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Home My WebLink AboutAUTH-04-2016-071587.TIF gA CATAWBA COUNTY Case# :7 :a."f i Public Health Department Subdivision 4 ?K Environmental Health Division PIN# 368902581117 � PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 tg.2 su NAME ON PERMIT: JOSEPH LASALA, 116 KILBORNE RD, MOORESVILLE NC Site Address: 5467 THREE SISTERS LN, CATAWBA NC 28609 Property Size: Square Feet:43,560.00 Acres:1 Directions: travel N on Sherrills Ford RD, Turn Son Buffalo Shoals RD, 1/4 mile turn left onto Battle Run Community, right onto Muskey DR at the end on the end Owner/Authorized Representative Acknowledgement of Permit Receipt ail-certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. 'EAs the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service RBPR-04-2016-23604 by the following method(s): /Received in Person Facsimile Transmittal (Return form with signature required) CC Electronic Image Transmittal/ E-mail (Return receipt required) Twnn fAs 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: 04/26/2016 / Owner/Authorized Representative Signature ( Date 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 chpcn nut 04/26/2016 08:41 Page 4 of 4 �4A _� CATAWBA COUNTY 0 rat 0 Case it AUTH-04-2016-071587 .f' ra°I[� y Public Health Department �� r •�.t Subdivision -L 19u Environmental Health Division I �'.• PINK 368902581117 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 �. � G 1,01D1 2 /8.2r J 4:r ao 0 0 NAME ON PERMIT: JOSEPH LASALA, 116 KILBORNE RD, MOORESVILLE NC Site Address: 5467 THREE SISTERS LN, CATAWBA NC 28609 Property Size: Square Feet:43,560.00 Acres:1 Directions: travel N on Sherrills Ford RD, Turn Son Buffalo Shoals RD, 1/4 mile turn left onto Battle Run Community, right onto Muskey DR at the end on the end Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plat and number of additional attachments ( J. Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.325 g.p,d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - House Basement? No Basement Plumbing? Bedrooms: 4 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: 1,122 sq ft Total Length: 374 ft Maximum Trench Depth 36 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: *Do not grade, fill, or drive over any designated septic area other than what is required during the septic installation. Doing so could result in permit revocation. *Do not remove the flags that are currently marking the drain line locations for any reason. If flags are removed you will be charged a fee to remark them. *Pipe all gutter down spouts to the front yard. *Keep all grading for the driveway at least 15' away from any septic area. 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: 0.325 g.p.d./ft2 ehpennh 04/26/2016 08:41 Page 1 of ,g CATAWBA COUNTY Case# AUTH-04-2016-071587 Q laa j Public Health Department Subdivision ,�� Environmental Health Division PIN# 368902581117 't8' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 r8.2 „ NAME ON PERMIT: JOSEPH LASALA, 116 KILBORNE RD, MOORESVILLE NC Site Address: 5467 THREE SISTERS LN, CATAWBA NC 28609 Property Size: Square Feet:43,560.00 Acres:1 Directions: travel N on Sherrills Ford RD, Turn S on Buffalo Shoals RD, 1/4 mile turn left onto Battle Run Community, right onto Muskey DR at the end on the end PUMP REQUIRED ***** OPERATOR REQUIRED 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 neriod of time Robbie Phelps 04/26/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/26/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 04/26/2016 08:41 Page 2 of 4 •i O� :cS � ��/}-1 t F nv � r, l :?ni H i� 14,,f — Lt-7016 , l au a . . uf e Y_ , i will— ii-704- 0X5-86 d ✓i 't 0• 9, 26537 v L Y cL S cf G f °L5 t / s 4 . 40 / /, ti / / \/' / IC, 00 Ul Wl I ifi ----\ 45 I Y / / o `rt }�\ t k h� t� ., .1 , Er.. _. f .. r ` N-pU1A, v.. �7 e7 o ysi�'&. a ` t no x t\ SS e s. - 265 SL v S � \ \ Ito I Parcel: 368902581117, 5467 THREE SISTERS 1in=50ft LN CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Infon nation 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 u ter.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 04/25/2016