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Home My WebLink AboutAUTH-03-2016-070549.TIF st A� CAT.AWBA COUNTY CaSe# AUTFI-03-20 1 6-070549 .� Public Health Department Subdivision �_ 374407793311 < .�®1,,,; Environmental Health Division PIN7t PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 843,-79 LOT# 2 NAME ON PERMIT: DUSTIN SIGMON, 1794 LINDSEY LN, CONOVER NC 28613 Site Address: 1794 LINDSEY LN, CONOVER NC 28613 Property Size: Square Feet: 126,324.00 Acres:2.9 Directions: Hwy 16 North, Left on Springs Rd, Left on Rector St., Left on Lindsey Lane & lot is down the road 1 mile on the left. # is on mailbox Owner/Authorized Representative Acknowledgement of Permit Receipt tird I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. (ierd As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-03-2016-23328 by the following method(s): _ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) dirti 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 ti- Owner/Authorized Representative Signature ' P Date i �/ / 6 :3/3 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 'ehpennit 03/29/2016 10:54 Page 4 o14 `.tgA t, CATAWBA COUNTY 0 tit G s".1 El Case if AUTH-03-2016-070549 f' rs L Public Health Department WiF r • 1_ Subdivision G Afit r '' Environmental Health Division ��p'•''�y', �3•• PIN# 374407793311 42 2 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 !VP i , LOT# 2 fart/ w ST I�G ._ j NAME ON PERMIT: DUSTIN SIGMON, 1794 LINDSEY LN, CONOVER NC 28613 Site Address: 1794 LINDSEY LN, CONOVER NC 28613 Property Size: Square Feet: 126,324.00 Acres:2.9 Directions: Hwy 16 North, Left on Springs Rd, Left on Rector St., Left on Lindsey Lane & lot is down the road 1 mile on the left. # is on mailbox Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG - OTHER NON-CONY TRENCI-1 SYSTEMS Soil LTAR: 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 gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,440 sq ft Total Length: 360 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 4 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: IIIG Proposed System: 25% REDUCTION Distribution Type:: Soil LTAR: 0.25 g.p.d./ft2 ehpermit 03/29/2016 10.54 Page I o14 e4 CATAWBA COUNTY Case l4 AUTFI-03-20 1 6-070549 Public Health Department Subdivision r- LUBA? ea Y „'+, Environmental Health Division PINT/ 374407793311 \�' ® PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 LOT/I 2 /842 ,u NAME ON PERMIT: DUSTIN SIGMON, 1794 LINDSEY LN, CONOVER NC 28613 Site Address: 1794 LINDSEY LN, CONOVER NC 28613 Property Size: Square Feet: 126,324.00 Acres:2.9 Directions: Hwy 16 North, Left on Springs Rd, Left on Rector St., Left on Lindsey Lane & lot is down the road 1 mile on the left. # is on mailbox The issuance of this permit by the Health Department does not guarantee the issuance of other permits. ft 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 corn pl is nee with the provisions of the North Carolina 'Laws and Poles 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 elven period of time. Steven Price 03/29/2016 AUTHOR STAIR 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. ehpermit 03/29/2016 10:54 Page 2 of 4 EHPR 03-2016-23328 1794 LINDSEY LN, CONOVER • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from building foundations and appurtenances; 10 ft from water lines; 15 ft from a cutbank; and out of right-of-ways and easements. • Install a 1,000 gallon septic tank and 360 linear feet of 25% reduction system; (4) 90 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. 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