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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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService 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. a{,,°,0 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 ?I A G—ef� 4 CIV V / Ce? 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