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
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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
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