HomeMy WebLinkAboutAUTH-03-2016-070399.TIF y,A CATAWBA COUNTY Case# AUTH-03-2016-070399
1111LPublic Health Department Subdivision
,�; Environmental Health Division PIN# 372319711565
�� '- PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 LOT#
N./842 w
NAME ON PERMIT: TAYLOR ESTES, 3231 SPENCER RD, CONOVER NC 28613
Site Address: 3231 SPENCER RD NE, CONOVER NC 28613
Property Size: Square Feet: 36,590-40 Acres:.840
Directions: Spencer Rd, across from 32nd St NE
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
I- 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 EHPR-11-2015-22666 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
jElectronic 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: 03/24/2016
> Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ I j9 ,i I , Ara (name ofpersot 'ending permit
Signature 1 11 t U t , . j ] _ Date/Time i1 6 10r` b
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We t to ear from you. Please take a few m ynts to complete our customer service survey at:
http://www.surveymonkey.com/s/EHCustomerService
ehpermit 03/24/2016 10:07 Page 4 of 4
7 iv,A � CATAWBA COUNTY 0: ' • ' L 0 Case# AUTt1-03-2016-070399
Public Health Department }• r -i r� Subdivision
C.*fib : 3.•. PIN/ 372319711565
u Environmental Health Division �• �:
® PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 • LOT//
NAME ON PERMIT: TAYLOR ESTES, 3231 SPENCER RD, CONOVER NC 28613
Site Address: 3231 SPENCER RD NE, CONOVER NC 28613
Property Size: Square Feet: 36.590.40 Aeres:.840
Directions: Spencer Rd, across from 32nd St NE
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permits
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d.lft2
Permit Category: Repairs
Type of Facility: Primary Residence - house
Basement? Yes Basement Plumbing? No Bedrooms: 3
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: 900 sq ft Total Length: 300 ft Maximum Trench Depth 30 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 5
•
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
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 LIAR: g.p.d.lft2
ehpermit 03/24/2016 10:07 Page 1 of d
CATAWI3A COUNTY Case# AUTH-03-2016-070399
•
.7C. Public Health Department Subdivision
�t��1 �` 372319711565
2 * Environmental Health Division PIN#
��® w PO Box 389. 100-A Southwest Blvd.Newton, NC 28658 LOT#
842 s.
NAME ON PERMIT: TAYLOR ESTES, 3231 SPENCER RD, CONOVER NC 28613
Site Address: 3231 SPENCER RD NE, CONOVER NC 28613
Property Size: Square Feet: 36,590.40 Acres:.840
Directions: Spencer Rd, across from 32nd St NE
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 Catawcha 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
Co ntpliance with the provisions of the North Carolina 'Lacs and Rules for Sewage Treatment and Disposal Systems' (I5A NCAC I8A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any°iven nc riod of time.
N'legen McBride 03/24/2016
AUTHOR FLED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/24/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/24/2016 10:07 Page 2 of 4
Iketr DIPR 11-)015-x)66(,
3231 Spencer gc NE, Conover
* OK use exis-Ein,� se?1 c- kahk so long as 11 15 ih A-acl- and C-4ruc}uc@Ily Sound.
i5 -Found -}-o be (Aierwi5e Coak,Prbr1\Secl, ing-k11 new ►000ialIPK -lank.
pISConnec - 0\d dr0ihftlds -{from use,,
-Skka\\ new T aka, -17 Ile r i k< exisfiit5 }w,k.
Tv\s- ull 3004 O 5)0 reclic4'on s- 6011. -eekNcl,e$ .
Zv\s all arty-Feld Or coh-icur.
t Se c. sys-}em rtils1 be, a1 ieass SO- -from Wells, 1041 -From prorcl 1ir`e5,
51 from 5{4 -kilt€5, ohd. ovll of drwllle d11CkPS (c3'\ - C4-v or co, ct$2MPn-15.
4' Do not- drive, rack, cO, or 4 li
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DEPARTMENT OFENVIRONMEN7'AND NATURAL.RESOURCES
DIVISION OF ENVIRONMENTAL H.EALTT! Shed of-
ON-SITE WASTEWATER SECTION
PROPERTY ID N:
COUU ID
SOIIJSI'1'E EVALUATION
E5-h7 I for ON-SITE WASTEWATER SYSW4
OWNER: ¶OyIor ES-{75 APPLICATION DATE U 4 I6 ElIPR II-20Is-227
ADDRESS DATE EVALUATED: ZIG3 H.
PROPOSED FACII1Ty: 3 S R E{(AMA PROPOS/VI DESIGN FLOW(.1949): 3L0 PROPERTY SIZE-. 0.840
LOCATION OFSTE32-3I Spencer P4 Ne.. (ono*( PROPERTY RECORDED:
WATER SUPPLY; O Private 0 Public ® Well 0 Spring 0 other
EVALUATION METHOD: 0 Auger Boring ® Pit 0 Cut
TYPE OF WASTEWATER: a Scwagc 0 Industrial Prom= 0 I.grcd
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DESCRIPTION 7ITAL SYSTEM REPAIR-SYSTEM OTHER FACTORS(.1946):
Available(�+:+(.t94s) ()r- SITE CLASSIFICATIOON//r��E(��.1948):: 1
Syg.Tyr(r) r}'(, EVALUATED SE I',c ylPh i' lTl->(1(7 C.
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