HomeMy WebLinkAboutAUTH-03-2016-070532.TIF , CATAWBA COUNTY Case#
7 Ft .4 i, Public Health Department Subdivision
Q /690 ,;;. Environmental Health Division PIN# 360703136601
s.,�p.. PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 LOT#
1842, s,
NAME ON PERMIT: AMANDA WILLIAMS, 3964 ZONNIE SCRIONCE RD, VALE NC 28168
Site Address: 3958 ZONNIE SCRONCE RD, VALE NC 28168
Property Size: Square Feet:43,124.40 Acres:0.99
Directions: Turn right off of Macedonia Church Rd onto Zonnie Scronce Rd/Go 3 Driveways on right/after 3rd drive there is
a roughed in drive
Owner/Authorized Representative Acknowledgement of Permit Receipt
r� I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
PiAs the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-02-2016-23272 , 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: 03/29/2016
N--)Owner/Authorized Representative Signature
Md01 Leh /(/iA�.,�
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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ehpermit 03/29/2016 14:45 Page 3 of3
w,A � CATA\ 3A COUNTY 0 � 1_
b 0 Case N AUTH-03-2016-070532
T Public Health Department T'�tl t -1}
Subdivision
4190 } PINf{
C h � Environmental Health Division 1 360703136601
4- PO Box 389. 100-A Southwest Blvd, Newton,NC 28658
Igo r LOT#
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NAME ON PERMIT: AMANDA WILLIAMS, 3964 ZONNIE SCRIONCE RD, VALE NC 28168
Site Address: 3958 ZONNIE SCRONCE RD, VALE NC 28168
Property Size: Square Feet:43,124.40 Acres:0.99
Directions: Turn right off of Macedonia Church Rd onto Zonnie Scronce Rd/Go 3 Driveways on right/after 3rd drive there is
a roughed in drive
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: I11B - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LIAR: 0.25 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing? No Bedrooms: 3
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 165 gal Pump Specs: 16.44 GPM @ 32.2 TDH
Pressure Head 2 ft Draw Down 7 8 in
Drainfield: Total Area: 1,440 sq ft Total Length: 360 ft Maximum Trench Depth 13 in
Aggregate Depth in Trench Width 8 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: 12 inches of suitable soil cover will need to be brought in to act as cover over the system since the
lines are being installed shallow.
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: VD Proposed System: DRIP IRRIGATION Distribution Type:: Drip Irrigation
Soil LIAR: 0.2 g.p.d./ft2
PUMP REQUIRED
ehpermit 03/29/2016 14:46 Page I of4
t1� CATAWBA COUNTY Case# AUTH-03-2016-070532
Public Health Department Subdivision
G - _® ,�; Environmental Health Division PIN# 360703136601
PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT#
NAME ON PERMIT: AMANDA WILLIAMS, 3964 ZONNIE SCRIONCE RD, VALE NC 28168
Site Address: 3958 ZONNIE SCRONCE RD, VALE NC 28168
Property Size: Square Feet:43,124.40 Acres:0.99
Directions: Turn right off of Macedonia Church Rd onto Zonnie Scronce Rd/Go 3 Driveways on right/after 3rd drive there is
a roughed in drive
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 ISA
.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.
Steven Price 03/29/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/26/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 03/29/2016 14:46 Page 2 of
RBPR 02-2016-23272
3958 ZONNIE SCRONCE RD. VALE
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 100 ft from shared wells; 50 ft from
individual wells and streams; 5 ft from building foundations and appurtenances; 10 ft
from water lines; and out of right-of-ways and easements.
• Install a 1,000 gallon septic tank and pump tank and 360 linear feet of 25% reduction
system for initial system. Repair will be TS-1 pretreated drip.
• Distribution will be a pressure manifold with proposed tap size of sch 80 '/z".
• Laid out a total of 4 lines: (1) 44 ft, (2) 84 ft, (3) 116 ft, and (4) 140 ft lines on contour.
• Pressure manifold will have 3 taps. Tap I will feed lines 1 and 2 (use stepdown between
lines 1 and 2) and feed as a 120 ft line. Tap 2 will feed line 3, a 116 ft line. Tap 3 will
feed line 4, which will utilize 124 ft of line.
• Where supply line crosses under the driveway the line will either have to be installed
greater than 30 inches deep or sleeved in ductile iron or equivalent.
• Final grade of septic area must shed surface water off and away from system.
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