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Home My WebLink AboutIMPV-5-11-18393.TIF �gp CATAWBA COUNTY Case # IMPV-5-11-18393 Public Health De artment �,`� � 2 p Subdivision d �; Environmental Health Division `'- r `o= `< PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # � Is 2 s� PIN# 470103136958 Applicant/Owner SHANE AND DANA WILSON Site Address: HUDSON CHAPEL RD, CATAWBA, NC �� (Q �� Property Size: SF 18.569 ACRES Directions HIGHWAY 10 E- TURN RIGHT ONTO I-IUDSON CHAPEL RD - PROPERTY ON RIGHT CORNER OF HUDSON CHAPEL RD AND BROWN CHAPEL RD Improvement Permit Faci�ity: primary Residence 4 bedroom house Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- INITIAL SYSTEM SPECIFICATIONS ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 9�P�d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS Permit Conditions: ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- REPAIR SYSTEM SPECIFICATIONS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Repair System Required? Required Proposed Wastewater System: 25% REDUCTION 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 approved, and may result in failure to approve the initial system installation, or the suspensioNrevocation of existing permits. The issuance of this permit by the Hea(th Department does not guarantee the issuance of other permits. It is the responsibility of the applicanUproperty owner to insure that all Cata�vba 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 Zaws nnd Rules or Sewn�e Trecdment nnd Disposa! Svstems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Robbie Phelps 06/02/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: OS/31/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 06/02/I l 12:52 �B Permit # IMPV-5-11-18393 �„ CATAWBA COUNTY Name Shane & Dana Wilson � � G '� Public Health Department Address Hudson Cha el Rd U �,.;, a�� ,,�, Environmental Health Division PIN# PO Box 389, 100A Southwest Blvd, Newton NC 28658 18 4 2 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 SI'I'E PLAN � N u tl t o�1 (�� 0.� I 1`� (� � � go �} r51� . N a �s�- So , 2� ��ro� �ti� . r � � o � �� Yn; E;�� ,.�;�TfyLd s ^—� '� ° ► -� ✓� k � � �.,.- c� �� ti n , � /1�rr e x 42� � �D�6 Scale � � �� b � Environmental Health Additional Fee Collection Notice The following additional fees as checked below must be collected prior to further action by our department � Repair Permit Application � � Permit revision (re-draw) C� Well Permit ` � Authorization to Construct (system upgrades, etc) . � Other (please explain below) 1�C�1� �l�lus�f S,`� � i��se� � � nv �s n i 11 �I�= EHS �'(,7� S ` Date �'"/� � �'� p.l CATAWBA COUNTl' Case 1� IMPV-�-I i-1 R393 Public Health Ueplutmcnt Subdivisi0tt # .; Environmenlsl Health Diuision „ PO Box 389, 100-A 5outhwest Bjvd, Ne�vton, NC ZS6�8 Lot # { W ' P[N# 470103130958 Appllcantl0wner sj-�� AND DANA WILSON Site Address: HLTDSON CiiAPEL KD, CA'I'AVVgA, NC Prnparty Size: SF �:$.,;�,� ACRES Directions: HIGHWr�Y 10 B- TURN R1GHT ONl'Q HUDSOtv' CHAPEL RD - PROPERTY ON RIGHT CORNER OF HUDSOTd CH.'1PEL RD AND HRO� CFfAPEL RD Owner/Authorized Representative 1�.cknowledgement of 1'ermit Receipt V 1 certify that am the o��+�ner r autf�orized agent (o�lmer authorization required} represeniing the owner of the pra�erty describECl a . V As the property owner or autt�orized represer�tative, I have received the above referenced permit(s) tzs requested in the appIication for service EHPR-5-11-10883 , by the following rnethod(s): R�ceived in FErson � Facsimile Transmittal (Retum form with signature required) � Electronic Image Transmittal/ E-mail (Retum receipt required) As the property oumer or authorized representative 1 have re�rie�ued and �nderstand the specrfic condit_ions af the permit issued, and further