HomeMy WebLinkAboutAUTH-04-2016-070766.TIF q6% CATAWBA COUNTY Case4
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e' r"' Public Health Department Subdivision MRS EMMA L KILLIAN ES1
L P
Q ^"',' ¢ Y Environmental Health Division PINT! 363914236941
In PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 L,OT11 37-40
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NAME ON PERMIT: `CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC
28625
Site Address: 1853 DISNEY LN, NEWTON NC 28658
Property Size: Square Feet: 14,810.40 Acres:0.34
Directions: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left
�� Owner/Authorized Representative Acknowledgement of Permit Receipt
u` I certify that.1 am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
?Cm As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23525 by the following method(s):
_ Received in Person
Facsimile Transmittal (Return form with signature required)
'V Electronic Image Transmittal/ E-mail (Return receipt required)
tr 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), 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: 04/04/2016 �/
owner/Authorized Representative Signature d ..-----cf
Date Kit . v/ 4- --
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature — • 1 I Date/Time 49k
Method: Fax I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
hip Sifiykinht,rrus.row.
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ehpermit 04/04/2016 1 1:29 Page 4 of
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rgA CATAWBA COUNTY 0� I � ,6 0 Case it AU"CIi-04-2016-070766
/.q:11 Public Health Department :1:7211-1, }�\ } Subdivision MRS EMMA L KILLIAN EST
.L.30 ' . 1 PIN#
4 �q Environmental Health Division 363914236941
•
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 ' • �: C LOTH 37-40
1$42 s.. t . r_ti.
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NAME ON PERMIT: *CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC
28625
Site Address: 1853 DISNEY LN, NEWTON NC 28658
Property Size: Square Feet: 14,810.40 Acres:0.34
Directions: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit}
* See site plan and number of additional attachments (
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d
Type: IDLE - PPBPS GRAVITY DOSED SYSTEM
Soil LTAR: 0.3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? Bedrooms: 3
Wastewater System 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: 600 sq ft Total Length: 200 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 6 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 4
Distribution: Parallel
Pre Treatment: NONE
Additional Specifications: *Do not grade, drive, or fill over any septic area.
*Pipe all gutter down spouts away from the septic drain field and repair area.
*Rake and lime the side walls
*Backfill sand must be of ASTM C-33 specification
*Install all parts of the septic system at least 50ft from any well, 5ft from any structure foundation,
and 10ft from any property line.
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 suspension/revocation of existing permits.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: 0.3 g.p.d./ft2
ehpennit 04/04(2016 11:29 Page I of 4
gA CATAWBA COUNTY Case 4 AUTH-04-2016-070766
f Public Health Department Subdivision MRS EMMA L KILLIAN EST
Q Environmental Health Division PINK 363914236941
� �
\tea - PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOTi! 37-40
1g42 ,H
NAME ON PERMIT: *CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC
28625
Site Address: 1853 DISNEY LN, NEWTON NC 28658
Property Size: Square Feet: 14,810.40 Acres:0.34
Directions: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left
PUMP REQUIRED wwwn OPERATOR REQUIRED
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 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
altered. 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 Ru/es for Sewaee Treatment and Disposal Systems' (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 viven neriod of time
Robbie Phelps 04/04/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/01/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/04/2016 11:29 Page 2 of 4
A-0tti - °`t- Z"16-070766
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Parcel: 363914236941, 1853 DISNEY LN 1in=40ft
NEWTON, 28658
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personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
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Copyright 2014 Catawba County NC
03/30/2016
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