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Home My WebLink AboutAUTH-02-2016-069484.TIF e9 CATAWBA COUNTY Case# 7-41C-' ' ", Public Health Department Subdivision L ^� / Environmental Health Division P1N# 377004805204 is L/ PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LO"f# 7 NAME ON PERMIT: HAROLD FULLER, 23 PINECREST DR, FORESTDALE MA 02644 Site Address: 1219 SHILOH RD, CLAREMONT NC 28610 Property Size: Square Feet:435,600.00 Acres:10 Directions: 16 South/left onto Buffalo Shoals Rd/past Bandy's High School/left onto Shiloh/left on Right of Way past house (brick on left) Lot 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. _ As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-12-2015-22818 , by the following method(s): Received in Person . Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 4, _ 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: 02/24/2016 ---___/ Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted 'y as I t m , t (name of person sending permit)- Signature 4I $LL t ' aft Date/Tim I0 I IA, 00 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 eh ar fr you. Please take a few mohlents to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpermit 02/24/2016 08:34 Page 4 of 4 �gA CATAWBA COUNTY 0 :'. ,o. r o Case# AUTH-02-2016-069484 sPublic Health Department ,7q ,.2' Subdivision % Envi ronmental Health Division PI •i.'... ' • PIN# 377004805204 /Z xV PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 ° :71.19±• ; `' LO"I'# 7 e 1 s 4 0 el • NAME ON PERMIT: HAROLD FULLER, 23 PINECREST DR, FORESTDALE MA 02644 Site Address: 1219 SHILOH RD, CLAREMONT NC 28610 Property Size: Square Feet:435,600.00 Acres:10 Directions: 16 South/left onto Buffalo Shoals Rd/past Bandy's High School/left onto Shiloh/left on Right of Way past house (brick on left) Lot on left 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.lft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? Yes 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 24 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 Additional Specifications: Keep all parts of septic system and any future repair system minimum: 100' from any we11,10' from property lines,15' from home. Lines to be installed on contour. Do not grade drive or fill over system or repair area. Lot originally evaluated and approved under WLS 2006-01691. 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 System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LIAR: .3 g.p.d./ft2 ehpermit 02/24/2016 08:34 Page 1 of 4 4:s' N CATAWBA COUNTY Case# AUTFI-02-2016-069484 c �� " " Public Health Department Subdivision 377004805204 < x H Environmental Health Division PINK --II- PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 7 /842 :N NAME ON PERMIT: HAROLD FULLER, 23 PINECREST DR, FORESTDALE MA 02644 Site Address: 1219 SHILOH RD, CLAREMONT NC 28610 Property Size: Square Feet:435,600.00 Acres:10 Directions: 16 South/left onto Buffalo Shoals Rd/past Bandy's High School/left onto Shiloh/left on Right of Way past house (brick on left) Lot 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 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 02/24/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 02/23/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 02/24/2016 08:34 Page 2 of 4 �gA CATAWBA COUNTY Permit# RBPR-12-15-22818 � .� Public Health Department Name Harold Fuller d Environmental Health Division Address 1219 Shiloh Rd Claremont NC �� „7.,' PO Box 389, IOOA Southwest Blvd. Newton NC 28658 PIN# 377004805204 1�j 12 sw (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct ' /4\ inQ � A 7s � .� / 1 ' y o` � $ (2 S a r 4-D — --_— • Q r" 11,10. rs 11. ' o 0 ' 7 5 1 \� r')Ptrt 12 ca IQ I2. Fr� 7 25 L. a. 7 (� S6 Q. .- 0 A /v46- e v1�Isc Grei /SL� T-4) P0Ge4 >°/� � V Ftt 5-5S ca • To 514 . Iu1, 14 a Scale