HomeMy WebLinkAboutAUTH-03-2016-069746.TIF vs$• . CATAWBA COUNTY Case# AUTI-I-03-2016-069746
.C' " Public Health Department Subdivision LANDSDOWNE
r..- .�. e Environmental Health Division N 373320717078
is 2 '" PO Box 389, I 00-A Southwest Blvd,Newton,NC 28658 LOT# 3
NAME ON PERMIT: GERALD & DARLENE KNIGHT, 3802 SEDGEFIELD DR, CONOVER NC 28613
Site Address: 3802 SEDGEFIELD DR, CONOVER NC 28613
Property Size: Square Feet: 15,246.00 Acres:0.35
Directions: Herman Sipes Rd, Right on Landsdowne, 3rd road on the Right Sedgedield Drive, 3rd house on left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
X
J42L I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
4e..: As the property owner or authorized representative, I have received the above referenced permit(s) as
70 requested in the application for service EHPR-01-2016-23098 by the following method(s):
^Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
ixQe:-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: 03/04/2016 /� `'(
�wner/Authorized Representative Signature �(�Gt'er`C ✓
Date C3 - 4-- /
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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
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ehpennit 03/04/2016 08:04 Page 4 of 4
�8' CATAWBA COUNTY O � �' 1''� 0 case N AUTH-03-2016-069746
jot',-..t. Public Health Department 's Subdivision LANDSDOWNE
_ 1 ti.".
Q Environmental Health Division i' PIN# 373320717078
° � o _ o o
"^�}° / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _1 -. _ LOTH 3
IA�2/:u t i.y
1_,12.. ti0
ol • r -
NAME ON PERMIT: GERALD & DARLENE KNIGHT, 3802 SEDGEFIELD DR, CONOVER NC 28613
Site Address: 3802 SEDGEFIELD DR, CONOVER NC 28613
Property Size: Square Feet: 15,246.00 Acres:0.35
Directions: Herman Sipes Rd, Right on Landsdowne, 3rd road on the Right Sedgedield Drive, 3rd house 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: 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: Existing Tank Unknown Size 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 48 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover in Minimum Trench Separation 7 ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
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 03/04/2016 08:04 Page 1 of 4
�gA CATAWBA COUNTY Case t/ AUTH-03-2016-069746
-L Public Health Department Subdivision LANDSDOWNE
Q s Environmental Health Division PIN 373320717078
8+'�
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOP/ 3
Ig su
NAME ON PERMIT: GERALD & DARLENE KNIGHT, 3802 SEDGEFIELD DR, CONOVER NC 28613
Site Address: 3802 SEDGEFIELD DR, CONOVER NC 28613
Property Size: Square Feet: 15,246.00 Acres:0.35
Directions: Herman Sipes Rd, Right on Landsdowne, 3rd road on the Right Sedgedield Drive, 3rd house 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 1SA
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any given neriod of time
Megen McBride 03/04/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/04/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/04/2016 08:04 Page 2 of4
AGIKepc,■r E .-bl-ol6-a3o9B
3%D2 Se:Beheld Di, Conover
* GK ko use existing Senhc jt i So tool 5 4 is iv- �4 ana S"tyuc{ulc( SW�1. If It
is -found 1v he o-therwise cor�Pror�ised, ins-f411ec new lbw/anon 1401L.
t i-ws{NII new T 0,14 f He r i r` excstinc lank. .1
* Visconheel alt eKS'f'n) dlAiv`{70
Zrck t( 3oo 4i. of 1570 reducrt ovt; q-- 7541 +ehcll'S.
t 24111 drain-Geld oi‘ Co• lay-
5eQ-Iik sls-len^ mu* he Aa leos{ 5DA. from wells, ()N. Conn-iun,47 Well, 5{1.fror\
MrvClures, IbF{. -ErbM Prover-{ lines cukd ook of any ri?�n�-o( Way or /eaSer'1ewl-
Do not dr 'ie gr0401 Cud, off/ -E Il oiler/ Serc, Sicker, ar{ai•
4j-* Jse,S comUMuni-1y wtll.
100.
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DEPARTMENT OP ENVIRONMENT AND NATURAL RESOUBrF¢ Shed—of__
PROPERTY ID#:
DIVISION OF ENVIRONMENTAL HEALTH - CTYNTY:
ON-SITE WASTEWATER SECTION
SOILJS11'E EVALUATION
((''�
for ON-SITE WASTEWATER SY M p
OWNER Gera T bar`ei e I3� APPLICATION DATE ) 1ilb DAlTE1EVVAALI ATED Dggiif Ib
ADDRESS: ' .DESIGN FLOW(.1949): 360 PROPERTY S17� .0.35 act.,
PROPOSED OFSI E: 3 - o ►.' PROPO PROPERTY el
EVALUATION LOCATION OF SITE:3', •2 .� '�, �r � ,
WATER SUPPLY: 0 Private U •ublic 0 Well 0 Spring $ Other r i r
EVALUATIOON METHOD: 0 Auger Baring g Pit LI Cut
TYPE OFWASTEWATER: R Scwago 0Industrial?I 'us 0 NExed
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DFSpamox DCQIAL rant REPAIR SYSTE U OTHER FACTORS(.1945):
is SITE CLASSIFICATION(.1948): tt-- (� (�
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EVALUATED BY:
stvemTya(f) J 9 OTHER(S)PRESENT: era' Dh MSt.t
• . Site LIAR 0.3
COMMENTS:
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