HomeMy WebLinkAboutAUTH-05-2016-072507.TIF 1
it)A CATAWBA COUNTY Case# AUTH-05-2016-072507
pp G Public Health Department Subdivision PEBBLE BAY PH 3 REVISIT
u !
4 0:: „t, Environmental health Division P1N# 460601167843
Ik° ,PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 126
13 2 sY
NAMEON PERMIT: HOWARD, WESLEY A, 4832 BURRIS RD, DENVER NC 28037
Site Address: 4680 GOLD FINCH DR, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: hwy 16 S turn on campground RD left on catawba Burris Right on Bankhead Left on Gold Finch on the Right
Owner/Authorized Representative Acknowledgement of Permit Receipt
/ /y r c I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
- As the property owner or authorized representative, I have received the above referenced permit(s) as
requested i he application for service RBPR-05-2016-23847 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
1141—"As Electronic Image Transmittal/E-mail (Return receipt required)
\ the property owner or authorized representative I have reviewed and understand the specific conditions
/C 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 /j2 / 1�
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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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eliperm it 05/18/2016 11:25 Page 4 of 4
,flA CATAWBA COUNTY a • ,�a Case# AUTH-05-2016-072507
s • ,r'o1�
e :" G Public Health Department '' r AY' Subdivision PEBBLE BAY PH 3 REVISI(
� ti : • ,. '
< -^•- s " Environmental Health Division '� P1N# 460601167843
�s PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 � �Plr LOT# 126
•/842 ,. - t.
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NAME ON PERMIT: HOWARD, WESLEY A, 4832 BURRIS RD, DENVER NC 28037
Site Address: 4680 GOLD FINCH DR, DENVER NC 28037
Property Size: Square Feet: 62,290.80 Acres:1.43
Directions: hwy 16 S turn on campground RD left on catawba Burris Right on Bankhead Left on Gold Finch 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 360 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No 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 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: Keep all parts of septic system and any future repair system minimum: 100' from any well, 15' from
drainage feature low area at front of lot, 10' from property lines, 5' from building foundation for
garage. Lines to be installed on contour. Do not grade drive or fill over system or repair area or
permit will be revoked. See IP 23290 for soil information. Survey attached with plan case for
additional detail as needed.
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 LIAR: .3 g.p.d./k2
PUMP REQUIRED ***** OPERATOR REQUIRED
chpennit 05/18/2016 11:25 Page 1 of 4
qA CATAWBA COUNTY Case# AUTH-05-2016-072507
.1E-1111",/, Public Health Department Subdivision PEBBLE BAY PH 3 REVISI(
*Iv Environmental Health Division PIN# 460601167843
-#113°' PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 LOT# 126
18.2 :.
NAME ON PERMIT: HOWARD, WESLEY A, 4832 BURRIS RD, DENVER NC 28037
Site Address: 4680 GOLD FINCH DR, DENVER NC 28037
Property Size: Square Feet: 62,290.80 Acres:1.43
Directions: hwy 16 S turn on campground RD left on catawba Burris Right on Bankhead Left on Gold Finch 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 for Sewage Treatment and Disposal Systems' (ISA NCAC 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system win continue to
function satisfactorily for any viven period of time
Jason Boyd 05/18/2016
AUTHORIZED STATE AGENT APPROVAL 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.
ehpennit 05118/2016 11:25 Page 2 o14
��� - Permit# RBPR 5-16-23847• CATAWBA COUNTY
G Name
Wesley Howard
�' 2 Public Health Department Address 4680 Gold Finch Dr Denver NC
d '°°"'Fsv' Environmental Health Division
�V(i4, r!97' G PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 460601 167843
j840 su (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Authorization to Construct
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