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Home My WebLink AboutAUTH-05-2016-072751.TIF ROM :COOL PARK PUMP ING, INC. FAX N0. :828 256 2926 Jun. 06 2016 09: 15PM P1 do® Y'Wy CATAWBA COUNTY Case', _ _ ® �'t 1: Public Health Department Subdivision Environmental Health Division PIN, 377302663313,,'' PO Box 389. 100-A Southwest Blvd.Newton.NC 28653 LOTil NAME ON PERMIT: MATTHEW COHN, 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Site Address: 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Property Size: Square Feet: 1,134,738.00 . Acres:26.05 Directions: HWY 3218/HWY 16 N/RT OXFORD SCHOOL RD/STRAIGHT TO LOOK OUT DAM RD I DRIVEWAY ON RTAFTER TREE NURSERY Owner/Authorized Representative Acknowledgement of Permit Receipt Cji _I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. -7C s the property owner or authorized representative,I have received the above referenced permit(s) as requested in the application for service RBPR-04-2016-23669 by the following method(s): Received in Person _ csimile Transmittal (Return form with signature required) vil Electronic Image Transmittal/E-mail (Return receipt required) 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 (1SA NCAC 18A.1900),and/or Well Construction Standards (ISA 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; 05/25/2018 /0 / �.:› Owner/ uthorized Representative Signature �__ ( . &V /L. I i Date L1-- L2 —1(4. • Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) tiltPermit tra ' i ed • �/�iti � J�L �� (name of person ettdlttgpermir) Signature 1 gatwir ( t ate' Date/Time e� _ Method: _Fax mail.^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 mome s to complete Our customer service survey at: httn://www.surveymonkey.com/s/EHCustomerService cbpermn 05/31/2016 14:33 Page 3 or3 • CATAWBA COUNTY 0 1, O'1 0 Case# AUTFI-05-20 1 6-07275 1 Public Health Department T' �' ' I Subdivision , ' �r PIN# 377302663313 d �t " Environmental Health Division i ' • 'C PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 0 t°. ;s LOT# ig•2 sw - JS NAME ON PERMIT: MATTHEW COHN, 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Site Address: 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Property Size: Square Feet: 1,134,738.00 Acres:26.05 Directions: HWY 321S/ HWY 16 N/ RT OXFORD SCHOOL RD/ STRAIGHT TO LOOK OUT DAM RD / DRIVEWAY ON RT AFTER TREE NURSERY Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( 1. Proposed Wastewater System: 25% REDUCTION Wastewater Flow 600 g.p.d Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP Soil LTAR: 0.35 g.p,d./ft2 Permit Category: Expansion Type of Facility: Primary Residence - house Basement? No Basement Plumbing? Bedrooms: 5 Wastewater System Requirements Tank Size: New Tank 1,500 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,320 sq ft Total Length: 440 ft Maximum Trench Depth 36 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: Pressure Manifold Pre Treatment: NONE PUMP REQUIRED 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: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold Soil LTAR: 0.35 g.p.d./ft2 PUMP REQUIRED chpcnnll 05/31/2016 14:34 Page 1 o14 0,A CATAWBA COUNTY Case II AUTH-05-20 1 6-07275 1 ^I a% Public Health Department Subdivision < �� I Y Environmental Health Division PIN# 377302663313 E,- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# /g.2 9 NAME ON PERMIT: MATTHEW COHN, 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Site Address: 4541 LOOKOUT DAM RD, CATAWBA NC 28609 Property Size: Square Feet:1,134,738.00 Acres:26.05 Directions: HWY 321S/ HWY 16 N/ RT OXFORD SCHOOL RD/STRAIGHT TO LOOK OUT DAM RD / DRIVEWAY ON RT AFTER TREE NURSERY 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 I8A.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 Megen McBride 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. ehperm it 05/31/2016 14.34 Page 2 of 4 ZP I RC,E ans'k on g6PR 0`f-2016-)3wi 4541 LooKot4 Qam Rd, C [awl, 4kExisiin ll oust is ) bel&roor4s•rPropQSed aadi{i0n w1�ill ha�c 3tedrooMS. 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