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HomeMy WebLinkAboutAUTH-02-2016-069516.TIF p4 . CATAWBA COUNTY Case# AUTH-02-2016-069516 Public Health Department Subdivision MATTIE HOUSTON Environmental Health Division I'IN# 374409252285 � - PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 22-24 /84 / NAME ON PERMIT: KA LEE, 1218 HOUSTON DR, CONOVER NC 28613 Site Address: 1218 HOUSTON DR, CONOVER NC 28613 Property Size: Square Feet: 71,002.80 Acres:1.63 Directions: Exit 132, Left at light, Right onto Hwy 16, Left onto C & B Farm Rd, Right onto Lee Cline Rd. Left onto Houston Mill Rd, 1st red brick house on left when turning down the gravel road. Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. r As the property owner or authorized representative, I have received the above referenced pennit(s) as requested in the application for service EHPR-02-2016-23158 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) IElectronic Image Transmittal/E-mail (Return receipt required) 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: 02/25/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit tran miffed by LIA1Ii , (name of person ending permit) Signature . • . I ttLI, Ill � CD 0� Date/Time a a il(/ ®gc I Method: Fax __ Email US Mail Other Owner's request to se d by the above indicated method of transmittal in lieu of signature - -LTaDa24— Qe l n 1 END We want to hear from you. Please take a fewfiloments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 02/25/2016 08:04 Page 4 o14 4115 • CATAWBA COUNTY 0 ' N.1 " '� 0 Case t4 AUTH-02-20 1 6-0695 1 6 y Public Health Department 1 Subdivision MATTIE HOUSTON < ""'""'r i "' Environmental Health Division { e } PIN# 374409252285 Y y PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 ;.,}• LOT# 22-24 /842 NAME ON PERMIT: KA LEE, 1218 HOUSTON DR, CONOVER NC 28613 Site Address: 1218 HOUSTON DR, CONOVER NC 28613 Property Size: Square Feet: 71,002.80 Acres:1.63 Directions: Exit 132, Left at light, Right onto Hwy 16, Left onto C & B Farm Rd, Right onto Lee Cline Rd. Left onto Houston Mill Rd, 1st red brick house on left when turning down the gravel road. Authorization to Construct Peinnit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 420 d 9•P• Type: 1I1G -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - house Basement? Yes Basement Plumbing? Yes 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: 1,050 sq ft Total Length: 350 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 4 Distribution: Serial Pre Treatment: NONE Additional Specifications: 3 bedroom house. Septic repair sized at 420 gpd due to 7 occupants currently living in the house. 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: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 ehpennit 02/25/2016 08:04 Page I of4 e \ CATAWBACOUNTY Case# AUTH-02-20 1 6-0695 1 6 ti G Public Health Department Subdivision MATTIE HOUSTON Q .�•�1. 4 Environmental Health Division PIN# 374409252285 �°dr / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 22-24 184/ski NAME ON PERMIT: KA LEE, 1218 HOUSTON DR, CONOVER NC 28613 Site Address: 1218 HOUSTON DR, CONOVER NC 28613 Property Size: Square Feet:71,002.80 Acres:1.63 Directions: Exit 132, Left at light, Right onto Hwy 16, Left onto C & B Farm Rd, Right onto Lee Cline Rd. Left onto Houston Mill Rd, 1st red brick house on left when turning down the gravel road. 