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Home My WebLink AboutAUTH-03-2016-069631.TIF hgD • CATAWBA COUNTY Case# AUTFI-03-2 01 6-0 6963 1 x pritt a Public Health Department Subdivision st kEnvironmental Health Division PIN# 378004813557 ' PO Box 389, I00-A Southwest Blvd,Newton,NC 28658 t 0'l'# Tract 5 r8.2 sm NAME ON PERMIT: BRANDON HARBINSON, 3570 DIVOT DR, MAIDEN NC 28650 Site Address: 5678 SHERRILLS FORD RD, CATAWBA NC 28609 Property Size: Square Feet:208,347.48 Acres:4.783 Directions: Buffalo Shoals Rd/right on Sherrills Ford Rd @ Center Church, pass Alley Rd/property 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. OAs the property owner or authorized representative, I have received the above referenced permit(s) as equested in the application for service RBPR-02-2016-23266 by the following method(s): \/Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 1.,L As the property owner or authorized representative I have reviewed and understand the specific conditions o•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: 03/01/2016 ------ wner/Authori ed Representative Signature d 1 - Date -5 q 1(0 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 ehpermit 03/01/2016 08:49 Page 4 of4 �v, CATAWBA COUNTY Q �� -o - Case# AUTH-03-20 1 6-06963 1 v^ Q' � Public Health Department I}'' 1 % •1 Subdivision d ); r Environmental Health Division PI,•: e ; . PINfi 378004813557 � zy PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �0„ F 0 LOT# Tract 5 _ -� ..1: - a IC r` ,,or . NAME ON PERMIT: BRANDON HARBINSON, 3570 DIVOT DR, MAIDEN NC 28650 Site Address: 5678 SHERRILLS FORD RD, CATAWBA NC 28609 Property Size: Square Feet:208,347.48 Acres:4.783 Directions: Buffalo Shoals Rd/right on Sherrills Ford Rd @ Center Church, pass Alley Rd/property 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 LIAR: .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 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 minimum: 100' from any well, 10' from property lines, 5' from building foundation, 15' from pool. Lines to be installed on contour. Do not grade drive or fill over system or repair area. 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 LTAR: .3 g.p.d./ft2 ehpermit 03/01/2016 08:49 Page 1 of4 i. CATAWBA COUNTY Case# AUTH-03-20 1 6-06963 1 Public Health Department Subdivision QY®T Environmental Health Division PIN# 378004813557 ',dt._ PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# Tract 5 /g.2 NAME ON PERMIT: BRANDON HARBINSON, 3570 DIVOT DR, MAIDEN NC 28650 Site Address: 5678 SHERRILLS FORD RD, CATAWBANC 28609 Property Size: Square Feet:208,347.48 Acres:4.783 Directions: Buffalo Shoals Rd/right on Sherrills Ford Rd @ Center Church, pass Alley 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 '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 niven neriod of time. Jason Boyd 03/01/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/01/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 03/01/2016 08:49 Page 2 of 4 „INVs- Permit# RBPR 2-16-23266 CATAWBA COUNTY Name Brandon Harbinson ;(3/4.,a�H Public Health Department Environmental Health Division Address 5678 Sherrills Fold Rd Catawba ` � PO Box 389, I OOA Southwest Blvd,Newton NC 28658 NC /842 5, (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 378004813557 ro IS.` a-. Ht. "Site Plan Authorization to Construct /\ ILU' � S 4r.q I �u F. Q�d Zl ' / ' b , � l Ore "^ Y '-I-) ` A to U ( . — rcnk, ko 1 IS p ,. I I cv qr-v 543.23 / �l� v / 36Q 50' 0.M` 7o ` ItO R S t , N (,° w A Y v Fo rd ` � 1 5 .c „ - It Z { 9 u`1 Nit,t, (tit__ l I I v II ! *- 5t —EP 3 ( � �{ Poi- Soil n� - 6o Scale