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�gp. CATAWBA COUNTY Case # IMPV-5-11-17600
G Public Health Department
a � Environmental Health Div»sion Subdivision
�''�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot # g
t8 �M PM# 367904940856
Applicant/owner BRADY LITTLE
Site Address: 1598 BUFFALO SHOALS RD, Catawba, NC
Property Size: SF 0.939 ACRES
Directions: NC 16 S FROM NEWTON TO BUFFALO SHOALS RD, TURN LEFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE,
PROPERTY AT RIGHT BEFORE CAUTION LIGHT
Ownea Representateve Acknowledgememt of Permit 12eceipt
�� � I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
jj� As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service E�IPR-4-11-10373 , 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 'I'reatment 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 andlor water supply well permitted.
Permit Issue Date: OS/03/2011
Owner/Authorized Representative Signature
Date .� �� -- �/ .'
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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 1VIai1 Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
acknowledges the cond'ations and statements above.
OS/03/11 15:18
�BA � CATAWBA COLTNTY Case # IMPV-5-11-17600
Public Health Department
� �y, Subdivision
� Environmental Health Division
�''�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 5
I8 S° P�1# 367904940856
ApplicanUOwner $�DY LITTLE
Site Address: 1598 BUFFALO SHOALS RD, Catawba, NC
Property Size: SF 0.939 ACRES
Directions: NC 16 S FROM NEWTON TO BUFFALO SHOALS RD, TURN LEFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE,
PROPERTY AT RIGHT BEFORE CAUTION LIGHT
Improvement 1'ermit
;- - -- - - -- - -- -- _ - - ---- -- - - --- - - - - - _ - ----- - -_ -- - -- -- - -- - - --- - — - - -
INITIA�, S�'STEIVI �XIS'I'ING - IP �'012 �PAIR SYS'I'ElVi Ol�TI.�
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-- -- -- --- - - -----____-- __.._ __. _.
Facility: primary Residence
Permit Category: Other Bedrooms '
WATER SUPPLY: Private Well
Basement? Basement Plumbing?
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INITIAL SYSTEM SPECIFICATIONS
- - - - -------------------------------------------------------------------------------------- �
Permit Valid: Expires In Five Years: _X_ No Expiration: �
Projected Daily Flow 360 9•P•d
Proposed Wastewater System:
Type: IIA - CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Permit Conditions:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REPAIR SYSTEM SPECIFICATIONS
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- Repair System Required? Required
Proposed Wastewater System: 25% RED
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
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 ap rq oved, 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 respo�sibility of the
applicanUproperty 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 Zaws and Rules for Sewage Treatment 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
Jason Boyd OS/03/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/O1/2016
No grading or construction activiry is allowed in areas designated for system and repair without approval of the Health Department.
OS/03/11 15:18
� CATAWBA COUNTY Permit # EHPR-4-11-10373
y+ G Name Brad Little
�, 2� Public Health Department Address 1598 Buffalo Shoals Rd
� �� ,,`��, Environmental Health Division p�# 3697904940856
PO Box 389, 100A Southwest Blvd, Newton NC 28658
I8 4 2 SM (828) 465-8270 Faac (828) 465-8276 TDD (828) 465-8200
Site Plan Improvement Permit
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Department of Environment, Health, and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #: 5
SOIL/SITE EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM AppID: EHPR 4-11-10373
Owner: Bradv Little Applicant:
Address: 1582 Buffalo Shoals Rd Date Evaluated: 4/26/2011
Proposed Facility: 3 BR Home Design Flow (.1949) 360 Property Size: 1
Location of Site: Property Recorded:
Water Supply: public [] Individual X Private Well [] Spring [] Other
Evaluation Method: mechanical auger boring by owner [] Cut
Type of Wastewater: X Sewage [] Industrial Process [] Mixed
p°, , � . ;. , , . . . � .
R . ,
o � SOIL MOR�PHOLOGY � b `.
F _ .�9a� . _ _ : • . ' _ PROFIL.E FACTORS � _ : . ., .
I ,1940 , :1942 .
L Landscape Horizori .1941 .1941 . Soil .1943 .1956 - •.1944 Profile �
E Position/ � Depth Structure/ Consistence `Wetness/ Soil Sapro Restr Class
#_ _ _ , Slope%. _ _ QN.) _ Texture _ _ Mineralogy „ _ _` , Color. _ _ Depth (IN.) _ _Class _ . _ Horiz _ & LTAR_
1 LL3% 0-48 SC SS,SP,SEXP, FR 48 .3
2 LL3% 0-48 SC SS,SP,SEXP, FR 48 .3
Description Initial System Repair System Other Factors (.1946):
Available Space (.1945) ps Soil Evaluation By: Jason Bovd
System Type(s) IIIG Others Present:
Site LTAR .3 Site Classification (.1948): PS
Site Evaluation By: Jason Boyd
Others Present: BradyLittle
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 12 - 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
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
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
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