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HomeMy WebLinkAboutIMPV-03-2023-192101.TIF a CATAWBA COUNTY _ , �;.f f ,y Public Health Department Subdivision Q ,"(:-;) Environmental Health Division PIN# 368702877808 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 24B $. , sr Site Address: 5945 LITTLE PKWY, SHERRILLS FORD NC 28673 Name on Permit: *CHARLES J JR&DONNA LITTLE Property Size: Acres 4.65 Directions: Hwy 16S Left Mt. Beulah Rd Left Little Pky Shop on Left 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 th property described above. MAs the property owner or authorized representative,I have received the above referenced ermit(s)as requested in the application for service RBPR-04-2022-40763,by the following method(s): 1 Received in Person —_ Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) I, As the property owner or authorized representative I have reviewed and understand the specific conditions f 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: 03/23/2023 Owner/Authorized Representative Signature Date li.0,045 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 We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService cl ipennit 03/24/2023 16:34 i_� CATAWBA COUNTY Case y IMPV-03-2023-192101 l~ � ,. Public Health Department Subdivision �'' - 'i Environmental Health Division PIN# 368702877808 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 24B (8, w Site Address: 5945 LITTLE PKWY, SHERRILLS FORD NC 28673 Name on Permit: *CHARLES J JR&DONNA LITTLE Property Size: Acres 4.65 Directions: Hwy 16S Left Mt. Beulah Rd Left Little Pky Shop on Left Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: /(/-,A, s.t p fit. Wastewater Flow 240 g.p.d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: *See AC 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' (I5A 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. Cihrft. (447761°-\ • 03/23/2023 Authorized State Agent Permit Issuance Date 3/23/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit • 04/102023 11:18 Catawba County Environmental Health (297) (109) r391 LITTLE per, 288.83 97 45)i ,63 RePQ—oy-2.2Z-11oA13 ^h 24.24 low —03 02101 p r Afca r401 30 ' mac, AtAk-- o3 lqiicg 12.43 41. • NrS 16.12 'Q4.� 24.88 a cri 30.29 h 19.59 of 24.38 to 46.32 ,h Parcel: 368702877808, 5945 LITTLE PKWY 1 in=60ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospsttel 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,dsdashall ro.and shall be held liable for any and al 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 2023 Catawba County NC 03/23/2023 6 SYSTEM Line# Color Length Hole Size Flow/Tap ppd Trench Area Cony LTAR 25%LTAR 50%LTAR 1 66 SCH 40 1/2 7.11 38.32 198 0.19 0.15 0.10 2 70 SCII4(11/2 7.11 38.32 210 0.18 0.14 0.09 3 66 SCI1401/2 7.11 38.32 198 0.19 0.15 0.10 total feet = 202 gal/min= 21.33 114.97 606.00 0.19 0.14 0.09 Des.Flow 240 Pump Run= 5.39 soil LTAR 0.3 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of I DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON SITE WATER PROTECTION BRANCH COUNTY: (q}ry„ba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM r 1 (Complete all fields in full) OWNER: Q.(At $ T_ 1..f 411- APPLICATION DATE ADDRESS: M[ ^ DATE EVALUATED: PROPOSED FACILITY: Ne{,� Hof PROPOSED DESIGN FLOW(.1949): no (pPb PROPERTY SIZE: Lr.V 5 act./S LOCATION OF SITE: 5-iy5 I 4dat . ,/(/9,4af f shPM IIS bald /IBC 7S613' PROPERTY RECORDED: WATER SUPPLY: [ Private 0 Public 3'WeII 0 Spring ❑Other EVALUATION METHOD: Auer Boring 0 Pit C Cut TYPE OF WASTEWATER: t Sewage 0 Industrial Process 0 Mixed s P R 0 SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 L .1940 E LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE # SLOPE% {IN) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ (.- 0-1i ScL. sa is,* sac() 12-iv ( saie F, .iSsp,s M QS 1 0 Zo- 2ff £ MI( ri SSf sff s LID 5 l- z8-i/o CL gc 53u F)ss,sr) Sar 3 0. Ls 0-Z1 L 531( firs ,sftAl 71- zs c. fist( , q issl sviS tl 4-c 2 J z3-4D CL et 5(3K Tri fSt3f05E1 0 5 l9 o. s LS 0-20 c 5K FriSs,cpI$ Zv—34 C {}81C FYI SSI si) cP Q S 3 3y- In CL et A.eit Frf ss i ce,1t 4(e LiS 51- 0. 3 • DESCRIPTION INITIALL,SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): _ _ _ QS Available Space(.1945) PS Pi SystemType(s) Z5°/0 red 50'/0 red EVALUATED BY: G1� J c� OTHER(S)PRESENT: Site LTAR 0.3 0.3 COMMENTS: Updated February 2014 Catawba County Environmental Health (297) (109) p9i LIT4E pKWy 288.83 97.63 RUA-0y-7,0/7 _ Nv3t,3 4Q 24.24 (Qo) IMPS -03 -7p23- 19ZIol © 12.43 \A" t� 9O' p 16.12 co 24.88 N v cb 30.29 19.59 of 24.38 46.32 rah Parcel: 368702877808, 5945 LITTLE PKWY 1 in-60ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or date 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 ell 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 2023 Catawba County NC 03/23/2023