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HomeMy WebLinkAboutAUTH-06-2016-073930.TIF �-S5 CATA BA COUNTY Case it AUI'H-06-2016-073930 .e' 2. Public Health Department Subdivision 4 :S^ru 9 Environmental Health Division PINIt 376005176860 1 PO Box389, I On-A Southwest Blvd.Newton.NC 28658 LOTit NAME oN PERMIT: THOMAS WITHERSPOON, 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet: 38,768,40 Acres:0,89 Directions: HWY 10 East, Left at Witherspoon Crossroads onto Bethany Church Rd. 2nd house on Left. Dark brown wood 2 story house. 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 �fdp�Iperty described above. As the property owner or authorized representative. I have received the above referenced permit(s) as uested in the application for service EHPR-05-2016-23926 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) -el) 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: 06/27/2016 Owner/Authorized Representative Signature J(- (� / / ' , Id i Date Ai '2 2' I6 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 ehpernit 06/27/2016 10:35 Page 4 of 4 CATAWBA COUNTY 0:P I 0 Case H AUTH-06-2016-073930 1© Public Health Department n:74`r � � Subdivision � Environmental Health Division i . -.s• '3 11 PIN# 376005176860 y 2 4 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 G i 'r LOT# NAME ON PERMIT: THOMAS WITHERSPOON, 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet: 38,768.40 Acres:0.89 Directions: HWY 10 East, Left at Witherspoon Crossroads onto Bethany Church Rd. 2nd house on Left. Dark brown wood 2 story house. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( J. Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: 111G- OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.275 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - Basement? No Basement Plumbing? No 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: 984 sq ft Total Length: 328 ft Maximum Trench Depth 32 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 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 elipennit 06/27/2016 10:35 Page 1 ofLI CATAWBA COUNTY Case# AUTH-06-2016-073930 Alin L Public Health Department Subdivision < 4 Environmental Health Division PIN# 376005176860 `o• PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# /g42 sm NAME ON PERMIT: THOMAS WITHERSPOON, 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Site Address: 3257 BETHANY CHURCH RD, CLAREMONT NC 28610 Property Size: Square Feet: 38,768.40 Acres:0.89 Directions: HWY 10 East, Left at Witherspoon Crossroads onto Bethany Church Rd. 2nd house on Left. Dark brown wood 2 story house. 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 System;-' (15A NCAC ISA .1900). Neither Catawba County nor the Environmental I Iealth Specialist warrants that the septic tank system will continue to function satisfactorily for any niven period of time Steven Price 06/27/2016 AUTHORIZED STATE AGENT APPROVAL DAI L Permit Expiration Date: 06/25/2021 No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department. chpennit 06/27/2016 10:35 Page 2 of d EHPR 05-2016-23926 3257 Bethany Church Rd, Claremont • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank unless the existing septic tank can be shown to be structurally sound, in good working condition, meet minimum size requirements, and can be fitted with a sanitary tee and filter. • Install 328 linear feet of 25% reduction system; (4) 82 ft lines on contour with a maximum trench depth of 32 inches. • Final grade of septic area must shed surface water off and away from system. z/q 4z i t73-1 I ! 6Z Alta' I r Sr 119 v p^y\ r ? 3 ti • @}' , cv at DEPARTMENT OF HEALTH AND HUMAN SERVICES L%lfiol Of- 8 /L -- 2 35'24 Sheet j of/ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID N. ON-SITE WATER PROTECTION BRANCH - COUNTY:_Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM �J �/ (Complete all fields in full) OWNER: �/vLa^-s a.1eilKf,,,,r. _ APPLICATION DATE _ ADDRESS: DATE EVALUATED: QTY PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): 3&o PROPERTY SIZE: LOCATION OF SITE: ,}2f7 /k °^7 PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑ Public g Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring Al Pit ❑Cut TYPE OF WASTEWATER: ,W Sewage ❑Industrial Process ❑Mixed i;SOIL MORPHOLOGY :i� OTHER. ,E ,dLAND$CAPE "HOIIIZON ). `' ,• < '_ S:> _'zz ' _ m POSITION/ - DEPTH F _ 1 J PROFILE q 4SLOPE%* v ( •) _1941 ,-1941 `Y,SOIL 1943 xi ' CLASSv t 'i < =:4, STRUCTURE! CONSIS'PPNCE/ _ WETNESS/ ,a SOIL AFRO h..RESTR &LTAR . ,� `� 'TEXTURE- = DHNERALOGY 4 COLOR., DEPTH "ir -16 "sac set Fr r/ !R- 30 Q f .4-6 S� ,. �. L Fj Y`i'p l il- IV ?S 1 L� 3a - tY "f4/c cC, 5( p [Z uf6e s Fr se— [ 2-' 21 • M,fr_ C F/ s� k� tva N4- PS 2 z9� %1_yG W3// u ry f c ct o} 3 4 DESCRIPTION INi'I'IAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): �+ Available Space(.1945) C SITE CLASSIFICATION(.1948):_ �J 1S refa r pp ,r EVALUATED BY: Sf�-. 7^-i System Typc(s) 2j t% CSC OTHER(S)PRESENT: Site LIAR D. 'Z 75— COMMENTS: Updated February 2014 ... _ _ t9e( cc- Z- 4 7.3724 0-1-1, --, Catawba County Environmental Health /bre ea i / /4, 219.1 !' .. 9 b / / / / I f �a MI � a' aCt LO CJ w t 1 . m / / / / * / / / / / Parcel: 376005176860, 3257 BETHANY 1in=50ft CHURCH RD CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatial 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 06/16/2016