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Home My WebLink AboutAUTH-05-2016-071822.TIF A CATAR'I3A COUN'PY Case# AUTH-05-2016-07l822 _7a L Public Health Department Subdivision 4 —m, . IH Environmental Health Division PINti 376118306841 We' t' v PO 13ox 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# IRO, ,w NAME ON-PERMIT: LAYMON MITCHELL, 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet:52,707.60 Acres:1.21 Directions: Hwy 10 , Left at country market, travel past Daves Auto Parts, 1st Black mailbox on the Right. Owner/Authorized Representative Acknowledgement of Permit Receipt Ai ell I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. •. LhV As the property owner or authorized representative, I have received the above referenced permit(s) as requested i the application for service EHPR-04-2016-23595 by the following method(s): Received in Person Facsimile Transmittal (Return form'with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) l //in 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: 05/02/2016 ;�i -wner/Authorized Representative Signature . �% �i Date J--N/d 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 ehpermit 0510212016 09:04 Page 4 of 4 CATAWBA COUNTY 0, i, r 0 Case# AUTH-05-20 1 6-07 1 822 ,Q' Public Health Department +� gal Subdivision C -°-^r. ., '' Environmental Health Division �' PIN# 376118306841 � ono PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 • .� LOTtt rUsc NAME ON PERMIT: LAYMON MITCHELL, 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet: 52,707.60 Acres:1.21 Directions: Hwy 10 , Left at country market, travel past Daves Auto Parts, 1st Black mailbox on the Right. 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 240 g.p.d Type: llIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.2 g.p.d./ft2 • Permit Category: Repairs Type of Facility: Primary Residence - house Basement? No Basement Plumbing?No Bedrooms: 2 Wastewater System Requirements Tank Size: Existing Tank Unknown Size 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 18 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center Number of Drain Lines 6 Distribution: Serial Pre Treatment: NONE Additional Specifications: 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: Proposed System: Distribution Type:: Soil LIAR: g.p.d./ft2 ehpennit 05/02/2016 09:04 Page 1 of4 •eA CATAWBA COUNTY Case# AUTH-05-2016-071822 Public Health Department Subdivision C j'�i�.,� Environmental Health Division PIN# 376118306841 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# /8.2 ,u NAME ON PERMIT: LAYMON MITCHELL, 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3546 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet: 52,707.60 Acres:1.21 Directions: Hwy 10 , Left at country market, travel past Daves Auto Parts, 1st Black mailbox on the Right. 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 fbr 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 niven neriod of time. Megen McBride 05/02/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/30/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennil 05/02/2016 09:04 Page 2 of 4 RG iEHPK-oq-)016-)3595 35116 e-hany choral Rd, Uaremon} OK —D use' exi5.6) sep4 -4anlc so Iona Rs k is 41 '64 cord sound. If if is -Found 40 be 0—her-wise, Comfron iSed• ins-k0.4 new 10061/47110n iseftc +-44 v Ins-401 ne.w land -Pi Iter in exis-iin -c , c. Disconnec} old dru,vri■eld +can use, + ins-tall 30041. o 257, Cedoc}icra i 16- 5(44. -{rNetes• Trs}all drair\fielJ on coy,+oar. Kee? Gkrakr-Fe\a Shallow- l% inrL P1DXINurA HreKck deity,. * All Se0-ir S1ske vt cot onev s mink Lc leUsA SUft dram old wells. 4cwz connec-kea 40 Public wa-}er, p o na4 Bride, Oracle, cu{, or -Fill over sef}i, 57s{er11. \Sb.69' w c .�1 so sea "114 %46 *SleeV2 SuclOg lint re' vnder dnverlay in f dv4■ , iron or 9 eryiJalen} /0� aK 1 eedrcc% Exi54i n id t Howe I appears-b-,shoed �+r}iall under drove lay I 'to• �I 6e}hgny Ghilla, Rc1 . 1"=60' DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL UFALTH Shag of- ON-SITE WASTEWATER SECTION PROPERTY 1D k: COUNTY: SOIL/SITE EVALUATION or ON-SITE WASTEWATER SYSTEM q OWNER: men i\lichel APPLICATION DATE 11 7116 EHPR-04-1OI(-)35 5 ADDRESS. DATE EVALUATED: ` a7/I4 PROPOSED FACILITY:?ti Na1sc. PROPOSED DESIGN FLAW(.1949): 27D • PROPERTY$Ig: 1.21 tic.,S LOCATION OFSIM 35Y6 gngn. (hurry Q-1( PROPERrt RECORDED: WATER SUPPLY: 0 Private N Pula 0 Well 0 Spring 0 Other EVALUATION METHOD: p Auger Bating D Pi( 0 Cart TYPE OF WASIEWATIIL: Q Sewage 0 Indusmal Roors 0 Mixcd • 3F? .= :_:::::_.:__-:::.._......_..........._av::::r:::::::::::::::::.:_::,_:::__:::::::::_,-:::_...:.�_.._....__...._-_ _-:::_::_--_ ask:i. :..........................::...................._.__........:...,..::a: .ace: ............. :==aargET4. oaz .Y44T . ......._..._.. ..... ...... ...... ,-A -- _ --... _... _::: t :. .. -. - ....._.::-.: :::-.. ........ _-_ - - - - - ._... ..... - __...... ,,4+ILr::_�._... .. �L41:,._...=..._:. .. :::.S¢!L;.::_.___39i1Ss-�;;�5);. _'� - _r : A44 ;: osluoat DErru:: : surT�Tjl�t rwksls��Ne>� - ��TT,�ssr- -sour: sArsa: sesrlt . rkarra,>~ SLOF& __ };::: :......Totr MytEXLOOY COU0k._...DEPT$ - £pS$ tII(?RIt . CLASS 0-6 9r L -cr,ts,sex? - b'N} WSb1& U. fr 55, Sex() e),51 1 57o wih 4ellow nv4}Jc 37 • P5 1 1115al 37' 0.) 2 • • 4 • • DESat1PT1OR sYSTSM REP AIR sYSrnat OTHER FACTORS(.1946): AaaDsble Space(.1945) x 51'I£CLASSIFICATION(.1948): sYctera Trvxs) EVALUATED OTHER(S)PRESENT: Ueh Vu3601c. Site LTAR 0- ) • COMMENTS: i 1 j ./', 1, i WO I I. I. D Q� I06v Kt, v1c11 B r — SI Hie, an( ChUrc6 gd.