HomeMy WebLinkAboutAUTH-04-2016-071075.TIF ,gA CATAWBA COUNTY CaseN
't •G Public Health Department Subdivision
4 Drrv}ronmental Health Division PIN#
368601250307
�� PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 LO'r# 1
!84 w:
NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610
Site Address: 4739 KENNETHS DR, MAIDEN NC 28650
Property Size: Square Feet: 60,112.80 Acres:1.38
Directions: E Maiden Rd to Kenneth Dr & Hwy 16
Owner/Authorized Representative Acknowledgement of Permit Receipt
\/ certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
7" property described above.
1- As the property owner or authorized representative. I have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23390
requ by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
A' As the property owner or authorized representative I have reviewed and understand the specific conditions
o ' 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: 04/12/2016 r
`/ Owner/Authorized Representative Signature / P �� �'/
Date 144 (-1'-
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
ehpennit 04/12/2016 10:53 Page 3 of 6
gA CATAWBA COUNTY 0 ei 1 f 0 Case# AUTH-04-2016-071075
Public Health Department � ti JJF Subdivision
t® 1.
4 '-^°v f Environmental Health Division ;""—R PINK 368601250307
PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 G . 0.. LOT# 1
1842 ,u
. + 8+..
0
NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610
Site Address: 4739 KENNETHS DR, MAIDEN NC 28650
Property Size: Square Feet:60,112.80 Acres:1.38
Directions: E Maiden Rd to Kenneth Dr& Hwy 16
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: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Multi-Family-
Basement? No Basement Plumbing? No Bedrooms: 4
Wastewater System Requirements
Tank Size: New Tank 1,500 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 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 8
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
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: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial
Soil LIAR: .3 g.p.d./ft2
ehpennfr 04/12/2016 10:53 Page 1 of 8
0A • CATAWBA COUNTY Case# AUTH-04-2016-071075
F Public Health Department Subdivision
�fi� L 368601250307
< Tr® „�; Environmental Health Division PIN#
PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 1
/842 :F
NAME ON PERMIT: MICKEY COOKE, 1803 HEWITT RD, CLAREMONT NC 28610
Site Address: 4739 KENNETHS DR, MAIDEN NC 28650
Property Size: Square Peet:60,112.80 Acres:1.38
Directions: E Maiden Rd to Kenneth Dr& Hwy 16
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 Svstems' (ISA
NCAC ISA .1900). Neither Catawba County nor the Environmental Ilealth Specialist warrants that the septic tank system will
continue to function satisfactorily for any niven period of tine.
Jason Boyd 04/12/2016
AUTHORIZED STATE AGENT APPROVAL.DATE
Permit Expiration Date: 04/12/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 04/12/2016 10:53 Page 2 of 8
�pA CATAWBA COUNTY Permit# RBPR-3-I6-23390
q G Name Mickey Cooke
r, 'z Public Health Department
d ' `!{" } `�' Environmental Health Division Address 4737 Kenneths Dr Maiden NC
�J �' C PO Box 389, I00A Southwest Blvd, Newton NC 28658 PIN# 368601250307
/g 42 yy (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
i
Site Plan Improvement Permit
\ z3
F(l_. • 3ze
W
-- s
l
s-P .`)C J n 11Y- .) c 7
Iz '
LI
59
A r to
fo, ��nk 3 (6 . 1c
(5 o m e I I',
4 —�IL
7° �ss� ¢,� \ ` \ I, 7 So
� . 2- ?oec.)
_ 70 I r, ��
u
A Zio ' 0 . 101...$s a w
+ 0
Ice
ke loo
pro Pt. rt.(
road
L
i
( ° • 5 r
Z_ k...— n1,�-f-L a D r
El r
6
Scale