DAN GRIFFITH SITE ADDRESS: 3035 A&W DR,VALE NC 28168 PIN # 269803220926 NAME of SUBDIVISION: Lot 4 Section/Block PROPERTY SIZE: Square Feet Acres 7.43 DIRECTIONS: 3035 A&W Dr,Vale PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: IP/AC/NEW SEPTIC/240 GPO—Constructing a 16x36, 2 bedroom accessory dwelling with full bathroom on crawlspace SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: ACCESSORY DWELLING FACILITY TYPE: Accessory Dwelling OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 30x40 sfd NUMBER OF EXISTING BEDROOMS: ax OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 16x36 accessory dwelling *OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehapplicauon 08/05/2022 09:12 Page I of3 CATAWBA COUNTY Case g RBPR-08-2022-4 I 87I ' ice• (.... Public Health Department Subdivision i Environmental Health DivisionPIN# 269803220926 r. PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (DAN GRIFFITH),3035 A AND W DR,VALE NC 28168 (DAN GRIFFITH) Site Address: 3035 A&W DR,VALE NC 28168 Property Size: Square Feet Acres 7.43 Directions: 3035 A&W Dr,Vale Completed applications are valid for a period of 2 years,Improvement Permits are valid:with complete site plan=80 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the Intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property linen and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA1 MUCKS; must be 5 ft from home, must be half size of heated sq ft of principal building FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 08/05/2022 $150.00 Fee Improvement Permit Fee 08/05/2022 $150.00 TOTAL FEES $300.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapplicauon 08/05/2022 09:12 Page 2 of 3 011As Catawba county Nor, public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: New Construction ❑ Existing Facility provement Permit Authorization to Construct ew Septic ❑ Septic Repair/Malfunction ❑Septic Relocation ❑ Septic Expansion ❑Existing System Inspection or Reconnection ❑New Well ❑ Replacement Well ❑Well Abandonment ❑Well Repair Property Address 3 c)3 S- A g co "b , Vo. I e , 1\1C. z P ((o 8 Acres '7.4 3 Subdivision /Lot# Driving Directions Property ill w u I d Lc) -E,, e a e.n,0A , q0 1 e_-P{. r -to (�a-Hots_ c 1,,.. 11 2rtct �1O t9P_->C4 on A :� ( , ?rt.oP•2iu-E4 cf J-i-t e.-d Describe woric �r r t.o_CI I(, tic 36 �iu-wic AotA.s e I (A.,i+t. S eft e c: 1,c, lA Gist a vl-LAX AI �,- Applicant Name R2 E-� , � r f' CC' -.i ebX it:� l (\eW Seit- Applicant Address 3 d 3 .S /Q 40 Lc) pD ti Ve C e t IL& 2 er kr I {O,AC C' Jt li Lke it,5 Phone Z z$ .2 8 c4 Si Email q 2. . r f L. 3 4@ 4 wt.t t l , GtI— Owner Name Ste_G �1 U Owner Address Phone Email Contractor Name Contractor Address Phone Email Name to Appear on Permit? [i;I er 0 Applicant 0 Contractor Who will be the Primary Contact? Owner ❑Applicant 0 Contractor Proposed New Construction-Residential Primary Residence El New Residence 0 Addition to Residence #of New Bedrooms*t #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t Z #of Occupants a Structure Dimensions (d 1C 3 6 (Choose One) ❑Basement ErCrawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement El Yes ❑ No Retaining Wall>2' ❑ Yes IS No RA1 �J l,. f n Accessory Structure(s)Describe pN l Structure(s)Dimensions Plumbing 0 Yes D No Describe Plumbing Needed (Choose One) ❑Basement El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*'1 Total#Bedrooms in Structure*T #of Occupants Structure Dimensions (Choose One) ❑Basement El Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes El No Well Construction/Abandonment/Repair Proposed Well Type El Individual Well ❑ Semi-Public Well 0 Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested El Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?El Yes El No Environmental Health Catawba County Government Center,25 Government Drive I PO. Box 389, Newton,NC 28658 Phone:(828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site , ,J Describe / 8 8 S? 4 + So vex 4 I b u.1 �i u r/d n � Structure Dimensions 3i #of Bedrooms * Z #of Occupants 2- Basement ❑Yes No Basement Plumbing El Yes No Existing Water Supply 15 Individual Well ❑ Shared Well—Number of Connections El Community Well El County/City/Township Water Line Is a public water supply available?