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Home My WebLink AboutAUTH-06-2016-073804.TIF ,g CATAWBA COUNTY Case# .Cv' GuIn�L Public Health Department Subdivision Q - HS' um;Health Division PLN# 366702880506 . ' PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 L # 2 \$42 sM NAME ON PERMIT: *AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 28677 Site Address: 3654 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet: 40,946.40 Acres:0.94 Directions: HWY 16 S, N OLIVERS CROSSROADS, LEFT PAST RUHAMA CHURCH RD WILL BE OPEN FIELD WITH MAILBOX#SIGN FOR 3652 Owner/Authorized Representative Acknowledgement of Permit Receipt .,, , certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the frrty described above. • JAs the property owner or authorized representative, I have received the above referenced permit(s) as requested in t 'e application for service RBPR-06-2016-24078 , by the following method(s): .Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) JAs the property owner or authorized representative I have reviewed and understand the specific conditions g 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: 06/22/2016 Owner/Authorized Representative Signaturej7�', Date 4—ZZ— 76 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.corn/s/EHCustomerService ehper uit 06/22/2016 13:48 Page 4 of 3A CATAWBA COUNTY 0 .:�,µ� o Case# AUTH-06-2016-073804 Public Health Department � -��r--44-�11`` pl- Subdivision < Ell c; Environmental Health Division ? t r PIN# 366702880506 1h#, PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 — i• , '' LOTit 2 Ig42 :. lt y{ 15�iii• lC Oir NAME ON PERMIT: *AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 28677 Site Address: 3654 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:40,946.40 Acres:0.94 Directions: HWY 16 S, N OLIVERS CROSSROADS, LEFT PAST RUHAMA CHURCH RD WILL BE OPEN FIELD WITH MAILBOX#SIGN FOR 3652 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 360 g.p.d Type: HUG - 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: 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 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 3 Distribution: Serial Pre Treatment: NONE Additional Specifications: *Do not drive, grade, or fill over any designated septic area. *Risers will be required if the septic tank has more than six inches of cover. *Pipe all gutter downspout discharge away from the septic system. 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: 0.3 g.p.d./ft2 ehpernut 06/22/2016 13:48 Page 1 of 4 CATAWBA COUNTY Case# AUTH-06-20 1 6-073 804 fa� Public Health Department Subdivision < ° '.o.'I Environmental Health Division PIN# 366702880506 #m PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 2 Ig.2 rv. NAME ON PERMIT: `AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 28677 Site Address: 3654 N OLIVERS CROSS RD, NEWTON NC 28658 Property Size: Square Feet:40,946.40 Acres:0.94 Directions: HWY 16 S, N OLIVERS CROSSROADS, LEFT PAST RUHAMA CHURCH RD WILL BE OPEN FIELD WITH MAILBOX#SIGN FOR 3652 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 often neriod of time. Robbie Phelps 06/22/2016 AUTHORIZED STATE AGENT APPROVAL DA'Z'E Permit Expiration Date: 06/22/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/22/2016 13:48 Page 2 of4 4 " 6 - 20(6 - 07380t 1v 11 - b - %o( - o73go5 3 6S4 N o I;rws QJ r 2 pr 174,E . a \ 2s% ` 1 9 - 3ba_ -' N� L{ S, 114 62 T a a . o` 14- LU Ig - / 60 ,pp