The URL can be used to link to this page

Home My WebLink AboutAUTH-04-2016-071647.TIF v,v,A ip CATAWBA COUNTY Case# 7 al 91, Public Health Department Subdivision BETHEL CHURCH PARK "Pi o�p �.) Environmental Health Division PIN# 376401450292 PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 LOT# 2 /8.2 ,v NAME ON PERMIT: DANIEL NERBER, 5696 BOLICK RD, CLAREMONT NC 28610 Site Address: 5696 BOLICK RD, CLAREMONT NC 28610 Property Size: Square Feet:42,253.20 Acres:0.97 Directions: Rock Barn Rd to Hwy 16N to Right River Bend RD to Right onto Bolick RD#5696 is on the left 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 property described above. -ic As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-03-2016-23443 by the following method(s): _Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) 0C/ 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: 04/27/2016 Owner/Authorized Representative Signature _____ _a. AS Date 4J-2-7J Il"0 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 ehpemiil 04/27/2016 08'.57 Page 3 of 3 ,Q��pA CATAWBA COUNTY 0 ; o •. o Case# AUTH-04-2016-071647 Public Health Department $ Subdivision BETHEL CHURCH PARK mato s, Environmental Health Division w o PIN# 376401450292 "tr-,, PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 - LOT/I 2 sq Or 4.arc . e NAME ON PERMIT: DANIEL NERBER, 5696 BOLICK RD, CLAREMONT NC 28610 Site Address: 5696 BOLICK RD, CLAREMONT NC 28610 Property Size: Square Feet:42,253.20 Acres:0.97 Directions: Rock Barn Rd to Hwy 16N to Right River Bend RD to Right onto Bolick RD#5696 is on the left Authorization to Construct Permit Authorization to Construct Wastewater System jRequired for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: RIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.325 g.p.d./ft2 Permit Category: Expansion Type of Facility: Primary Residence - Basement? No Basement Plumbing? No 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: 450 sq ft Total Length: 150 ft Maximum Trench Depth 3 in Aggregate Depth in Trench Width 36 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 3 Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: using existing 15' x 50' bed and adding 150' of 25% reduction line 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:: Pressure Manifold Soil LTAR: 0.325 g.p,d./ft2 PUMP REQUIRED clipenuit 04/27/2016 08:58 Page I of4 it3A CA'1'AWBA COUNTY Case# AUTH-04-2016-071647 C it \ Public Health Department Subdivision BETHEL CHURCH PARK 'r4��t � Environmental Health Division PINK 376401450292 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 \J \1842 s. NAME ON PERMIT: DANIEL NERBER, 5696 BOLICK RD, CLAREMONT NC 28610 Site Address: 5696 BOLICK RD, CLAREMONT NC 28610 Property Size: Square Feet:42,253.20 Acres:0.97 Directions: Rock Barn Rd to Hwy 16N to Right River Bend RD to Right onto Bolick RD #5696 is on the 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 ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any niven neriod of time Steven Price 04/27/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/27/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. clrpennit 04/27/2016 08:58 Page 2 of RBPR 03-2016-23443 5696 BOLICK RD, CLAREMONT • Do not cut, drive, fill,or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank and 150 linear feet of 25%reduction system; (1) 70 ft, (1) 55 ft, and (1)25 ft lines on contour. • Distribution is from a distribution box with 3 outlets, 1 feeding the existing bed, I feeding the 70 ft line, and 1 feeding the 55 ft and 25 ft lines with a stepdown. • Final grade of septic area must shed surface water off and away from system. io°' 2At 4..J-. sr'X bo' 0 t —c 0 N I POI kits, 40110c4H,J.,„ s 9-6 ..x Albs 0 sr• r >o ' logs it r" BotrcAc_ 4 1 '