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HomeMy WebLinkAboutAUTH-07-2016-075003.TIF 13,App� CATAWBA COUNTY Case# 4`t Pa.9 ,G� Public Health Department Subdivision Glti! Environmental Health Division PIN!! 365801350239 /AV �� PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 2 NAME ON PERMIT: TODD THOMPSON, PO BOX 436, MAIDEN NC 28650 Site Address: 3046 POND RD, MAIDEN NC 28650 Property Size: Square Feet:223,462.80 Acrcs:5.13 Directions: Hwy 16 S, right on Providence Mill Rd, Right on Pond Rd, 1/2 mile on right �� Owner/Authorized Representative Acknowledgement of Permit Receipt A1 I l certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. tt As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-07-2016-24238 by the following method(s): `� Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) tAs the property owner or authorized representative I have reviewed and understand the specific conditions o 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: 07/27/2016 --- OwnerlAuthorized Representative Signature /6 Date 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 ell perm it 07/27/2016 09:53 SA \ CATAWBA COUNTY �e f�e Case# AUTH-07-2016-075003 f 1'.1:�G Public Health Department r `. Subdivision 4 *o1 Y Environmental Health Division I � PIM365801350239 el- PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 ° • 1LOT# 2 /842 w ;�r��- • 11A • . NAME ON PERMIT: TODD THOMPSON, PO BOX 436, MAIDEN NC 28650 Site Address: 3046 POND RD, MAIDEN NC 28650 Property Size: Square Feet: 223,462.80 Acres:5.13 Directions: Hwy 16 S, right on Providence Mill Rd, Right on Pond Rd, 1/2 mile on right 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: .3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? Yes Basement Plumbing? Yes 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 24 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: IP issued for property under EHPR-6-13-17562. Keep all parts of septic system minimum: 100' from any we11,10' from property lines,l0' from home(low side of basement cut). Lines to be installed on contour. Do not grade drive or fill over system or repair area or permits will be revoked. Lot may be cleared as needed of trees and brush for installation of system. 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 LIAR: .3 g.p.d./ft2 el,pennn 07/27/2016 09:54 CATAWBA COUNTY Case# AUTI-I-07-2016-075003 Q�� Public Health Department Subdivision f) 365801350239 '�'po 7 „�; Environmental Health Division PIN# t'+^ PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 2 l842 r NAME ON PERMIT: TODD THOMPSON, PO BOX 436, MAIDEN NC 28650 Site Address: 3046 POND RD, MAIDEN NC 28650 Property Size: Square Feet:223,462.80 Acres:5.13 Directions: Hwy 16 S, right on Providence Mill Rd, Right on Pond Rd, 1/2 mile on right 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' (ISA 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 Jason Boyd 07/27/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/27/2021 No grading or construction activity is allowed in areas designated for system and repair without approval ofthe Health Department. ehpemiit 07/27/2016 09:54 �\3A Permit# RBPR-7-16-24238 A •G CTAWBA COUNTY Name Todd Thom son ; a� Z Public Health Department P Q m1q���i� Environmental Health Division Address 3046 Pond Rd Maiden NC Ve,���' C PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN# 365801350239 /842 Su (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 �•, (D D Site Plan Authorization to Construct t r Lo -, k- -Pr" Pro v��4,� 1 , l � S � 3 ' ° ^) LV 1 ( ' V NR, W_ 11 \0 JI .� �T Eii x \ s ` \\N 12 C6 ? .4 t � 1 \ <, 'ca_ s \ ` f \r--\ > 43 ‘'((-(5 • 3 k , PM 7 1\,5L- 11 C3 ) ( J D + ! a--,^ < -f (9-',Sq n td -� 7 IJJUqrI < bk. 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