HomeMy WebLinkAboutAUTH-03-2016-070357.TIF /4 CATAWBA COUNTY Case it AUTH-03-2016-070357
�T �b Public Health Department Subdivision NORTHVIEW HARBOUR P
2 4-L-o1 3(Environmental Health Division PINft 461802793599
1"�' / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 307
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NAME ON PERMIT: MICHAEL FRYCZ, 8922 RADFORD CT, SHERRILLS FORD NC 28673
Site Address: 8798 ASHBY POINTE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:36,154.80 Acres:0.83
Directions: Sherrills Ford Rd/to Island Point Rd/to Capes cover Dr to Ashby Point in Cul-De-sac
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
i1 property described above.
b_ As the property owner or authorized representative, I have received the above referenced permit(s) as
N(-- requested in the application for service RBPR-09-2015-22416 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
_I
'� of th As the property owner or authorized representative I have reviewed and understand the specific conditions
e 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 . :11 permitted.
Permit Issue Date: 03/23/2016 ve
LamaOwner/Authorized Representative Signatur
Date
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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el:pcnnit 03/23/2016 10:59 Page 4 of 4
�Cy,• CATAWBA COUNTY a • •0.- 5 El Case# AUTH-03-2016-070357
Public Health Department Ms ! `,I • Subdivision NORTHVIEW HARBOUR P
} r
4 ; �p Environmental Health Division ,+ -tit • • PIN# 461802793599
�'l ' / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 r.ng0• C. O LOT# 307
mil • Or.
NAME ON PERMIT: MICHAEL FRYCZ, 8922 RADFORD CT, SHERRILLS FORD NC 28673
Site Address: 8798 ASHBY POINTE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:36,154.80 Acres:0.83
Directions: Sherrills Ford Rd/to Island Point Rd/to Capes cover Dr to Ashby Point in Cul-De-sac
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: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - house
Basement? No Basement Plumbing?No Bedrooms: 4
Wastewater System Requirements
Tank Size: New Tank 1,500 gal Pump Tank 1,500 gal Grease Trap gal
Dosing Volume 214 gal Pump Specs: 3717 GPM @ 30 TDH
Pressure Head 2 ft Draw Down 10.7 in
Drainfield: Total Area: 825 sq ft Total Length: 275 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 6 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 of ASTM C-33 specification
*Keep supply line at least 5' from property line and house
*Pipe all gutter down spouts away from all parts of septic system
*Install septic drain field at least 10' from all property lines.
chpennit 03/23/2016 1059 Page 1 of4
,t)A • CATAWBA COUNTY Case# AUTH-03-2016-070357
e tyn; Public Health Department Subdivision NORTHVIEW HARBOUR P
j - „yt, Environmental Health Division PIN# 461802793599
_2,� PO dos 389, 100-A Southwest Blvd,Newton,NC 28658 LO'f# 307
Ig,2 s.
NAME ON PERMIT: MICHAEL FRYCZ, 8922 RADFORD CT, SHERRILLS FORD NC 28673
Site Address: 8798 ASHBY POINTE CT, SHERRILLS FORD NC 28673
Property Size: Square Feet:36,154.80 Acres:0.83
Directions: Sherrills Ford Rd/to Island Point Rd/to Capes cover Dr to Ashby Point in Cul-De-sac
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: 3 g.p.d./ft2
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 13uilding 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 tiff Selvage Treatment and Disposal Systems' (15A NCAC ISA
.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
Robbie Phelps 03/23/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/23/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpcmut 03/23/2016 10:59 Page 2 of 4
/4-0-0 - _ Tol 07vss-
--"\._"\.__ DATE FEBRUARY 1,
0 LAKE SIGNED
/ a /
\I• PROFESSION,
JOHN ' CHRIS PAN II
NORMAN JACK " CHRIS PAN & AS`
7871 OLD CONCORD RD, C
PHONE: (704)596-2214
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