HomeMy WebLinkAboutAUTH-5-11-18309.TIF g CATAWBA COUNTY Case # AUTH-5-11-18309
G Public Health Department Subdivision BANDY LANE
�' ` � Environmental Health Division
v v� `�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 24-29
t �� PIN# 377004904827
Applicant/Owner JOYCE HEDRICK
Site Address: 4944 ELMORE DR, Catawba, NC ����� IC ���
Property Size: SF 0.73 ACRES
D irections: HIGHWAY 10 E- TURN R1 O NT O SHIL RD - TURN LEFT ELMORE DWVE - 1ST HOUSE ON LEFT
Authorization to Construct Permit
Authorization to Construct Wastewater System (Reauired for Buildina Permitl
* See site plan and number of additional attachments (�.
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 9.P ,d
Type: IIIG - O THER NON-CONV TRENCH SYSTEMS
Soil LTAR: • g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Wastewater Svstem Requirements
Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 1,080 sq ft Total Length: ' ft Maximum Trench Depth 18 in
Aggregate Depth in Trench Width 3 • 0 ft
Minimum Soil Cover 6 • 0 in Minimum Trench Separation 9 � 0 ft on center
Number of Drain Lines 5
Distribution: Serial
Additional Specifications: Keep all parts of septic minimum: 50' from any well, creek, 10' from properiy lines, 5' from
foundation (less than 2' cut). Lines to be installed on contour. Do not grade, cut, or drive, over repair
area. Call 1 week prior to installation to meet on property for pre construction conference.
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 suspension/revocation of existing permits.
»»> DO NOT INSTALL SYSTEIlA UNDER WET CONDIT ««<
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
OS/25/11 1122
�$ CATAWBA COUNTY Case # AUTH-5-11-18309
G Public Health Department Subdivision BANDY LANE
�' � Environmental Health Division
v vv ''� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 24-29
!g w PIN# 377004904827
ApplicantlOwner JOYCE HEDRICK
Site Address: 4944 ELMORE DR, Catawba, NC
Property Size: SF 0.73 ACRES
Directions: HIGHWAY 10 E- TURN RIGHT ONTO SHILOH RD - TURN LEFT ELMORE DRIVE - 1 ST HOUSE ON LEFT
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
Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are
aitered. The Authorization to Construct 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� 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 for any given period of time.
Jason Boyd OS/25/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/23/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
OS/25/11 1122
�4�� C' Permit # EHPR 5-ll-10850
CATAWBA CO�JNT'Y
G Name Jo ce Hedrick
�,� ,� � 'Z. Public Health Department
� �� � Environmental Health Division Address 4944 Elmore DR Catawba NC
s PO Box 389, 100A Southwest Blvd, Newton NC 28658 P�# 377004904827
I8 � sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Site Plan Authorization to Construc� l�epair
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�gA CATAWBA COUNTY Case # AUTH-5-11-18309
Public Health Department Subdivision
�' . Environmenral Health Division BANDY LANE
Q • Lot #
� PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 24-29
�g w PIN# 377004904827
Applicant/Owner JOYCE HEDRICK
Site Address: 4944 ELMORE DR, Catawba, NC
Property Size: SF 0.73 ACRES
Directions HIGHWAY 10 E- TURN RIGHT ONTO SHILOH RD - TURN LEFT ELMORE DRIVE - 1 ST HOUSE ON LEFT
Owner/Authorized 12epresentative Acknowlecigement 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.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-5-11-10850 , 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
J nditions of the permit issued, and further understand that all applicable regulatory requirements specified
under the North Carolina Laws and Rules for Sewage Treatment and IDisposal 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/25/2011 �
Owner/Authorized Representative Signature � �
Date� o� (p — i �
-----------------------------------------------------------------------------------------------------------
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.
OS/25/ll 11:22
Department of Environment, Health, and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #:
SOIL/SITE EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM AppID: EHPR 5-11-10850
Owner: Jovice Hedrick Applicant:
Address: 4944 Elmore DR Catawba NC Date Evaluated: 5/23/2011
Proposed Facility: 3 BR Home Design Flow (.1949) 36Q Property Size: 0
Location of Site: Property Recorded:
Water Supply: public [] Individual X Private Well [] Spring [] Other
Evaluation Method: Backhoe pits X [] Cut
Type of Wastewater: X Sewage [] Industrial Process [] Mixed
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,p � � � - . SOIL MORPHOLOGY.' . - b
� . : �. ' '. . ..� .�s4� ROFILE FAGTORS� -- -
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,. _ ._ _ .
I �° ;• . � , .1940 , - ;.: ,�
:1942
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L" - L-andscape " Honzon : . 19,41 _ ° , :1941. ` ; Soil �� .1943 ' � � .1956 : ' 1944' ° 'Profile
.-. _ : , ..-, > .�
..
E -' Position/ Depth� ' . Structure/ � � Consistence, ; -. r Wetness% , �.' Soil °- Sapro � ` Restr '� ` Class .
# _ _._ _ __ _Slope% �_ _: (1N_) _ _'µ, Texture ' ' -. - - Mineralo9Y __ •�� _ ' Color -=_ - — _--�- Depth:(IN ) ,� � Class ; Honr _ _ ' : &_.LTAR. _
1 LL3% 0-18" SCL SS,SP,SEXP, FR
18-30" SC SS,SP,SEXP, FR 30"+chroma 2 .25 PS
2 LL3% 0-18" SCL SS,SP,SEXP, FR
LL3% 18-36" SC SS,SP,SEXP, FR 36"+chroma 2 .25 PS
Description Initial System Repair System Other Factors (.1946):
Available Space (.1945) PS Soil Evaluation By: Jason Bovd
System Type(s) IIIG Others Present: Robbie Phelps Jeremv Pope
Site LTAR .25 Site Classification (.1948): PS
Site Evaluation By: Jason Boyd
Others Present:
Sheet:
COMMENTS: Existing well on property must be abdandoned prior to installation of repair FILE #:
Landscape 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 P�-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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