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Home My WebLink AboutAUTH-03-2016-069838.TIFri ,q CATAVBACOUNTY, Case# __ ____,__ .Q- �GL Public Health Department Subdivision Q " Environmental Health Division PIN# 366601260271 ' ®r PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO"I'# I84%� NAME ON PERMIT: MICHAEL GABRIEL, 3182 E MAIDEN, MAIDEN NC 28650 Site Address: 3182 E MAIDEN RD, MAIDEN NC 28650 Property Size: Square Feet: 700,880.40 Acres:16.09 Directions: Coming from town of Maiden - its 1/2 mile past Buiffalo Shoals Rd on the Left- Brick house with green roon on left of driveway and white house on right at driveway Owner/Authorized Representative Acknowledgement of Permit Receipt OWcertify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. (Vlithe property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-10-2015-22628 by the following method(s): %/inReceived in Person Facsimile Transmittal (Return form with signature required) Electronic 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: 03/08/2016 Owner/Authorized Representative Signature N, t 1 / Date Bi;C)iJlo 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 03/08/2016 09:04 Page 3 of 3 gA e CATAWBA COUNTY D y -" '1 4•- D Case# AUTH-03-2016-069838 r Public Health Department 1U• . Subdivision H Environmental Health Division I`;. • ' • PIN# 366601260271 U PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ° -'ti•p /8.2 s�, -y. 1 +p � LOT# 112 ' D . I NAME ON PERMIT: MICHAEL GABRIEL, 3182 E MAIDEN, MAIDEN NC 28650 Site Address: 3182 E MAIDEN RD, MAIDEN NC 28650 Property Size: Square Feet:700,880.40 Acres:16.09 Directions: Coming from town of Maiden - its 1/2 mile past Buiffalo Shoals Rd on the Left- Brick house with green roon on left of driveway and white house on right at driveway 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 480 g.p.d Type: 11IG -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: 4 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: 1,200 sq ft Total Length: 400 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 4 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system minimum: 100' from any well, 10' from property lines, 5'from home lower side) 15' from home ( side slope for repair) 50' from any creek. 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 Repair System Required? Required System Class: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold Soil LTAR: .3 g.p.d./ft2 PUMP REQUIRED elipermit 08/25/2016 10:44 s5• \ CATAWBA COUNTY Case# AUTH-03-2016-069838 7 AI L\ Public Health Department Subdivision Q ° Environmental Health Division PIN# 366601260271 • PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# /842 sr+ NAME ON PERMIT: MICHAEL GABRIEL, 3182 E MAIDEN, MAIDEN NC 28650 Site Address: 3182 E MAIDEN RD, MAIDEN NC 28650 Property Size: Square Feet:700,880.40 Acres:16.09 Directions: Coming from town of Maiden -its 1/2 mile past Buiffalo Shoals Rd on the Left- Brick house with green roon on left of driveway and white house on right at driveway 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 SewaRe 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 03/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/08/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehperrnit 08/25/2016 10:44 QSM Permit# RBPR-10-15-22628 CATAWBA COUNTY 2 Public Health Department Name Michael Gabriel < '--1 Environmental Health Division Address 3182 E Maiden Rd Maiden NC PO Box 389, IOA Southwest Blvd,Newton NC 28658 PIN# 366601280271 (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 I Site Plan Authorization to Construct 1 A1' Pr•u a°� to ("«k. \J ■ I� 7 J I a ) t I Q to 0 I O 1 ` i cV d ! 1 I I Q c, C S r , 'I cc o F e 1 J ° S -*- W � I J o e.4 , St,�'� U I ,-4>, i . v� tiV GS .AL , �° the 3t' 9 i 2 tI ,,.�i nn 6 6 ' ZS' cc rp°rl- L fM TTT c.A.Q 1'pr'� T V V Vlc('' .t, Go L. 1l Ma I be // 11.5E It an�w1,".rt- I —`-1 v , r�.a� s`-tiycc A.s "' A rt_ "'" Aerra7( 1c° ' -- o L.rc-4-j e. In..)L \ to r t'l la. 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