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Home My WebLink AboutAUTH-04-2016-070732.TIF 111 CATAWBA COUNTY Case H AUTH-04-2016-070732 • Public Health Department Subdivision �t� .J < Environmental Health Division 1'INM 461701097362 Y a7 PO Box 38'), 100-A Southwest Blvd, Newton.NC 28658 L.O"I'# 1842 s.�, 0 NAME ON PERMIT: DAVID WOODRUFF, 4707 DICK WILSON RD, DENVER NC 28037 Site Address: 8883 SHERRILLS FORD RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:40,075.20 Acres:0.92 Directions: Hwy 16, to Hwy 150, Sherrills Ford Rd, at the corner of Sherrills Ford & Gregory Rd Owner/Authorized Representative Acknowledgement of Permit Receipt rtify,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 thh application for service EHPR-02-2016-23176 by the following method(s): :_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), 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: 04/01/2016 �� --Owner//A/uthorized Representative Signature ti�i%��% �� 7 Date ---- -4) 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 ehpermit 04/07/2016 11:36 Page 4 of 4 CATAWBA COUNTY 0 , G 0 Case H AUTI-1-04-2016-070732 Public Health Department T 1 `5 -1 -l} Subdivision �` P rt • r 461701097362 „s, Environmental Health Division � .t PIMP PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 g9 f 0 i , r LOTH 18.2 :v " 1 A . Lb fi NAME ON PERMIT: DAVID WOODRUFF, 4707 DICK WILSON RD, DENVER NC 28037 Site Address: 8883 SHERRILLS FORD RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:40,075.20 Acres:0.92 Directions: Hwy 16, to Hwy 150, Sherrills Ford Rd, at the corner of Sherrills Ford & Gregory Rd 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 240 g.p.d Type: BIB - SYSTEM W/SINGLE EFFLUENT PUMP Soil LIAR: g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - Mobile Home Basement? No Basement Plumbing? Bedrooms: 2 Wastewater System Requirements Tank Size: Existing Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume 120 gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down 6 in Drainfield: Total Area: 540 sq ft Total Length: 180 ft Maximum Trench Depth in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover in Minimum Trench Separation ft on center Number of Drain Lines 3 Distribution: Distribution Box Pre Treatment: NONE PUMP REQUIRED Additional Specifications: *The issuance of this permit is for the replacement of the pump. *No additional drain field is required at this time. *The drain field is existing, see permit WLS2001-01192 for details. 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: Proposed System: Distribution Type:: Soil LIAR: g.p.d./ft2 ehpennil 04/07/2016 11:36 Page 1 of4 3A CATAWBA COUNTY Case N AUTH-04-2016-070732 .T �b Public Health Department Subdivision < ; ty, Y Environmental Health Division PIN# 461701097362 '-4,- PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 442 ,u NAME ON PERMIT: DAVID WOODRUFF, 4707 DICK WILSON RD, DENVER NC 28037 Site Address: 8883 SHERRILLS FORD RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:40,075.20 Acres:0.92 Directions: Hwy 16, to Hwy 150, Sherrills Ford Rd, at the corner of Sherrills Ford &Gregory Rd The issuance of this permit by the Health Department does not guarantee the issuance or 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 Sewage Treatment and Disposal Systems' (15A NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any niven period of time Robbie Phelps 04/01/2016 AUTHORIZED STAFF AGENT APPROVAL DATE Permit Expiration Date: 03/31/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/072016 11136 Page 2 of 4 A *A - I4- 7o"- 070732 ■1 ,1'1, 1 • 12Q� — --- 1 1—'— '` _f n l i, 165) 49 40 j • t o °o o. ) ' t z t ` t. r. \ -tft ,.. 4 III TJ 1-c l . \ 1 ' PPrN:t 111r j141'r l `\�' I&4,.(anrn7 of 0Vl'� onl4 '\,y \ \ l 234.f0 \. -* Ohl,, hzt Jr rvr"(� ani a,Ir r, t1 \ finAl ' 1 i1Er1) ` ----\\ Oc *.,, \ 1 • • • Parcel: 461701097362, 8883 SHERRILLS FORD 1 in=50ft RD SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospalial 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 verification 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 04(01/2016 a