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AUTH-04-2016-070823.TIF
a,A • CATANBA COUNTY Case# AUTH-04-2016-070823 1 -,); t Public Health Department Subdivision AVIAN WOODS REVISION 4 ,© Environmental Health Division PIN# 372011652484 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 L0T# 18 /8.2 s., NAME ON PERMIT: MARK KIEFER, 4657 GLEN HOLLOW LN NE, HICKORY NC 28601 Site Address: 1076 HARPER LEE DR, NEWTON NC 28658 Property Size: Square Feet:58,370.40 Acres:1.34 Directions: take 321 N towards hickory/Take Startown Rd exit# 33/Turn Right/go 4 Miles/turn Right onto Milton Street/turn Right on harper Lee/ House on right Owner/Authorized Representative Acknowledgement of Permit Receipt V/ I certify that I am the owner or authorized agent(owner's authorization required) 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 RBPR-02-2016-23127 , by the following method(s): _ Received in Person _ Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/ E-mail (Return receipt required) _ As the property owner or authorized representative I have reviewed and understand the specific conditions N 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 Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted b ' Al I I .. A r (name of persoi s ending permit) Signature _ 01 ! �_/ ; NS Date/Time ff/� Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature L `ou. ( S We want to hear from you: ease take a fe ents to complete our customer service survey at: http://www.surveymonkey.com/s/EFICustomerService ehpermit 04/06/2016 08:10 Page 4 of 4 •t9• • CATAWBA COUNTY 0 0.. ,� Q Case# AUTH-04-2016-070823 .7'."T Public Health Department f Subdivision AVIAN WOODS REVISION < Environmental Health Division �=. PIN/1 372011652484 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 r 7r_e 11:1, .$ LO'f# 18 842 sM 5' 1. - 8 NAME ON PERMIT: MARK KIEFER, 4657 GLEN HOLLOW LN NE, HICKORY NC 28601 Site Address: 1076 HARPER LEE DR, NEWTON NC 28658 Property Size: Square Feet:58,370.40 Acres:1.34 Directions: take 321 N towards hickory/Take Startown Rd exit# 33/Turn Right/ go 4 Miles /turn Right onto Milton Street/turn Right on harper Lee/ House 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 LIAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence- House Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Wastewater System Requirements Tank Size: New Tank 2,000 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 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation g ft on center Number of Drain Lines 7 Distribution: Serial Pre Treatment: NONE Additional Specifications: *Keep all parts of the septic drain field at least 15 feet from the house and 10 feet from any property line. *Install two 1,000 gallon tanks in series. *Keep the septic tanks at least 25 feet from the house. *Pipe all gutter down spouts away from the septic system and repair area. 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: DRIP IRRIGATION Distribution Type:: Drip Irrigation Soil LTAR: 0.15 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED ehpermit 04/06/2016 08:10 Page 1 of4 ,gA CATAWBA COUNTY Case# AUTI-I-04-2016-070823 f' £ Public Health Department Subdivision AVIAN WOODS REVISION m4Q .��1 �, Environmental Health Division PIN# 372011652484 ��ac Z ,u PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTH 18 $4 NAME ON PERMIT: MARK KIEFER, 4657 GLEN HOLLOW LN NE, HICKORY NC 28601 Site Address: 1076 HARPER LEE DR, NEWTON NC 28658 Property Size: Square Feet:58,370.40 Acres:1.34 Directions: take 321 N towards hickory/Take Startown Rd exit# 33/Turn Right /go 4 Miles/turn Right onto Milton Street/turn Right on harper Lee/ House 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. 'Phis permit was issued in compliance with the provisions of the North Carolina 'Laws and Pules 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 given neriod of time Robbie Phelps 04/05/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 10/23/2020 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 04/06/2016 08:10 Page 2 of 4 Catawba County Environmental Heeitn Afrtl,-it - 24 - o2oi 25 fit- 3- 2016- a6'1 703 rs 90/ 112/ 192.96 / /; 201.3 o / a. ‘,...,IIM g� W I( W CC K lJ ■ r, u d ` c , 3 = 11 r 6.4- G o'2;' 9'. ` o ,,, % p y 3- t re. bp 0 W • Le \-....\\ it° \\ _ 1.` I Parcel: 372011652484, 1076 HARPER LEE DR 1in=60ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verfication of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and 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 arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 0 3/0 21201 6