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Home My WebLink AboutAUTH-04-2016-071353.TIF • 4O CATAIVBA COUNTY Case# AUTH-04-2016-071353 .� 111 y Public Health Department Subdivision 4‘�_J J, o. 1/4,'" Environmental Health Division PIN# 470002650130 �s* t PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 LO"r# 1g.2 ,, NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet: 182,080.80 Acres:4.18 Directions: 16S / 150E/ left Sherrills Ford Rd / right Molly's Backbone - left on Monbo Rd Owner/Authorized Representative Acknowledgement of Permit Receipt �ertify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the I property described above. _ 11�'� s the property owner or authorized representative. I have received the above referenced permit(s) as equested in the application for service RBPR-04-2016-23640 by the following method(s): . eceived in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) AL, • - the property owner or authorized representative I have reviewed and understand the specific conditions oft.- 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: 04/19/2016 � Owner/Autho ' ed Representative Signature./ {a—yr 1a Date /14 �� r� �p /�� /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 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 04/28/2016 13:43 Page 4 of 4 1)a r_ CATAWBA COUNTY Case# ifrtiiiry Public Health Department Subdivision I.- #"-‘ YI Environmental Health Division N' 470002650130 \vd�/ PO Box 389. 100-A Southwest Blvd,Newton.NC.28658 LOT/ l�� r. NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAW BA NC 28609 Property Size; Square Feet: 182,080.80 Acres:4.18 Directions: 165/ 150E/ left Sherrills Ford Rd / right Molly's Backbone - left on Monbo Rd Owner/Authorized Representative Acknowledgement of Permit Receipt 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-044016-23640 by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) N[ As the property owner or authorized representative I have reviewed and understand the specific conditions I ' 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 (I5A 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: 04/19/2016 1/4---E. Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmi ted by� (name of person 'ending pernvil) Signature \ BUJ' QU 1ka /b IQ Date/Time • 0 kp , I l 10 Method: A/ Fos Email US Mail Other Ow is request to send by t e above mtlicr 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 :hpernn' 04/1912016 09:46 Page 4 or4 13 CATAWBA COUNTY El r r '"�0 Case# AUTH-04-2016-071353• ,� Public Health Department T. ! Subdivision i ,�) Environmental Health Division PIN# 470002650130 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO T# IR.2 tv 'y r ' 8 O • 13 Pi) NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet: 182,080.80 Acres:4.18 Directions: 16S / 150E / left Sherrills Ford Rd / right Molly's Backbone - left on Monbo 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 360 g.p.d Type: 1I1G -OTHER NON-CONY TRENCH SYSTEMS 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: 900 sq ft Total Length: 300 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 3 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system and any future repair area minimum: 100' from any well, 5'from basement cut( down slope) 25' from basement cut ( up slope),10' from property lines, 25' from drainage way. Lines to be installed on contour. Do not grade drive or fill over system or repair area. Lot evaluated under IP 23348. 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: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold Soil LIAR: .3 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED rhpennit 04/19/2016 09:46 Page 1 of 4 A _ CATAWBA COUNTY Case# AUTH-04-2016-071353 i':mt: Public Health Department Subdivision :0 1�`' Environmental Health Division PIN# 470002650130 °0 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# lg.2 ,.w NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673 Site Address: 7633 MONBO RD, CATAWBA NC 28609 Property Size: Square Feet: 182,080.80 Acres:4.18 Directions: 16S / 150E / left Sherrills Ford Rd / right Molly's Backbone - left on Monbo Rd 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 Roles 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 oiven period of time. Jason Boyd 04/19/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/19/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. dim mmit 04/19/2016 09:46 Page 2 of4 _\N3E'' Permit# RBPR 4-16-23348 CATAWBA COUNTY Q ��! Name Mandy Barr 4 G Public Health Department Address 7633 Monbo Rd Catawba NC U 0ri ,7c, Environmental Health Division PIN# 470002650130 a,I�°" PO Box 389, 100A Southwest Blvd, Newton NC 28658 I8 42 sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct T� rn° L 12a —> F k�,� u& 1--°6 --r1` 16 i r` ? 2 S 5° \. --- --u—r i Z- V lc 'n •^ min. , a.5 it _ 12,,- y Q r•-- u 16',rSti�� 3u k7 ' 2'5 to ¢�a poDt Li f r / TII � L - A o ■lcultA . I,ir aS 2 4 9 ." 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