HomeMy WebLinkAboutAUTH-04-2016-071600.TIF + ,A CATAWBA COUNTY Case# _ __\ip G Public Health Department Subdivision GEORGIA PARK
Q , e , Environmental Health Division PINH 366703233105
"��• PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 8
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NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681
Site Address: 3453 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: Hwy 16/ left Buffalo Shoals Rd / right Meldonna Dr/ lot 8 on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
4l� l certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
////���((((%%%%property described above.
` i As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-02-2016-23282 by the following method(s):
'Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
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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: 04/26/2016
i
Owner/Authorized Representative Signature v_i1ie1r1 di a a
Date `YI/�/ f iL •
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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ehpenn it 04/26/2016 13.19 Page 3 of 3
.,-c•A CATAWBA COUNTY D ff;nO7 Q�D Case# AUT1-I-04-2016-071600
.C�' r.�. � Public Health Department r • 1 Subdivision GEORGIA PARK
4k 1 " Environmental Health Division I ' • • • • PIN# 366703233105
V'f"1� PO Box 389, 100-A Southwest Blvd. Newton,NC 28658 O• � ' LOT# 8
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D . '4r� o •
NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681
Site Address: 3453 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet: 20,037.60 Acres:0.46
Directions: Hwy 16/ left Buffalo Shoals Rd / right Meldonna Dr I lot 8 on left
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( J.
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? 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 36 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 10 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 5
Distribution: Parallel
Pre Treatment: NONE
Additional Specifications: *Before the construction of the mobile home begins the existing septic tank must be pumped,
crushed, and filled with dirt.
*Do not grade, fill, or drive over any designated septic area other than what is required during the
septic installation.
`Feed all lines equal from a distribution box.
*Rake and lime the side walls
*Backfill sand must be of ASTM C-33 specification.
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: IIIE Proposed System: 50% REDUCTION Distribution Type:: Parallel
Soil LTAR: 0.3 g.p.d./ft2
ehpermi� 04/26/2016 13:19 Page I of
,A CATAWBA COUNTY Case# AUTH-04-2016-071600
• Public Health Department Subdivision GEORGIA PARK
< —0 Y Environmental Health Division PIN# 366703233105
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 8
NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681
Site Address: 3453 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: Hwy 16/ left Buffalo Shoals Rd / right Meldonna Dr/lot 8 on left
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 elven period 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 13:19 Page 2 of 4
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Parcel: 366703233105, 3453 MELDONNA DR 1in=40ft
MAIDEN, 28650
This map/report product was prepared from the Catawba County,NC Geospatial Information 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 user.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 peson or amity.
Cop ht 2014 Catawba County NC
04125/2016
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