HomeMy WebLinkAboutAUTH-05-2016-072509.TIF 4.gA CATAWBA COUNTY Case#
Q Zit Public Health Department' Subdivision NORTHVIEW HARBOUR P
C , e "', Environmental Health Division PIN# 461802875499
h PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 LOT# 171
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NAME ON PERMIT: JOHN MILES, 109 ROBIN AUBREY LN APT 208, MOORESVILLE NC 28117
Site Address: 8802 HILLSTONE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:66,211.20 Acres:1.52
Directions: 150E, left on Sherrils Ford Rd / right Island Point Rd/ Past Cape's Cove Dr/ lot on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
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� �I certify that lam the owner or authorized agent(owner's authorization required) representing the owner of the
' property described above.
10 As the property owner or authorized representative, I have received the above referenced permit(s) as
/requested in the application for service RBPR-02-2016-23265 by the following method(s):
Received in Person
J
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
�l V" As 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
)wner!Authorized Representative Signature 1. 1.L,Cft c �0,,e
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Date
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
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ehpenuit 05/18/2016 12:01 Page 3 of 3
IqA CATAWBA COUNTY 0 � � i .f 0 Case tt AUTH-05-2016-072509
Public Health Department 7M r Subdivision NORTH VIEW HARBOUR P
4 . Environmental Health Division 1 - e , PINli 461802875499
��, PO Box 389, 100-A Southwest Blvd,Ncwton, NC 28658 �G r � + LOP( 171
1542 :. -y t - r- A
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NAME ON PERMIT: JOHN MILES, 109 ROBIN AUBREY LN APT 208, MOORESVILLE NC 28117
Site Address: 8802 HILLSTONE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:66,211.20 Acres:1.52
Directions: 150E, left on Sherrils Ford Rd / right Island Point Rd/ Past Cape's Cove Dr/ lot on left
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 480 g.p.d
Type: NIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LIAR: 0.275 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? Bedrooms: 4
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 200 gal Pump Specs: 33 GPM @ 12 TDH
Pressure Head 2 ft Draw Down 10 in
Drainfield: Total Area: 1,305 sq ft Total Length: 435 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 10 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 5
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: `Pressure manifold specifications: 4 taps total
-Feed the 55ft and 65ft lines equally from one schedule 80 3/4 inch tap.
-Use a schedule 40 1/2 inch tap for the 95 foot line
-Use schedule 80 3/4 inch taps for the 110 foot lines.
'Do not grade, fill, or drive over any designated septic area.
`Install the septic system at least 10ft from any property line.
`The septic system installer shall be required to schedule a pre-construction meeting with Catawba
County Environmental Health (828-320-3077) at least 5 business days prior to the construction of
the system. Installation contractor shall be certified level 2.
elipenuit 05/18/2016 12.02 Page 1 of4
41.45A -1>:\i, CATAWBA COUNTY Case# AUTH-05-2016-072509
Lr.9C.W � Public Health Department Subdivision NORTHVIEW HARBOUR P
4 e ; Environmental Health Division PENN 461802875499
C-tt PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 171
842 vA
NAME ON PERMIT: JOHN MILES, 109 ROBIN AUBREY LN APT 208, MOORESVILLE NC 28117
Site Address: 8802 HILLSTONE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:66,211 .20 Acres:1.52
Directions: 150E, left on Sherrils Ford Rd / right Island Point Rd/ Past Cape's Cove Dr/ lot on left
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: 0.275 g.p.d./k2
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 05/18/2016
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.
ehpermit 05/18/2016 12:02 Page 2 of4
Catawba County Environmental Health Avfh S ?°/6 o72Sb�1
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'c4 h• 'Pressure manifold specifications:4 t.: total
Qr ° -Feed the 55ft and 65ft lines equally fro fine schedule 803/4.inch tap.
-Use a schedule 40 1/2 inch tap for the 95 ••I line
j -Use schedule 80 3/4 inch taps for the 110 too ' es.
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Parcel: 461802875499, 8802 HILLSTONE CT tin=60ft
SHERRILLS FORD, 28673
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05/17/2016