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HomeMy WebLinkAboutIMPV-5-11-17597.TIF �+ � �gP, CATAWBA COUNTY Case # IMPV-5-11-17597 � G Public Health Department Q ` � Environmental Hcalth Divasion Subdivision v� "�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2 l8 '° P�N# 367904943842 ApplicantJOwner DEWEY LITTLE Site Address: E BANDYS CROSS RD, Catawba, NC Property Size: SF 10.06 ACRES Directions: NC 16 S FROM NEWTON TO BUFFALO SHOALS RD, TURN LEFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE, TURN RIGHT ON E BANDYS CROSS RD LOT ON RIGHT JUST BELOW FIRST HOUSE Owner/Authorized l�epresentative Acknowleclgement of Pea-mit 12eceipt �� 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 EHPlt-4-11-10370 , by the following method(s): �j L 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: OS/03/2011 Owner/Authorized Representative Signature Date � 3 —/ / ----------------------------------------------------------------------------------------------------------- Documentation of Permft(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time Method: Fax Email iTS 1VIai1 Other Owner's request to send by the above indicated method of transmattal in lieu of signature acknowledges the conditions and statements above. OS/03/11 15:16 ; �g CATAWBA COUNTY Case # IMPV-5-11-17597 ¢ G� Public Health Department Subdivision � Environmental Health Division � �''�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2 lg �M P�N# 367904943842 ApplicanUOwner DEWEY LITTLE Site Address: E BANDYS CROSS RD, Catawba, NC Property Size: SF 10.06 ACRES Directions: NC 16 S FROM NEWTON TO BUFFALO SHOALS RD, TURN LEFT ON BUFFALO SHOALS, TRAVEL APPROX 3 MILE, TURN WGHT ON E BANDYS CROSS RD LOT ON RIGHT NST BELOW FIRST HOUSE Irnprovenlent Pe�mit Faci�ity: primary Residence Permit Category: New SeptlC Bedrooms 3 WATER SUPPLY: Private Well � Basement? Yes Basement Plumbing? C� � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INITIAL SYSTEM SPECIFICATIONS = ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Permit Valid: Expires In Five Years: X_ No Expiration: Projected Daily Flow 360 9�P�d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS PiJ1VII' *1VIAX B�+ * REQU�RED Permit Conditions: ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- REPAIR SYSTEM SPECIFICATIONS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Repair System Required? Required Proposed Wastewater System: 25% RE 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 r� 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 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 for SewaPe Treatment and Dis o�ystems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants tf►at 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 activity is allowed in areas designated for system and repair without approval of the Health Department. OSl03l11 15:16 �BA- Permit # EHPR-4-11-10370 �, CATAWBA CO�TNTY Name Dewe Little F,,� '2, Public Health Department Address 1582 Buffalo Shoals Rd � g� ,,4 Environmental Health Division p�# 3697904943842 PO Box 389, 100A Southwest Blvd, Newton NC 28658 �$ � SM1 (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Site Plan Improvement Permit � � �� I � �Qrd�/.f �!'uS.T �. ( °� 3' �c � p I��-� � ��. � ���� q���, , ��� � �� (� o 9� "� � e �10 .....�. 3 0 , � .- u� _ � K � � V \ � N � ,J � � ..i� r "� - 4 F - ' 7i . o �O ^ .............. jp ^ C ) , � � �' � � N , 7 #� ; � � � �Z � a � � �� �� S' � � N �.S 1 a (' y� t. �.J S Y.f 7�� Q "1 p � rL (J c 1 l` r � �1�Z�3 i���,���-� +�s-� i��l�s �'' =6�' Scale Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot #: 2 SOIL/SITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM AppID: EHPR 4-11-10370 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 - - F ,. . ,� _ , . „ . . . � . R . , . :, . : .. t �:o ',. � � � SOIL�MORPHOLOGY. „ .`.,: ' b `. , F . . ° �:, - � _ - - - = i 9a� _. ., �. ,. .. . . �^FROFfLE FACTORS; ' . _ : ' �I ��.. ' r .1940. _ , . ' ; , ,. . . `:1942 .., . , , . ' L• - Landscape: Horizon ..1941 , ' � . :1941 • ' ` Soil , . ` .1943 k :1956 ', � .1944` `Profile ° ° � E. Position/ � Depth " Structure/r ,•�. Consistence � � •�,.1Netness/'' Soil. , aSapro Restr Gias"s � # . ; __ ,_ Siope%o .: ._ (IN_) . . . : Texture__ . _ Mineralo9Y_.:�. : � _ : ___ .: �_ Colo�•_'„� • _ _ -.. : Depth (IN.) ., Class _ . ::_.' Horii , � & LTAR 1 LL3% 0-48 SC SS,SP,SEXP, FR 48 .3 2 LL3% 0-48 SC SS,SP,SEXP, FR 48 .3 3 LL3% 0-48 SC SS,SP,SEXP, FR 48 .3 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) ps ps Soil Evaluation By: Jason Bovd System Type(s) IIIG IIIG Others Present: Site LTAR .3 .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 Grou 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 Loam 0.8 - 0.6 GR-Granular NS-Nose Slope L-toam 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 MineralopY 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 ✓� � r., � 7 ' s k�c� s `-� ,iS t� � t�L ��� � � e o o �