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Home My WebLink AboutAUTH-06-2016-073800.TIF fy,A . CATAWBA COUNTY Case# AUTH-06-2016-073800 (7,-An� Public Health Department Subdivision 4 — °�. Environmental Health Division PINK 374120904085 PO Box 389. 100-A Southwest Blvd. Newton, NC 28658 LOT# 2 NAME ON PERMIT: KRISTIN & HALDAN JOHNSON, 2474 KEISLER DAIRY RD, CONOVER NC 28613 Site Address: 1978 BURRIS RD, NEWTON NC 28613 Property Size: Square Feet: 179,467,20 Acres:4.12 Directions: Hwy 16 S from Conover, LEft onto Burris Rd & lot will be 1/2 mile on Left 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. CAs the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-05-2016-23856 , 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 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: 06/22/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by e ectronic or other means) Permit trans) i ted��11� , �l p ( H _ (name ofperson se din: permit Signature , �� .�AI Date/Time • a �� Method: Fax r. ail US Mail Other caner' re uest to send by tI c above indicated method of transmittal in lieu of signature We want to IS ear from you Please take a few mom as to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpermit 06/23/2016 11123 Page 4 of4 S)A CATAWBA COUNTY 0 r'! ` 0 Case# AUTH-06-2 0 1 6-073 800 C' '1 Public Health Department Subdivision kla< Division L, '3:• P 374120904085 t Environmental Health Divrson ►�' � 1Nk "-p e { PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 r_ LOTo 2 is,2 :, • ~ 8 CI I • NAME ON PERMIT: KRISTIN & HALDAN JOHNSON, 2474 KEISLER DAIRY RD, CONOVER NC 28613 Site Address: 1978 BURRIS RD, NEWTON NC 28613 Property Size: Square Feet: 179,467.20 Acres:4.12 Directions: Hwy 16 S from Conover, LEft onto Burris Rd & lot will be 1/2 mile on Left 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 480 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 - 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: 1,200 sq ft Total Length: _ 400 ft Maximum Trench Depth 24 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: 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 existin. .ermits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair Repair System Required? Required System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LIAR: 0.3 g.p.d./ft2 chpe nil 06/23/2016 11:23 Page I al CATAWBA COUNTY Case/ AUTH-06-2 0 1 6-073 800 AinPublic Health Department Subdivision tcipi 01 Environmental Health Division PIN/ 374120904085 r' K PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT/1 2 I�gt42 s. NAME ON PERMIT: KRISTIN & HALDAN JOHNSON, 2474 KEISLER DAIRY RD, CONOVER NC 28613 Site Address: 1978 BURRIS RD, NEWTON NC 28613 Property Size: Square Feet: 179,467.20 Acres:4.12 Directions: Hwy 16 S from Conover, LEft onto Burris Rd & lot will be 1/2 mile on 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' (OSA NCAC 18A.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. Steven Price 06/22/2016 AUTHORIZED STATE AGENT APPROVAL DATE 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. chpemit 06/23/2016 11:23 Page 2 of 4 RBPR 05-2016-23856 1978 Burris Rd.Newton • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. • Install 400 linear feet of 25% reduction system with maximum trench depth of 24 inches; proposed 4 lines total, at 100 ft each on contour. • Final grade of septic area must shed surface water off and away from system. A 6e /pr • o a 0 ZCZ 41,4.,. c`. 6)0 JJ l �4b n .7(r