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HomeMy WebLinkAboutIMPV-5-11-17598.TIF �gA C�ATAWBA CO�JNTY . Case # IMPV-5-11-17598 p Public Health Department Subdivision �' �� y Environmental Health Division v �''�" PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 3 18 2 5M PIN# 367904943842 Applicant/Owner Brady 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 APPROX 200 YARDS Owner/Authorized Rep�-esentative Acknowledgernent of Perrnit l�eceipt ,lQZ I certify that I am the owner ar 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 E�IPR-4-11-10371 , 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 I,aws and Rules for Sewage 'I'reat�ent 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 S 3 -' / � ----------------------------------------------------------------------------------------------------------- Documentation of Per�at(s) �'ransmittal (permit tramsmitted by electa-onac or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time Method: Fax Email US 1VIai1 Other Owner's request to send by the above ind'acated method of transmittal an lieu of signature acknowledges the conditions and statements above. OS/03/11 15:15 �g ° CATAWBA COUNTY , Case # IMPV-5-11-17598 G Public Health Department Q � Environmental Health Division Subdivision �"�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot # 3 �8 5° P�# 367904943842 Applicant/Owner Brady 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 APPROX 200 YARDS Improvement 1'ermit Faci�iry: primary Residence Permit Category: New SeptiC Bedrooms 360 (� �.. � WATER SUPPLY: Private Well � Basement? Yes Basement Plumbing? No �- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------�-- 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 Pi1MP *NdAY BE* REOUIREI) Permit Conditions: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � REPAIR SYSTEM SPECIFICATIONS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Repair System Required? Required � Proposed Wastewater System: 25% REDUC Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS PUIVIP *1VIAY BE* I2EOUIRED 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 a�proved, 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 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 or Sewap� Treatment and Dis op sal S stv ems (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 activity is allowed in areas designated for system and repair without approval of the Health Department. OS/03/11 15:15 � CATAWBA COUNTY Permit # EHPR-4-1 1-10371 � Name Brad Little F-,� '2 Public Health Department Address 1582 Buffalo Shoals Rd � �t� ,�, Environmental Health Division p�# 3697904943842 �� PO Box 389, IOOA Southwest Blvd, Newton NC 28658 I8 42 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Site Plan Irnprovernent Per�nit � �e • �( l�, �and���.s Gr�ss►Qc� � �'.,? � �Z r L, �T 3 c-.> G� ����r� rn o� ) �, v' 3 ,/� Q �-�u �.�.. � / ��pS � � � f � � � o � .� ti �� � �� I S s �.,.� 3 � � 0 0 a S �Iv QL.a . � .............. �`� Q �. y - . S s 1-�r. ".� aS� . �- �t s � � s o' � S S ,,,� �. ,,� � �, f� < , /` � r e � �p a 3 �� r 1^; �-��l Y k� . �, , � �- �, a , 3 ► �d , < <�. �. -E- � S --�- �, � � � s Scale � �i (� b Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot #: 3 SOIUSITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM AppID: EHPR 4-11-10371 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 MORPHOLOGY � � b V F � � .is4� ' � PROFiLE FACTORS ' I .1940 ' , — - .1942 :. _ . _ _ L Landscape Worizon .1941 .1941 Soil 1943 .1956 .1944 Profile E PositioN Depth Structure! Consistence 1Nefness/ � SoiF Sapro Restr . Class , # Slope% _ (IN.) , 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 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 #: Landscaqe 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 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 Mineraloav 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 ✓���, � � ►�ds �-�, �s�.. �� �L ��-� � �eoo