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Home My WebLink AboutAUTH-03-2016-070302.TIF `Ob CATAWBA COUNTY Case# - ___ . :C- L L Public Health Department Subdivision 2 �3 „'�, Environmental I lcalth Division PIN# 461601291353 PO Box 389, 100-A Southwest Blvd. Newton.NC 28658 LO'f# s.2 w , NAME ON PERMIT: JEFFREY SKIDMORE, 7981 BLUE WATER CT, DENVER NC 28037 Site Address: 4460 DERWOOD DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 50,965.20 Acres:1.17 Directions: 16 S, Eon 150, TR Slanting Bridge, TL Drena, 1/2 mile left on Derwood, 2nd lot on right 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 perty described above. r As the property owner or authorized representative, I have received the above referenced permit(s) as 1 quested in the application for service RBPR-01-2016-23033 by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) _ Electronic Image Transmittal/ E-mail (Return receipt required) j As the property owner or authorized representative I have reviewed and understand the specific conditions ,I f 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: 03/22/2016 �\ Owner/Authorized Representative Signature // iii > 7 Date �/Z`///6 / !! 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 03/22/2016 11:09 Page 3 of 3 `p,,- . CATAWBA COUNTY 0 • r f 0 Case# AUTH-03-2016-070302 .3'TAR Public Health Department � � Subdivision � r < t '4 Environmental Health Division r" " v• PIN# 461601291353 i o . o - PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 n• - # LOT .4 f-1,4 is r le o el r NAME ON PERMIT: JEFFREY SKIDMORE, 7981 BLUE WATER CT, DENVER NC 28037 Site Address: 4460 DERWOOD DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 50,965.20 Acres:1.17 Directions: 16 S, Eon 150, TR Slanting Bridge, TL Drena, 1/2 mile left on Derwood, 2nd lot on right Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit} * See site plan and number of additional attachments ( ). Proposed Wastewater System: 50% REDUCTION Wastewater Flow 480 g.p.d Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence- House Basement? Yes Basement Plumbing?Yes Bedrooms: 4 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume 207 gal Pump Specs: 35.9 GPM @ 40 TDH Pressure Head 2 ft Draw Down 10.35 in Drainfield: Total Area: 810 sq ft Total Length: 270 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 2 ft Minimum Soil Cover 8 in Minimum Trench Separation 8 ft on center Number of Drain Lines 4 Distribution: LPP Pre Treatment: NONE PUMP REQUIRED ***** OPERATOR REQUIRED Additional Specifications: *Do not grade, fill, or drive over any designated septic area other than what is required during the septic installation *Use 3/16 inch holes in the distribution pipe *2 feet of pressure at the end of each line. *Rake and lime the side walls *Backfill sand must be ofASTM C-33 specification *Install the supply line at least 30 inches deep under the drive way. *Make sure all parts of the septic system are at least 70 feet from any well. 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: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP Soil LTAR: 0.3 g.p.d./ft2 ehpennit 03/22/2016 11:14 Page 1 of4 �1,• CATAWBA COUNTY Case# AUTH-03-2016-070302 ^ , •, � twi Ca Public Health Department Subdivision ,2� Envi ronmental Health Division PIN# 461601291353 r 'ii y PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# 76y2 vu NAME ON PERMIT: JEFFREY SKIDMORE, 7981 BLUE WATER CT, DENVER NC 28037 Site Address: 4460 DERWOOD DR, SHERRILLS FORD NC 28673 Property Size: Square Feet: 50,065.20 Acres:1.17 Directions: 16 S, E on 150, TR Slanting Bridge, TL Drena, 1/2 mile left on Derwood, 2nd lot on right PUMP REQUIRED ***** OPERATOR REQUIRED 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 Ru/es 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 period of time. Robbie Phelps 03/22/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/22/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 03/22/2016 11:14 Page 2 of 4 Catawba County Environmental Health �V tti 5- 2016 e 002 wall ." 3 - 7016 - 0/0340 U C N 1 1 3 N. 49,70 Orel he 5A- IA,ky k. e rl,,0 25 NV p el \ \ Try k 6 a a. HovTa, :II II r New �s �� k, Jo o, • 0 el I. •}7 J Cil Na II 0 e _,,\d - e C 41 evts_ (773) 16727 ( 42) (871 - 4S r: 122.27 65.00 148.25 m Parcel: 461601291353, 4460 DERWOOD DR 1in=60ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall no be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this maplreport product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/21/2016 t..s ' cc -4 +m a 4 F, . toy r .a or > �i. t}rfi ae' d,. t-‘,24:::,-„.. - . i r ., �g ;c M1 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Siteet—ol DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID it ON-SITE WASTEWATER.SECIION COUNTY: SOHJsrii EVALUATION for ON-SITE WASTEWATER SYSTEM 3033 OWNER TAP{ s k' d� v nr APPLICATION DATE 2 ADDRESS; 44 60 or load tir DATE EVALUATED: 2-14-16 PROPOSED FACILITY: 4 PR PROPOSED DESIGN FLOW(.1949): LIPS PROPERTY WE LOCATION OF Silt PROPERTY RECORDED: WATER SUPPLY: fJ Private 0 Public 8 Well 0 spring U Other EVALUATION METHOD: 0 Auger Baring a Pit U Cut T4PEOF WASIEWAIIIt_ B Sewage O 1z& tilt hoc= 0 A'Exed —......_____._ _..._._._._............____-____......_._..___._....... _.._........::a::::n:___::r. "ciiCF ...........__....c.::[..eelieinEb_.._ :. _ ._..._..-......._ "� :316...n. e .... �:&�.m:i::iE� _p - _.___=_ LlRi�z')TUC'�=?ii=:f:::::::_-.......,iiL� i_iiiiiiiiF.i_______.]_...iiiEci:civ__ii-i2_or.........i__ [t_ .. ...---- fl rt `� - .DRexti_. $`IrQ,O�URffi1 �SHxI;iTF3tGP! �.•3°T�.'7�Si T.TA )Ir =y _4APIEi7c? Y - T tdINaALO`iY cgL4a neeTx •AS;~ 110k1� s _ 0-2 6 C • rCk sJJ/ _. 16-s2 LtI�, with Fr pr, 0-32 "C tr�h.. ...,. I ra- Tr re V.-51 (+r10. A ak •r rJ rfi 2 sl r • 0-! • 6 C Y f�,` r sr Ji A 3 1'1'-51 crtsi t.;C• Pr ra S7 . 2 u-32 c fsh P a, sp �L n i -91 C4-r7 t• Fr Jr.1- 4 DESaUPTIOR ATnAL sYSrEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) f S SITE CLASSIFICATION(.1946): ,,ff I Y System T r) V ele -pale EVALUATED BY: n-18�h 91,64,r OTHER(S)PRESENT: Site LIAR , 'M , COMMENTS: 3–) 0 — , 6 F, (� Ig 4y - C. tt"' . h a41 tyr § R•.�4r� 8 t^ .} 1t 4rn'1 �p !' {e 17.. r, rn,% rf,'4 a .i m!'3 ,y �:“. a • w t • F,,1i w•b•.,+:1„a+f e �e. r.;Y' 74,4';-f,�i 42,..`.a- tii-i5 a.3 ELI.`'iii' , .!,'.,;Fxs•4 c "^ •_ i I O