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Home My WebLink AboutAUTH-4-11-16825.TIF �qA CATAWBA COUNTY Case # AUTH-4-1 1-16825 y - Public Health Depanment Q 2 Subdivision Environmental Health Division '"- �: 'Y PO Box 389, 100-A Southwest Bivd, Newton, NC 286�8 Lot # �g 2 s� PIN# 460605282928 Applicant/owner GASSIE GILBERT Site Address: 4440 SCALYBARK LN, Sherrills rord, NC Property Size: SF 0_5 ACRES Directions: HWY 150 E NEAR LAKG NORMAN MAR[NA CROSS BRIDGE, TURN RIGHT AT TOP OF HILL, THEN KEEP RIGHT & GO TOVVARD THE LAKE. tURN LGFT A'1' SCALYBARK LN. HOUSE IS AT THG END OF THE ROAD ON LEFT. (GR�EN & WHITE TRIM) Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of acltlitional attachments (�. Proposed Wastewater System: 25% REDUCTION Wastewater Flow _ 24 0, __ g.p.d Type: IIIB - SYSTEM W/SINGLE EF FL U ENT P Soil LTAR: •3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 2 Wastewater SYstem Requirements Tank Size: Existing Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head 2 ft Draw Down in Drainfield: Total Area: 600 sq ft Total Length: 200 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 3 � 0 ft Minimum Soil Cover 12 in Minimum Trench Separation �•� ft on center Number of Drain Lines 4 Distribution: Pressure Manifold PUMP REOUIRED 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. »»> DO NOT INSTA SYSTEM UNDER WET C ONDITIONS ««< Proaosed Repair System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 04/ I V l 1 I I:04 1a �A CATAWBA COUNTY Case # AUTH-4-11-16825 Q . Public Health Department d � Environmental Health Division Subdivision �� `�' PO Box 389, ]00-A Southwest Blvd Newton, NC 28658 Lot # j8 2 �M PIN# 460605282928 Applicant/Owner GASSIE GILBERT Site Address: 4440 SCALYBARK LN, Sherrills Ford, NC Property Size: SF 0_5 ACRES Directions: HWY 150 E NEAR LAKE NORMAN MARINA CROSS BRIDGE, TURN RIGHT AT TOP OF HILL, THEN KEEP RIGHT & GO TOWA.RD TH� LAKE. tURN LEFT AT SCALYBAI2.K LN. HOUSE IS AT TI-IE END OF TIiE ROAD ON LEFT. (GREEN & WHITE TRIM) The issuance of this permit by the I-lealth 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 rrtet. This Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Authorization to Construct 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 Sewn�e Trentment and Disposa! Svstems' (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. Jason Boyd 04/11/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/09/2016 No grading or construction activiry is allowed in areas designated for system and repair without approval of the Health Department. 04/II/11 11:04 �B� Permit # EHPR 3-11-10164 �, CATAWBA COUNTY G Name Gassie Gilbert F., � Public Health Department Address 4440 Scalybark LN Sherrill's J ,, 5 , Environmental Health Division Ford NC PO Box 389, 100A Southwest Blvd, Newton NC 28658 1 2 s�� (828) 465-8270 Fax (828) 46�-8276 TDD (828) 46�-8200 P�# 460605282928 Site Plan Authorization to Construct Repair � a6 �� S Lc �� r �.c, �w S+l� �— � � �; „�., �� NOM� � , � P,1,) ST pt � � ,� � �e� . �G Z7�� ,� � . c,� � �� ` �'�- p � /= � � � � � � � . � � , o . °� � r '� �� S � � 1 S/ ` � � v �° . � J �c,' / '`�� ' \ � � :............. � � k �� fi � ► ' � v� e. ,,� r�-P � � r � ; � . � S � r° � � ��.P c ll p�r-�-s � ' o.,.