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Home My WebLink AboutAUTH-11-09-2448.TIF CONSTRUCTION For Office Use Only AUTHORIZATION "CDP File Number 3 4 5 1 a t Catawba County Public Health Department County ID Number: WLS2009-00558 Environmental Health Division Evaluated For: NEW ' P.O Box 389, 100-A Southwest Blvd Township: A pl_ ` Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 1 0 a 0 1 4 CC Applicant: MICHAEL BUMGARNER Property Owner: R KERCHER Address: 3781 SERENITY OR Address: PO BOX 254 City: HICKORY - City: HICKORY State/Zip: NC 28602 State/Zip: NC 28603-0254 Phone Phone Property Location Site Information Address/Road Subdivision: CRABTREE ACRES Phase: Lot: 7 7671 HORSESHOE BEND DR VALE NC Directions Structure: MOBILE HOME HWY 10W/ LF CAT SQUARE RD/ RT HORSESHOE BEND/ LOT 7 IN CLU-DE-SAC **Per Mr Kercher all # of Bedrooms: 3 double-wides on Horseshoe Ben Dr except for 1 house. # of People: Subd developed for doublewides per owner.** "Water Supply: PUBLIC s em . eci lca ons Minimum Trench Depth: Inches 'Site ClaSSifiCatiOn: PS Minimum Soil Cover. Design Flow: 3 6 0 Maximum Trench Depth: Inches a 4 Inches Soil Application Rate: 3 Maximum Soil Cover: ~ Inches 'System Classification/Description: *Distribution Type: GRAVITY TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons 'Proposed System: 25% REDUCTION 1-Piece: O Yes O No Nitrification Field 9 0 Pump Required: ()Yes ¢No OMay Be Required 0 Sq. ft. Pump Tank: Gallons No. Drain lines 6 1-Piece: QYes QNo Total Trench Length: 3 0 0 ft. GPM-vs- ft. TDH Trench Spacing: 9 Inches O.C. - Feet O.C. Dosing Volume: _ Gallons Trench Width: Inches _ 3 ~ Feet Aggregate Depth: 1 Grease Trap: Gallons inches Pre-Treatment: ONSF OTS-I OTS-11 Septic Tank Installer Grade Level Required: (DI Olt 0111 OIV Pagel of 3 W1S2009-40558 CDP Fite Number 34512 County ID Number: ❑ Open Pump System Sheet Repair System Required:91yes ONo ONo, but has Available Space epair System Trench Spacing: 8Inches O.C. 'Site Classification: Ps - Feet O.C. Inches Trench Width: 8Feet Design Flow: 3 6 0 Soil Application Rate: 3 Aggregate Depth: inches Minimum Trench Depth: "System Classification/Description: Inches TYPE III E. PPBPS GRAVITY DOSED SYSTEM Minimum Soil Cover. Inches Maximum Trench Depth: Inches 'Proposed SySt@m : 50% REDUCTION Maximum Soil Cover: Nitrification Field Sq. ft Inches . No. Drain Lines 'Distribution Type: Total Trench Length: ft Pump Required: OYes ONo OMay Be Required Pre-Treatment: ONSF OTS-I OTS-II Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Authorization for wastewater System Construction shall be valid fora person equal to the period of validity of the Improvement Permit, not to exceed five years, and may be issued at the sametime the Improvement Permit issued (NCGS 130A-=(b)). If the installation has not been completed during the period of validity of the construction Permit, the information submitted in the application for a permit or Construction Authorization is found to have beet incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall became invalid, and may be suspended or revoked (.1937(8)). The person awning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance monitoring, reporting and repair (1938(b)). Applicant/Legal Reps. Signature Required? Yes ONo ~ - / ' l ~ U l O Qv q Applicant/Legal Reps. Signature,,, O Date: `Issued By: 1896 - Lucas Sears Date of Issue: 1 1 / 1 0 / a 0 0 9 Authorized State Agent: Malfunction Log OYes &Hand Drawing Olmport Drawing Total Time:(HKWA) **Site Plan/Drawing attached.** 0 Hours tttnutes Page 2 of 3 CDt File Number: 34512 County ID Number: wLs2009-00558 Drawing Type: Construction Authorization Date: 1 1/ 1 0/-1 0 0 9 Q Inch Ai~awin~ Scale: QBIock = ft. ON /A i ~ I I E tj 111111 I ; , a ' ~ I t t ~ i S I I 1 I - - - - - I ~ t ? ! 1 i a ' _1_ ,-gyp ~ ~ . - - , _ -i-. .I>a..__ ~IAG a. . - - ! i , ! ! i I I ! If ~ I 1 . i i t fi I ? I , F ' ; " i ; - F fi-1-- t - ; - - - - - _ j i - Page 3 of 3 A C THIS IS NOT A PERMIT Case # AUTH-11-09-2448 CATAWBA COUNTY HEALTH DEPARTMENT U Cu: C Application for Environmental Services 1842 sM Authorization to Construct - New Septic APPLICANT OWNER CONTRACTOR PAUL R KERCHER PAUL R KERCHER PO BOX 254 PO 130X 254 HICKORY NC 28603-0254 HICKORY NC 28603-0254 NAME TO APPEAR ON PERMIT Pin#: 267703349755 SITE ADDRESS: 7671 HORSESHOE BEND DR, Vale, NC DIRECTIONS: HWY 10 W. LEFT CAT SQUARE RD, RIGHT HORSESHOE BEN, LOT 7 IN CUL DE SAC NAME of SUBDIVISION: CRABTREE ACRES Lot # 7 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.059 Date Platted/Recorded 1/1/1900 TYPE OF FACILITY: House Mobile Home X Dimension of Structure Bedrooms Basement: Water Using Fixtures in Basement:No No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 0.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats 0.00 Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees I st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: Has any grading, removal, or addition of soil been done to this property? If so, describe YES, CLEARED ALL TREES Are there easements/right-of-ways recorded on this property? No Type of Water Supply: Individual Well Community Well Municipal X Semi-Public Monitoring Well Request: # of wells Name of Site I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to 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 to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE DESCRIPTION DATE FEE AMOUNT Side Authorization to Construct (New) Feel 1/05/2009 $150.00 Rear TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge C: DOCUME-1jenghsh LOCALS-1 Temp EH- Welld-Sepiic Permit¢VOF5A2UB-JDSO-47h--O-B98/'-6o5S~.,V .-5109 14:21 SBA- CMG CATAWBA COUNTY, NC 10 South West Blvd Newton, NC 28658- Newton, PERMIT RECEIPT o: Phone: (828)465-8399 Thursday, November 5, 2009 1$42 sM www.catawbacountync.gov Permit Number: AUTH-11-09-2448 Invoice Number: AUTH-11-09-257045 Permit Type: Authorization to Construct Receipt Number: RCPT-000458 Work Class: New Septic Address: 7671 HORSESHOE BEND DR, Vale, NC APPLICANT OWNER PAUL R KERCHER PAUL R KERCHER PO BOX 254 PO BOX 254 HICKORY NC 28603-0254 HICKORY NC 28603-0254 FEE DESCRIPTION DATE FEE AMOUNT Authorization to Construct (New) Fee 1 1 /05/2009 $150.00 TOTAL FEES $150.00 Date Payment Type Check Number Amount Change 11/05/2009 Check 4217 $150.00 $0.00 Memo: NC ID#161563 EXP 8/15/10 DOB 8/15/34 Total Payment: $150.00 ~ Hilt r~cci~t ;6)J! i;v-rx2--1211- ?GPI-vv`~'~.:'uh~; r1a 11/05/2009 14:19 Page 1 of 1