HomeMy WebLinkAboutAUTH-06-2016-073959.TIF ,�A , CATAWBACOUNTY Casco . _,_ ____ _.___ _
.e g fl 7; Public Health Department Subdivision SYLVIA S PROPST HEIRS
4 '' Environmental Health Division I'IN# 373310258593
Il- PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT4 1-4
1842 :.
NAME ON PERMIT: JOHN BANDY, 1646 MACHINE SHOP RD, HICKORY NC 28602
Site Address: 4108 LB PROPST DR, CONOVER NC 28613
Property Size: Square Feet: 2,010,729.60. Acres:46.16
Directions: County Home Rd, turn left on LB Prospt Dr(past Sipes Orchard Home) Take left onto gravel dr. Follow signs
to 4108 LB Propst Dr
Owner/Authorized Representative Acknowledgement of Permit Receipt
sy21- I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
9As the property owner or authorized representative, I have received the above referenced permit(s) as
/ requested in the application for service RBPR-05-2016-23958 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
kAs 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: 06/28/2016
Owner/Authorized Representative Signature > 1-7/67;2.--(
Date 7/5li o
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
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cliperm it 06/28/2016 14.24 Page 3 of 3
CATAWBA COUNTY 0 f. ,o S 0 Case# AUTI-I-06-2016-073959
Public Health Department ,• ''� - SF Subdivision SYLVIA S PROPST HEIRS
< :j�y Environmental Health Division ;;• •.ti• •
•
• I'IN# 373310258593
310258593
4% " PO Box 389. 100-A Southwest BIvd. Newton. NC 28658 C iir LOT 1-4
ii:} r
NAME ON PERMIT: JOHN BANDY, 1646 MACHINE SHOP RD, HICKORY NC 28602
Site Address: 4108 LB PROPST DR, CONOVER NC 28613
Property Size: Square Feet:2,010,729.60 Acres:46.16
Directions: County Home Rd, turn left on LB Prospt Dr (past Sipes Orchard Home) Take left onto gravel dr. Follow signs
to 4108 LB Propst Dr
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plat and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 100 g.p.d
Type: 111G -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: 0.25 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Accessory Structure - barn bathroom
Basement? No Basement Plumbing?No Bedrooms:
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: 300 sq ft Total Length: _ 100 ft Maximum Trench Depth 18 in
Aggregate Depth in Trench Width 8 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 2
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? Required System Class: IIIG Proposed System: 25% REDUCTION
Distribution Type:: Serial Soil LTAR: 0.25 g.p.d./ft2
ehpemiit 06/28/2016 14:25 Page I of
��A CATAWBA COUNTY Case N AUTH-06-2016-073959
� Public Health Department Subdivision SYLVIA S PROPST HEIRS
�i Environmental Health Division PIN# 373310258593
N4842,74 2 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1-4
NAME ON PERMIT: JOHN BANDY, 1646 MACHINE SHOP RD, HICKORY NC 28602
Site Address: 4108 LB PROPST DR, CONOVER NC 28613
Property Size: Square Feet:2,010,729.60 Acres:46.16
Directions: County Home Rd, turn left on LB Prospt Dr(past Sipes Orchard Home) Take left onto gravel dr. Follow signs
to 4108 LB Propst Dr
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' (I5A
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 period of time.
Steven Price 06/28/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 06/28/2021
No grading or construction activity is allowed in areas designated for system crud repair without approval of the Health Department.
ehpemrit 06/28/2016 14:25 Page 2 of4
RBPR 05-2016-23958
4108 LB PROPST DR, CONOVER
• 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 and 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 100 linear feet of 25%reduction system with maximum trench depth of 18 inches;
proposed (2), 50 ft lines on contour. Additional cover is required if trench depth is less
than 18 inches deep.
• Final grade of septic area must shed surface water off and away from system.
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