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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 � , � � � � � �; o r -�-a i �<�'� �� ¢k' o.� �a � ��'�-_ c,�-,S+r���-�,,� �, n l� a. r t..L2. I S d� �( vti� r�- � �. 6 � .. < P 1 �� C� ��. L(, 3 b , 3 g 2�-1 o...,� ' �x � s� �� s' ` j�l �..,., � � -� �c � � � � !� ^ ' - _ � -� � � � �< < ,� � ~ � F ���� � 60� ., � '� � c� � . 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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 P , e , . _ _ ; . .. , , „ R ; ; • ; , . ,p � � � - . SOIL MORPHOLOGY.' . - b � . : �. ' '. . ..� .�s4� ROFILE FAGTORS� -- - � : , r .. . P . __. ., -- - - - - -- - -- -- - ,. _ ._ _ . I �° ;• . � , .1940 , - ;.: ,� :1942 �, _ ., , � _ 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 � �,,�'� L� �, ��� �J �� � 1��ti � �I