HomeMy WebLinkAboutAUTH-06-2016-073231.TIF ,qA • CATAWBA COUNTY Case# AUTH-06-2016-073231
.�f lla 2, Public Health Department Subdivision
4Gt K Environmental Health Division PIN# 363914443420
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4d3-, PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# A
NAME ON PERMIT: EDWARD & MELISSA PACE, 1864 GRANDVIEW DR, NEWTON NC 28658
Site Address: 1864 GRANDVIEW DR, NEWTON NC 28658
Property Size: Square Feet: 122,403.60 Acres:2.81
Directions: W NC Hwy 10, Right Jarret Farm Rd, Right Grandview Dr, 2nd house on the Lot.
Owner/Authorized Representative Acknowledgement of Permit Receipt
I 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
requested in the application for service EHPR-05-2016-23919 by the following method(s):
Received in Person
/Facsimile Transmittal (Return form with signature required)
✓ Electronic Image Transmittal/E-mail (Return receipt required)
1
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: 06/08/2016
`--�Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by ^A�l1 rill Ai_ (name of person sending permit)
Signature hci�i ,€�-�,a Date/Time �UIILo
Method: Fax '\/ Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We ant`t'oeaea'r from you. Please take a few moments to complete our customer service survey at:
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ehperm it 06/08/2016 10:42 Page 4 of 4
11.3A CATAWBA COUNTY D ii `. r} - CI Case# AUTH-06-2016-073231
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Public Health Department 71. .1:1 � . Subdivision
i 1`'r' Environmental Health Division L-11/21 PIN#•��+ 363914443420
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ry
/8.z ,� LO T# A
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NAME ON PERMIT: EDWARD & MELISSA PACE, 1864 GRANDVIEW DR, NEWTON NC 28658
Site Address: 1864 GRANDVIEW DR, NEWTON NC 28658
Property Size: Square Feet: 122,403.60 Acres:2.81
Directions: W NC Hwy 10, Right Jarret Farm Rd, Right Grandview Dr, 2nd house on the Lot.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: `REPLACEMENT OF SEPTIC TANK ONLY* Wastewater Flow 480 g.p.d
Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Soil LTAR: g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence-
Basement? No Basement Plumbing?No Bedrooms: 4
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: ft Maximum Trench Depth in
Aggregate Depth in Trench Width ft
Minimum Soil Cover in Minimum Trench Separation ft on center
Number of Drain Lines
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications: Permit issued at request of owners to replace tank. Tank failed point of sale inspection due to crack
indicated on inspection report attached with plan case. Pump crush and back fill old tank with clean
soil. Install new 1000 gallon tank with tee and filter minimum: 50' from any well, 5' fromhome,10'
from property lines.
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
Pa ' I f4
ch g�pcnnit 06/08/2016 10:42 o
$-)3A CATAWBA COUNTY Case# AUTH-06-2016-073231
.Q' ri9n Public Health Department Subdivision
0' Environmental Health Division PIN# 363914443420
°"tb PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# A
g.2 „
NAME ON PERMIT: EDWARD & MELISSA PACE, 1864 GRANDVIEW DR, NEWTON NC 28658
Site Address: 1864 GRANDVIEW DR, NEWTON NC 28658
Property Size: Square Feet: 122,403.60 Acres:2.81
Directions: W NC Hwy 10, Right Jarret Farm Rd, Right Grandview Dr, 2nd house on the Lot.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of
the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met.
This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site
conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit
was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Selvage Treatment and Disposal Systems' (15A
NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will
continue to function satisfactorily for any given period of time.
Jason Boyd 06/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 06/08/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
eltpermit 06/08/2016 10:42 Page 2 of 4
�$A �G CATAWBA COUNTY Permit# EHPR 5-16-23919
Name Edward and Melissa Pace
,�� "ten 'G Public Health Department Address 1864 Grandview Dr Newton NC
d Ti reil: 4 Environmental Health Division
�k�O�' PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 363914443420
1842 su (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Authorization to Construct
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