HomeMy WebLinkAboutAUTH-07-2016-074814.TIF 6A • CATAWBA COUNTY Case# _
C11�Q,y Public Health Department Subdivision
4•120 Environmental
Environmental Health Division PIM/ 376303114866
' PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT#
NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Feet:63,597.60 Acres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded Lot)
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that tam the owner or authorized agent(owner's authorization required) representing the owner of the
w 4property described above.
As the property owner or authorized representative. I have received the above referenced permit(s) as
requested in he application for service 7
RBPR-06-2016-24092 by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
the property owner or authorized representative I have reviewed and understand the specific conditions
As s
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: 07/21/2016
4 ii
_-.1.) Owner/Authorized Representative Signature —aiSSf a AraS w. _
Date 7/Th/ Cc/2__
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending perrnit)
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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chpermit 07/21/2016 12:50
4)A CATAWBA COUNTY D ee Case# AUTH-07-2016-074814
Public Health Department Y' • Subdivision
'C a)` Environmental Health Division r` .ti PINU 376303114866
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 • U ritRa n LOT#
/842sA
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a' I . o 0
NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Feet:63,597.60 Acres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded Lot)
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-CONN TRENCH SYSTEMS
Soil LTAR: 0.3 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: 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 3
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
Repair System Required? Required System Class: 11113 Proposed System: 25% REDUCTION
Distribution Type:: Pressure Manifold Soil LIAR: 0.3 g.p.d./ft2
PUMP REQUIRED
ehpennit 07/21/2016 12:51
SDA CATAWBA COUNTY Case# AUTH-07-2016-074814
Com' 411.
EttiPublicHealth Department Subdivision
„-1 Environmental Health Division PIN# 376303114866
r H
PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT#
t8.2 ,.
NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Feet:63,597.60 Aeres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded 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 for Sewage Treatment and Disposal Systems' (I5A 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
Steven Price 07/21/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/21/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpemiit 07/21/2016 12:51
RBPR 06-2016-24092
3887 Bottom Ln, Claremont
• 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 well; 5 ft from
building foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank.
• Install 300 linear feet of 25% reduction system with maximum trench depth of 30 inches;
proposed 3 lines total at 100 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES �7 Sheet C of f
DIVISION OF PUBLIC HEALTI-I,ENVIRONMENTAL HEALTH SECTION(P vc -tot 4-2''op 2 PROPERTY[D 4'.
ON-SITE WATER PROTECTION BRANCH 1-'' COUNTY:_Catawba
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: ic Pet 5 /-Tit vT _ APPLICATION DATE
ADDRESS: DATE EVALUATED: 7/Vs
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: 3$S') (Saito..., Lv. PROPERTY RECORDED:
WATER SUPPLY: U Private U Public S Well 0 Spring U Other
EVALUATION METHOD: ,Auger Boring U Pit U Cut TYPE OF WASTEWATER: U Sewage U Industrial Process U Mixed
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x I ;-+ SOILtMORPAOLOC'Y e, 'OTFIER S
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F , s a ,,t (1941) PROFILE(FACTOBS
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DESCRIPTION INIT'IAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): qq
Available Space(.1945)
PS PS SITE CLASSIFICATION(.1948): /S
2� QD EVALUATED BY: cgT`^� 4-
System Type(s) S� td 24 le� Ay PRESENT:
Site LTAR p- 3 a,3
COMMENTS:
J
Updated February 2014
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Catawba County Environmental Health �A�` '5
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Parcel: 376303114866, 3887 BOTTOM LN 1 in=60ft
CLAREMONT, 28610
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