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Home My WebLink AboutAUTH-06-2016-073573.TIF g - \ CATAWBA COUNTY Case# AUTH-06-2016-073573 I ,Public Health Department Subdivision < -'-s , „y�, Environmental Health Division PIN# 374016932160 K3�j PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1�2 s. NAME ON PERMIT: PACHI XIONG, 1939 E NC 10 HWY, NEWTON NC 28658 Site Address: 1939 E NC 10 HWY, NEWTON NC 28658 Property Size: Square Feet: 14,374.80 Acres:0.33 Directions: Hwy 10 East, House is on the corner of Hwy 10 East& Caleb Setzer Road, Once you turn on Caleb Setzer Rd the driveway is on the Right. 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 requested in the application for service EHPR-05-2016-23951 by the following method(s): iReceived in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) ..( A As the property owner or authorized representative I have reviewed and understand the specific conditions I` 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: 06/16/2016 \� Owner/Author/ized Representative Signature Signature - k laws Date 6-I Gr 1 (-, Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 ehpenait 06/16/2016 08:55 Page 4 of4 tD CATA\VBA COUNTY 0 Y - o'r}. 0 Case# AUTH-06-2016-073573 Public Health Department Subdivision Environmental Health Division A �r: PIN# 374016932160 K�r� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1� _ n'% LOT# /842 a,..t� • NAME ON PERMIT: PACHI XIONG, 1939 E NC 10 HWY, NEWTON NC 28658 Site Address: 1939 E NC 10 HWY, NEWTON NC 28658 Property Size: Square Feet: 14,374.80 Acres:0.33 Directions: Hwy 10 East, House is on the corner of Hwy 10 East& Caleb Setzer Road, Once you turn on Caleb Setzer Rd the driveway is 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: 50% REDUCTION Wastewater Flow 360 g.p.d Type: HIE-PPBPS GRAVITY DOSED SYSTEM Soil LIAR: 0.35 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: sq ft Total Length: 160 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 2 ft Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center Number of Drain Lines 3 Distribution: Distribution Box 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? System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 ehpeun it 06/16/2016 08:55 Page 1 of4 �,ts • CATAWBA COUNTY Case# AUTH-06-2016-073573 /� 'ry T�j,z Public Health Department Subdivision d os ,t Environmental Health Division PIN# 374016932160 �I �2 :r PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# NAME ON PERMIT: PACHI XIONG, 1939 E NC 10 HWY, NEWTON NC 28658 Site Address: 1939 E NC 10 HWY, NEWTON NC 28658 Property Size: Square Feet: 14,374.80 Acres:0.33 Directions: Hwy 10 East, House is on the corner of Hwy 10 East & Caleb Setzer Road, Once you turn on Caleb Setzer Rd the driveway is 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 niven neriod of time. Megen McBride 06/16/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/16/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elipermit 06/16)2016 08:55 Page 2 of4 RC Reka;r EHPR 05- 0103951 193(1 E NC, ID Hwy Niwkon *Tns}alter is -\o schedule- Precons4ruc on mee 19 Prior i nsfallali on rt ou} and' rernoQC exis-lirj block -Far*, Se{' new I000 gallon �Q�ia anJ k and disk b for box. 3 Tnskall 160% of T43 Paned - 5070 Reauccioh. 3i Wak panels * 3 -trenches: 55-G, 5544 , 50+1. Fake- and lime Sidewalk of -trenckeS ro erl7 \ineS, 54k. from S ruckJres, Sys-kern mu5� 6e 50-A. -frornwell, 5fl Trona P Q and okf of any ri t-I*of.Wa� or easer�en - + Do no} cri�e, grad , col, or 4 I1 ouer sere area. 9s. .a ( p� will to b� a6and0nd erclest� •orcl� • New 1�d0 qa` well This Well is in use 3+ (,Tun J 3 Bedroom Box �o Nwse. 5 50' Npt0lm a ie I 5• a lad. EX�51 n 35' (sgnaTrench) 5. 55•%. 115' NG ID Nwy I' , yo DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 9: .ON-SITE WASTEWATERSECTION COUNTY: SOIUSLII;EVALUATION for ON-SITE WASTEWATER SY M owNER: Pack1 )601 APPLTCAT10NDATE 5 25 Ib EHPR-05-Po16-�395I ADDRESS- J DATE EVALUATED: 6.10-I& PROPOSED FACILITY:38R n?�l PROPOSED DESIGN FLOW(.1949): 360 . PROPERTY SITE: 0.33arurS LOCATION OFWIAE: 1'13q i NC 16 11W', . Il{.rl'ov� PROPERTYRECORDED: WATER SUPPLY: W Private U Public ® Well 0 Spring 0 Other EVALUATIONMETHOD: O AugerBuring A Pit 0 Cut TYPE OF WAST.WAIER: Scwagc 0 Industrial Pro:: - Nfurd _ :: _ . :_-_:::_-:::__:_ ::J(J.a:R1 -Rl/LVFI1. ..__:'__: _i: ':;:i:'.�..:....._.' :_:_ i::::.e:._:::,_:_ :-::1:_ :-_Vii:^: ::iii: i 'e-: yry, (�. ::-::: _ :..:.--. 5.......:. .................. :r"TL'- .•_e=:::::::::ec: ............_.;.. !=i[Sit:t3ii_=3= :_ _=.:::it '3s' j yp �v J N ) • 0-// ma via 40.b, //5� El is ! 0.bandoncd —i -45' (Not * We)