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Home My WebLink AboutAUTH-04-2016-070813.TIF 3' CATAWBA COUNTY Case# 7 LifitIL Public Health Department Subdivision :4 kii t Y`d Environmental Health Division PI 614 374419520150 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1842 :M NAME ON PERMIT: LARRY BAKER, 4924 LEE CLINE RD, CONOVER NC 28613 Site Address: 4918 LEE CLINE RD, CONOVER NC 28613 Property Size: Square Feet: 51,836.40 Acres:1.190 Directions: Hwy 16 North/Left on CB Farm Rd/Right on Lee Cline Rd/Lot on right Owner/Authorized Representative Acknowledgement of Permit Receipt At'I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the ' property described above. M./As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-01-2016-23115 by the following method(s): Received in Person J Facsimile Transmittal (Return form with signature required) ,��{{ Electronic Image Transmittal/ E-mail (Return receipt required) �D C�✓ s the property owner or authorized representative I have reviewed and understand the specific conditions i i 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: 04/05/2016 — Owner/Authorized Representative Signature / G - //�-H Date ? S- 5: /6 Documentation of Permit(s) Transmittal (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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpennit 04/05/2016 08:18 Page 3 of 3 41,3A CATAWBA COUNTY o e r f CI Case# AUTH-04-20 1 6-0708 13 o�G y 7,• ' Public Health Department r Subdivision Q �. Environmental Health Division 'Me: • • PIN# 374419520150 PO Box 389, 100-A Southwest 131vd,Newton, NC 28658 DT. i� LOT#••2 sv s •t• 0 NAME ON PERMIT: LARRY BAKER, 4924 LEE CLINE RD, CONOVER NC 28613 Site Address: 4918 LEE CLINE RD, CONOVER NC 28613 Property Size: Square Feet: 51,836.40 Acres:1.190 Directions: Hwy 16 North/Left on CB Farm Rd/Right on Lee Cline Rd/Lot on right Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - modular home Basement? No Basement Plumbing? No Bedrooms: 4 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: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 30 in Aggregate Depth _in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 7 Distribution: Serial Pre Treatment: NONE Additional Specifications: 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 ma result in failure to a..rove the initials stem installation or the sus.ension/revocation of existin. .ermits. »»> 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 PUMP REQUIRED *"**" OPERATOR REQUIRED ehpertnit 04/05/2016 08:18 Page I of4 1sA CATAWBA COUNTY Case# AUTH-04-20 1 6-070 81 3 r . �(!z.' Public Health Department Subdivision n Environmental Health Division I INS 374419520150 PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# C 42 : NAME ON PERMIT: LARRY BAKER, 4924 LEE CLINE RD, CONOVER NC 28613 Site Address: 4918 LEE CLINE RD, CONOVER NC 28613 Property Size: Square Feet: 51,836.40 Acres:1.190 Directions: Hwy 16 North/Left on CB Farm Rd/Right on Lee Cline Rd/Lot on right 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 Rules for Sewage Treatment and Disposal Systems' (15A NCAC I8A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any viven period of time Megen McBride 04/05/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/05/2021 No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department. chpermit 04/05/2016 08:18 Page 2 of IP IAG RBrs-01-;olb-13115 `IV Le( Cline gd, Cono4er nS}all 1000 anon Sepik, E ank, and y00{l. p( a550 redoc{lion ; 7- S Install drain-Field on con-root �� +rencl,es. Serlic sysitern musk be, al re&S} /00 4 from well, 5{a- -from S-40440/€5. Pror.rf7 lints, 50.14. -Erom creel<s, Qr,d ;(44, -rem -tio5 drain-field,. S' {� fain * Do 44 ckiue, gracle, Cut, or fill ooer sertc area or rarir are * ■e9 moct/lkr kornt wall e-cnatr1 40 ecis-ki wok on ad3ar{e,., 103, 4, T`sdGQCr n,t,sl joca-k Dia 4 f `I9��1��y Lee Cline Rd, exams-yhrj Tavel kt 1' r1F1ir�,;h d"rled lint fepreSen11 1 rw cal ''e* (1 !' recorded strfic. euSefne4 't^tn PIS. 376.w S 30' Tang 7D' 'J . 11 5' proposed 48edtmT PIidokr t r7� 57.v. 10' _ ? A ix 53. n _ _ - _ _ _ y 9 ;In 1 S h W W J y� m , r r T fr- O rq,,, /r r 0. 1 I D/ • Lee Dine, RA. 1°:60.