HomeMy WebLinkAboutAUTH-03-2016-070393.TIF ,y,A r CATA VBA COUNTY Case# 3
i * G Public Health Department Subdivision KALE CORNER
¢�'`�-!'�^�0 Environmental Health Division PIN# 470002973672
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`' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 5
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NAME ON PERMIT: BRUCE DANIEL, 7958 TOTTENHAM DR, HARRISBURG NC 28075
Site Address: 1437 KALE RD, CATAWBA NC 28609
Property Size: Square Feet: 70,567.20 Acres:1.62
Directions: Sherrills Ford Rd from Hwy 150 / right Long Island Rd / left Kalke Rd / corner lot
Owner/Authorized Representative Acknowledgement of Permit Receipt
certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
-X �A the property owner or authorized representative. I have received the above referenced permit(s) as
requested in the application for service RBPR-03-2016-23460 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
"� s 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: 03/24/2016
i
Owner/Authorized Representative Signature /
Date
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
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ehpermit 03/24/2016 09:16 Page 4 of 4
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,qA CATAWBA COUNTY CI 1 � Case# AUTH-03-2016-070393
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Public Health Department F.,"1:11:? r � Subdivision KALE CORNER
:( )'� Environmental Health Division 1016' ��. PIN# 470002973672
\� �� PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 . : LOT# 5
rant=it.r
NAME ON PERMIT: BRUCE DANIEL, 7958 TOTTENHAM DR, HARRISBURG NC 28075
Site Address: 1437 KALE RD. CATAWBA NC 28609
Property Size: Square Feet: 70,567.20 Acres:1.62
Directions: Sherrills Ford Rd from Hwy 150/ right Long Island Rd / left Kalke Rd /corner lot
Authorization to Construct Permit
Authorization to Construct Wastewater System fRequired for Building Permitl
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
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 210 gal Pump Specs: 35 GPM @ 30 TDH
Pressure Head 2 ft Draw Down 10.5 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 6 in Minimum Trench Separation g ft on center
Number of Drain Lines 5
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: *Do not grade, fill, or drive over any designated septic area.
*Install supply line at least 15 from house.
*Install the drain field at least 25 feet from house and 15 feet from road right of way
*Pipe all gutter down spouts down slope away from any septic 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
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: 0.3 g.p.d./ft2
PUMP REQUIRED xxxxx OPERATOR REQUIRED
ehpermit 03/24/2016 09:16 Page I of 4
)9, CATAWBA COUNTY Case# AUTH-03-2016-070393
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Public Health Department Subdivision KALE CORNER
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;iFp,+�,_;� Environmental Health Division 470002973672
^gal- PO I3ox 389, 100-A Southwest Blvd. Newton. NC 28658 LOT# 5
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NAME ON PERMIT: BRUCE DANIEL, 7958 TOTTENHAM DR, HARRISBURG NC 28075
Site Address: 1437 KALE RD, CATAWBA NC 28609
Property Size: Square Feet: 70,567.20 Acres:1.62
Directions: Sherrills Ford Rd from Hwy 150/ right Long Island Rd / left Kalke Rd /corner lot
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 jar 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 Piven period of time.
Robbie Phelps 03/24/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/24/2021
No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/24/2016 09:16 Page 2 of 4
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Parcel: 470002973672, 1437 KALE RD 1in=6Oft
CATAWBA, 28609
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Copyright 2014 Catawba County NC
03/2112016
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