** ❑ Yes No Commercial ❑ Proposed New Construction ❑ Existing/Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq.Ft) #Employees per Shift #of Shifts Church #of Seats Daycare❑Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen El Yes ❑No Residential Kitchen ❑Yes El No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial j (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑ yes ' No Does the site contain any jurisdictional wetlands? Oyes 0 No Does the site contain any existing wastewater systems? 0 yes lallo Is any wastewater going to be generated on the site other than domestic sewage? Yes DI No Is the site subject to approval by any other public agency? O Yes CS/No Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,angering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal age ' rt er. Signature of Owner or Legal Agent Date U ,{ 2- 2- Printed Name of Owner or Legal Agent ( Q.-K- J 6,1/(/ 'iI h Catawba County Environmental Health (76i) Se nes \ . av f‘,4 • .j ,c , \� sac . e35 ,ciff.c 0 l l t36 �5�', V. ea Niv Sli 1` ga�� 2 401.35 4 (236) 45 iiiiiiii. Parcel: 269803220926, 3035 A & W DR VALE, 1 in=100ft 28168 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/05/2022 Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 269803220926 Owner: GRIFFITH DAN STEVENS Parcel Address: 3035 A & W DR Owner2: GRIFFITH LANE KIMBERLY City: VALE. 28168 Address: 3035 A AND W DR LRK(REID): 8550 Address2: Deed Book/Page: 3729/0992 City: VALE Subdivision: State/Zip: NC 28168-7526 Lots/Block: / Last Sale: $322,000 on 2022-03-09 School Information: School District: COUNTY Plat Book/Page: Elementary School: BANOAK Legal: Calculated Acreage: 7.430 Middle School: JACOBS FORK Tax Map: 009 B 02025E High School: FRED T FOARD Township: BANDYS School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-40 Building(s) Value: $117,000 Zoning2: Land Value: $33,700 Zoning3: Assessed Total Value: $150,700 Zoning Overlay: DWMH-O Year Built/Remodeled: 1989/ Small Area: PLATEAU Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710269800J If available, Building Permits for this parcel. 2010 Census Block: 3013 Septic links are not permits. 2010 Census Tract: 011802 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. }J n� Building Details } 01 1 1 je.c*C (,WaterShed: c a tc c c rr1 Y�' Voter Precinct: P3/Voting Map hedr4.700AD I100• Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba.its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages.loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2022, Catawba County Government, North Carolina All rights reserved. 8/5/2022 CATAWBA COUNTY art"- 1-1• ■ Case# , ;�r-,p ❑ 1MPV-04-20 1 3-04223 1 ( ii Public Health Department �'� Subdivision ......."!iJ Environmental Health Division EXPIRED '' „ i,r�T•' PIN# 269803220926 PO Box 389, 100-A Southwest Blvd,N�wt.,�.,NC 28658 C o a LOT# Or• -' • NAME ON PERMIT: PAM FLOWERS, 3035 A& W DR, VALE NC 28168 Site Address: 3035 A&W DR, VALE NC 28168 Property Size: Square Feet 323,650.80 Acres 7.43 Directions: Hwy 10W/left @ Banoak Food Ctr on Heavner Rd/go 1 mile/left on A&W Dr/follow to end Improvement Permit r INITIAL SYSTEM EXISTING— — _ i _ Facility: Primary Residence - House Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: CONVENTIONAL Type: ILA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: REPAIR SYSTEM SPECIFICATIONS __ Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB•SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED 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. h 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. Robbie Phelps 09/23/2013 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/21/2018 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department, f-:9•chpcnnit 09/23/2013 11:13 Page 1 of 3 (0A Permit# IMPV-9-13-042231 CATAWBA COUNTY Name Pam Flowers id Ella 'Z Public Health Department Environmental Health Division Address 3035 A& W Dr PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN# , y, (828)465-8270 Fax (828)465.8276 TDD(828)465-8200 SITE PLAN / ' iI- a - v i o 3 si g1,b� v L✓et1 3;7- Scale r r 1) O 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: Owner: Pam Flowers Applicant: Address: 3035 A 8 W Dr, Date Evaluated Proposed Facility: al Design Flow(.1949) 240 Property Size: Location of Site: Properly Recorded: Water Supply: I I Public I x]Individual [x]Well [ )Spring [ )Other Evaluation Method: I I Auger Boring I x]Pit [ )Cut Type of Wastewater: I )Sewage ( ]Industrial Process [ )Mixed P R 0 SOIL MORPHOLOGY b F .1941 PROFILE FACTORS I .