HomeMy WebLinkAboutAUTH-07-2016-074913.TIF ,SAA CATAWBA COUNTY Case#
aGPublic Health Department Subdivision
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„"s, Ensironmmual Health Division PIN# 375208976640
'-ay.. • PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT#
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NAME ON PERMIT: DAVID TUCKER, 3458 N OXFORD ST, CLAREMONT NC 28610 •
Site Address: 3458 N OXFORD ST, CLAREMONT NC 28610
Property Size: Square Feet:35,719.20 Acres:.820
Directions: 1-40 exit 135 North Oxford St, 1/2 mile on right second driveway past Keller St
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
property described above.
As the property owner or authorized representative, I have received the above referenced permit(s) as
x requested in the application for service EHPR-O6-2016-24023 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: 07/25/2016I /
Owner/Authorized Representative Signature — .4
---) Date 7 2 / G,
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
We want to hear from you. Please take a few moments to complete our customer service survey at:
http://www.surveymonkey.com/s/EHCustomerService
clipermii 07/2512016 13:35
ccA CATAWBA COUNTY ❑e -* 0 .f 0 Case# AUTF1-07-2016-074913
.Q' Public Health Department Subdivision
Ai % P .. PIN#
< i 0.4 K. Environmental Health Division yr 375208976640
-i�o PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 { E' - a• C 0 ' LOT#
78.2 s,, :t 2 ql
NAME ON PERMIT: DAVID TUCKER, 3458 N OXFORD ST, CLAREMONT NC 28610
Site Address: 3458 N OXFORD ST, CLAREMONT NC 28610
Property Size: Square Feet: 35,719.20 Acres:.820
Directions: 1-40 exit 135 North Oxford St, 1/2 mile on right second driveway past Keller St
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: 111G -OTHER NON-CONN TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
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
Repair System Required? Required System Class: IIIG Proposed System: 25% REDUCTION
Distribution Type:: Serial Soil LTAR: 0.3 g.p.d./ft2
chpennit 07/25/2016 13:35
,A CATAWBA COUNTY Case# AUTH-07-2016-074913
sHPublic Health Department Subdivision
4 iire-` ) Environmental Health Division I IN# 375208976640
PO Box 389. 100-A Southwest 131vd, Newton,NC 28658 LOT/41842 0
NAME ON PERMIT: DAVID TUCKER, 3458 N OXFORD ST, CLAREMONT NC 28610
Site Address: 3458 N OXFORD ST, CLAREMONT NC 28610
Property Size: Square Feet: 35,719.20 Acres:.820
Directions: 1-40 exit 135 North Oxford St, 1/2 mile on right second driveway past Keller St
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 07/25/2016
AUTHORIZED STATE AGENT APPROVAL DAVE
Permit Expiration Date: 07/23/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elipennit 07/25/2016 13:35
EHPR 06-2016-24023
3458 N Oxford St, Claremont
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must he 10 ft from property lines; 10 feet from water line and gas line; 50
ft from wells; 5 ft from foundations and appurtenances; and out of right-of-ways and
easements.
• Install a new 1,900 gallon septic tank.
• Install 300 linear feet of 25% reduction system; (5) 60 ft lines on contour with a
maximum trench depth of 30 inches.
• Final grade of septic area must shed surface water off and away from system.
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