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Home My WebLink AboutIMPV-4-11-17107.TIF � CATA,WBA COUNTY. � Case # IMPV-4-11-17107 4 �� Public Health Department RUFUS LESTER CALDWEL .� Environmental Health Division Subdivision �� ''< PO Box 389, 100-A Southwest Blvd, Newton, NC 286�8 Lot # � '" P�# 367702857471 Applicant/Owner JEFFREY W AUTON Site Address: 4905 S NC 16 HWY, Maiden, NC Property Size: SF 1.392 ACRES Directions: SOUTH ON HWY 16 CROSS BUFFALO SHOALS RD PROPERTY ON RTGHT BESIDE OLD MT ANDERSON CHURCH DIAGONAL TO AIRPORT Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Faci�iry: primary Residence 2 Bedroom 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 9•P•d Proposed Wastewater System: Type: IIA - CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: --------------------------------------------------------------------- - — — ---------------------------------------------------------------------- --- REPAIR SYSTEM SPECIFICATIONS --------------------------------------------------------------------- — ---- — -- — — ---- ---- ------------------- ----------------------------------- - --- Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP 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 aqqroved, and may result in failure to approve the initial system installation, or the suspensioNrevocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibiliry 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 far Sewage Trealment and Disposal Svstems' (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 04/18/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/16/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 04/18/ll 13:47 �1�' Permit # IMPV-4-1 1-17107 CATAWBA COUNTY � Name Jeff Auton � ''L Public Health Department a Address 4905 S NC 16 HWY lot I � k �►� Environmental Health Division ''�� PO Box 389, I OOA Southwest Blvd, Newton NC 28658 P�N# j8 4'1, SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 SITE PLAN � ��6 � � / � � 1`� s��,n� � , � ��-� , ,�� S O J l�f;v�.wp� ��, 3 �F .1' , �f; � 15.�- �/ � s {- 2 � r � S�r f f C. S�` {�'ovJ'� S �' �' �` ✓ I�' � o .2 I� f�r`-t -Q 1 S 0 ° / o i tif . - U t/.�/' �l.¢ k,/ � v,, r /, � h..t.. (-t� � ( 6 Scale 1 - � � ��,A CATAWBACOUNTY, ` Case# IMPV-4-11-17107 p Public �Iealth Deparhnent ¢ �. Subdivision RUFUS LESTER CALDWEL a Environmental Health Division v �i�S �' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1 �g �M P�# 367702857471 Applicant/Owner JEFFREY W AUTON Site Address: 4905 S NC 16 HWY, Maiden, NC Property Size: SF 1.392 ACRES Directions: SOUTH ON HWY 16 CROSS BUFFALO SHOALS RD PROPERTY ON RIGHT BESIDE OLD MT ANDERSON CHURCH DIAGONAL TO AIRPORT Owner/Autnorized Representative Acknowledgement of Permit Receipt certify that I am the owner or authorized agent (owner's authorization reyuired) 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-10-10-7878 , by the followmg 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), 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: 04/18/2011 Owner/Authorized Representative Signature � Date ��p2 � � � ----------------------------------------------------------------------------------------------------------- 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. 04/18/11 13:47 Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot #: 1 SOIL/SITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM AppID: 7878 Owner: Jeff Auton Applicant: Address: 4905 HWY 16 Date Evaluated: Proposed Facility: Design Flow (.1949) 2 Property Size: Location of Site: Property Recorded: Water Supply: [ ] Public [ ] Individual [ ] Well [ x ] Spring [ ] Other Evaluation Method: [] Auger Boring [ x] Pit [] Cut Type of Wastewater: [ x] Sewage [ j Industrial Process [] Mixed P R o SOIL MORPHOLOGY b F .�94� 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 pN.) Cfass Horiz & LTAR 1 0-48 scl,sbk fr,ss,sp 48 0.3 2 0-48 scl,sbk fr,ss,sp 48 0.3 3 0-25 scl,sbk fr,ss,sp 25-48 sc,sbk fr,ss,sp chroma 3 48 0.275 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) s Soil Evaluation By: Robbie Phelqs System Type(s) 50% Others Present: Jason Bovd Site LTAR 0.3 Site Classification (.1948): Site Evafuation By: Others Present: Sheet: COMMENTS: FILE #: Landscape Position GrOUp Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2 - 0.8 SG-Single Grain SS-Shouider 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 GClay Consistence Consistence Mineraloqv Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VF1-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations � �---�J V V/ ' � C ✓�° P Il� 2 3 � w,� �