HomeMy WebLinkAboutIMPV-6-11-18532.TIF `a gA ,� CATAWBA COUNTY Case # IMPV-6-11-]8532
� G Public Health Department
Q, � Subdivision
�; Environmental Health Division
` oa `�' PO Box 389, 100-A Southwest Blvd, Newtoti, NC 28658 Lot # I
Is 2 �w PiN# 470103136958
ApplicantlOwner SHANE AND DANA WILSON �
Site Address: HUDSON CHAPEL RD, CATAWBA, NC ���� � I fl ���
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
Improvement Permit
Facility: Accessory Dwelling Horse Barn with a 2 bedroom apartment
Permit Category: New SeptiC Bedrooms 2 �`
WATER SUPPLY: Private Well �
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Basement? No Basement Plumbing? No ^
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1NITIAL SYSTEM SPECIFICATIONS
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Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 340 9•P•d
Proposed Wastewater System: 25% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REOUIRED
Permit Conditions:
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REPAIR SYSTEM SPECIFICATIONS
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Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP 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 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 Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicant/property owner to insure that al( 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 'Laws �utd Ru/es or Sewnge Trentment �nd Disposal 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 activiry is allowed in areas designated for system and repair without approval of the Health Department.
O6/02/ 11 12:51
,�1 Permit # IMPV-6-11-18532
�, CATAWBA COUNTY Name Shane & Dana Wilson
� � G '� Public Health Department Address Hudson Cha el Rd
�± :`, ��s� ,� Environmental Health Division PIN#
PO Box 389, 100A Southwest Blvd, Newton NC 28658
j842 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
SITE P�,AN
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CATAVVBA C011N'fY Case t! [MPV-6-I f-18512
� PuDlic Health Dcpartrnent
G ..,,
Environmcncal Healih Division Subdivisi0n
PO BaY 389, 1 D(�A 5outhwcst Blvd, Alcwto�5, NC 28655 Loi � t
� a PI�`# 470103136958
ApplicantlOwner SHAN'E AND DANA WILSON
Site Address: HUDSOT' CHAPEL RD, CATAN'BA, I�C
Property Size: SF 18.569 ACRES
Directions: HIGHIVAY 10 E- 7URT�1 RlGHT ONTO HUDSON CHANEL RD - PROPERTY OI� RiGHT CORNER OF HUDSON
CHAPEL RD AND BRO���'N CHAPEL RD
OwnerlAiRthprized Representative Acknowledgernent of Permit Receipt
� 1 certify that I am th \ own �' or authorized asent (o�vner's authorization requi:ed) 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-5-11-1088G , by tl�e fallowing inetliod(s):
Received in Person
Facsimile Transmitta] (Retum forrn 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
condiiions of the {zermif issued, and further Lu�derstar�d lhat all applicable regulatory �equire�nen�s
specified under the North Carofina Laws and Rules for Se�vage Treatment and Disposat Systems (15A
NCAC 18A .1900), and/or Well Construction Standards (15A NCAC 2C _0100), shall apply to the
issuance of d�is permit and the construcuon of the wastewater s}�stem �dlor water supply well perrnitted.
Permit Issne Date; p�/fl2(20 i 1
Owner/Authorized Representafive Signature ��
Date �
Documenta#ion of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitte by (narrte ofperson sen�lirrg�er�riit)
i
Signature DatelTime � 1P f t ���SD
iVlethod: F'ax J Email US Mail Other
Own�r's reynest ta send by �hc above indicafed metl�od af transmittal in lieu of signature
acknowledges fhe condifions and statements above.
JY} (S L�lstan y 16 �,grr�+��1 � r��,
46/07JI I 32:51
I
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: 10886
Owner: Dana Wilson Applicant:
Address: Hudson Chaoel Rd Date Evaluated:
Proposed Facility: barn with 2 BR Design Flow (.1949) 3404pd Property Size:
Location of Site: Property Recorded:
Water Supply: [] Public ( x] Individual [x ] Well [] Spring [] Other
Evaluation Method: [] Auger Boring [ x] Pit [] Cut
Type of Wastewater: [ x] Sewage [] Industrial Process [] Mixed
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� * � , ��� yg w ' �:� yi � � �� � �- � " : � ���,; x-� f , 7 , �, �PROFILE FACTORSu,'.,�J.�4� =5 ,� � '� � ,� � � �.� �: t
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r� rv�„� - Y+ ' " `' G r. tY . y.. � i p,,y.�:s ,'�c�r F r :;� I�+d k�.�Y v n y ',. v °,.�v k1�,� A �'.x,e
E � , r ' .�Position% � r D;gpth �,Structure% � Consistence;�,,. 1Netness�/ :r >* a ;, ��Soil : �t Sapro�ak r .`Restr� � # �.Class �,�; fi
�#,. �, "�,Siope% ,„�, � (IN )� ry 4Tezture;� d r f �� ; Minecalogy ^ � '^ "�� �;_Color � Depth (IN ) a `Class� �Fionz: �,, & LTAR..;�
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1 0-15 cl,sbk fr,ss,sp
15-32 sc,sbk fr,ss,sp
32-48 sc+sap,sbk fr,ss,sp 48 0.3
2 0-15 ts plowed
15-32 sc,sbk fr,ss,sp chroma 3 striped
32-48 sc,sbk fr,ss,sp 48 0.25
3 0-18 ts plowed
18-48 sc,sbk fr,ss,sp 48 0.25
Description Initial System Repair System Other Factors (.1946):
Available Space (.1945) s s Soil Evaluation By: Robbie Phelps
System Type(s) 25% 25% 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 A8K-Angular Blocky
CC-Concave Slope III SI-Silt 0.6 - 0.3 PL-Platy
CV-Convex Siope 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
A Sketch of Soil Evaluation Locations
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