The URL can be used to link to this page

Home My WebLink AboutAUTH-07-2016-074427.TIF 4gA •• CATAWBA COUNTY Case It 1r,�� G Public Health Department Subdivision Eta 1 ";Environmental Health Division PIM 365802899441 G '' PO Box 389. 100-A Southwest Blvd, Newton,NC 28658 LOTtt TR 2 NAME ON PERMIT: TRACY HOKE, 2355 BUSS DR, MAIDEN NC 28650 Site Address: 2355 BUSS DR, MAIDEN NC 28650 Property Size: Square Feet: 176,418.00 Acres:4.05 Directions: Hwy 16 S, turn on Providence Mill Rd, 1/2 mi turn right on Buss, Go all the way down property at end of road Owner/Authorized Representative Acknowledgement of Permit Receipt . ' I certify that lam the owner or authorized agent(owner's authorization required) representing the owner of the pr described above. y /vt.fri As the property owner or authorized representative, I have received the above referenced permit(s) as ___, re uested int e application for service RBPR-06-2016-24111 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) Am As the property owner or authorized representative I have reviewed and understand the specific conditions of tie 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: 07/12/2016 Owner/Authorized Representative Signature �f �L ` -7 Date �' t (/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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService elipennil 07/12/2016 10:18 n •• CATAWBA COUNTY D 13 •� 0 Case AUTH-07-2016-074427 itin � Public Health Department a • . r Subdivision < 0 Environmental Health Division r PIN/t 365802899441 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ,� G • 4: • LO'I'k TR 2 g•2 ti•s • • NAME ON PERMIT: TRACY HOKE, 2355 BUSS DR, MAIDEN NC 28650 Site Address: 2355 BUSS DR, MAIDEN NC 28650 Property Size: Square Feet: 176,418.00 Acres:4.05 Directions: Hwy 16 S, turn on Providence Mill Rd, 1/2 mi turn right on Buss, Go all the way down property at end of road Authorization to Construct Permit 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: 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 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 5 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system and any future repair system minimum: 100' from any well, 10' from property lines,10' from home,50' from any creek. Lines to be installed on contour. Do not grade drive or fill over system or repair area. Berm at tree line must be removed prior to installation of septic system to avoid potential ponding of water near system. Met with Mr.Hoke on 7/8/16 and he stated that they planned on removing berm. 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: .3 g.p.d./ft2 PUMP *MAY BE* REQUIRED chpermit 07/12/2016 10:19 zpA CATAWBA COUNTY Case# AUTH-07-2016-074427 r n Public Health Department Subdivision H Environmental Health Division PIN# 365802899441 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 1.0114 TR 2 1842/;u NAME ON PERMIT: TRACY HOKE, 2355 BUSS DR, MAIDEN NC 28650 Site Address: 2355 BUSS DR, MAIDEN NC 28650 Property Size: Square Feet: 176,418.00 Acres:4.05 Directions: Hwy 16 S, turn on Providence Mill Rd, 1/2 mi turn right on Buss, Go all the way down property at end of road The issuance of this permit by the Health Department does not guarantee the issuance or 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' (15.4 NCAC I8A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any viven neriod of time. Jason Boyd 07/12/2016 AUTHORIZED STAKE AGENT APPROVAL DATE Permit Expiration Date: 07/12/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemiit 0711212016 10:19 S13A Permit # RBPR 6-16-24 1 1 1 CATAWI3A COUNTY :Taft Z Public Iealth Department Name Tracy Hoke Q .-�...li0ed ,„c,1-1 Gnvirom ntal Health Division Address 2355 Buss Dr Maiden NC \ \'� :!• PO Box 38 IOOA Southwest Blvd, Newton NC 28658 PIN# 365802899441 \1842 zm (828)465-8270 x (828)465-8276 TDD(828)465-8200 . ite Plan Authorization to Construct t 543 57r{ G Tnr` , 4' ca \ �S � �ar �-r9_,, ..l,ts bo ,R,.."•Nr. \ )..Sc7.P._J v.-4, .--, So Arm DD ' ;Iv.\ r & 2 L )0. I— �-0 �1IL ba, CCU ' 2L' G--r S ` VVV eI 213 p.✓ L + , ti 1 i -13. 22 IS'Lc v-, ne-�r S 54 C y �^Th v I t, S ' f ZLI4 W��L t' c� r n s ® b 1rj I {-rt 1 , Z„ q 8-1, Attu cf 7t /” \\/ . \ i ' / 0a Scale