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Home My WebLink AboutAUTH-06-2016-073374.TIF ,11?, id, CATAWBA COUNTY Case# • 1 C . L Public Health Department Subdivision " Environmental Health Division PIN# 366802564758 �'� �; PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 a J .2 :. LO'I'N NAME ON PERMIT: CONNIE HARRILL, 3563 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3563 S NC 16 HWY, MAIDEN NC 28650 Property Size: Square Feet: 150,282.00 Acres:3.45 Directions: Take HWY 16 south, go thru 8 stop lights then about a mile after the 8th stop light. Blue house on hill on the right Owner/Authorized Representative Acknowledgement of Permit Receipt / ( J I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. /c Iti As ` As the property owner or authorized representative, I have received the above referenced permit(s) as requested in e application for service RBPR-05-2016-23809 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 1 X 4) 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: 06/10/2016 Owner/Authorized Representative Signature a.. /i , ,_ /) &- Date L(' "a1 - ) (g l/ 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 ehpemiit 06/13/2016 09:48 Page 3 of 3 .r4 • CATAWBA COUNTY 0 ' , '� 0 Case# AUTH-06-2016-073374 FT An y Public Health Department r� .9 Subdivision < LUa�+l "R Environmental Health Division i t:?- 1 PIN# 366802564758 Yj\\�`'WI PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 r-� LOT# 1�2 :M t j ' 80 O ar. x-10 . NAME ON PERMIT: CONNIE HARRILL, 3563 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3563 S NC 16 HWY, MAIDEN NC 28650 Property Size: Square Feet: 150,282.00 Acres:3.45 Directions: Take HWY 16 south, go thru 8 stop lights then about a mile after the 8th stop light. Blue house on hill on the 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: 25% REDUCTION Wastewater Flow 600 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LIAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - House Basement? No Basement Plumbing? Bedrooms: 5 Wastewater System Requirements Tank Size: New Tank 1,500 gal . Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,500 sq ft Total Length: 500 ft Maximum Trench Depth 36 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: "Do not grade, drive, or fill over any designated septic area. 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:: Serial Soil LTAR: 0.25 g.p.d./ft2 ehperm it 06/13/2016 09:49 Page I of 4 C, CATA VBA COUNTY Case# AUTH-06-2016-073374 1 ill Public Health Department Subdivision < Environmental Health Division PIN# 366802564758 Theiple PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 18.2 ,.v NAME ON PERMIT: CONNIE HARRILL, 3563 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3563 S NC 16 HWY, MAIDEN NC 28650 Property Size: Square Feet: 150,282.00 Acres:3.45 Directions: Take HWY 16 south, go thru 8 stop lights then about a mile after the 8th stop light. Blue house on hill on the right 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 ISA.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. Robbie Phelps 06/10/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/13/2016 09:49 Page 2 of 4 i.+s-"Y7... ..w .... .. yS`" we 30: .0 - _. xrWf. ii eared ita 2 ,,,,:,,,,-,,,.1.;.. ., - . - ',gP' Av111-b -toll- o7 vs 71( Catawba County Environmental Health tic rsyih- • (76') A 3'• Z ` - ), w T C y1 .7 dr frp )7 tr ti I axe :v:v • ,.." .cvc � rytl h c tr P yQ v. ,_??5. Parcel: 366802564758, 3563 S NC 16 HWY 1in=80ft MAIDEN, 28650 This rrophepat product was prepared from the Catawba Catlett NC Geoepetial Mloremsae SWAM. C C NI(y t ma arbsim�eIIum . to ensure the accuracy of location and labeeng information contained on the map or data on this ieporL Catawba County promotes and recommends - - the Independent twirwafim of any data contained on this mad+eprK wdbr the! --t1e-Gwmy-of-Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable far any and an damages,loss or lability,whether direct,indirect or consequential which arises or may arse from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 06/10/2016 DEPARn46NT OF ENVIRONMENT AND NATURAL RESOURCES - Shoe_of DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID in ON-SITE WASTEWATERSECTION COUNTY: SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM oWNER: ConniM. A r'4 •PLICATIONDATE ADDRESS- T r P'eip t- DATE EVALUATED: a-316 PROPOSED FACILITY: rZ PR POSED DESIGN FLOW(.1949): bra . PROPERTY S17E: LOCATION OF SITE: PROPERTY RECORDED: WATER /SUPPLY: tl Private 0 Public B'WeII 0 Spring 0 Other EVALUATION METHOD: 0 Auger Bain Er Pit 0 Cut TYPE OF WASTEWATER: Id/Sewage 0 Inihemal Protons 0 Mixed -___:–'-- __.—::_.—_ :-.;._- -.. ... .. ----_--2==71_=-.-2:-;;-;;;;,: - __ - --_ _ .. ,a.uuii=_ - run:: :, 3 s,-- :mss .,... al —_::---...._• _=s=:== ::5i7L..: M O ' Wig£-I-[t-=___::: : : . : _ ._— _::::::::::-:-::::-=.:s _ ::=;t::[ _g: .41E ;;___ :-.= ae_r::=r:Fg :__-___'=i__ii_ �i__'.i i 'i Zonis ST015:-„::::c a i€ice::::::__:::::::::.:___._ . _ ..ROBE:- -`- _ __ -...... .ts__= z:344�-c-=: _:e:_e=_�i '__�_: _.__€ ['i____;;;_-_-_. ._: _'BOA=i=:-'_':::"F.:147L = '_= -_=i �<�r'_€; €_^'s(n €iii* :- :tea��., 9i1'::'. k.: ___ _ €f' =YOS1I3.019€ 1EPTHi'3__. UttV_1 `: -',_-'f5._'$ICE!i_ii ` S'±»'_= SOTL:' `= :'.1PAQy_ k'._:k:...Pt. :_ °-'- - Ay __ = 1N._-: 'T' :t ._ ti I F: .t "r_-t' '_ H_: :AP.ETH fi HQI i S '3 0 L ,A3.1/4. I r• II 4 s'`1 `-2l C t6!1 trfV r,nr/ ({ 1 -2.4-4 -- LT,rui n ; K St Jdo I 4z—s' J7 C Gr Fr r j 0- 6 - ...L 'wrl M'.._. I. py, 1- b-2y e r6A rG. pi r,� 2 0 24-y°l 4- hi Nt ! r e✓c-y if r� Y ft L o —(LcL -1-i It re- 12-3c r rb h (r f/'.y _ 3 LS% 34-4: C ri ll fk Tire Ygittu 44 '2f cry I, 0-6 L Pr 1 L6-.1„ 4-it LL rl k l>• if J- I 2 4 R--v7 C s-i.h 1 e rr rY r f 27-4'1- C S S h Fr sr rj Zs�e.r,j ft 41--1/4Y L r1( I r rJ tg Zat( 11 DFSCLIPt7ON 1 INITIAL SYSTEM CEPAIR SYSTEM OTHER FACTORS(.1946) Avu'hbk Space(.1945) (f tr SITE CLASSIFICATION(.1946): 'J.- i tif-r in Sa (k ,r TSr () 2.e t” Z il, GED BY: G� NT: • Sit LIAR i 3 .25- COMMENTS: Catawba County Environmental Health ' Crays �� • * . / 4)\ razz • • • _ .__._.._. _ . 1020 Parcel: 366802564758, 3563 S NC 16 HWY 1in=80ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Ceospadal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 06110/2016