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Home My WebLink AboutAUTH-08-2016-075329.TIF -y,A CATAWBA COUNTY N c.L Public Health Department Subdivision v 0 Environmental Health Division PIN# 367702858576 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1 /842 sr+ NAME ON PERMIT: ROBBIE & LESLIE DAVIS, 4905 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3833 RL CALDWELL DR, MAIDEN NC 28650 Property Size: Square Feet:52,707.60 Acres:1.21 Directions: From Newton, take Hwy 16 S pass Christian Tours, Turn right on RL Caldwell- Property on right 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 requested in the application for service RBPR-05-2016-23837 , by the following method(s): Received in Person j 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: 08/04/2016 Owner/Authorized Representative Signature . ue Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature L- ti' k. Date/Time gi 01 it Method: Fax /Email US Mail Other Owner's request to send by the above/?indicated method of transmittal in lieu of signature _1Dd(111)6dC \�fgV1I Il d (Ct✓ QS:cOIYI We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpermit 08/04/2016 16:36 1 Catawba County Environmental Health 141/1-1 ` g-24- o7s321 • /9 1440 a Cr k c, h, • • 193.0,, _ A 4 ANI--- __ d�, l S A%-' .- _ n4, NV S0 3 /oo A ,2 /5 6/L 00 .,0Vfl: /2 u/ �N /DO _ V N 3 o Jr I-�--rl °�=dc S 8 Jam,. (;n.P alu Q e ." •gr Ho" �� )Q' O� . * J-1,- 21 i 4,(>' AL rq 1°1 r14( by 4 . / A Parcel: 367702857471, 3833 RL CALDWELL DR tin=60ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 07/25/2016 • - �•� Case# C A � CATAWBA COUNTY � � �,o� � AUTH-08-2016-075329 G� Public Health Department f • i. Subdivision ® 4 Environmental Health Division , �• '!�.' '� ', PIN# 367702858576 PO Box 389, 100 A Southwest Blvd,Newton,NC 28658 ti..__ c r LOT# 1 g�2 5M ..,�' 1� ti 0 . O • •• NAME ON PERMIT: ROBBIE & LESLIE DAVIS, 4905 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3833 RL CALDWELL DR, MAIDEN NC 28650 Property Size: Square Feet:52,707.60 Acres:1.21 Directions: From Newton, take Hwy 16 S pass Christian Tours, Turn right on RL Caldwell- Property 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: IIIB- SYSTEM W/SINGLE EFFLUENT PUMP Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - House Basement? No Basement Plumbing? Bedrooms: 3 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal Dosing Volume 180 gal Pump Specs: 30 GPM @ 19 TDH Pressure Head 2 ft Draw Down 8.5 in Drainfield: Total Area: 1,200 sq ft Total Length: 300 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 Distribution: Pressure Manifold Pre Treatment: NONE PUMP REQUIRED Additional Specifications: *Use schedule 80 - 3/4 inch taps in the manifold. *String the property line indicated on the site plan before installing the drain field, the corners are marked. *Keep all parts of the septic system 5ft from any structure, 10ft from any property line, and 50ft from any well. 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: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold Soil LIAR: 0.3 g.p.d./ft2 PUMP REQUIRED ehpermit 08/04/2016 1 6:36 gA CATAWBA COUNTY Case# AUTH-08-2016-075329 G Public Health Department Subdivision j Environmental Health Division PIN# 367702858576 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1 /842 su NAME ON PERMIT: ROBBIE & LESLIE DAVIS, 4905 S NC 16 HWY, MAIDEN NC 28650 Site Address: 3833 RL CALDWELL DR, MAIDEN NC 28650 Property Size: Square Feet:52,707.60 Acres:1.21 Directions: From Newton, take Hwy 16 S pass Christian Tours, Turn right on RL Caldwell- Property 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' (15A 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 period of time. Robbie Phelps 08/04/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/04/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehper nit 08/04/2016 16:36