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Home My WebLink AboutAUTH-05-2016-072756.TIF viA • CATAWBA COUNTY Case# AUTH-05-2016-072756 f` Public Health Department Subdivision SAMUEL AND ELSIE MILD' < wei 4 Environmental Health Division PIN# 375011553762 4"41 . s PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3A& 4 & 5 • /842 Aim' NAME ON PERMIT: JOSHUA & MICHELLE KILCOYNE, 4536 SW LANSTONE CT, CONCORD NC 28027 Site Address: 1274 CUMBERLAND DR, CONOVER NC 28613 Property Size: Square Feet:436,471.20 Acres:10.02 Directions: East off Hwy 16, Hwy 10, Left on Cumberland Drive. *No driveway has been cut in. Owner/Authorized Representative Acknowledgement of Permit Receipt \./ certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the 1• pr perry described above. Xe property owner or authorized representative, I have received the above referenced permit(s) as • re uested in the application for service RBPR-05-2016-23779 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) �/�S ie 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: 05/25/2016 A ��Owner/Authorized Representative Signature 4 // ,L.—___^ Date S/ a5//(Q 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 el,permit 05/25/2016 11:22 Page 4 of 4 �pA CATAWBA COUNTY 0 7 iS 0 Case# AUT-1-05-2016-072756 Q`'y�_ �i Public Health Department .4,h, r -r'*• Subdivision SAMUEL AND ELSIE HILDE < GAj� "' Environmental Health Division i ' PIN# 375011553762 rtsooklA ti 42 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 t , I. , LO h# 3A& 4 & 5 is0 r D S : NAME ON PERMIT: JOSHUA& MICHELLE KILCOYNE, 4536 SW LANSTONE CT, CONCORD NC 28027 Site Address: 1274 CUMBERLAND DR, CONOVER NC 28613 Property Size: Square Feet:436,471.20 Acres:10.02 Directions: East off Hwy 16, Hwy 10, Left on Cumberland Drive. *No driveway has been cut in. 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 600 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? Yes Basement Plumbing? Yes Bedrooms: 5 Wastewater System Requirements Tank Size: New Tank 1,250 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 2,000 sq ft Total Length: 500 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation g ft on center Number of Drain Lines 4 Distribution: Serial Pre Treatment: NONE 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 Repair System Required? Required System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Soil LTAR: 0.3 g.p.d./ft2 PUMP *MAY BE* REQUIRED ehpcnnit 05/25/2016 11:22 Page 1 of4 40 CATAWBA COUNTY Case# AUTH-05-2016-072756 �y Public Health Department Subdivision SAMUEL AND ELSIE HID' < -�.�4 H Environmental Health Division PIN# 375011553762 4 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 3A& 4 & 5 /842 sy NAME ON PERMIT: JOSHUA& MICHELLE KILCOYNE, 4536 SW LANSTONE CT, CONCORD NC 28027 Site Address: 1274 CUMBERLAND DR, CONOVER NC 28613 Property Size: Square Feet:436,471.20 Acres:10.02 Directions: East off Hwy 16, Hwy 10, Left on Cumberland Drive. *No driveway has been cut in. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicanUproperty 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 period of time. Steven Price 05/25/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/25/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 05/25/2016 11:22 Page 2 of4 RBPR 05-2016-23779 1274 CUMBERLAND DRIVE, CONOVER • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from appurtenances; 10 ft from water lines; 15 ft from a basement; and out of right-of-ways and easements. • Install a 1,250 gallon septic tank and 500 linear feet of 25%reduction system;(4) 125 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. • Permit is for a 5 Bedroom home with a detached garage that has no bonus room or future living quarters. ti sce Gent 0 ii-g:ov; 0, a • by 's J Ci Cc , `'° ors ^ 9G \O ,as e Ji p , T :u . N