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Home My WebLink AboutAUTH-06-2016-074015.TIF • csiA CATAWBA COUNTY Case# .� 5 Public Health Department Subdivision C e Environmental Health Division PIN# 375011750439 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Lon x422 u NAME ON PERMIT: REBECCA LOUISE ROSS, 4020 S NC 16 HWY, MAIDEN NC 28650 Site Address: 2699 E NC 10 HWY, CONOVER NC 28613 Property Size: Square Feet: 52,707.60 Acres:1.21 Directions: Hwy 10 E, Past Emmanual Church Rd, building will be on Right at Morehead St. 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. \ /e2re As the property owner or authorized representative, I have received the above referenced permit(s) as /IS\ requested in the application for service EHPR-03-2016-23535 by the following method(s): � Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) , R 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: 06/29/2016 is Owner/Authorized Representative Signature o c ruz Date —a-/ — fiQ 7ea4.-,(2--) 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 dim nmil 06/29/2016 08:53 Page 3 013 �1tA o CATAWBACOUNTY D r•" Case AUTIl-06-2016-074015 � Public Health Department : _ �• �]F Subdivision < -. - > ine ` 375011750439 }� Environmental Health Division �� I IN# 80 s• PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 IICI`— r"O i �.{rr LOT# tF34%' �t TY CI ran NAME ON PERMIT: REBECCA LOUISE ROSS, 4020 S NC 16 HWY, MAIDEN NC 28650 Site Address: 2699 E NC 10 HWY, CONOVER NC 28613 Property Size: Square Feet: 52,707.60 Acres:1.21 Directions: Hwy 10 E, Past Emmanual Church Rd, building will be on Right at Morehead St. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: *REPLACEMENT OF SEPTIC TANK ONLY* Wastewater Flow 240 g.p.d Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Soil LTAR: .2 g.p.d./ft2 Permit Category: Repairs Type of Facility: Public Assembly- 80 seat church 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: sq ft Total Length: ft Maximum Trench Depth in Aggregate Depth in Trench Width ft Minimum Soil Cover in Minimum Trench Separation ft on center Number of Drain Lines Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: IP/AC issued to allow for change of use from furniture company to church with 80 seats at 3 gallons per seat. Tank required to be relocated due to being 83' from existing well.100' well setback required based on discussion with Mike Cash, supervisor, who verified with regional well specialist John Brooks. Located existing system with Kelly Isenhour, installer, on 6/24/16. Lot is extremely rocky and backhoe was needed to locate system and do soil evaluation. A drip repair based on soil evaluation with myself, Megen McBride and Steve Price will be required if needed. The drain field was repaired in 1996 with a bed system. See permit attached to plan case. Issuance of this permit does not constitute a warranty or guarantee that system will function for any length of time. Mr. Ross was directed to keep area around bed cleared of underbrush and trees and to routinely check the plumbing for potential leaks. Also recommend pumping tank every 3-5 years. Repair is being designated as drip irrigation and will require a design and proposal from a licensed engineer prior to issuance of any Authorization to Construct for repair. Prior to issuance of any repair, the existing well must be properly abandoned and a well abandonment permit must be obtained by owners. Lot has public water available. Mr. Ross was notified of these issues during the evaluation process on 6/24/16. ehpennh 06/29/2016 08:53 Page 1 o14 E sA CATAWBA COUNTY Case# AUTI I-06-20 16-074015 Public Health Department Subdivision al 375011750439 �V Y' F,m•ironmental Health Division PIN#� PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 1,01'# BO w NAME ON PERMIT: REBECCA LOUISE ROSS, 4020 S NC 16 HWY, MAIDEN NC 28650 Site Address: 2699 E NC 10 HWY, CONOVER NC 28613 Property Size: Square Feet: 52,707.60 Acres:1.21 Directions: Hwy 10 E, Past Emmanual Church Rd, building will be on Right at Morehead St. 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 existingpermits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair Repair System Required? Required System Class: NA Proposed System: DRIP IRRIGATION Distribution Type:: Drip Irrigation Soil LTAR: .2 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED 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 Ru/es 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 riven period of time Jason Boyd 06/29/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/29/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 06/2912016 0853 Page 2 ofd 13A Permit# EHPR 3-16-23535 G CATAWBA COUNTY Name Rebecca Louise Ross -2, Public Health Department Address 2699 E NC Hwy 10 Conover NC 3V o►o H Environmental Health Division PIN# 375011750439 � .�1°� PO Box 389, I Fax (8 Southwest Blvd,Newton NC 28658 /8 42 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct Repair (y� 0 J- I S s �� +o r.- 1 v 0- l- -t, L.L . n17 1 4- /\.S !-0_ 1 I to C_..J 1000 c o r\ '�-- n L W --°-C-. �-, I 1-2.7.-2./ ,, M,,0 c_r., rL loc... 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