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Home My WebLink AboutAUTH-03-2016-069852.TIF ....y8' bX CATAWBA COUNTY Case# AUTH-03-2016-069852 .2 !aPublic Health Department Subdivision KISER SUNSET KEYS 1 Y Environmental Health Division PIN# 461604722786 a,. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 36 /;42 ,ti NAME ON PERMIT: *GOODIN SIGNATURE HOMES, CHAD, 915 RIVER HWYA, MOORESVILLE NC 28117- Site Address: 5012 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet: 18,730.80 Acres:0.43 Directions: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-01-2016-23113 by the following method(s): Received 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 , V• Owner/Authorized Representative Signature Lit/ (-Jr J �, Date 3) �i IA.P bb 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 ehpennit 03/08/2016 13:24 Page 4 of 4 ve$ \ CATAWBA COUNTY 0 Al. o 0 AUTH-03-2016-069852 \ Case# C Public Health Department — ' Subdivision KISER SUNSET KEYS 1 ttfi % PIN# 461604722786 Q `°-° „�, E nvironmental Health Division ¢. rY�ri-'4 / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658/842 M - i LOT# 36 CI r NAME ON PERMIT: *GOODIN SIGNATURE HOMES, CHAD, 915 RIVER HWYA, MOORESVILLE NC 28117- Site Address: 5012 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet: 18,730.80 Acres:0.43 Directions: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the left Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( 1 ). Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d Type: IIIE- PPBPS GRAVITY DOSED SYSTEM Soil LTAR: g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Wastewater System Requirements Tank Size: Existing 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: 0 sq ft Total Length: 0 ft Maximum Trench Depth 0 in Aggregate Depth in Trench Width 0 ft Minimum Soil Cover 0 in Minimum Trench Separation 0 ft on center Number of Drain Lines Distribution: Pre Treatment: NONE Additional Specifications: *Add a 1000 gallon tank for settling from grinder pump. All other system components are existing. * Preconstruction site meeting with installer and Environmental Health Representative is required. *Install new septic tank after existing septic tank and reroute distribution as necessary. Remove filter from existing septic tank. *Ensure that new septic tank is greater than or equal to 15 feet from basement wall. 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 03/08/2016 13:24 Page 1 of 4 t CATAWBA COUNTY Case# AUTH-03-2016-069852 .0 it®Z Public Health Department Subdivision KISER SUNSET KEYS 1 �;d Environmental Health Division PIN# 461604722786 �:® `'ab PO Box 389, 100-A Southwest Blvd,Newton,NC 286 58 LOT# 36 /842 sM NAME ON PERMIT: *GOODIN SIGNATURE HOMES, CHAD, 915 RIVER HWYA, MOORESVILLE NC 28117- Site Address: 5012 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet. 18,730.80 Acres:0.43 Directions: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the 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 given neriod of time Mike Cash 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. ehpermit 03/08/2016 13:24 Page 2 of 4 s4,A CATAWBA COUNTY Case tt AUTH-03-2016-069852 i f.�.n GL Public Health Department Subdivision KISER SUNSET KEYS 1 �pj '� Environmental Health Division PIN# 461604722786 3 y .v PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 36 1842 ,. NAME ON PERMIT: `GOODIN SIGNATURE HOMES, CHAD, 915 RIVER HWY A, MOORESVILLE NC 28117- Site Address: 5012 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet: 18,730.80 Acres:0.43 Directions: Northwest on Hwy 150 for approx 10 miles/turn left on Kiser Island Rd/in 2.88 miles, 5012 is on the left Authorization to Construct SITE PLAN • T._fell /lee.) let c_ 7C-k k 11 1 l , 170° ?7s'-Ps.,.- ,6as..r...i-..,aU I ' v__.-' pas sAe.Jn p I ��N`^�St`'" e £aco 1,7reI� "sin��.A�g�- ✓I' r ps re_a sdrl ye /yam \*e e Ratatsv-e. Cr-is-lit/- Cil 5-74:e.+J. , footir^ • r /b.:�9C0/.w sLi/ 3ij z c pa -to e?c.'s'11I.j/ se/vl,� Iasi Cs7 a-.4 )sa a icve.� l o' (9 mitt) f'4or 4e . sent;e_ '-k v2 r{.(! '• E.:• -r -0 Quay here- i l 1, I1 f t—g—,s sz rY 9 I S ' l j ` . Po'. 0.\A I I 1 1 • csol • Scale 4, To Ks • T.)•.4 1, System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject to revocation if the site plan or site conditions are altered. i AUTHORIZED STATE AGENT DATE Form C elipennit 03/08/2016 12:54 Page 3 of 4