HomeMy WebLinkAboutAUTH-04-2016-070967.TIF d, CATAWBA COUNTY Case# _ . ____ _ _ _
ty 11°,�,!-,® L. e Public Health Department Subdivision WYNSWEPT PH 1
--
awe _- Environmental Health Division PlN# 367804514573
� � PO Box 389. 100-A Southwest Blvd,Nekton.NC 28658 LOTH 27
/842
NAME ON PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4532 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 31,798.80 Acres:0.73
Directions: Hwy 16 S, L Pembroke Pine St
Owner/Authorized Representative Acknowledgement of Permit Receipt
' liC 1 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
2
lc. As the property owner or authorized representative, 1 have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23453 by the following method(s):
'Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
-Ty 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: 04/08/2016
Owner/Authorized Representative Signature ��
/ Date tiN/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
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ehpennit 04/08/2016 11:42 Page 3 of 3
02, CATAWBA COUNTY 0 V U Case# AUTH-04-2016-070967
Public Health Department W- • `•. •�3} Subdivision WYNSWEPT PH 1
;11 Environmental Health Division 1 �r • PIN 367804514573
O— D i
1 2 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ _ LOT# 27
H4 •S {
CI 1.
NAME ON PERMIT: `MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4532 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 31,798.80 Acres:0.73
Directions: Hwy 16 S, L Pembroke Pine St
Authorization to Construct Permit
Authorization to Construct Wastewater System f Required for Building Permit)
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing? No Bedrooms: 4
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 195 gal Pump Specs: 28.44 GPM @ 21.92 TDH
Pressure Head 2 ft Draw Down 6 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 4
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: Keep all parts of septic system and any repair minimum: 50' from any well, 10' from property lines,
15' from home ( up slope) 5' from home ( side slope). Lines to be installed on contour. Do not grade
drive or fill over system or repair area. Lot previously approved under WLS-2008-01061. Use
schedule 80 pressure manifold with 1/2" schedule 40 taps.
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 LIAR: .3 g.p.d./ft2
PUMP REQUIRED ***** OPERATOR REQUIRED
ehpennit 04/08/2016 11:43 Page 1 of 4
s CATAWBA COUNTY Case# AUTH-04-2016-070967
,Q A""' Public Health Department Subdivision WYNSWEPT PH 1
w 367804514573
�,�, Environmental Health Division PIN#
®i PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 27
1842 ,.
NAME ON PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4532 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 31,798.80 Acres:0.73
Directions: Hwy 16 S, L Pembroke Pine St
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 Sewace Treatment and Disposal Spstenrs' (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 niven neriod of time
Jason Boyd 04/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/08/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
el-permit 04/08/2016 11:43 Page 2 of 4
\ A Permit# RBPR 3-16-23453
`r G CATAWBA COUNTY
F-,7 , Public 1-Iealth Department Name Mike Palmer Homes Inc
Q ;' Environmental Health Division
Address 4532 Cayton Drive Maiden NC
, , PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN# 367804514573
/842 su (828)465-8270 Fax (828)465-8276 I DD(828)465-8200 Lot 27
Site Plan Authorization to Construct
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