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Home My WebLink AboutIMPV-2-11-14908.TIF �gA • CATAWBA COUNTY Case # IMPV -2 -11 -14908 ti r P Health Department Subdivision Environmental Health Division PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # I8. w PIN# 364612957047 Applicant/Owner James Wesley Jones 1 1PR 1107 t -1'il- Site Address: 406 BOST NURSERY RD, Maiden, NC Property Size: SF 1.379 ACRES Directions: 321 South into Maiden - go Left thru town to Left on Bost Nursery Rd - House on Right Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Facility: Primary Residence 2 bedroom house Permit Category: Other Bedrooms 2 WATER SUPPLY: Private Well (} Basement? No Basement Plumbing? No W INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X No Expiration: Projected Daily Flow 240 9•P.d Proposed Wastewater System: Type: IIA - CONV SYSTEM (SINGLE- FAMILY OR 480 GPD OR LESS) Pump Required ?: Operator Required ?: NO Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W /SINGLE EFFLUENT PUMP Pump Required ?: Yes Operator Required ?: NO 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 15:38 V)' Permit# Impv -2 -11 -14908 CATAWBA COUNTY Name James Jones 'T ± Z Public Health Department �r `" Environmen tal Health Division Address 406 Bost Nursery Rd / ��" �C PO B 389, 100A Southwest Blvd, Newton NC 28658 PIN# 8 s m (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200 SITE PLAN Zj , 2S F 66 F y7 2 ifso Ul � - 6 ON) Lid w 1 N 1 nUrL V3V\ \A 0 1 Scale 1 ' b 0 f, F CAT ublic AWB Health A CODepaUNTY ent Case # IMPV -2 -11 -14908 rtm F 2, Environmental Health Division Subdivision Q ^c PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # 18 2 . PIN# 364612957047 Applicant/Owner James Wesley Jones Site Address: 406 BOST NURSERY RD, Maiden, NC Property Size: SF 1.379 ACRES Directions: 321 South into Maiden - go Left thru town to Left on Bost Nursery Rd - House on Right 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. A 0As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR -1 -11 -8907 , by the following method(s): W Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E -mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific nditions 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 eel %!-L Date a2 - 3 _ // 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 1 5:38 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: Owner: James Jones Applicant: Address: 406 Bost Nursery Rd Date Evaluated: Proposed Facility: Design Flow (.1949) 240 Property Size: Location of Site: Property Recorded: Water Supply: [ ] Public [x ] Individual [ x ] Well [ ] Spring [ ] Other Evaluation Method: x [ ] Pit [ ] 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 -34 cl fr,ss,sp 34 -48 cl +mica fr,ss,sp 48 0.3 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: 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 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 -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 S F -P ri v 1-r 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 III 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