HomeMy WebLinkAboutAUTH-07-2016-075125.TIF A CATAWBA COUNTY Case#
F.7 .. Public Health Department Subdivision MUNDY ACRES PHASE III
C *co a Environmental Health Division PIN# 369604624404
Gi PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 9
/842 5M
NAME ON PERMIT: RANDALL WRIGHT, 6891 LONG ISLAND RD, CATAWBA NC 28609
1 Site Address: 6600 LINEBERGER RD, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: Hwy 16 S, turn left on Grassy Creek Rd, Right onto Gates Dr, Turn right onto Sandras Ct, turn right on Helens
Way Turn left on Lineberger Rd.
Owner/Authorized Representative Acknowledgement of Permit Receipt
V' certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
roperty described above.
V2
As the property owner or authorized representative, I have received the above referenced permit(s) as
'requested in the application for service RBPR-06-2016-24097 by the following method(s):
I Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
')/it(
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: 07/29/2016 / ) r i
Owner/Authori ed Representative Signature �S�tJ�i:_i1 .4_/LA
Uate t i /
r
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:
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ehpermit 07/29/2016 10:42
,trA CATAWBA COUNTY ❑e •• I1 I.G..h El Case# AUTH-07-2016-075125
e Public Health Department r • r Subdivision MUNDYACRES PHASE III
4 ti Environmental Hcalth Division h ti ' r : I'IN 369604624404
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� PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 {_, -a]1.
LOT# 9
1842 a - �
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NAME ON PERMIT: RANDALL WRIGHT, 6891 LONG ISLAND RD, CATAWBA NC 28609
Site Address: 6600 LINEBERGER RD, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: Hwy 16 S, turn left on Grassy Creek Rd, Right onto Gates Dr, Turn right onto Sandras Ct, turn right on Helens
Way Turn left on Lineberger Rd.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permits
* 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: Expansion
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No Bedrooms: 3
Wastewater System Requirements
Tank Size: Existing 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: 300 sq ft Total Length: 100 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 2
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications: Permit issued to allow expansion for existing 2 BR bed system to 3 BR for new home. Keep all
parts of any expansion lines or repair system minimum: 50'from any well, 10' from property
lines,5'from home including decks. Lines to be installed on contour. Do not grade drive or fill over
system or repair area. Install new tee and filter on tank and install new d box as needed.
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: IVA Proposed System: 50% REDUCTION
Distribution Type:: LPP Soil LIAR: .3 g.p.d./ft2
PUMP REQUIRED ***** OPERATOR REQUIRED
cl,permit 07/29/2016 10:42
CATAWBA COUNTY Case# AUTH-07-2016-075125
T 9 Public Health Department Subdivision MUNDYACRES PHASE III
Go
�e4n N' Environmental Health Division PIN# 369604624404
'4 _
sir PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 9
lg42 ,w
NAME ON PERMIT: RANDALL WRIGHT, 6891 LONG ISLAND RD, CATAWBA NC 28609
Site Address: 6600 LINEBERGER RD, DENVER NC 28037
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: Hwy 16 S, turn left on Grassy Creek Rd, Right onto Gates Dr, Turn right onto Sandras Ct, turn right on Helens
Way Turn left on Lineberger Rd.
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 Sewnee Treatment and Disposal Systems' (I5A NCAC 18A
.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 07/29/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/29/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 0712912016 10:42
n
Permit# RBPR-6-16-24097
CATAWBA COUNTY Name Randall Wri ht
Public Health Department Address 6600 Lineberger Rd DenverNC
Environmental Health Division 369604624404
PO Box 389, I00A Southwest Blvd, Newton NC 28658
1842 sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Authorization to Construct
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