HomeMy WebLinkAboutAUTH-05-2016-072024.TIF ,�A CATAWBA COUNTY Case#
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kk<� -- "lI Environmental Health Division PINK 461604723648
L* ,J PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 35
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NAME ON PERMIT: ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607
Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682
Property Size: Square Feet: 19,602.00 Acres:0.45
Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination on the right
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.
e property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23375 by the following method(s):
'Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
s 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: 05/05/2016
Owner/Authorized Representative Signature
Date -1' r/ c
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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ehpennit 05/06/2016 08:15 Page 3 of
Permit Conditions for
5016 Kiser Island Rd, NC 28682
Permit #Auth-5-2016-072024
*Before the footers can be dug,the existing septic tank must be abandoned.This requires the tank to be
pumped out, crushed, and filled with dirt.
*The existing drain lines that are currently under the proposed garage area should be disconnected and
removed before digging the footers.
*During the septic installation, the existing drain lines must be removed five feet from the proposed
garage footer. In addition,clean clay dirt must be compacted in four inch intervals for the entire five
feet.
*The new septic system will require a traffic rated 1,000 gallon tank with metal manhole covers.
*If the new tank location does not allow gravity flow to the first drain line, a pump will be required.
*There shall be NO grading or filling around the outside of the proposed garage area.
*Do NOT park or drive over any part of the septic drain field area.
*Catawba County Environmental Health advised the applicant on April 20, 2016,that by using a repair
exemption to build a garage, leaves no available space for future repair options. The applicant has been
advised that this is not recommended.
*The septic system installer shall be required to schedule a pre-construction meeting with Catawba
County Environmental Health (828-320-3077) at least 3 business days prior to the construction of the
system. Installation contractor shall be certified level 2.
-2016- D7Z0Zi{
Catawba County Environmental Health
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Parcel: 461 04723648 016 K1QER IS • r• RD 1in=40ft
TERRELL, 28682
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 of this map or data on this report Catawba County promotes and recommends
the independent verification of any data contained on this madreport 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 person or entity.
Copyright 2014 Catawba County NC
04/2912016
7 ' ' �'. Case#
,�A CATAWBA COUNTY D ��;o! R, 0 AUTH-05-2016-072024
.� �j Public Health Department W I, e • Subdivision KISER SUNSET KEYS 1
rkilu-r.; Environmental Health Division PIN# 461604723648
\�� PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 I�� e� LOT# 35
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NAME ON PERMIT: ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607
Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682
Property Size: Square Feet: 19,602.00 Acres:0.45
Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination 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 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: 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: 414 sq ft Total Length: _ 138 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 19 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 3
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: "See attached sheet.
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 LTAR: g.p.d./ft2
chpeimat 05/06/2016 08:17 Page 1 of4
CATAWBA COUNTY Case# AUTH-05-2016-072024
G Public Health Department Subdivision KISER SUNSET KEYS 1
< .oi ^r-;I Environmental Health Division I'IN# 461604723648
� PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 LOT# 35
18.2 :.
NAME ON PERMIT: ERICH ROSENBUSCH, 118 SKYLER LN, BOONE NC 28607
Site Address: 5016 KISER ISLAND RD, TERRELL NC 28682
Property Size: Square Feet: 19,602.00 Acres:0.45
Directions: follow 150 to Kiser Island Rd (near Marshall Cooling Station) drive approx 2 miles to destination 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 Rues 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 given neriod of time
Robbie Phelps 05/05/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/05/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpcnnit 05/06/2016 08:17 Page 2 of4