HomeMy WebLinkAboutIMPV-5-11-17596.TIF � Cr�TAWB� COUNTY Case # IMPV-5-11-17�96
G Public Health Department
a 2. Subdivision
� Environmental Health Division
� �''�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1
t8 2 �w PIr1# 367904943842
Applicant/Owner $rady L1ttle
Site Address: 1582 BUFFALO SHOALS 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,
PROPERTY AT RIGHT AT CAUTION LIGHT
Improvement 1'ermit
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INITIAL SXS'I'EIVI EXIS'I'ING - IP FOR 12EPAI1� S�S'I'ENI ONI,Y
_ _ -- ___ _ _ � . . _ - - -
Facility: primary Residence
Permit Category: Other Bedrooms 2
WATER SUPPLY:
Basement? Yes Basement Plumbing? Yes �,
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INITIAL SYSTEM SPECIFICATIONS U,,
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Permit Valid: Expires In Five Years: _X_ No Expiration: "
Projected Daily Flow 240 9•P•d
Proposed Wastewater System:
Type: IIA - CONV SYSTEM (S1NGLE-FAMILY OR 480 GPD OR LESS)
Permit Conditions:
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, REPAIR SYSTEM SPECIFICATIONS
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Repair System Required? Required
Proposed Wastewater System: 25% REDUC
� Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
PUMP *MAY BE* 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 aooroved, 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
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 'Laws and Rules for Sewage Treatment and Disposal 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 activiry is allowed in areas designated for system and repair without approval of the Health Department.
OS/03/11 15:24
� CATAWBA C��1N'TY Permit # EHPR-4-11-10367
� Name Brad Little
�,� '2 Public Health Department Address 1582 Buffalo Shoals Rd
� �� ,,`� Environmental Health Division p�# 3697904943842
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1$ t�2 sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
��te Plarn Improvement Perrnit
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� `-• C'A'rAWB.'� COUNTY Case # IMPV-S-I 1-17596
¢ G� Public Health DepazCment Subdivision
.� Environmental Health Division
° av ''� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1
!g �M P�N# 367904943842
ApplicantlOwner Brady Little
Site Address: 1582 BUFFALO SHOALS 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,
PROPERTY AT RIGHT AT CAUTION LIGHT
Owner/Authorized 12epresentatgve Ac�►owledgement of Permit Receipt
� I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
pro erty described above.
�As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHP12-4-11-10367 , 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 Ca�olina L.aws and Rules fo�- Sewage 'I'reatment and Disposal Systems (15A NCAC
y 18A ,1900), and/or Well Constructaon Standards (15A NC'AC 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 5 —� — / /
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I9ocumentataon of Peranit(s) 'I'ransanattal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time
Method: �'ax Email �JS 1VIaa9 Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
acknowledges the conditions and statements above.
OS/03/11 15:24
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: ehqr4-11-10367
Owner: Bradv Little Applicant:
Address: 1582 Buffalo Shoals Rd Date Evaluated: 4/26/2011
Proposed Facility: 2 BR Home Design Flow (.1949) 240 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 MORPHOLbGY . ' b .
F .�s4� _ � 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.) _ Textur_e_ Mineralogy_ . , Golor _ Depth QN.) . 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 #:
Landscaqe 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-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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