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 Ilealth Specialist warrants that the septic tank system will continue to function satisfactorily for any given neriod of time Megen McBride 02/25/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 02/24/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 02/25/2016 08:04 Page 2 of 4 AG) Rerir 0PR-02-ZO1G-23158 111 g N oJS}on Dr, Conover *Pump ook-, Crud,, and Loek{i ll e139k 1 Sekkic{-w.k. 4'S'ef new low jailor se c,-1�&KC 4 aKs-tall 350f1-. of a5fo Rec1 c-bon. ii .skall drair`f eld Or ( ycjpM. Clear -\rs ahc{ uncierbcvsk a5 needed -For its-PIIa-b-on. 4- Seek sjs4erv, r o9k 6e- al leas} 50-R. fron., pcJake vi ells, Ibbf4. -Fnr•. Commoniiirreli, sfa. -{rorn rvco �s, 15f1• -Croy; 6asemeh-k cuts, and to-fl. -Fron Procer� tires. Keee sy5*el" 001 o-( (L1C1-of-0115 ahA 24Set eh-f5. t 1, not drive, °fade, cuk, oa -fill ova sectic s fs-ten.. 950.'5• /0• wvell Tc;,K lo° o C prictx OF ) \d New, r P tan rg 4 5' ` c 3 ffo.e. Wall 15' - 1 Ar q^ _ - 134 Wien+ cv} T Q a v 115.35. 99130. 1-1o05-Von Dr. DEPARTMENT OFENVIRONMENT AND NATURAL RESOURCES Sheet_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SI'1'E EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER I.t e, APPLICATION DATE I -116 Elie -2.OI--?3115 - ADDRESS; 20 PROPERTY S M I'('3 Ochs. PROPOSED FACILITY: 3 US PROPOSED DESIGN FLOW(.1949):�_ LOCATION OF SITE 121% wS n fir, OnNe✓' PROPERTY RECORDED: WATER SUPPLY: ® Pave: 0 Public Well 0 spring 0 other EVALUATION MEIHOD: 0 Auger Boring A Pit 0 Cut • TYPE OF WASTEWATER if Sewage O Industrial Process 0 Wired �............. 444 " _ 111.1_ 1....1 .11_.... ....;..;..,. -e.-::.-a::-:;4II_i=_ ,:-::::::-:::--.._._.......11.....44-'--._....�::_:: � - - 4444 _ - _ - - 11..1.1. . --._._..._..__._._-__. __ - -_ - 444 -- - - - - .. 4 44'5:F17 = ._.. 1 :_. :1 :�::- .__:-:......1 :_.._.......- -.:a - - - -- - --- - - -- -��� -..-- - .......111:--:::: : --' '-�:e :-..... — ---4444-- - _ ._.._ �.... . ._..,_ ......- 44 .... 4--......1.1...1....1... .... . ....... _ - :_._ 1111.___..:-_-::::::::::-_.W�--.;..... - -..:. ..1.111..............._.111..1...__..1111�' --- -' 441....1_,._ ___��: . . . ....._ - - - -- - - - - ,,... 1111:, _... ,:-11,11:._-,:;�::..-' �-. :...`._-::..-_:::::_::. :.:;:: _ -.:4114::_...._ ---_I:-::-�<::: -: � � iS'Ii:OI(."�:=:�g.If:6:::-�4T:I:_,...O�T1 _.: _s:;::::i;i iiii=.isit!;i�=. =1;11'1� ��:i ::iii_ ° SL11Y��Y,(S�$.................111=4;t:[:s::s::_:::t=:s :._...-. ii__ - .._.r :-=a: 111:-...: .1.1.......1= .. : .... 1114, -- ;_._.. . .::ac. ........_ _.. :: - 0115:::::::::::::= _...=.:a:_ :__ iiii= 1� =---::-_ =s_:a-=::.:_.._..---�s9d#, : -:::::::-1111... 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DPPrg: A S c4RC& 0-5 . 9r 1, 4.55, 5exp I,. 5-13 sbk CL • {r; , cps ' 1 13- 4 wsb - f -F,ss, cop y$ IQfo p,3 I 6-30. .sbttCG` . .. , .. -G.c$,sec/ • 3o-q asiAt& I -fr.ss Sex P PS . 3 • • . 4 • • DESCRIPTION 'sus.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Amiable Spare(.1945) es, M � " ` SycmType(s) EVALUATED BY: Mepeh ftq lat OTHER(S)PRESENT: Keil1 Iy()hour • Site LIAR 0,3 f COMMENTS: • WAi 7`, 1-10 1 ❑ Q A rox. Dp OY 4 .Itg� I .30 / 1 5 3 et- }IouSe� _wail 0 -- �.,T. 4 - co} ( cH cKt^5 b c. k-,01/46kDN by' (Nei- Sc e) 1.n �..; y� 5y -. F �,..� y'�` v.,i �. `•:� ~ �i"'%`1, . �r .�.. J2rY.,C 4.i�' .� . �� ��+'��!;TaY '�, .ieY^.,:�'..$ ).$:,.a . .