HomeMy WebLinkAboutIMPV-6-11-18598.TIF �gA CATAWBA COUNTY Case# IMPV-6-11-18598
� ,� G PublicHeal[hDepartment
¢; � 2 . Subdivision ST PETERS ESTATES
.: Environmental Health D'ivision �
"' o� `�' PO Box 389, 100-A Southwest Blvd, Newton, NC 286�8 Lot # � g
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374502851024
ApplicantlOwner GARY GEORGE � �� �Q � ��' _ ��OS'j �
Site Address: 6059 NAKED CRGEK RD, Conover, NC
Property Size: SF 0.74 ACRES
Directions l6N/ LEFT ST PETERS CHURCH RD/ LEFT NAKED CREEK RD TURN LEFT ON LOOP / HOUSE ON LEFT
Improvement Permit
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� � INITIAL S�STElVi EX�STIN� �II' FOR 12EPAIR SYSTElVI ONLY �Y�°u p ��. .,
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Faci�iry: primary Residence
Permit Category: Othel' Bedrooms 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
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INITIAL SYSTEM SPECIFICATIONS
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Permit Valid: Expires In Five Years: _X, No Expiration: �
Projected Daily Flow g.p.d �i
Proposed Wastewater System: 25% REDUCTION =
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Permit Conditions: IP for as built for existing septic system for above ground pool.
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REPAIR SYSTEM SPECIFICATIONS
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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 Health 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 'Lnws nnd Rules for Sewnge Tren�ment nnd Disposnl Svstems' (ISA NCAC 18A .1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily
Susan Bumgarner 06/03/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 06/Ol/2016
No grading or construction activity is allowed in areas destgnated for system ancl repair without approval of the Health Department.
06/03/11 14:31
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�BA CATAWBA COUNTY Case # IMPV-6-11-18598
�� � � Public Health Department .
Q .; Environmental Health Division
, Subdivision ST PETERS ESTATES
�`" �Z `� PO Box 389, 100-A Southwest �ilvd, Newton, NC 28658 Lot # 15
l 2 �� PIN# 374502851024
Applicant/Owner GARY GEC)RGE
Site Address: 6059 NAKED CREEK RD, Conover, NC
Property Size: SF 0.74 ACRES
Directions: 16N/ LEFT ST PETERS CI-iURCH RD/ LEFT NAKED CREEK RD TURN LEFT ON LOOP / HOUSE ON LEFT
Owner/Authorized Representative Acknowledgement of Permit Receipt
�'�� certify that I am the owner or autllorized age»t (owner's autllorization required) representing the owner of the
property described above.
�C�As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-5-11-11087 , by the following method(s):
�1 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 Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A
NCAC 18A .1900), andlor Well Construction Standards (15A_�CAC ZC .0100); shall apply to the
issuance of this permit and the construction of the wastewater�t m and/or water supply well permitted.
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Permit Issue Date: 06/03/2011 �"�'� _._..--�
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�Owner/Authorized Re resentative Si nature ��'� �� `..( .. J ��
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�Date
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Documentation of Permit(s) 'I'ransmittal
(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.
06/03/I1 14:31 I
Department of Environment, Health, and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #:
SOIL/SITE EVALUATION File #: Ehpr-11087
for ON-SITE WASTEWATER SYSTEM AppID:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949) Property Size:
Location of Site: Property Recorded:
Water Supply: [ ] Public [ ] Individuai [ x ] Well [ ] Spring [ ] Other
Evaluation Method: [x ] Auger Boring [] Pit [] Cut
Type of Wastewater: [ x] Sewage [] Industrial Process [] Mixed
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O�� � a �.��'� � ���� S�01�L MORPHOLOGY � � ��� ' �'r s � ��".{ '* b� a ��. `'. s � � �
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F , , , t ° � =., , � :�.s4� _ +PROFILE FACTORS - � -
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� � � � > �- 1940� � ��� a � � ` " � � � � x , 1942 ` . � ` ,k �� r ti �, a ^. �:, � � ; ,, +
r h .� ,� e �. F „a ���+i . � i y b 5 ° �. � n i ,� h b br , I � W _;,� k^ � '� g � s
L :� ' �Landscape�r Ho�izon 1941 ��r 1941 ` ' �,� ?.;.Soil 4 �� 1943 - 1956 1944 ' , .`P�ofile
E . ' Position/� , De`pth Structure/ Consistence ' � � Wetness/ :� �. `�Soil { ' Sapro �.Restr ; � ; Class
. , , ; : :
',#w �..x `'�,Slope%? rd. ,� '�IN.). , .,gTexturer . . .;: , , ��.: i . ,; f�"Color . ,.:: -` ; Depth"(IN.)... Class,�.. Horiz•..'. � ,w.� ;.& LTAR , -��:;
Is 0-40 cl,bk SE,fr 40 ps
1 10% .35
I
Description Initial System Repair System Other Factors (.1946): �s
Available Space (.1945) ps Soil Evaluation By: Sbumgarner
System Type(s) 25%red Others Present:
Site LTAR .35 Site Classification (.1948): �s
Site Evaluation By: Sbumgarner
Others Present:
Sheet:
COMMENTS: FILE #:
Landscaoe 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 Ciay 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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