HomeMy WebLinkAboutAUTH-05-2016-072550.TIF ,TZA CATAWBA COUNTY Case 6 •
.��G L Public Health Department Subdivision AARON H LAIL
< We`. t' Environmental Health Division PIN# 460703143889
41' . PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3
/8.2 :o'''
NAME ON PERMIT: WALTER REYNOLDS, 3638 W BAY DR, SHERRILLS FORD NC 28673
Site Address: 3826 LANDMARK DR, SHERRILLS FORD NC 28673
Property Size: Square Feet: 21,780.00 Acres:0.5
Directions: HWY 16 SOUTH TO HWY 150 EAST, LEFT ON LITTLE MOUNTAIN RD, RIGHT ON LANDMARK DR, 2/10 MI
ON RIGHT
/ Owner/Authorized Representative Acknowledgement of Permit Receipt
144 I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
LJR As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in re application for service RBPR-04-2016-23725 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
\7, L✓a, As the property owner or authorized representative I have reviewed and understand the specific conditions
/1 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 (I5A 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: 05/19/2016
c��wner/Authorized Representative Signature IA/a-LC,, �t�.,Q,�•-
Date S- 2'/ - 20/6
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 05/19/2016 10:28 Page 3 a13
,qA CATAWBA COUNTY 0 •f 0 Case N AUTH-05-2016-072550
t'..`I� Public Health Department f'•r `i Subdivision AARON H LAIL
S9 ti v
4 — " Environmental Health Division • + - PIN 460703143889
�I' •e'li- PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 __ G LOT/ 3
18.2 :. • --r:
ti
O O
..1:11
L.
NAME ON PERMIT: WALTER REYNOLDS, 3638 W BAY DR, SHERRILLS FORD NC 28673
Site Address: 3826 LANDMARK DR, SHERRILLS FORD NC 28673
Property Size: Square Feet:21,780.00 Acres:0.5
Directions: HWY 16 SOUTH TO HWY 150 EAST, LEFT ON LITTLE MOUNTAIN RD, RIGHT ON LANDMARK DR, 2/10 MI
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: 50% REDUCTION Wastewater Flow 240 g.p.d
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Soil LTAR: .3 g.p.d.lft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? Yes Basement Plumbing? Yes Bedrooms: 2
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: sq ft Total Length: 133 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 4
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications: Keep all parts of septic system and any future repair system minimum: 50' from lake and any
individual well, 10' from building foundation (low side of walk out basement) 25' from upper side of
basement cut, 10' from property lines. Lines to be installed on contour. Do not grade drive or fill over
system or repair or permit will be revoked. Lot is repair exempt and was deeded originally in 1964.
Repair area is available and has been designated. Met with installer Dennis Hoyle and Mr Reynolds
on lot and discussed system installation options and repair area. Located well on vacant lot to left
of property facing from road. Well for house to the right is inside the house footprint based on
information from Mr. Reynolds and his discussion with neighbor.
ehpe nit 05/19/2016 10:45 Page 1 of
CATAWBA COUNTY Case# AUTH-05-20 1 6-072 5 5 0
,71:1G Subdivision
1 � Public Health Department AARON H LAIL
G _____ _ H Environmental Health Division PIN# 460703143889
\ n t/
I PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3
8�2
NAME ON PERMIT: WALTER REYNOLDS, 3638 W BAY DR, SHERRILLS FORD NC 28673
Site Address: 3826 LANDMARK DR, SHERRILLS FORD NC 28673
Property Size: Square Feet:21,780.00 Acres:0.5
Directions: HWY 16 SOUTH TO HWY 150 EAST, LEFT ON LITTLE MOUNTAIN RD, RIGHT ON LANDMARK DR, 2/10 MI
ON RIGHT
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: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold
Repair System Required? Not Required, has space Soil LIAR: .3 g.p.d./k2
PUMP 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' (I5A
NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will
continue to function satisfactorily for any viven period of time.
Jason Boyd 05/19/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/19/2021
No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department.
ehpemrit 05/19/2016 10:45 Page 2 of 4
.4.4\p' Permit# RBPR 4-16-23725
to CATAWBA COUNTY
G Name Walter Reynolds
F-T AM 2 Public Health Department Address 3826 Landmark Dr Shen-ills Ford
< :tr;o►i Environmental Health Division
4►o." PO Box 389, 100A Southwest Blvd,Newton NC 28658 NC
I8 Z sti+ (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 460703143889
Site Plan Authorization to Construct
L ,) , 1
N°-„ ( JD . 9D ' 1, 2-1 � 2ti�Y
Wvl1 r ` I_1 c.s, c. r^.r �l
• Spr I to 1,-('
r 1"C 'It o
n "" n. • 2 /1
5 °1 3 , ' p,l s 6
J
30 ' P (VM1 P C-
'N's �)� — aS �l%, ?or
u-1
II
. "/ 17' ( z3 p ,-4- L°cc-1-iu_
Al' it- , 5 in. to 162 Pt) uS
/10%./ St.__ SLlJ
+g .x
Z„CIJ ass
Sa . -FA� elai 1O°.'--Lc v-
1� l7eft 0.b
L _
SePI t � _�- Isr o,sox 35, I°i
1 1 ..,_.- 1331 0
NQ- LtiI, tooPJll So 7e Cc a .
Se n
Vi t,(0 ca._ LA K4- 4Vr=F�2 *- Ce.A.4, r' { ..tel
P• ( �S ¢ r lc L� LP y 3 ury r) Z 1
C(` a ,,--(S y ( r n c_.1-c.J w '
etc'. Jety .„l )s I 7 6 D Cow.4a ,, / & (0 0-i
jJ V - co '
L 4 L 1x1 0 2,"l L/
i ( - `�
Scale °