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Home My WebLink AboutAUTH-05-2016-072506.TIF pA . CATAWBA COUNTY Crick AUTH-05-2016-072506 ss_Q� .n Public Health Department Subdivision �0 Environmental Health Division PIN/t 371018427043 / PO'Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 18 NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet: 77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. Owner/Authorized Representative Acknowledgement of Permit Receipt i vl I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. et � As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-04-2016-23674 b the following method(s): requested PP Y g O 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: 05/18/2016 , � Owner/Authorized Representative Signature Q V C1-)31 ,,i& Date `j- 12 (&, ✓ 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 chpennit 05/18/2016 1 0:47 Page 4 of 4 ei CATAWBA COUNTY X; -.771 ti j Q Case k AUTH-05-2016-072506 Q' L Public Health Department rr',ti r Subdivision G �. ,� Environmental Health Division IL:R....i PIN# 371018427043 \ : \�"d� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 n f!g_ - �" LO�[Yt 2 /8,2 s� . ' ,j',_.-1 NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet: 77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permits * See site plan and number of additional attachments ( )- Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP Soil LIAR: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - house Basement? No Basement Plumbing?No Bedrooms: 3 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank 1,000 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 12 in Minimum Trench Separation 8 ft on center Number of Drain Lines 5 Distribution: Pressure Manifold Pre Treatment: NONE PUMP REQUIRED 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:: Repair System Required? Soil LTAR: g.p.d./ft2 ehpermit 05/18/2016 10:47 Page I of4 gA •� CATA VBA COUNTY Case# AUTH-05-2016-072506 Public Health Department Subdivision dill ,I Environmental Health Division PIN# 371018427043 � PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 18.2 ,M NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet: 77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house 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 Ru/es for Sewage Treatment and Disposal Spstenrs' (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 Megen McBride 05/18/2016 AUTHORIZED STATE AGENT AI'PROVAL DATE Permit Expiration Date: 05/18/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpe!nuit 05/18/2016 10:47 Pagc 2 of 4 A6IRepk Eirg-0y.-o16-)3074 39'Z5 Brcdoeford IM, Newion T sf0.11er most sckedult pre-con5trvrtion meeting *Purl, o4 Dv-051A and rem ove- exis n3 se4lic, +any.. Sep new IDOOgallcn Se?{t&-ank and 1000 gallon rop -tangy. * Ins{411 30044.. 4 asp. ?educf ie,,; 5404IV-FcencLes. ?urn? 10 pressure, manfold. 5- 'v> inch, sckedvk '/O -Saps or Manifold. Trs}all drea..ci;eld or\ w400r. \c- kb cJO( c S1siern arana trees. Remove, kites as needed. -* AU Sekc Car)onenis, includin So1p j 11ne-{v manifold, mull 6e, 50f-1. from olduJell. IC -For any 'MS?* -*Ts cannvi be, aclnie\Jed, Well Will need 'Io be Sndaned. Tfry -khls COSt, ins\t110( 1"1 ha( W' Ska11 re p:11:11 un t•1 WO has bee', al ndoned— Well abandonment} vermit rewired. * Septic SVS1eI r ws1 be 504 -Fiurh vJt S, 'well 5+ .from skroclureS, to 41. -From proreril lines,i 15{4.from bw4cv1s. '<eep sysieM ook trF right-o{-Wais and easernberks *-Do n4 drive,Article, cvl, or{11 ash Nev sepia Area, 38�1r ,: ��rinq�thi5 rnth{ Ii f e pr_�`o.{1 -,ostkllation ord ST welt So. I w• / PT !s i Q�. -is• )03 �ialord LA. ,160. V DEPALTMFMOPENVtRONMENF AND NATURAL RESOURCES • Sheet�a/- DIVISION OP ENVIRONMENTAL HEALTH T PROPERTY ID Ih. .0 .SLTE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION OWNER: C�a�dE Sal I� fp for ON-SITE WASTEWATER SYSTEM 3ZMpn APPLICATION DATE 4-IR-Ib o1- ADDPPcS: DATE EVALUATED: 5-P- PROPOSED FACILITY: 3Bg fk se. PROPO FSIGNFLOW(.1949): 360 PROPERTY SIZE: 1.77Rcres LOCATION OF SITE:1485 f( M U'i• PROPERTY RECORDED: WATER.SUPPLY: $ Private 0 'Public S Well 0 Spiting 0 Other EVALUATION METHOD: 0 Auger Boring 9 Pit 0 Cut TYPE OF WASTEWATER: I Sewage 0 Indusmal Process Y :a :.'.. [....'..:...[?.._'.. :.:Sg4iM( Paotb ;t:: ::!t___t:_::- :::,::: . :::=J o € s-_ s:; :: i. ::::: tD4t� ii :: _ :: :�....,, .:: ..... � i'. . _ : :_::_=::r:r ::_x ,...... ..........-_ _..___.................. 354Z::: : ....... S:.[i..[t..fs..[..F..._::?. .....F`:.. . . •5a7AR ' iiEu 4dlf!?E°[b7[ttES " 941t_;. ...![ . 71ligitt e _- 44T= _:___: .. .. ..roc: .c... _... s= .. ..:OFf� _:DF�Tfii :::::;:5fiuct.ukciu.::::: ::::=CON5l;�C'} 1C : :::;sitrt{#`,2i. t_-a3Q € ; ,' .;:_:F bt'# ;€ - 1N) Tl I'L'R6".[e[r .:ry ,) , y GOL�)B ,.':DF,P.1 ._ _ 0 y( 1' Cr'SS,sexy _ L- 5-30 cblcC . -f.scselep • 1 Qyo 3o-y$ WsbKGwrk.SAP -fr.ss, sex1, _ Li8 — — 0.3 2 I • — • 3 • 4 • DESCRirfON D.TTIAL SYSTEM R13"a SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948):Space(194`) EVALUATED BY: y' eiVill C/ Systate at h P/lC(.TyP() OTHERS)PRESENT: J Site LT-AR 0.3 COMMENTS: Soo 4ik. }0}4 5- 60--11• -}rercL1s Ilo41. Of )' &ee 'j lint, 41-- EN 300x045 = 195 x D•75c 116 0105, 1o1. , ! " 7 i.cL 2otl�; dra4actum ' %. HP Y a. heS/ 711 5F, flop 51k19sX711r\3s,55t /Mr ' 1 w el l i yo SCHNo,1' S"PPw ra" 3,03/ = p,o3D3 x lib= 3.333 FR /101/ (o0 15 EN 1 _PH r ')°,33109, < / 1i ilD SC. 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