HomeMy WebLinkAboutAUTH-07-2016-074135.TIF 05A CATAWBA COUNTY Case#
® Public Health Department Subdivision vVYNSWEPT PH 1
4e- ^<I Environmental Health Division PIN# 367804516438
�'`0, y PO box 389. 100-A Southwest Blvd. Newton. NC 28658 LOT# 28
7842 sv
NAME ON-PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4548 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 33,541.20 Acres:0.77
Directions: Hwy 16 turn on Cayton Dr(just before Rant Drum) Property 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.
s the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-06-2016-24121 by the following method(s):
`/Received in Person
J
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
YAs the property owner or authorized representative I have reviewed and understand the specific conditions
7 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 cA `./ Z
Date `fj - 1 . 1 le /
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:
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chpermit 07/01/2016 11'.16
CATAWBA COUNTY , r d !s Case 6 AUTH-07-2016-074135
,Q'! " Public Health Department Y'ti `1. s Subdivision WYNSWEPT PH 1
k � u, r PIN# 367804516438
4 •
842 ,� Environmental Health Division }
''+p PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 �• � ' LO"f# 28
�g42/u t --r r
.4.- ' 8 {
NAME ON PERMIT: `MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4548 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 33,541.20 Acres:0.77
Directions: Hwy 16 turn on Cayton Dr (just before Rant Drum) Property on Left
Authorization to Construct Pei mit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: 11113 - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LIAR: .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 1,000 gal Grease Trap gal
Dosing Volume 146 gal Pump Specs: 21.33 GPM @ 27.486 TDH
Pressure Head 2 ft Draw Down in
Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 30 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: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: Keep all parts of septic system and any future repair system minimum: 10' from property lines, 25'
from home (upslope), 50' from any well. Lines to be installed on contour. Do not grade drive or fill
over system or repair area or permit will be revoked. Use schedule 80 manifold with 1/2" schedule
40 taps.
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: 11113 Proposed System: 25% REDUCTION
Distribution Type:: Pressure Manifold Soil LTAR: .3 g.p.d./ft2
PUMP REQUIRED
eltpennit 07/01/2016 11:17
V, • CATAI3BA COUNTY Case k AUTH-07-2016-074135
tie .z, Public Health Department Subdivision WYNSWEPT PH 1
< a, Environmental Health Division PIN# 367804516438
PO Box 389. 100-A Southwest Blvd.Noavton, NC 28658 LOT# 28
18-42 a
NAME ON PERMIT: *MIKE PALMER HOMES, INC., 6211 DENVER INDUSTRIAL PARK RD, DENVER
NC 28037
Site Address: 4548 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 33,541.20 Acres:0.77
Directions: Hwy 16 turn on Cayton Dr(just before Rant Drum) Property 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' (15A NCAC I8A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any given orriod 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.
eh perm it 07/01/2016 11:17
13A Permit# RBPR 6-16-24121
.41 • CATAWBA COUNTY Name Mike Palmer Homes INC
'� �' ER 2 Public Health Department Address 4548 Cayton Dr Maiden NC
< rk�cci K; Environmental Health Division P!N# 367804516438
„� . PO Box 389, I00A Southwest Blvd, Newton NC 28658
/842 sti (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Authorization to Construct
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