HomeMy WebLinkAboutAUTH-07-2016-074124.TIF n9A CATAWBA COUNTY Case N
,f' .. Public Health Department Subdivision
4, `i ep ,'11:3 Environmental Health Division PIN# 460602990998
.
-184 Pb Bos 389, 100-A Southwest 131vd, Newton. NC 28658 LO'r/t 4
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NAME ON PERMIT: *BURNETT HOME BUILDERS, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD
NC 28673
Site Address: 7968 BARKWOOD LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: Hwy 150 E, to slanting Bridge Rd, right on Barkwood, property at end of cul-de-sac
Owner/Authorized Representative Acknowledgement of Permit Receipt
91 I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
96 As the property owner or authorized representative, I have received the above referenced permit(s) as
requested int application for service RBPR-05-2016-23953 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
20 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: 07/01/2016
--___ Owner/Authorized Representative Signature 4
Date 1 ` Z9 — /
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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ehpennit 07/01/2016 09:50
•L0-5A CATAWBA COUNTY � °.1-o- ' o Case# AUTH-07-20 1 6-074 1 24
_7 gal 2 Public Health Department rate r Subdivision
4 d 7� ti) Environmental Health Division t � } PIN# 460602990998
v PO Box 389. 100-A Southwest Dlsd,Newton.NC 28658 •
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NAME ON PERMIT: *BURNETT HOME BUILDERS, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD
NC 28673
Site Address: 7968 BARKWOOD LN, SHERRILLS FORD NC 28673
Property Size: Square Feet: 30,056.40 Acres:0.69
Directions: Hwy 150 E, to slanting Bridge Rd, right on Barkwood, property at end of cul-de-sac
Authorization to Construct Permit
•
Authorization to Construct Wastewater System (Required for Building Permits
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: .3 g.p.d./ft2
Permit Category: New Septic
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: 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
PUMP *MAY BE* REQUIRED
Additional Specifications: Keep all parts of septic system and any future repair minimum: 50' from any we11,10' from property
lines,10' from home. Lines to be installed on contour. Do not grade drive or fill over system or repair
or permit will be revoked. Met with builder Doug Burnett on 6/28/16 to verify outlet plumbing
location. If outlet plumbing is not held near existing grade a pump will be required for initial system
if trenches are deeper than 36".
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: IVA Proposed System: 50% REDUCTION
Distribution Type:: LPP Soil LTAR: .3 g.p.d./ft2
PUMP REQUIRED ***** OPERATOR REQUIRED
ehperniii 07/01/2016 09:50
�4A CATAWBA COUNTY Case# AUTH-07-2016-074124
7 �.w'1� Public Health Department Subdivision
��
< s ,HS, Environmental Health Division PIN# 460602990998
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 4
,a.2 ,.
NAME ON PERMIT: *BURNETT HOME BUILDERS, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD
NC 28673
Site Address: 7968 BARKWOOD LN, SHERRILLS FORD NC 28673
Property Size: Square Feet: 30,056.40 Acres:0.69
Directions: Hwy 150 E, to slanting Bridge Rd, right on Barkwood, property at end of cul-de-sac
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 it 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 'Lmvs and Rules for Sewake Treatment and Disposal Systems' (I5A NCAC 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any(riven neriod of time.
Jason Boyd 07/01/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/01/2021
No grading or construction activity is allowed in areas designated for.system and repair without approval of the Health Department.
chpennit 07/01/2016 09:50
tl Permit# RB PR-5-16-23953
e G CATAWBA COUNTY Name Burnett Home Blders(Doug
2 Public Health Department Burnett
Q Environmental Health Division
C Address 4303 Slanting Bridge Rd Shen ills
�,gb • PO Box 389, I00A Southwest Blvd, Newton NC 28658
I8 43 su (828)465-8270 Fax (828)465-8276 MD(828)465-8200 Ford NC
PIN# 460602990998
Site Plan Authorization to Construct
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