HomeMy WebLinkAboutAUTH-05-2016-072231.TIF ti CATAWBA COUNTY Case d
ktn Public Health Department
Subdivision GEORGIA PARK
.��: 6nyironmcntol Health Division PINT! 366703321831
"' PO BON 389. 100-A Southwest Blvd,Newton,NC 28658 I.OTA 18
NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: 70 East Conover Blvd EasUturn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16
South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
/ 1 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
roperty described above.
1
As the property owner or authorized representative, I have received the above referenced pennit(s) as
• r:.uested in the application for service RBPR-03-2016-23370 by the following method(s):
_ Received in Person
acsimile Transmittal (Return form with signature required)
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Electronic Image Transmittal/ E-mail (Return receipt required)
,f. As the property owner or authorized representative 1 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 1SA .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: 05/10/2016 // �
Date
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Owner/Authorized epresentative Signature C/
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Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transm' ed .y . £d, I 0 . a a (name ofpersaan•nd ngpermr' �)
Signature , /;_,II 11 , ) 11i 11 Date/Time ' / I 62°M
Mcthod: Fax \ tnuilUS Mail Other
Owner's request o send by the abov indicated method of transmittal in lieu of signature
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' Case#
r�s CATAWBA COUNTY � 0 RUTH-OS-2016-072231
.e' 4 Public Health Department t 1..� 5• Subdivision GEORGIA PARK
< Environmental Health Division r PIN# 366703321831
11c-Y O ��
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 _ -. Orr, LOT# 18
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NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16
South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot on 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 360 g.p.d
Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: 0.3 g.p.d./ft2
Permit Category: Expansion
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: 360 sq ft Total Length: 120 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation g ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: *pump, crush, and fill the existing tank.
*Solid pipe through the old tank location for at least three feet on each side.
*The driveway must stop at least five feet from any part of the septic system and repair area.
*Pipe all gutter discharge away from any septic area.
*Before digging the footers, survey in the house location to ensure all zoning and septic setbacks
are met.
*The overhead power lines will have to be sleeved to drill the well.
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
Repair System Required? Required Soil LTAR: 0.3 g.p.d./ft2
ehpermit 05/11/2016 10:05 Page 1 of4
A CATAWBA COUNTY Case# AUTH-05-2016-072231
i rat Public Health Department Subdivision GEORGIA PARK lama
^lr4el Y Environmental Health Division PINtt 366703321831
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 t,Ol'# 18
1842
NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16
South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot on right
PUMP REQUIRED ***** OPERATOR REQUIRED
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
Robbie Phelps 05/10/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/10/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department.
chpcnnit 05/11/2016 10:05 Page 2 of4
4tyth -5-2016 — D722 (
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Parcel: 366703321831, 3532 MELDONNA DR tin=40ft
MAIDEN, 28650
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05/10/2016