HomeMy WebLinkAboutAUTH-07-2016-074151.TIF e, ,i, CATAWBA COUNTY Case#
.7 ft�'tla Public Health Department Subdivision
W® 14 Environmental Health Division PIN# 367804718198
P- PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT#
/842 s,
NAME ON PERMIT: DWIGHT FOWLER, 5577 BROOKWOOD LN, HICKORY NC 28602
Site Address: 3210 RANT DRUM RD, MAIDEN NC 28650
Property Size: Square Feet: 326,700.00 Acres:7.5
Directions: Hwy 16 S, turn right on Rant Drum Rd, property on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
PM1 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
P*As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-06-2016-24071 by the following method(s):
Jeceived in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
71/94 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 sueply well permi ..
Permit Issue Date: 07/01/2016
Owner/Authh riz•d Representative SignatuS01 / A
Date 9//��/6
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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elipeimit 07/0 1/2016 15:41
CATAWBA COUNTY 0 :r f 0 Case# AUTH-07-201 6-074 1 5 1
Public Health Department T
,,T) Subdivision•X 'r '3'' PIN# 367804718198
°•'i Environmental Health Division 1
� PO Box 389. 100-A Southwest Blvd. Newton, NC 28658 G 1 LOTH
/842
Ci I r
NAME ON PERMIT: DWIGHT FOWLER, 5577 BROOKWOOD LN, HICKORY NC 28602
Site Address: 3210 RANT DRUM RD, MAIDEN NC 28650
Property Size: Square Feet: 326,700.00 Acres:7.5
Directions: Hwy 16 S, turn right on Rant Drum Rd, property on Left
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permitl
* See site plan and number of additional attachments( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - House
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
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: _ 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation g ft on center
Number of Drain Lines 3
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: `The applicant, owner, or builder is responsible for plumbing the house to ensure that a gravity
septic system can be installed. If the plumbing will not allow gravity flow between the septic tank
and drain field as shown on the site plan, a pump will be required.
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: IIIB Proposed System: 25% REDUCTION
Distribution Type:: Serial Soil LIAR: 0.3 g.p.d./ft2
PUMP REQUIRED
ehpennit 07/01/2016 15:42
nA CATAWBA COUNTY Case# AUTH-07-201 6-074 1 5 1
2.�� Public Health Department Subdivision
o ,.c.'74) Environmental Health Division PIN# 367804718198
'�+t PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 L0T11
18'2 ,M
NAME ON PERMIT: DWIGHT FOWLER, 5577 BROOKWOOD LN, HICKORY NC 28602
Site Address: 3210 RANT DRUM RD, MAIDEN NC 28650
Property Size: Square Feet: 326,700.00 Acres:7.5
Directions: Hwy 16 S, turn right on Rant Drum Rd, 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 'Lens and Rules for Sen ee 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 elven neriod of time
Robbie Phelps 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.
ehpcnnil 07/01/2016 15:42
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Catawba County Environmental Health
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Parcel: 367804718198, 3210 RANT DRUM RD 1in=80ft
MAIDEN, 28650
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07/01/2016