HomeMy WebLinkAboutAUTH-04-2016-071261.TIF AQ' CATAWBA COUNTY Case#
7'rst! Aublic Health Department Subdivision ROSA WHITE SAUNDERS
*®-t 4 Environmental Health Division PIN# 461901491965
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 7
NAME ON PERMIT: CRAIG PENDLETON
Site Address: 1287 SAUNDERS DR, CATAWBA NC 28609
Property Size: Square Feet: 17,424.00 Acres:0.4
Directions: 150 E L Sherrills Ford Rd R Molly Back Bone R Monbo Rd R Sanders R Aeromarine Left Clipper
Owner/Authorized Representative Acknowledgement of Permit Receipt
I' '*) 4u`i I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
f >V1 As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-02-2015-20899 by the following method(s):
NI Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
csilt 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 1SA .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: 04/15/2016 1- i� /
Owner/Authorized Representative Signature ?j`
c>
Date Si—/5--/G
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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chpennit 04/15/2016 09:12 Page 4 of4
`,A CATAWBA COUNTY �1:1);•_�•r Q Case# AUTH-04-2016-071261
`Cv' iGL Public Health Department
rk1S� Subdivision ROSA WHITE SAUNDERS
4 1 ,` Environmental Health Division + �r PINiI 461901491965
dl�,, // PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 pD i� _ i ° ' LOT# 7
184%yV „� �
ol . .
NAME ON PERMIT: CRAIG PENDLETON
Site Address: 1287 SAUNDERS DR, CATAWBA NC 28609
Property Size: Square Feet: 17,424.00 Acres:0.4
Directions: 150 E L Sherrills Ford Rd R Molly Back Bone R Monbo Rd R Sanders R Aeromarine Left Clipper
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Soil LTAR: 3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
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: 600 sq ft Total Length: 200 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 3
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications: Keep all parts of initial septic system minimum: 100' from any we11,10' from property lines,5' from
home including deck at lake side of home. Lines to be installed on contour. Do not grade drive or fill
over system or repair or permit will be revoked. Repair will be TS I pretreatment to encroach to 35' of
lake. If repair is needed, system will require design by a licensed soil scientist or engineer. Met
with contractor Steve Toth on 4/13/16 to verify setbacks and change in initial system from 25 to
50% reduction.
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: VD Proposed System: PRETREATMENT Distribution Type:: Drip Irrigation
Soil LTAR: .3 g.p.d./ft2
OPERATOR REQUIRED
chpennit 04/15/2016 09:12 Page 1 of
,gA CATAWBA COUNTY Case# AUTH-04-2016-071261
.C-' �� Public Health Department Subdivision ROSA WHITE SAUNDERS
4 ti Environmental Health Division PIN# 461901491965
7-4 i
`•yt PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LO"f# 7
1g42 s.
NAME ON PERMIT: CRAIG PENDLETON
Site Address: 1287 SAUNDERS DR, CATAWBA NC 28609
Property Size: Square Feet: 17,424.00 Acres:0.4
Directions: 150 E L Sherrills Ford Rd R Molly Back Bone R Monbo Rd R Sanders R Aeromarine Left Clipper
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 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any given period of time
Jason Boyd 04/15/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/15/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elrperrnit 04/15/2016 09:12 Page 2 of4
t3A % CATAWBA COUNTY
LPL-
:, I I Permit# RBPR-3-I5-20899
MIA 2 Public Health Department Name Craig Pendleton
UI Tr-44 I Environmental Health Division Address 1287 Saunders Dr Catawba NC
we PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 461901491965
/8 42 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Authorization to Construct
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