HomeMy WebLinkAboutAUTH-05-2016-072068.TIF #
,�z Case A CATnwBA COUNTY D r � AU'1'H-05-2016-072068
_Q[ Public Health Department 7S y� -Lt. Subdivision
Q�' PIN# 376301279838
'ti•�t Environmental Health Division r
`c PO Box 389, l00-A Southwest Blvd.Newton.NC 28658 •G . LOT# A-4
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NAME ON PERMIT: RANDY PHILLIP MOSER, 4061 CARLTON DR, CLAREMONT NC 28610
Site Address: 4942 ROCK BARN RD, CLAREMONT NC 28610
Property Size: Square Feet: 17,859.60 Acres:0.41
Directions: 1-40/ Rock Barn Rd ExU left on Rock Barn Rd /go past Golf Course/cross Bridge across from Community
Rd/just above 3nd Mobile home on right/vacant lot
Authorization to Construct Permit
Authorization to Construct Wastewater System Lequired for Building Permit}
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: 111G -OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - mobile home
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: 900 sq ft Total Length: 300 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
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: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: _ 0.3 g.p.d./f12
PUMP REQUIRED ***** OPERATOR REQUIRED
ehpcnnit 0510612016 09:59 Page 1 of4
CATAWBA COUNTY Case# AUTI-1-05-2016-072068
.T "i9a 1 Public Health Department Subdivision
-14-01 ,,c; Environmental Health Division PIN# 376301279838
-'d�- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# A-4
tg.2 ,.
NAME ON PERMIT: RANDY PHILLIP MOSER, 4061 CARLTON DR, CLAREMONT NC 28610
Site Address: 4942 ROCK BARN RD, CLAREMONT NC 28610
Property Size: Square Feet: 17,859.60 Acres:0.41
Directions: 1-401 Rock Barn Rd Ext/ left on Rock Barn Rd / go past Golf Course/ cross Bridge across from Community
Rd/just above 3nd Mobile home on right/vacant lot
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.
Megen McBride 05/06/2016
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.
ehpe]mit 05/06/2016 09:59 Page 2 ol'4
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