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Home My WebLink AboutAUTH-08-2016-075426.TIF ‘\5A i CATAWBA COUNTY Case# AIJTH-08-2016-075426 ;�c . Public Health Department Subdivision C lldd�iii Environmental Health Division PIN# 364815530472 � / PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 L0T# /2342 w NAME ON PERMIT: JERRY STANLEY, 3006 JACK WI-WIENER RD, NEWTON NC 28658 Site Address: 3006 JACK WHITENER RD, NEWTON NC 28658 Property Size: Square Feet: 582,832.80 Acres:13.38 Directions: Hwy 321 Business, Left onto Prison Camp Rd, Right onto Jack Whitener Rd & go about 1 mile & the home is on the Left. House# is on the mailbox. Owner/Authorized Representative Acknowledgement of Permit Receipt tIA)I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. iC� � As the property owner or authorized representative; I have received the above referenced permit(s) as requested in the application for service EH PR-07- 016-24353 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) tfr, 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: 08/08/2016 Owner/Authorized Representative Signature 1 "L f� ate 14- l 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 ehpenuil 08/08/2016 09:11 o CATAWBA COUNTY ❑e .1.a. .:ii Case# AUTH-08-2016-075426 .F �y Public Hcalth DepartmentC, Subdivision 4 AllH Environmental Health Division •rs t+ r PIM 364815530472 .J `�' PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 GLOT# . a - 4i� NAME ON PERMIT: JERRY STANLEY, 3006 JACK WHITENER RD, NEWTON NC 28658 Site Address: 3006 JACK WHITENER RD, NEWTON NC 28658 Property Size: Square Feet: 582,832.80 Acres:13.38 Directions: Hwy 321 Business, Left onto Prison Camp Rd, Right onto Jack Whitener Rd & go about 1 mile &the home is on the Left. House# is on the mailbox. 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: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - House Basement? No Basement Plumbing? 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 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center Number of Drain Lines 4 Distribution: Serial Pre Treatment: NONE Additional Specifications: *Install septic system at least 5 feet from any building, 50 feet from any well, and 10 feet from any property line. *Install a new 1000 gallon septic tank. `Plumb the washing machine discharge into the new septic tank. 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? System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 ehpenuit 081082016 0914 spA CATAWBA COUNTY Case# AUTH-08-2016-075426 G_ ® Public Health Department Subdivision . „ Environmental Health Division PIN# 364815530472 `-dW PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 LOT# /842 :. NAME ON PERMIT: JERRY STANLEY, 3006 JACK WHITENER RD, NEWTON NC 28658 Site Address: 3006 JACK WHITENER RD, NEWTON NC 28658 Property Size: Square Feet: 582,832.80 Acres:13.38 Directions: Hwy 321 Business, Left onto Prison Camp Rd, Right onto Jack Whitener Rd & go about 1 mile & the home is on the Left. House# is on the mailbox. 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' (15.4 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 08/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/06/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. dim mit 08/08/2016 09:11 Catawba CountyEnvironmental /}v - 8 2 16 o7�1fZ6 Health Wt/f ,ED 0 0 cl> • 1,52 Houm_ o Oso it <'''4L, a ut ♦.rr \7. \ Q tst \ �r0- \J �/G r °4 s. rFN `., a- Parcel 364815530472, 3006 JACK WHITENER lin=60ft RD NEWTON, 28658 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 ail 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 08/04/2016 r vf.m xr i tr. ,n5,�4+7-s,ff.igi pzi p'i v .-N- .Ft ro Yx:$ ;�rSy�-irf.i yp"',T' Z ',rgi.t:*'Cit: .4`-3 i i �P f) f Y y.',',g^t*f 6 134 »ir,Si r b ,,, n__ k,f ._t f .$slv triri�.": .:'*Psrj ate}Eicr'r.3.+'f Giir:iK';2f.Yiffi y-.t4'.`4.., .411/f .-4`p4 f+'rx tiitr/ii.sti ��sr<"'1-firVits,z 21 fii v DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sired_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID N: ON-SITE WASIEWATERSECRON COUNTY: SOIIJSTI't EVALUATION OWNER: fr "1-a for ON-SITE WASTEWATER SYSTEM 7 2-2--/If 'PLICATION DATE ADDRESS:, '3 DUG [tG L br fy DATE EVALUATED: rI-7j PROPOSED FACILITY: (-8O2 PROPOSED DESIGN FLOW(.1949): 56 a PROPERTY ST7F- L OCATION OF SITE PROPERTY RECORDED: WATER SUPPLY: Gritivate 0 Public erWe1 O Spin 0 Other EVALUATION METHOD: 9 Anger Boring Wrii 0 Cut TYPE OF WASTEWATER: CrSewage 0 Industrial Process 0 Mizell -_......_._......._....-:._.._......_............__.................................._:::::::c::di:::::::r.:cc::::e:::::::::::v:::::._iiiii iif : :::::: :g= ' .....sa :...:..:.......:..:..:...._:::::_:_:r:r.._.__.. _ .... _.._........._._:_.._........ _ _ ...... _._.... 4' d .. . -SU1fMElRPHt7>:,OG '--7, t?I"$EA ... ....—.:. ......... ? _ no)_ .. PAOFICEFAC'CORS 3 4L = D41 $O1L. ?: _[9 6; ,ptu - os►uost n&PTa , srftticTUx1J GiSUSLS'(Thitt! W t ' sour Sin<x RRSTy{ raot _ST..... s ►± - 7 ltl� M iAT oG cti'td}lt „1tECW nst_ _aORlz :: Soya o J- C sbrl _ Ir J-J DD 9518 GGtrfp,r,,ti,.ItAA fr - J, re ,.�p 1 _ ,3 2 ZS--O C/-,c p -Pr ((e 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Am'hbL^space(194s) SITE CLASSIFICATION(.1n948): fi 6(.e.- fhc iv, sylatreTYPXs) -o EVALUATED BY: bk /LT" OTHERS)PRESENT: Site LIAR t 3 COMMENTS: a:�f1 s .kS r{ ix ;! 5 ce,! t3 142E 4v{t Tfln°.< 1 7` n '�..T,u�.� Jli"fir`��(a.+r>a '�.+�s.M„ av��x-"e' r . ;,JC }k • . . Catawba County Environmental Health t • - _ R ,rat i. A1C Y4,"., .1 •.I.. ,� 'moi t 1 �• �0 -4,rt . '9,04,3,. ,d li‘t-i ' I. u ri, tt�it •- 1. • a .1-0040 , -. ,.;-..,..,... • id: , .. . .. :e L2r .. t • • S. '''''l.. .--. ,t • ,p, ,,, •••' i=siii'.-•, -,..,.' it: • , ••.. . . . .. . , :',4. ..,,...„, : : -fillarbosfrifiwiiiii \., '... ' ' ," ' /‘ V 44 .10. k .N r `\ `.�� .. - W,, ,.x L. --max 4y; • • � t titi � i .1 7'•- - ;: -.. ,.. --., lk - ..� . ,. `~ 1,1.1:.6.Y .` a, 5.,: lliiii Parcel: 364815530472, 3006 JACK WHITENER lin=60ft RD NEWTON, 28658 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 08!04/2016