vnderstand �at al1 appIi�able rEgulatory requarernents specified under the North Caroiina Laws and Rules for Se�vage Treatment and Disposal Systems (ISA NCAC 18A .1400), andlvr Well Construction Standards (15A NCAC 2C .U100), shall apply to the issuance of this permit and the construction of the wastewater system andlor water supply well permirted. Perm�t Iss�: Date: {}�/O�i/�Oi 1 � Ov►�ier/Authorized Representative Signature Date Documentation of Permit(s) Transtnittal (permit transmitted by eiectronic or other means} Permit transn�itted �nanze ofper.ron sendfng permft) Signature Date/Time �r � Methorl: Fax �( Email US Mail Other O.vner's request to send by the above indicated method of transmittai in liea of signature acknc�wledges the conditions and statements above. m js � � s � �� ,��,; , . ��,�., o�oz��i i � z sz p.1 �$ THIS IS NOT A PERII7IT Case # EHPR-S-t ]-10883 �" . �' � � CATAWBA C�UNI`Y HEAL'I`H DEPARTI�IENT `� �'� �°.� Plan R.eview Elpplication-far Environmental Serviees ��`� Environmental Hcatth Plan Revierv - OS�'4'P 1 2 � � � L t� �+(�i S� C��G s IMPROIlEMENT -- � ' NAME 70 APREAR ON PERM SHANE AND DANA WlLSO� SlTE AQDRESS HUDSON CHAPEL RD, CATAVJBA, NC P��: 470t�3136958 . � NAME of SUBDIVISION: Lot H j SectiorJBioc}:/Phnsc PROPERTY S(ZE: Square Feet Acres 18.SGy DIRECTlONS: HIGH�VAY 10 E- TURN R1GHT ONTO HUDSON CHAPEL RD - PROPERTY UN RIGHT CORIvER OF HUDSON CHAPEL RD AND BROWN CH/1PEL RD � A.PPLICANT O WNER CONTRACTQR SHANE A�ID DANA WTLSON LAKE LUXURY HOI�lES LI.0 8823 DOG LEG RD PO BOX 3792 SHERRILLS FORD NC 28b7:r � MOORESVlLLE NC 28l 17-3792 (82�475-7389 PR{MARY CONTACT: Applicant APPt(CATION fOR; I�ew Construction DIM EXISTING STRUCTURE: NONE EXISTING FACILITY TYPE: N/A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic "Fank NUMBER OF EXtSTING OCCUPANTS: � EXISTING WATER SUPPLY 1N USE: Privatc Well CALCULATED DEStGN FLOW: 480 Public water is `''NOT*' available for this property. PUBLlC WATER TY.PE AVAILA$LE: N/A DESCRIBE WORK: LOOKING TO BUY PROPERTY AND WANTING SOIL TEST DESCRIPTION OF NONE EXIST'1N6 STRUCTFIRES OH SI7E (1F Ahll� PROPOSED FU7URE ADDITIONS 3-BEDROQM HOME OR JMPROVEMEtJTS: PR�PERTY EASEMEAITS: NO PR�POSED CONSTRUCTlON PRIMARY RESIDENCE NEW RESIDENCEI New R' ce # OF NEW BEDROOMS: 4 # OF STRUCTURE OCCIlPANTS: PROJECT OESC: HOMESITE PROJECT DIPAEPI : $0 x 50 BASEMENT? BASEMENT FIXTURES? No I understand that this is a lormal application tor a well permit, Imp�overnent permit or Authorizatfon to Construct a ground absorpSon sewage disposal system to sen�e the above tfesCribed facility an this property artd avthorize Catawba County i-leakh Depattment empfoyees to go on this propetty fnr evaluation purposes. 1 oertify the above information to be correct and undetstand that an fmprovement Permit issued as a fesult o{ this inlormation is trartslerable and msy be eligibte Fora nort-expirirtg date, trut may be revoked if t�is information, site pla�s or Intended use changes tor the praposed facllity, A YJell Permil and Authorization tu Construct issued by this department is valid for {5} five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior ro locating a home or structure on this property. Any representation b ou of house or struc re I� tion shoutd conform to applicable secbacl:s. /,, I Date: (..