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
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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
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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
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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:
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