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 L, 15% 0-24 scl,sbk fr,ss,sp 24-32 rock fi 32-48 sc.sbk chrome 2 24 0.25 2 L,15% 0-48 c,sbk 'r,ss.sp 48 0.3 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 0.3 Site Classification(.1948). Site Evaluation By- Others Present j 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-Silly 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 Fl-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 Location / 'L.r7 C ---_______,,b.--1 TL-L7— ' PL._._._fj 1.-----) 1�T • CATAWBA COUNTY HP:A*11,TH DEPARTMENT ' NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N° 1 5 0 1 DATE : fa�,ai- /8� (9sr/ OWNER G 94..w,„4.- ADDRESS 4-1-1 1 II P 1��,A C. . BUILDING CONTRACTOR S VISION 771,.... ,,, LOCATION ,..t.c__,...._, ea �i�,,,,,� ,-,A. 1 0T # LOT SIZE pte..zc.�.� BLOCK OR SECTION HOUSE ( ) MOBILE HOME (t ]—BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE /5 pt) GALS) WATER SUPPLY : , NO. BEDROOMS NO FIXTURES INDIVIDUAL _PUBLIC ‹g . GARBAGE DISPAL UNIT:YES ( O (-'j'--IF WELL, TYPE : BORED DRILtE�JG_ AUTO WASHING MACHINE : YES ( 'f30 ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD : (,fed SQ.FT . POLLUTION: .56 •'-0- FT. 1) NUMBER OF LINES 3_. SEPTIC TANK INST LLE Y : 2) LENGTH AND WIDTH OF LINES N, � /O D PERMIT FEE a) BED SYSTEM { CERTIFICATE OF CO , LETION BY : b) TRENCH SYSTEM (4� 3) DEPTH OF STONE IN LINES ADEQUATE FALL (GRADE) ON: I� ,, / ' 1) BUILDING (HOUSE) SEWER LINE : `,� CY-L .."--,-,-.----- YES ( ) NO ( )- 2) NITRIFICATION LINES : DATE INS ALLED: _c_f /, J ?S " YES ((„),"' NO ( ) 'SEPT CAN TK LAYOUT � i r; r —=fir= -� i �� '� El U C:: PQ w El O ►-1 HEALTH GCitA.RTMENT COPY I 1 , ©I, (10< ;' CATAWBA COU.�►'Y HEXLTIP RTMENT 1 n IMPROVEMENT PERMIT FOR SEP IC TANKS Permit No.1 5 i• NAME OF OWNER D(�l wc,� f•[IA'.u/LA J DATE 1 a /9 p y v� I ADDRESS OF OWNER //d If 4,0.71 //a to/ figy, /V i C i PHONE o'Z56 - {�,5' NAME OF CONTRACTOR r�,,, ADDRESS LOCATION 6 ... . /[� L.J 4,— ��'7otn t-+•✓ S... ..6-t, �♦ C. ,,..o.f (/ticx,Rf 1 . cf,--;L ilt,;,1,--:_., ., -' -fp,/ ..1.--,-,-,---e—' ed-.-----c/e7,---2-417 SUBDIVISION LOT NO. SECTION OR BLOCK LOT SIZE c.,,,,,�,sy FHA, VA LOAN Septic Tank Contractor must follow all HOUSE ( ) MOBILE HOME (C..)--BUSINESS ( ) OTHER ( ) Details of this permit (layout) NO. BEDROOMS 9) NO. FIXTURES ( ),EP_T.,4p T LAYOUT GARBAGE DISPOSAL UNIT: YES ( ) NO ( ) T�lreAC, TO K1�I1 PLUMBING UNDER BASEMENT FLOOR: YES ( ) NO ( ) m Y,� _ 7-.,„ SIZE OF TANK got LIQUID GALLONS j�J �' ^° NITRIFICATION FIELD: f, ( � ig. ' �`=J — -- 1. Number of lines - . 2. Length and width of lines: a. Bed System ft. I"4. -- - - — — '.t_ Q (aE b. Trench system as (p�}r�(31t. �, • 3. Total Depth of stone inches 0L^'t�v+�cl'�--' GROUNDWATER INTERCEPTOR DRAIN: tot, r-ts, 3 (IF REQUIRED) 146£P S9.5—r: ' WATER SUPPLY: PRIVATE ( ) PUBLIC ( ) <<'(/� OWNER NOTIFIED TO CHECK ZONING: YES NO ( ) J DW S1+A _LoI J OWNER AGREES WITH LAYOUT: YES ( ) NO ( ) OWNER AGREES WITH SPECIAL INSTRUCTIONS: YES ( ) NO ( ) OWNER OR CONTRACTOR SIGNATURE 9,2,,,e.., ) ,wyl' PERMIT FEE S IA 0 h PERMIT VOID AFTER 36 MONTHS FINAL APPROVAL OF THIS SEPTIC TANK SYSTEM BY IMPROVEMENT PE IT ISSUED BY THE HEALTH DEPARTMENT SHALL INDICATE THAT THE SANITARIAN �,��� SYSTEM HAS BEEN CONSTRUCTED ACCORDING TO THE STANDARDS SET FORTH IN THE CATAWBA COUNTY SEWAGE DISPOSAL REGULATIONS, BUT IN NO WAY HEALTH DEPT. COPY SHALL BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY (it)LEN ?ERN QF TIME, SOIL CLASSIFICATION: SUITABLE ( ) PROVISIONALLY SUITABLE (tea BITABLE ( ) SITE FACTORS: � 1. SLOPE (%) OP ' - U 7. SOIL PERMEABILITY S —c �— u 2. SOIL TEXTURE (12-48 IN.) - U UNDER 60 MIN. - OVER 60 MIN. SANDY, LOAMY, CLAYEY 8. OTHER S - PS - U 3. SOIL STRUCTURE (12-48 IN.) S - '- U (SPECIFY) ---- ' 4. SOIL DEPTH (IN.) S• - S U 9. SOIL SERIES: 5. RESTRICTIVE HORIZONS (IN.) S - - U A. CECIL ( ) B. HIWASSEE ( ) (IMPERVIOUS STRATA, ROCK) C. MADISON ( ) D. APPLING ( ) 6. SOIL DRAINAGE - GROUNDWATER PS - U E. PACOLET ( ) F. FLOOD PLAIN C ) (EXTERNAL - INTERNAL) G. 2-1 CLAY SOIL H. OTHER-SPECIFY . r