(� Signature ofApplicant or Agent '� � An EnvironmentaI Hea1t6 Special�st wiil contact you within Z working days of applC atio date. I 1fyDU need fi�rlFter infarmation or.assistance please.call-828-466-729] a�a1 itiYHbM#�t#tttii�w%i4+M�i#liatg#�k#�%7��Y�FAt:�k�s��##��#k*i►�t##tbtikiii*#t�+F�+kAty�xi�k�13�Y�M�kt��rYt4�k##�bi+i�kiit�b#�t��s.M.Rts�ht♦ f 06/02/ l 1 10:4 8 1 ► ��A CATAWBA COUNTY Case # EHPR-5-11-10883 Q . , Public Health Department Q � � � Environmental Health Division - Plan Review Subdivision "' �'<' PO Box 389, 100-A South�vest Blvd, Newton, NC 28658 Lot# � Is 2 �� PIN# 470103136958 � � ' Applicant/Owner SHANE AND DANA WILSON, 8823 DOG LEG RD, SHERRILLS FORD NC 28673- Site Address: HUDSON CHAPEL RD, CATAWBA, NC Property Size: SF 18.569 ACRES ' Directions HIGHWAY 10 E- TURN RIGHT ONTO HUDSON CHAPEL RD - PROPERTY ON RIGHT CORNER OF HUDSON CHAPEL RD AND BROWN CHAPEL RD Minimum Setbacks Front: 80 Side: 15 Rear: 30 Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Improve Permi F ee OS/13/2011 $150.00 $0.00 TOTAL FEES $150.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) O6/02/ 11 10:48 Department of Environment, Health, and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot #: SOIL/SITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM AppID: 10883 Owner: Dana Wilson Applicant: Address: Hudson Chaqel Rd Date Evaluated: 5/19/2011 Proposed Facility: 4 BR Design Flow (.1949) 480 Property Size: Location of Site: Property Recorded: Water Supply: [] Public [ x] lndividual [ x] Well [) Spring [] Other I Evaluation Method: [� Auger Boring [ x] Pit [] Cut Type of Wastewater: [ x] Sewage [] Industrial Process [] Mixed P�°v , # , , e J ,?, v'�1 � �. w.�u,i. s r'� ',�:��, q C i � a �, � ��, � i �.�;� � F . �S�i�! 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S` �r y�,.,> �� td,� o ,�: �... s ;: t i��i'�'w 7 � ,.;, �,r s,;, n ....�:,�,'� . r}.', � 4� i yuT � y "9�' p ��.� �h 4�,�� f�r'�r,��?'� e� '��'� kt{E Wa d!�r �,!^ �. . SEy � e. ? i 9 ,.� r j qM.' ? a� r dn` �' s rr 8 e� �`ek r { r i, i ; , �t t� ,3. F.: � ,� �, � � � ; '� � Y-� � �� :�9a� �� ,�' PROFILE FACTORS �� ,��3 3 ��,.. ��: r .:.�` � an d �-.*� � � �,' ff� a :, � �1,940�, ' � ;; ' g„ , �.FR�,,,,�'� ;� � � r s 2a „� �xicu ''�°'u� , � „` :,1942 � v �.- �" , s �,s, � , r �` + i i I ^s}�? "; t = � �� 7 •� ,� 5�;.#;., t >, .�.r a :t,'S s �.,,.�' m�r, ` ta.!.m� � �. �ro. s t'✓" ��.�� rwl �' .a E 'Ns� r ,. 96;'� i qu. ,�. �,,• i :<.��,i.� ,t -.�„�''.. '#� � >.�- ."�,. s`.. �,�,. "� r"� f r� t.� � F� + �ry� C < ,� �" � '�� ,`� x -�. .�s,�� w �-,a ,�,$�., lr� �Y� 5��: �' _ ,,:�,�,^r. . > ;Lf; � Landscape Hor¢on . �. 1�941 :� ,.��"�� '1941 g � �� + r� �So�l - '�� 1943 .1956 , 1944� ry Frofle� �>�'� ... �,, ? ' w .v��h z F `V � I � li , �, rt �, G� '�, � ,5, "Ee- . r+ � r y;h s I p� , ,c d � + � , c � F � x —�, , i I #;. 7 ft '� w �".,?t , �,. � �r ,.,, � : :.-�. , �: �. r, , .-, . y , �.,. r ., � ,� , . ��ik. � .tr ,np�� "�� ';+, ., 3t ..fi a`°�:s,��.E:,» E .� �r ;' �� '�"" : .�a z , , � � . . .� ,�„�, �. „�r . �.x ��?� E�}� � a .,Position/ �m .Depth,�,;- ,Structu[e/,, �; �,.�. Consistence :t�! a," M r ;Wetness/�r � � �s �Soil,,•„ ,�Sapro��,��KRestr t� 4„� •,Glass, �z:,,�: � :.,� .�, g �+.;^xr��` � �I ..•;, fi?�:�'' *��Z��.�'t,''. e �.:: , , , ,z," . ri r x .w:,�. 1 i �G �d R7�w ;`�.�� i ,.a u�:y t�t ,,.'�. �, §�koA r . �#a� �^ `:#Slo e%a `�� " IN ` , =: �Texture�� ., . „� .` �, ,.� Mineralo ` �, ' � ��:°�. �,��Color�"��5 `^� ��;�.: 'De th JIV ;�a�.Class � � Horii�� .,.. & LTAR�' °�� , w�,�a. P� te� .1 V�E .�r JY. te w in i�, u_ y. P �_ ). r`��a a� sa..� 1 0-15 ci,sbk fr,ss,sp 15-30 sc,sbk fr,ss,sp 30-48 sc,sbk fr,ss,sp chroma 3 48 0.25 2 0-24 L 24-40 sc,sbk fr,ss,sp 40-48 sc+sap,sbk fr,ss,sp 48 0.25 3 0-24 II at top of terra 24-48 sc,sbk fr chroma 3 48 0.25 Description Initial System Repair System Other Factors (.1946): Available Space (.1945) s s Soil Evaluation By: Robbie Pheips System Type(s) 25% 25°/a Others Present: Site LTAR 0.25 0.25 Site Classification (.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: 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 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-Siity 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 � p/ r l, f��p"� � � �-� � � � � � � � � ' 1 