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Home My WebLink AboutAUTH-06-2016-073110.TIF 44• .' CATAWBA COUNTY Case# AUTH-06-2016-073110 :7.7±111•\ Public Health Department Subdivision 4\ ��.; Environmental Health Division I'INIt 371018427043 \-4t- / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 i8 2/,y NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet: 77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. Owner/Authorized Representative Acknowledgement of Permit Receipt XI 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 equested in the application for service EHPR-04-2016-23674 , by the following method(s): _Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) As the authorized representative all applicable have rev an requirements derstan specithe fied under c the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC 1SA .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: 06/06/2016 11 Owner/Authorized/Representative Signature k JLLaJA Dater • • ( P (7 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 cl,pennit 06/06/2016 12:07 Page 4 of4 .0A CATAWBA COUNTY u o. }_f 0 Case# AUTH-06-2016-073110 .' Public Health Department Subdivision • *f el ti Environmental Health Division Subdivision 371018427043 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 •� LOT# 2 76.2 " -y. — - �. 0 D C NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet:77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. Authorization to Construct Permit Authorization to Construct Wastewater System JRequired for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: 1110- OTHER NON-CONY TRENCH SYSTEMS Soil LIAR: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - house Basement? No Basement Plumbing? 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: 6/1/16 Met on site with Keith Gragg (installer via public utility license). He has verified that plumbing under the house can be re-routed and a new septic tank set to facilitate gravity distribution. Plumbing from house to tank must have appropriate fall; see plumbing code/ building inspections for details. It is installer's responsibility to ensure plumbing code is met and that septic tank is set at such a depth as to meet required drainfield depth. If for any reason this cannot be done, contact EHS as a pump will be required. 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? System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./k2 ehpermit 06/06/2016 12:07 Page 1 of4 rt CATAWBA COUNTY Case# AUTH-06-20 1 6-073 1 1 0 • .7 ra: ,y Public Health Department Subdivision H Environmental Health Division PIN# 371018427043 . 'c PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 /8.2 sw NAME ON PERMIT: CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Property Size: Square Feet: 77,101.20 Acres:1.77 Directions: From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. 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 l8A .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 Megen McBride 06/06/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Dale: 06/04/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpetmit 06/06/2016 12:07 Page 2 of4 A�IRe��0a1.r EI•IPR 0y-X16-)3(071 985 L3ridrford Ln, 1\eu4vk1 Qum? o'A, crush, ai-J bo'ckfl! exis{in5 se0kk• -}ork. * P.e rou.te plumbi0) uhder ouse, •Se1 new 10oo 3allon sertio as shown. *T stall 3Oo4 of 2570 Re duKion ; H -f reoches. Ins-\41‘ drawi-fle\d on Ce , cu(. Rev/loved -\tees as needed. Sege s1skem (v us-1 6e, 50f{. from, a!\ wells 5-C11. 'Conn ssruc wes, 10-1.fronm profer$7 lines, Is{t. Fran, ba,' cods. seep s7sken ouk of rio�L\- of- v ojs and easer\eK-15. * Do no{ an€, grade, cA, or-CH Nev. seo1L SS em. 0.0 ly a Bedroom l n Hoot ExisTinqq so.unc .wyv 0 4o b --bushed w' a Wimp Q. /�///'\ / Qe D / ^ Y 15'min T03' 1 Qcidoaecord Li.