HomeMy WebLinkAboutIMPV-2-11-14902.TIF �gA CATAWBA COUNTY Case # IMPV -2 -11 -14902
Publice Health Department Subdivision
1' Environmental Health Division KEN -WOOD FOREST SUBE
1 1/1 PO Box 389, I00-A Southwest Blvd, Newton, NC 28658 Lot # 27
t8 s. PIN# 369608896060
Applicant/Owner FRANK MAY
Site Address: 4450 POWER DR, Sherrills Ford, NC
Property Size: SF 0.49 ACRES
Directions: 16 S TO HWY 150 LEFT ABOUT 3 MILES, POWER DRIVE 1ST ON LEFT
Improvement Permit
Facility: Primary Residence 3 bedroom house
Permit Category: Expansion Bedrooms 3
WATER SUPPLY: Private Well
Basement? Yes Basement Plumbing? -
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 360 9•P•d
Proposed Wastewater System: 50% REDUCTION
Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
Pump Required ?: No
Operator Required ?: NO
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
Type: VA - SAND FILTER PRETREATMENT
Pump Required ?: Yes
Operator Required ?: YES
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 18A .1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily
Robbie Phelps 02/02/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 02/01/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
02/02/11 12:13
Permit # IMPV -2 -11 -14902
CATAWBA COUNTY
G Name Frank May
"Z Public Health Department
0 a 0 `� E nvironmental Health Division IdNdress 4450 Power Dr
�!� PO Box 389, 100A Southwest Blvd, Newton NC 28658
1842 sM (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
SITE PLAN
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�p CATAWBA COUNTY Case # IMPV -2 -11 -14902
G P bile, Health Department Subdivision
1- k a Environmental Health Division KEN -WOOD FOREST SUBS
Q .
d 7, ®' ' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 27
/8 .. PIN# 369608896060
Applicant/Owner FRANK MAY
Site Address: 4450 POWER DR, Sherrills Ford. NC
Property Size: SF Q49 ACRES
Directions: 16 S TO HWY 150 LEFT ABOUT 3 MILES, POWER DRIVE IST 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 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 -12 -10 -8562 , by the following method(s):
4 Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E -mail (Return receipt required)
w 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: 02/02/2011
Owner /Authorized Representative Signature
Date - 3 7 a 1
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.
02/02/11 12:13
Department of Environment, Health, and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -site Wastewater Section Lot #:
SOIL/SITE EVALUATION File #:
for ON -SITE WASTEWATER SYSTEM AppID: EHPR12 -10 -8562
Owner: Frank May Applicant:
Address: 4450 Power Dr Date Evaluated:
Proposed Facility: 3BR Design Flow (.1949) 360 Property Size:
Location of Site: Property Recorded:
Water Supply: [ ] Public [ X ] Individual [X ] Well [ ] Spring [ ] Other
Evaluation Method: [ ] Auger Boring X [ ] Cut
Type of Wastewater: [ ] Sewage [ ] Industrial Process [ ] Mixed
P
R
o 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 0 -8 fill
8 -30 sic,sbk fr
30 -48 scl,sbk fr,ss,sp 48 .4
2 0 -8 fill
8 -48 scl,sbk fr,ss,sp 48 .4
3 0 -6 fill
6 -48 scl,sbk fr,ss,sp 48 .4
Description Initial System Repair System Other Factors (.1946):
Available Space (.1945) s s Soil Evaluation By: Robbie Phelps
System Type(s) 50% drip Others Present: Jason Boyd
Site LTAR 0.4 0.2 Site Classification (.1948): �s
Site Evaluation By:
Others Present:
Sheet:
COMMENTS: FILE #:
Landscape Position Group Texture .1955 LTAR Structure
R -Ridge 1 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
k Sketch of Soil Evaluation Locations
� V
Sheet:
COMMENTS: FILE #:
Landscape Position Group Texture .1955 LTAR Structure
R -Ridge 1 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 111 SI -Silt 0.6 - 0.3 PL -Platy
CV- Convex Slope SICL -Silty Clay Loam PR- Prismatic
T- Terrace 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 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