�� t 1�. �.a l � k�. S�� , �-, h, �,� Vo r o p� �� ,� �,-.� � � S o �� ^-� � 7` l'1 � VJ t ��.e,� 1'0 `O�. 1✓� S T� � 1 � O'11 � o.'�.�a '� � � � ,, �.. � �- � ��I � S � � l �� -� a S � �� a � �-�- , � ,� � v S� � c�.. J S � r Q� ►^'�. C*� •t i' p� d � v s� n�-� � � � t � `� 2.K c � �' ' � � �� c i � �-- °-- � '� � • l� vo �a,�1��, ,�v�P ��.1� � � � G�-� S�, -� k�$ - 2��t �t - v�� 3 l��-�- I % 0 r � C � • �(� � o G� t.-��- r�^ � n�, � N Scale I � p �� o r� �' o l ►� s�F' � � ��—f' � Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property lD: On-site Wastewater Section Lot #: SOIUSITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM AppID: EHPR 3 Owner: Gassie Gilbert Applicant: Address: 4440 Scalvbark LN Sherrill's Ford NC Date Evaluated: 4/611 Proposed Facility: 2 BR Home Design Flow (.1949) 240 Property Size: 1 Location of Site: Property Recorded: Water Supply: Xpublic [] Individual X Private Well (] Spring [] Other Evaluation Method: Auger Boring Pit [] Cut • Type of Wastewater: X Sewage [] Industrial Process [] Mixed p R`- ' o= �' �Q`1t MORPHOLQGY b : �. �.=, �� . � � ��s�� PROF.I,LE��P,,CTO.,R�S � ;` � ,� `. 1,9�� '��' � � � ��'� � �, ' �` � ~:� 942 � � ° �� ' � 1.�s . � �taqdsca�e'� o i�°�� '�941 � ��Soil � 19�1�i�� a956 f . x9�4 ' P�ofile�� ,�; � ?� �osif�o�r'r'��e �,� -�:�� c�u�e,�`,�� Conszstenee- ��Aletn�ssl Soi(�; Sapro R�sfr - CYass :� .. ' S(opeloF �.;��_ �): ��e�,<�fu�?�. �° . ', .[vlineralogy Color •. Deptf� (t�l.).' Class Ho�iz & ETA� 1 LL 0-48" SC SS,SP,SEXP, FR 48" .3 2 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) ps Soil Evaluation By: Jason Bovd System Type(s) IIIBG Others Present: Site LTAR .3 Site Classification (.1948): PS Site Evaluation By: Jason Boyd Others Present: Sheet: COMMENTS: Existing well on property must be abdandoned prior to installation of repair FILE #: Landscaae 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 Loarn 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 GClay Consistence Consistence Minereloqv 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 ��y (ovrl� / � '^�'� �� p w �D ✓tC� � � � �..�.�L � � l� � � L ,��l�� aA CATAWBA COUNTY Case # AUTI-1-4-11-1682� � Public Heal[h Department r 2 Subdivision _ Environmentai Health Division J`' �:� `<' PO Box 389, 100-A Soutlnvest Blvd, Newton, NC 286�8 Lot # I8 2 5� PIN# 46060�282928 ,4pplicantlowner GASSIE GILBERT Site Address: 4440 SCALYBARK LN, Sherrills Ford, NC Property Size: SF 0_5 ACRES Directions: HWY 150 E NBAR LAKE NORMAN MARINA CROSS QRIDGG, TURN RIGI-iT AT TOP OF H[LL, THEN KEEP RIGHT & GO TOWARD THE LAKG. tURN LEF"f A"T SCALYBARK LN. HOUSE [S AT THE END OF THE ROAD ON LEFT. , (GREEN & WHITE TRIM) 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-3-11-10164 , by the following method(s): � 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 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), andlor 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: 04/11/2011 Owner/Authorized Representative Signature �/� a,a� ��.�2�v�" Date �/ i� / i� � . ----------------------------------------------------------------------------------------------------------- Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (nume ofperson 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. 04/ 1 I/ l 1 I 1:04